Question

1.A bowel program.
a.Is a plan to establish bowel regularity
b.Is developed after obtaining a bowel history
c.Should be taught to the client and/or family
d.All of the above
2. What is the muscle that is located just inside the rectum that allows evacuation of the stool?
Stretching muscle
Sphincter muscle
Deltoid muscle
None of the above
3. The ideal position for a patient to be in for a bowel program to be performed is on.
Left side
Right side
On the back
None of the above
4. What is the correct distance that you would insert the finger into the rectum in performing digital stimulation?
1 inch
1.5 inch
Far enough until you feel stool
Far enough until you feel the sphincter muscle
5. The ideal time of day for a bowel program is.
One hour after a meal
Two hours after a meal
15 minutes after a meal
30 to 40 minutes after a meal
6. Measures helpful in breaking the constipation habit include.
Have a regular time for bowel movement each day.
Drink a large glass of prune juice, or lemon juice in warm water each morning
Drink plenty of water-at least 8 glasses a day
All of the above
7. A nutritious diet to help maintain bowel regularity should include.
Candy
Adequate fluids
Adequate fiber
B & C only
8. In order to prevent an 'involuntary', the patient must be sure to maintain a regular schedule with the bowel program.
True
False
9. Common causes of constipation are.
Low fiber diet, decrease in fluid intake, no exercise
High fiber diet, decrease in fluid intake, moderate exercise
Eating too much candy
Beer and alcohol
10. Digital stimulation is performed by.
Using a digital camera
Gently rotating a gloved index finger against the anal sphincter wall
Eating to much candy
Touching your fingertips together
11. The minimum amount of water that should be taken daily to help with proper bowel elimination is.
10 cups
8 cups
8 Ounces
8 glasses
12. Foods that may cause constipation and should be used in moderation or eliminated from the diet are.
Butterbeans
Cheese, whole milk
Prunes
A & C only
13. A client should not be allowed to go over _______ days without a bowel movement.
One
Two
Three
Four
14. While performing digital stimulation on client, a nursing assistant notices some blood which the client has not had before. The assistant should.
Continue with the bowel program
Stop and call the nursing supervisor immediately
Tell the patient that he needs to go to the doctor
Ignore it
15. To perform abdominal massage to promote bowel movement.
Rub abdomen in a circular, downward motion right to left
Rub abdomen in a circular, downward motion left to right
Rub abdomen using upward strokes on both sides
All of the above
16. In order to prevent injury to the patient's rectal tissue when performing digital stimulation, the caregiver must sure to.
Keep fingernails short
Use KY jelly or Vaseline to lubricated gloved finger
A only
A & B

part 5

Developing Age-Specific Competencies - Part 5

1. In caring for all clients, no matter what their age may be, the key health issues are.
Communication
Health
Safety
All of the above
2. Adolescents between the ages of 13 and 20 should.
Not be given choices as they are old enough to understand what is going on
Not be concerned with privacy in this 'day and age'
Be given a lecture if the friends that visit them seem 'less than desirable' to you
Be treated as an adult, given choices, and have their privacy respected
3. Age-specific competencies are the ______you use to give care that meets each client's _______ needs.
Skills, unique
Words, emotional
Supplements, nutritional
4. In caring for a child 5 years old, it is important to.
Not allow the child to tell you what you can do
Keep toys away from child as they may be dirty and carry disease
Use toys and games to teach and help reduce their fear
None of the above
5. Older adults, (65-70) have many needs. They should not be neglected because some people call them 'old'. You, as a caregiver, should.
Give respect and prevent isolation
Promote home safety, giving examples of possible hazards
Provide handouts that are easily readable concerning medication usage and other health related issues.
All of the above
6. While working with middle-aged adults (40-60), it is important to.
Treat them like they are used to being in the hospital and take no extra time with them
Help them to keep a hopeful attitude; focus on their strengths and their limitations
Save their care until last, since they are not very hard to please
All of the above
7. Every client is an individual and has their own.
Likes and dislikes, feelings and thoughts
Limitations, abilities and life experiences
All of the above
8. In older adults over 80, you should always keep in mind.
There is nothing you can do for them except keep them comfortable
Encourage independence, provide mental, physical and social activities as they are able to participate in them
Let the family think of ways to help them
9. You must always AVOID stereotyping a client based on his/her age, and treat each client as an individual.
True
False
10. The main reason that we should strive to deliver age-specific care is.
The patient gets the individual care he/she needs
The patient becomes a partner in his/her own care
It improves patient care, relationships and teamwork
All of the above

Quiz on moving equipment

1. Heavy lifting is harder on your back than pushing and pulling large objects.
True
False
2. To help prevent injury, stay close to the load you are lifting.
True
False
3. Use both arms when lifting moderate to heavy objects.
True
False
4. When pushing, it would be helpful to tighten the abdominal muscles.
True
False
5. Reach for supplies only as high as is comfortable. Do not streetch.
True
False
6. By pushing up one corner, you can test the weight of the load before lifting.
True
False
7. Let your back do the work, not your arms and legs.
True
False
8. You should tighten your abdominal muscles as you lift.
True
False
9. When transporting a patient in a wheelchair, keep patient's arms outside of the chair.
True
False
10. When transporting a patient in a wheelchair, you should check for traffic and then back the chair thru the doorway.
True
False

Answer 1