Nokea
An older adult woman has constant dribbling of urine. The associated discomfort, odor, and embarrassment may support which of the following nursing diagnoses?
- A. Social Isolation
- B. Impaired Adjustment
- C. Defensive Coping
- D. Impaired Memory
Correct Answer: A
Rationale: Incontinence can lead to withdrawal and isolation.
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A female resident's perineal area should be cleaned
- A. Without using soap
- B. With a special oil
- C. From front to back
- D. From the anal area to the meatus
Correct Answer: C
Rationale: Correct Answer: C - From front to back
Rationale:
1. Cleaning from front to back reduces the risk of transferring bacteria from the anal area to the urinary meatus, preventing urinary tract infections.
2. It follows the natural direction of the perineal area, maintaining proper hygiene and preventing cross-contamination.
Summary of Incorrect Choices:
A: Cleaning without soap may not effectively remove bacteria and could lead to inadequate hygiene.
B: Using a special oil is unnecessary and may not provide the necessary cleansing for the perineal area.
D: Cleaning from the anal area to the meatus increases the risk of introducing bacteria into the urinary tract, potentially causing infections.
Under what condition is wearing artificial nails in a long-term care facility acceptable?
- A. They may be worn as long as the nails are clean, short, and filed.
- B. They should not be worn in care facilities.
- C. They should be worn only at special events at facilities.
- D. They may be worn as long as hands are washed frequently.
Correct Answer: B
Rationale: The correct answer is B because wearing artificial nails in a long-term care facility can increase the risk of infection transmission to vulnerable residents. Even if the nails are clean and hands are washed frequently (options A and D), artificial nails harbor more bacteria than natural nails, posing a greater risk in healthcare settings. Limiting their use to special events (option C) does not address the potential risks associated with their use in such facilities. Therefore, the most appropriate and safest approach is to avoid wearing artificial nails altogether in care facilities to prioritize resident safety and infection control.
The ______ is the outer layer of the skin which is composed of dead cells.
- A. Integument
- B. Epidermis
- C. Dermis
- D. Melanocyte
Correct Answer: B
Rationale: The correct answer is B: Epidermis. The epidermis is the outer layer of the skin and is primarily composed of dead cells. It acts as a protective barrier for the body. The other choices are incorrect because: A) Integument is a broader term referring to the entire skin and its appendages. C) Dermis is the layer beneath the epidermis, containing living cells and providing structural support. D) Melanocyte is a cell responsible for producing melanin in the skin, not the outer layer itself.
A chronic inflammatory disease of the large intestine or colon is called
- A. Malabsorption
- B. Fecal impaction
- C. Crohn's disease
- D. Ulcerative colitis
Correct Answer: D
Rationale: The correct answer is D: Ulcerative colitis. This chronic inflammatory disease specifically affects the large intestine or colon, causing ulcers and inflammation in the colon's lining. Malabsorption (A) is a condition where the small intestine cannot absorb nutrients properly. Fecal impaction (B) is a severe constipation issue, not related to chronic inflammation. Crohn's disease (C) is a separate inflammatory bowel disease that can affect any part of the digestive tract, not just the colon. Ulcerative colitis is the only choice that accurately describes a chronic inflammatory disease specific to the large intestine.
What is the minimum number of employees in an organisation that requires risk assessments to be recorded?
- A. 1
- B. 2
- C. 5
- D. 10
Correct Answer: C
Rationale: Risk assessments must be recorded if an organization employs five or more employees.