Deck 14: Assisting With Comfort

Question 1

Persons at risk for entrapment within the hospital bed system include the following except

A) Persons who are older
B) Persons with poor muscle control
C) Persons who are ambulatory, alert, and oriented
D) Persons who are restrained

Answer 1

Persons who are ambulatory, alert, and oriented

Question 2

You find a person entangled in hospital bed rails. What should you do?

A) Check the person's vital signs.
B) Try to release the person and call for the nurse at once.
C) Ask the person what happened.
D) Get a co-worker to help you remove the bed rails.

Answer 2

Try to release the person and call for the nurse at once.

Question 3

A patient has a manually operated bed. Which statement is incorrect?

A) Hand cranks are at the head of the bed.
B) The cranks are pulled up for use.
C) When not in use, the cranks are kept in the "down" position.
D) Cranks in the "up" position are a safety hazard.

Answer 3

Hand cranks are at the head of the bed.

Question 4

Which does not prevent odors?

A) Changing soiled linen and clothing promptly
B) Cleaning and disinfecting urinals and bedpans promptly
C) Disposing of incontinence and ostomy products every 2 hours
D) Providing good hygiene

Question 5

Which bed position lets the person get out of bed with ease?

A) The flat position
B) Trendelenburg's position
C) The highest horizontal position
D) The lowest horizontal position

Question 6

A resident has dementia. The person becomes very upset whenever the phone rings. Why might the person react this way?

A) The phone ringing is too loud.
B) The person wants to answer the phone.
C) The person wants more attention from staff.
D) The person does not understand what the sound means.

Question 7

You just finished a cigarette. Before going to a patient or resident, you must

A) Leave your smoking materials at the nurses' station
B) Practice hand washing
C) Change your uniform
D) Put on clean gloves

Question 8

Full visual privacy means that

A) The privacy curtain is drawn
B) Windows and shades are adjusted
C) The person is completely free from public view while in bed
D) The room door is closed

Question 9

Lighting in patient and resident rooms is adjusted to meet

A) Your needs
B) The person's needs
C) The nurse's needs
D) The needs of the health team

Question 10

A patient complains of drafts. To prevent drafts, you can to do the following except

A) Make sure the person wears enough clothing
B) Always keep the person covered with a bath blanket
C) Offer the person a lap robe when he or she is sitting in a chair
D) Keep the person away from drafty areas

Question 11

In nursing centers, which room temperature is required by OBRA?

A) 60 $\degree$ to 66 $\degree$ F
B) 68 $\degree$ to 74 $\degree$ F
C) 71 $\degree$ to 81 $\degree$ F
D) 82 $\degree$ to 86 $\degree$ F

Question 12

Comfort is

A) Being warm and dry
B) A state of well-being
C) Having enough blankets for warmth
D) Having enough light to prevent eyestrain

Question 13

Entrapment within the hospital bed system is a risk. Serious injury and death have occurred from head, neck, and chest entrapment.

Question 14

Which bed position requires a doctor's order?

A) The flat position
B) Fowler's position
C) Semi-Fowler's position
D) Trendelenburg's position

Question 15

Bed rails are used

A) Whenever you think they are needed
B) As the nurse and the care plan direct
C) Whenever the bed is raised
D) For all patients and residents, to prevent falls

Question 16

A resident is incontinent. He cannot control his bowel movements. To prevent odors, do the following

A) Check the person often
B) Change the person's clothing every 2 hours
C) Dispose of soiled clothing and linens at the end of your shift
D) Remind the person to use the bathroom

Question 17

Which statement about bed wheels is incorrect?

A) Bed wheels are locked at all times except when moving the bed.
B) Bed wheels must be locked when giving bedside care.
C) Lock bed wheels when transferring a person to and from the bed.
D) Bed wheels are unlocked when the bed is in the lowest horizontal position.

Question 18

To reduce bending and stretching when giving care

A) Beds are in the lowest horizontal position
B) Beds are raised horizontally
C) Beds are kept in the flat position
D) The head of the bed is raised 60 degrees

Question 19

The person's area of the room is considered

A) Public space
B) Working space
C) Private
D) Home-like

Question 20

You can reduce hospital and nursing center noise by doing the following except

A) Handling equipment carefully
B) Answering phones, signal lights, and intercoms promptly
C) Reporting equipment with squeaky wheels
D) Providing drapes and carpets that absorb noise

Question 21

A patient's left side is paralyzed. Where should you place the signal light?

A) On the person's left side
B) On the person's right side
C) Wherever you can attach it
D) To the person's pillow

Question 22

Linens are held

A) With forceps
B) Close to your body and uniform
C) Away from your body and uniform
D) With gloves on

Question 23

You are going to help a resident get dressed. Which provides full visual privacy from the person's roommate?

A) Closing window shades
B) Pulling the privacy curtain around the person's bed
C) Closing the person's room door
D) Holding a bath blanket around the person

Question 24

Which statement about overbed tables is incorrect?

A) They can be raised or lowered.
B) They can be used as a work area.
C) You can place urinals and bedpans on them.
D) They are used for meals.

Question 25

A resident brought a chair from home. The chair is unsafe if

A) It has armrests
B) It is comfortable for the person
C) It tips during transfers
D) The person can get in and out of it easily

Question 26

You are straightening a person's unit. Which is correct?

A) Rearrange the room.
B) Discard papers, flowers, food, and other clutter.
C) Empty the wastebasket at least once a day.
D) Make a closed bed.

Question 27

When using an intercom system, you must be careful to protect the person's right to

A) Personal choice
B) Refuse treatment
C) Informed consent
D) Confidentiality

Question 28

A clean, neat, wrinkle-free bed does the following except

A) Increases the person's comfort
B) Prevents incontinence
C) Helps prevent skin breakdown
D) Helps prevent pressure ulcers

Question 29

Which statement about the nursing center resident's closet is incorrect?

A) The center must provide each person with closet space.
B) The person must have free access to the closet and its contents.
C) Two residents can share the same closet space if it is large.
D) Closet space includes shelves and a clothes rack.

Question 30

Where are bedpans and urinals stored?

A) In bedside stands
B) In overbed tables
C) In closets
D) Under the bed

Question 31

A resident's bathroom signal light is on. When should you respond?

A) At once
B) When the nurse tells you to
C) When you are near the room
D) After you finish other care

Question 32

Clean linens are placed

A) On a clean surface
B) On the floor
C) On top of dirty linens
D) Under dirty linens

Question 33

When changing linens, you must follow

A) The material safety data sheet
B) Standard Precautions and the Bloodborne Pathogen Standard
C) Standard Precautions and sterile technique
D) OBRA and OSHA standards

Question 34

Which statement about signal lights is correct?

A) Keep the signal light within the person's reach.
B) Place the signal light on the person's weak side.
C) Remind the person to use the signal light only for emergencies.
D) Answer signal lights when you have time.

Question 35

Linens are changed

A) When wet, soiled, or damp
B) When loose or wrinkled
C) Every shift
D) At bedtime

Question 36

A nursing center resident is out of bed all day. What kind of bed should you make?

A) Closed bed
B) Open bed
C) Occupied bed
D) Surgical bed

Question 37

To maintain the person's unit, do the following except

A) Place the overbed table and bedside stand within the person's reach
B) Provide the person with enough tissues and toilet paper
C) Use a room deodorizer every 4 hours
D) Straighten bed linens and towels as often as needed

Question 38

A nursing center resident needed hospital care. The person will return to the nursing center by ambulance. What kind of bed should you make?

A) Closed bed
B) Open bed
C) Occupied bed
D) Surgical bed

Question 39

Which is not a safety feature of patient and resident bathrooms?

A) Towel racks
B) Grab bars
C) Raised toilet seats
D) The signal light

Question 40

A resident wants her chair near the window. The window is on the side of the room occupied by the person's roommate. Which statement is correct?

A) The person's choice is allowed if it is safe.
B) The person's choice is allowed if it will not cause falls.
C) The person's choice is allowed if it will not cause accidents.
D) The person's choice interferes with the personal space of her roommate.

Question 41

A resident has a closed bed. How can you make an open bed for the person?

A) Remove the linens.
B) Make a cuff with the top sheet, blanket, and bedspread.
C) Fan-fold top linens to the foot of the bed.
D) Fan-fold top linens to the side of the bed.

Question 42

Which action spreads microbes?

A) Shaking linens
B) Placing dirty linen in a laundry bag
C) Rolling dirty linens away from you
D) Practicing hand hygiene before handling clean linen

Question 43

Which is placed on the bed first?

A) Bedspread
B) Blanket
C) Bottom sheet
D) Drawsheet

Question 44

You are going to make a bed. For body mechanics, the bed is

A) In Fowler's position
B) Raised
C) Locked into position
D) Moved so you can reach it with ease

Question 45

Which statement about pain is incorrect?

A) Pain is subjective. You must rely on what the person says.
B) The nurse uses the nursing process to relieve pain.
C) Response to pain is influenced by the person's culture.
D) Sore, hurt, and aching mean the same thing.

Question 46

Which statement about pain is incorrect?

A) Some people ignore pain to meet personal and family duties.
B) Family and friends can help the person deal with pain.
C) Pain is useful for some people because of the attention they get.
D) The ability to feel pain increases with aging.

Question 47

You brought 2 pillowcases into a patient's room. The person uses 1 pillow. What should you do with the other pillowcase?

A) Return it to the linen supply.
B) Leave it in his room for another time.
C) Take it to another person's room.
D) Put it with the dirty laundry.

Question 48

You are making a surgical bed for a patient returning from surgery. Which is correct?

A) A complete linen change is needed.
B) Leave the bed in the lowest position.
C) Leave both bed rails up.
D) Attach the signal light to the bed.

Question 49

Which can be used as an assist device to move and transfer persons in bed?

A) Mattress pad
B) Bottom sheet
C) Waterproof drawsheet
D) Cotton drawsheet

Question 50

Which statement about pain is correct?

A) The meaning of pain is the same for everyone.
B) Pain seems worse when the person is tired or restless.
C) You can see and feel another person's pain.
D) Sore and aching mean the same thing to everyone.

Question 51

After making a bed, do the following

A) Raise the bed
B) Place the signal light within the person's reach
C) Ask the nurse to check your work
D) Fold back top linens

Question 52

A resident does not use bed rails. You need to make an occupied bed. For the person's safety you should

A) Raise the bed rails
B) Keep the bed in the low position
C) Ask a co-worker to help you
D) Make an open bed instead

Question 53

Linens are straightened and tightened

A) Daily
B) After the bath or shower
C) At bedtime
D) Whenever needed

Question 54

The bottom sheet is placed on the bed correctly if

A) The hem-stitching is down
B) The hem-stitching is up
C) The top edge is even with the top of the mattress
D) It completely covers the plastic drawsheet

Question 55

When removing dirty linens you must wear

A) Gloves
B) A gown
C) A face mask
D) Eye protection

Question 56

A resident has dementia. The person cannot explain when there is pain or where the pain is. Which is correct?

A) The person's family will tell you when the person has pain.
B) Behavior changes may signal pain.
C) Pain will cause the person to scream.
D) Pain is not a concern. Persons with dementia cannot feel pain.

Question 57

A waterproof drawsheet is used. It must

A) Completely cover the bottom sheet
B) Be completely covered by the cotton drawsheet
C) Completely cover the cotton drawsheet
D) Be completely covered by the bottom sheet

Question 58

Wet, damp, or soiled linens are changed

A) Right away
B) After meals
C) After the shower or bath
D) Each shift

Question 59

Anxiety tends to

A) Relieve pain
B) Increase pain
C) Promote sleep
D) Lessen fear and worry

Question 60

A resident brought a pillow from home. Which statement is correct?

A) He needs to bring a pillowcase, too.
B) He must use a pillow provided by the nursing center.
C) Handle the pillow with care and respect.
D) The pillow must have a safety check by the maintenance department.

Question 61

Insomnia is

A) The day-night cycle
B) A state of unconsciousness
C) A chronic condition in which the person cannot sleep or stay asleep all night
D) To ache, hurt, be sore, or have pain

Question 62

Sleep is needed for the following except

A) Lowering stress and tension
B) Tissue healing and repair
C) Regaining energy and mental alertness
D) Promoting muscle activity

Question 63

The following measures promote sleep except

A) Providing a comfortable room temperature
B) Following bedtime rituals
C) Providing clean, dry, wrinkle-free linens
D) Providing coffee or wine at bedtime

Question 64

A person with dementia is awake and walking around at 1:00 AM. Which approach may be helpful?

A) Take the person to his room and close the door.
B) Restrain the person in a chair.
C) Let the person wander in a safe supervised area.
D) Give the person a snack of toast and coffee.

Question 65

Which statement about sleep deprivation is correct?

A) The person needs a sleeping pill.
B) The amount and quality of sleep are decreased.
C) The person leaves the bed and walks about during sleep.
D) The person wakes up very early.

Question 66

The nurse gave a patient pain medication. Which will not promote the person's safety?

A) Raising the bed to the high position
B) Raising bed rails according to the care plan
C) Checking on the person every 10 to 15 minutes
D) Providing help when the person needs to get up

Question 67

You find a person sleep-walking. You should do the following except

A) Turn on the lights
B) Protect the person from injury
C) Guide the person back to bed
D) Gently wake the person

Question 68

Insomnia includes the following except

A) Sleep-walking
B) Being unable to fall asleep
C) Being unable to stay asleep
D) Waking early and being unable to fall back asleep