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Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions) - Document preview page 1

Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions) - Page 1

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Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions)

Sharpen your exam skills with Client-Centered Care Comprehensive Practice Exam With Answers, a valuable resource featuring past tests.

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Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions) - Page 1 preview imageClient-Centered Care Exam I With VerifiedQuestions and Verified AnswersWhat are the factors interfering with urinary elimination? - total loss of kidney'sability to manufacture urine, decreased kidney profusion, blockage of the ureters,disruption of the bladder by tumor or trauma, infection, neurologic damage to thenerves, prostate surgeryWhat is the normal urinary elimination for infants? - 5-40 times a dayWhat is the normal urinary elimination for preschool children? - every 2 hoursWhat is the normal urinary elimination for adults? - 5-10 times per dayWhat is the normal amount of urination voided for males? - 300-500 mLWhat is the normal amount of urination voided for females? - 250 mLWhat should the average output for urination be? - approx 30 mL/hrWhat are the functions of sleep? - They are important factors in general healthand recovery from illness, it increases your pain tolerance, and allows improvedresponse to analgesiaWhat is Rapid Eye Movement (REM) sleep? - the time period in which you dream, aperiod of high level activity, heart rate, bp, and respirations are similar to thatwhen awake
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Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions) - Page 2 preview image
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Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions) - Page 3 preview imageWhat is Non-Rapid eye movement (NREM) sleep? - when the body receives themost rest; heart rate, bp, and respirations declineNewborn sleep requirements - atleast 16 hours of sleep per dayAge 1 sleep requirements - 12-14 hours per daypreschool sleep requirements - 11-13 hours per nightschool-age sleep requirements - 10-11 hours per nightadolescents sleep requirements - 9-10 hours per nightadult sleep requirement - 8 hours per nightWhat effects does inadequate rest and sleep have on the body? - It negativelyaffects many systems such as cardiovascular, respiratory, immune, andneurological as well as metabolismHow is sleep affected in a hospital? - noise and commotion, frequently interruptedby diagnostics tests and vital sign measurementsHow can nurses reduce the disruption of rest and sleep? - by adjustingenvironmental factors. using flashlights instead of turning on the lights, offerearplugsWhat are non-pharmacological pain treatments? - Transcutaneous electricalnerve stimulation (TENS)Percutaneous electrical nerve stimulation (PENS)
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Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions) - Page 4 preview imageBinders, application of heat and cold, relaxation, biofeedback, distraction, guidedimagery and meditation, music, hypnosis, massageWhat are some pain management skills for acute and chronic pain? - They can betreated with nonpharmacological and pharmacological methodsWhat pain medications may be ordered for acute and chronic pain? - nonsteroidalanti-inflammatory drugs, COX-2 inhibitors, narcotics or opioidWhat is pain classification? - Pain classification is how the pain feels such asrushing, throbbing, pulsating, twisting, pulling, burning, searing, stabbing, tearing,biting, blinding, nauseating, debilitatingWhat is acute pain? - usually associated with injury; short duration; usuallycontrolled with analgesics (pain killers)What is chronic pain? - pain that may continue for months or years; oftenassociated with conditions such as arthritis or chronic back pain; may be treatedwith pharmacologic and nonpharmacologic interventionsWhat is nociceptive pain? - involves injury to the tissue; may be found in skin,joints, or organ viscera; four phases; treatments are aimed at one or all fourphasesWhat are the 4 phases of nociceptive pain? - transduction, transmission,perception, modulation; NSAIDs work at blocking transduction; Opioids blocktransmission; distraction and guided imagery block perception; drugs that blockneurotransmitter uptake work on modulation
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Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions) - Page 5 preview imageWhat is neuropathic pain? - associated with dysfunction of the nervous system;pain receptors in the body become more sensitive to stimuli and send signalsmore easily; often associated with Guillain-Barre Syndrome, cancer and HIVHow is neuropathic pain treated? - treated with NSAIDs, tricyclic antidepressants,anticonvulsants, or corticosteroidsWhat is phantom pain? - occurs with loss of a body part of amputation; notcontrolled by conventional methods; may be treated with TENS units implanted inthe thalamusWhat is the number scale for pain? - rating the level of pain. 0 is pain free, 10 isthe worse pain imaginableWhat is the picture scale for pain? - shows faces in varying degrees of painWhat is NIPS scale? - neonatal infant pain scaleWhat is CRIES scale? - crying, requires oxygen to maintain saturation, increasedvital signs, expression, and sleeplessnessWhat is PIPP scale? - Premature infant pain profileWhat are nursing actions to promote patient safety in the home? - place a nonskidbathmat in the tub or shower; use night-lights to help patient find the bathroom;suggest installation of grab bars; install door buzzers or bed alarms; maintain the
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Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions) - Page 6 preview imagesame furniture arrangement; encourage removal of extension cords; caution thepatient about toys and animals; provide appropriate community resourcesWhat are protected devices formally called restraints? - security belts forwheelchairs, chairs with tabletops, extremity immobilizers, mittens/hand mitsHow do you safely use a hospital bed? - mattresses should fit snuggly to the rails,rails should be close enough together so that the clients head cannot accidentallyslip thru them, beds should always be in the lowest position and locked, half siderails are okay to use for the purpose of client's independenceHow do you use protective devices safely? - alternatives should be consideredfirst; when using a protective device, they must be checked every 15-30 mins;immobilizer ties should be released every 2 hoursHow do you use oxygen therapy equipment safely? - Supplemental oxygen is usedin healthcare facilities and in clients homes. smoking is never aloud aroundoxygen, as a spark could cause a rapidly spreading fireWhat is the 1st goal of National Client Safety? - improve the accuracy of patientidentificationWhat is the 2nd goal of National Client Safety? - improve the effectiveness ofcommunication among caregiversWhat is the 3rd goal of National Client Safety? - improve the safety of usingmedicationsWhat is the 6th goal of National Client Safety? - reduce the harm associated withclinical alarm systems
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Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions) - Page 7 preview imageWhat is the 7th goal of National Client Safety? - reduce the risk of healthcare-associated infectionsWhat is the 9th goal of National Client Safety? - reduce the risk of patient harmresulting from fallsWhat is the 14th goal of National Client Safety? - prevent healthcare-associatedpressure ulcersWhat is the 15th goal of National Client Safety? - the organization identifies safetyrisks inherent in its patient populationDefinition of nutrition - foods people eat and how their bodies use itdefinition of nutrition science - scientific knowledge of food requirements forgrowth, activity, reproduction, and maintenancedefinition of dietetics - health profession that applies nutrition science to promotehealth and treat diseasedefinition of registered dietitian - nutrition authority on the health care teamWhat is health and wellness? - health is more than just absence of disease, itincludes meeting basic needs; recognizes individual as a whole; considers internaland external environments; wellness seeks full development of potentialWhat are National Health Goals? - continue focus on wellness; emphasize positivehealth promotion and disease prevention; healthy people 2020 focuses on thenations main objectives of positive health promotion and disease prevention
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Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions) - Page 8 preview imageWhat is the preventive approach to health? - identify and minimize risk factors inadvance to developing diseaseWhat is the traditional approach to health? - attempts change when symptoms ofillness or disease already existWhat are signs of good nutrition? - well-developed body; ideal weight for heightand body composition; good muscle development; smooth and clear skin; glossyhair; clear and bright eyesWhat is the importance of a balanced diet? - well-nourished people are more likelyto be mentally and physically alert, have a positive outlook, and be able to resistinfectious diseasesWhat are the 6 essential nutrients? - carbohydrates, proteins, fats, vitamins,minerals, waterWhat are nonessential nutrients? - nutrients that can be manufactured in the bodyby means of other nutrients; not essential to consume regularly in the dietWhat are energy-yielding nutrients? - nutrients that break down to yield energywithin the body, including carbohydrates, fat and proteinWhat are the basic functions of food? - provide energy, build tissue, and regulatemetabolic processesWhat are carbohydrates used for in the body? - primary source of fuel for energy;maintain body's backup store of quick energy as glycogen; ideally provide 45-65%of total kilocalories
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Client-Centered Care Comprehensive Practice Exam With Answers (232 Solved Questions) - Page 9 preview imageWhat are proteins used for in the body? - ideally provide 10-35% of totalkilocalories; source of energy only when supply from carbohydrates and fats isinsufficient; BUILDS and REPAIRS TISSUE; should be preserved for other criticalfunctions such as structure, enzyme and hormone production, and fluid balance;provide amino acidsWhat are fats used for in the body? - animal and plant sources; secondary storageform of energy; ideally provide 20-35% of total kilocaloriesWhat are vitamins and minerals used for in the body? - help regulate many bodyprocesses; Vitamin C in developing collagen; calcium and phosphorus for buildingand maintaining bone tissue; iron is an essential part of hemoglobin in the blood.A polyunsaturated fat is defined as a fatty acid: - that has 2 or more unfilledspaces for hydrogenHow much energy does fat provide when used by the body? - 9 kcal/gWhat is a major source of monounsaturated fats in the diet? - vegetable oilsWhat amino acid is an indispensable amino acid? - phenylalanineAlpha-linolenic acid is which type of fatty acid? - Omega 3 fatty acidWhat is the primary function of protein in the body? - builds new tissue andrepairs damaged tissueWhen referring to amino acids, what does the term "conditionally indispensable"mean? - They're key in rare conditions, but can normally be synthesized in thebody
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