(NACE) I PN-RN: Nursing Acceleration Challenge
Exam| Foundations of Nursing Sample Quiz with
Verified Answers | 100% Correct.
According to Maslow's hierarchy of needs, which of the client's
needs must be met FIRST?
Belonging and self-esteem
Physiological
Safety and security
Self-actualization Physiological
Physiological needs must be met first. Abraham Maslow stated
that human behavior is motivated by needs, and that there is a
hierarchy of needs that begins with basic needs and progresses to
personal needs. People may not progress in one direction from
one need to another, but movement may be in multiple directions
in a lifelong process of working toward self-actualization, which
requires creativity and some degree of freedom. Failure to
develop toward self-actualization may result in depression and
feelings of failure.
A bed-bound patient has a 1.5-inch foam overlay over her
mattress. The nurse places her hand under the overlay and finds
that the foam overlay has compressed to 0.75 inch. What does
this indicate?
,Excess wear
Adequate support
Bottoming out
Moisture retention Bottoming out
Support surface material should provide at least one inch of
support under areas to be protected when in use to prevent
"bottoming out." (Check by placing a hand palm-side up under
the overlay and below the pressure point.) Static support surfaces
are appropriate for patients who can change position without
increasing pressure to an ulcer. Dynamic support surfaces are
needed for those who need assistance to move or when static
pressure devices provide less than one inch of support.
A patient who is a Jehovah's Witness needs a transfusion of
packed red blood cells because of blood loss, but his religion
prohibits blood transfusions. Which of the following is the correct
action?
Tell the patient that he may die without the transfusion
Provide full information and the reasons for the transfusion
Assume the patient will not accept a transfusion and report this to
the physician
Tell the patient that his health is more important than religious
beliefs Provide full information and the reasons for the
transfusion
, It's important to approach the patient/family with full information
and reasons for the transfusion or blood components without
being judgmental, allowing them to express their feelings. One
should never assume that an individual would refuse blood
products based on religion alone. Jehovah's Witnesses can receive
fractionated blood cells, thus allowing hemoglobin-based blood
substitutes. The following guidelines are provided to church
members:
An Alzheimer patient is actively resistive to basic hygiene.
However, in order to meet basic standards for hygiene, how
frequently should the patient be bathed?
Biweekly
Weekly
Two to three times weekly
Daily Two to three times weekly
While adults don't usually need daily baths, they should bathe two
to three times weekly. Grab bars, shower or tub seats, tub mats,
handheld showers, and proper heating (to avoid chilling the
patient) can facilitate more frequent bathing. Mild soap and bath
oil may reduce the drying of skin. Patients who are fearful of tubs
and showers, common with dementia, may receive a sponge bath
or Comfort Bath with premoistened, warmed washcloths. Thick-
handled toothbrushes or electric toothbrushes may facilitate
mouth care.
Exam| Foundations of Nursing Sample Quiz with
Verified Answers | 100% Correct.
According to Maslow's hierarchy of needs, which of the client's
needs must be met FIRST?
Belonging and self-esteem
Physiological
Safety and security
Self-actualization Physiological
Physiological needs must be met first. Abraham Maslow stated
that human behavior is motivated by needs, and that there is a
hierarchy of needs that begins with basic needs and progresses to
personal needs. People may not progress in one direction from
one need to another, but movement may be in multiple directions
in a lifelong process of working toward self-actualization, which
requires creativity and some degree of freedom. Failure to
develop toward self-actualization may result in depression and
feelings of failure.
A bed-bound patient has a 1.5-inch foam overlay over her
mattress. The nurse places her hand under the overlay and finds
that the foam overlay has compressed to 0.75 inch. What does
this indicate?
,Excess wear
Adequate support
Bottoming out
Moisture retention Bottoming out
Support surface material should provide at least one inch of
support under areas to be protected when in use to prevent
"bottoming out." (Check by placing a hand palm-side up under
the overlay and below the pressure point.) Static support surfaces
are appropriate for patients who can change position without
increasing pressure to an ulcer. Dynamic support surfaces are
needed for those who need assistance to move or when static
pressure devices provide less than one inch of support.
A patient who is a Jehovah's Witness needs a transfusion of
packed red blood cells because of blood loss, but his religion
prohibits blood transfusions. Which of the following is the correct
action?
Tell the patient that he may die without the transfusion
Provide full information and the reasons for the transfusion
Assume the patient will not accept a transfusion and report this to
the physician
Tell the patient that his health is more important than religious
beliefs Provide full information and the reasons for the
transfusion
, It's important to approach the patient/family with full information
and reasons for the transfusion or blood components without
being judgmental, allowing them to express their feelings. One
should never assume that an individual would refuse blood
products based on religion alone. Jehovah's Witnesses can receive
fractionated blood cells, thus allowing hemoglobin-based blood
substitutes. The following guidelines are provided to church
members:
An Alzheimer patient is actively resistive to basic hygiene.
However, in order to meet basic standards for hygiene, how
frequently should the patient be bathed?
Biweekly
Weekly
Two to three times weekly
Daily Two to three times weekly
While adults don't usually need daily baths, they should bathe two
to three times weekly. Grab bars, shower or tub seats, tub mats,
handheld showers, and proper heating (to avoid chilling the
patient) can facilitate more frequent bathing. Mild soap and bath
oil may reduce the drying of skin. Patients who are fearful of tubs
and showers, common with dementia, may receive a sponge bath
or Comfort Bath with premoistened, warmed washcloths. Thick-
handled toothbrushes or electric toothbrushes may facilitate
mouth care.
