Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

and walk 10 feet (3 meters), and then turn around

and walk back to the chair. Using a timed Get Up

and Go test: 9 seconds or less indicates full mobil-

ity and 10 to 19 seconds means person is almost

completely independent. Higher times can

indicate impaired mobility.

REFLECTIVE PRACTICE USING CRITICAL

THINKING SKILLS

Sample Answers

1.What safety interventions might the nurse

implement for this patient?

Ms. Washington should be advised to have clutter

removed from the home, remove throw rugs and

fire hazards, and have smoke detectors installed.

She should be advised to wear shoes with rubber

soles when walking in her home. Ms. Washington

might also benefit from a home alert system in case

she falls and needs help.

2.What would be a successful outcome for Ms. Wash-

ington?

By end of visit, Ms. Washington points out three

safety issues in her home and formulates a plan to

correct them.

By next visit, Ms. Washington demonstrates walking

freely through a clutter-free home with fire alarms

installed

3.What intellectual, technical, interpersonal, and/or

ethical/legal competencies are most likely to bring

about the desired outcome?

Intellectual: knowledge of the safety and security

needs of older adults and related nursing responsi-

bilities and care

Interpersonal: ability to establish a therapeutic rela-

tionship with an older adult in order to communi-

cate the need for safety interventions in the home

Ethical/Legal: Commitment to patient safety and

quality care, including ability to report problem sit-

uations immediately

4.What resources might be helpful for Ms. Washington?

Home healthcare services, housekeeping services,

smoke detectors, home alert system

CHAPTER 27

PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

1.b 2.d 3.c 4.b 5.a

6.c 7.a

ALTERNATE-FORMAT QUESTIONS

Multiple Response Questions

1.c, d

2.a, c, d

3.b, f

4.a, b, c

5.b, c, e

6.b, d, e

7.a, d, f

Prioritization Questions

1.

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:

370 ANSWER KEY

cdab

2.

bda ce f

DEVELOPING YOUR KNOWLEDGE BASE

FILL-IN-THE-BLANKS

1.Infection

2.Bacteria

3.Aerobic

4.Fungi

5.Normal flora

6.Reservoirs

7.Portal of entry

8.Antibody

9.Healthcare-associated infection

MATCHING EXERCISES

1.k 2.f 3.a 4.b 5.j

6.i 7.m 8.c 9.e 10.g

11.d 12.n

13. c.Blood, semen, vaginal secretions


14. e.Ticks


15. d.Sputum


16. a.Skin surface


17. b.Blood, feces, body fluids


18. a.Mouth


19. a.Throat
    20.d 21.a 22.c 23.b
    CORRECT THE FALSE STATEMENTS
    1.True
    2.True
    3.False—Washing hands
    4.False—Transient bacteria
    5.True
    6.True
    7.True
    8.False—surgical asepsis
    9.True
    SHORT ANSWER
    
    
    1. a.Number of organisms
       b.Virulence of the organism
       c. Competence of a person’s immune system
       d.Length and intimacy of the contact between a
       person and the microorganism
       2.Sample answers:
       a.Other humans: Tuberculosis
       b.Animals: Rabies
       c. Soil: Gas gangrene
    
    
    2. a.Gastrointestinal
       b.Genitourinary tracts
       c. Blood and tissue
    
    
    
    

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