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

b.Thirst: Offer ice chips; maintain oral hygiene.

c. Hiccups: Rebreathe into paper bag; eat a

teaspoon of granulated sugar.

d.Surgical pain: Assess pain frequently; offer

nonpharmacologic measures to supplement

medications.

APPLYING YOUR KNOWLEDGE

REFLECTIVE PRACTICE USING CRITICAL

THINKING SKILLS

Sample Answers

1.How might the nurse use blended nursing skills to

implement the perioperative plan of care in a man-

ner that respects Ms. Greenbaum’s human dignity

and addresses her fears and concerns about the sur-

gical experience?

The nurse should assess the patient’s psychological,

sociocultural, and spiritual dimension since surgery

is a major psychological stressor that causes anxiety

and fear. The nurse can use cues obtained in a

health history to plan nursing interventions to pro-

vide information and emotional support for a suc-

cessful recovery.

2.What would be a successful outcome for this patient?

Following the nursing history, Ms. Greenbaum

verbalizes her fears regarding the surgery and lists

three coping methods to reduce stress.

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

ethical/legal competencies are most likely to bring

about the desired outcome?

Intellectual: ability to identify the common psycho-

logical patient responses before and after surgery.

Interpersonal: ability to communicate to the

patient concerns about the patient and his or her

well-being.

Ethical/Legal skills: ability to participate in care as a

trusted and effective advocate, including

advocating for a patient who is fearful.

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

Printed or AV materials of hysterectomies, counseling,

support groups

CHAPTER 31

PRACTICING FOR NCLEX

MULTIPLE CHOICE QUESTIONS

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

6.d

ALTERNATE-FORMAT QUESTIONS

Multiple Response Questions

1.a, b, d, e

2.d, e, f

3.a, c, e

4.b, d, f

5.a, c, e

DEVELOPING YOUR KNOWLEDGE BASE

FILL-IN-THE-BLANKS

1.Gingivitis

2.Alopecia

3.Pediculosis

4.Hour of sleep

5.Bag bath

MATCHING EXERCISES

1.d 2.c 3.h 4.j 5.a

6.i 7.f 8.b 9.e 10.g

11.k

CORRECT THE FALSE STATEMENTS

1.False—ceruminal glands

2.True

3.False—yellowish

4.True

5.False—lowest

6.True

7.False—Oily

8.False—lack of blood circulation

9.True

10.True

11.False—Pediculus humanis corpus

12.False—podiatrist

13.False—morning care

SHORT ANSWER

1. a.Culture: Many people in North America place a
   high value on personal cleanliness, shower fre-
   quently, and use many products to mask odors.
   Culture may also dictate whether bathing is pri-
   vate or communal.
   b.Socioeconomic class: Financial resources often
   define the hygiene options available to individ-
   uals. The availability of running water and
   finances for soap, shampoo, and so on affects
   hygiene.
   c. Spiritual practices: Religion may dictate ceremo-
   nial washing and purification, which may be a
   prelude to prayer or eating.
   d.Developmental level: Children learn different
   hygiene practices while growing up. Family
   practices may dictate morning or evening baths,
   frequency of shampooing, feelings about nudity,
   frequency of clothing changes, and so on.
   e.Health state: Disease or injury may hinder an
   individual’s ability to perform hygiene measures
   or motivation to follow usual hygiene habits.
   f. Personal preference: People have personal pref-
   erences with regard to shower versus tub baths,
   bar soap versus liquid soap, and so on.

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

ANSWER KEY 379

Prioritization Question

1.

db f ga ec

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