WorksheetsNursing Skills Test Set 11 by: Morin Sensei
Total questions: 45
Worksheet time: 2hrs 21mins
Choose one of the following statements about the bathing of the person who has a gastrointestinal stoma
User can take a bath by removing the equipment
Use alcohol or antiseptic solution to disinfect the stoma after bathing
Cover the stoma tightly with plastic to prevent any air exposure.
Choose the most appropriate answer from the description related about life support.
Gives assistance based on trusted relationship
Life support should always be continued indefinitely, regardless of the patient’s wishes or medical condition.
Once started, life support cannot be adjusted or withdrawn even if medically appropriate
Choose the best statement when assisting the user in using bed pan and urinal.
User participation is unnecessary
Clean and dry the user thoroughly before use
In assisting a female user, use it with an oblong piece of toilet paper from the private parts to the urinal
Choose the appropriate statement about giving full assistance in sponge bathing.
When wiping the back, turn the healthy side down
When wiping the back, turn the unhealthy side down
When wiping the back, turn the healthy side up
Choose the most appropriate answer from the description related to life.
Life time is unique in every person
Life in a care facility should only focus on routine tasks, not personal preferences
The life of an elderly person in a care facility is less valuable than that of a younger person
Choose the most appropriate answer from the descriptions related in caregiving record
It’s acceptable to omit negative incidents from records to avoid trouble
Caregiving records can be filled out later from memory; it’s not necessary to write them immediately
User and their family can access and read the care record
Choose the correct one for the room environmental improvement.
It is preferable to use sliding door in the toilet
It’s fine to leave the room cluttered with personal items and furniture as long as it looks cozy
Safety features like grab bars or non-slip mats are optional
Choose the appropriate indoor environment for the elderly living in his/her house.
Poor lighting in hallways, stairs, and bathrooms
Slippery floors in bathrooms and kitchens without non-slip mats
Use induction heater/cooker in consideration to an elderly with
decreased sense of smell
Choose one of the following descriptions of assistance for the entire body clean up
When wiping the back, turn the unaffected side down
When wiping the back, turn the affected side down
When wiping the front, turn the unaffected side down
Choose one of the following statements about excretory care
All elderly people should use diapers to make care easier.
The caregiver should prioritize convenience over the user’s privacy
In the case of a user with self-catheterization, assist the user in sitting
position
Choose the most appropriate matter to note to ensure safety of the user
Safety measures are unnecessary if the user has not had any accidents before
Restraining the life of the user causes stress that may lead to accidents and injury of the user
Prioritizing speed of care over safe procedures
Choose the correct description about saliva
Saliva has digestive enzyme
Saliva has no enzymes and does not start digestion
Saliva is only important for digestion and has no role in oral health or protection
Choose the most appropriate matter from the description relating to stress management
Stress is normal, so there is no need to manage it
Stress can be ignored as long as work gets done on time
Find an appropriate personal problem solving method suited to your own
needs
After admission in the elderly social welfare facility, which is the best action as a caregiver if the user complains about going home immediately
Listen and figure out the cause why the user wanted to be discharged
Forcing participation in activities without listening first
Ignore the user’s complaint and tell them to stop saying they want to go home because this is their home now
Choose the most appropriate statement regarding risk management
Risk management is only necessary after an accident occurs.
Documentation is unnecessary if no injury occurred
Collecting and analyzing previous accident report may help to avoid accident
Mr. B had a left hemiplegia, and the decrease in muscle strength is quite severe recently. Mr. B uses portable toilets during the day and disposable diapers during night. The portable toilet that Mr. B is using a type with a wooden backrest and an armrest. Choose the most appropriate one of the following descriptions of excretion care when Mr. B uses a portable toilet
Place the portable toilet on Mr. B’s left side for easier transfer
Position the portable toilet far from the bed to allow space
When excretion is complete, raise user’s underwear and pants to his thighs before you help the user to stand up
Choose the correct answer from the descriptions related memory.
Users with memory loss should be isolated to prevent confusion.
Memory cannot be stimulated or maintained through activities
Memory has three process: registration, retention, and recall
Choose the most appropriate answer as desirable life environment based on the policy of unit care
A large hospital-style room where many residents are managed collectively under strict schedules
Centralized nursing station controlling all activities
The person in charge of the unit is assigned for a fixed period of time
What part of the heart does the arterial blood flow?
Left atrium
Right atrium
Left ventricle
Choose the correct answer from the description regarding the infection and countermeasure for it.
Norovirus is caused by infectious gastroenteritis
Isolating a user is only needed after symptoms appear
Once a user appears healthy, there is no need to follow infection prevention measures
Choose the appropriate combination of articular movement and muscular names
Plantarflexion of the ankle – Gluteus maximus
Abduction of the shoulder – Latissimus dorsi
Hip joint bending = iliac muscle
Choose one of the most appropriate caregiving practices to give importance of the user’s Quality of Life (QOL)
Prioritize facility rules over the user’s personal wishes at all times
Assist the user not only in physical aspect, but also assisting in
psychological and social aspect
Limit social interaction to prevent trouble
Choose the appropriate part of the small intestine
Jejunum
Duodenum
Ileum
Choose the most appropriate of the following descriptions about development of the caregiving process
The caregiving process is completed once the care plan is created
The process of caregiving aims for the self-realization of the user
Only one caregiver is responsible for the entire process.
A person with right hemiplegia entered the nursing home. Choose the most appropriate meal assistance to be done on the first day of the user in the care facility
Check the easy way of eating method
Seat upright (about 30°)
Feeding from the right side without considering visual neglect or positioning
Choose the most appropriate answer about user with aphasia
Avoid asking questions because the user cannot reply clearly
Always answer for the user to speed up conversation.
Ask question that can be answered by a “yes” or “no” for the persons
with motor aphasia
Choose an appropriate method of lower back pain prevention for caregivers.
Push/pull heavy loads with poor posture or bent back
Static stretching is effective for prevention of lower back pain
Lift and transfer users using only your back without bending your knees or using assistive devices
Choose the correct one as internal organs which has islets of Langerhans
Pancreas
Kidney
Lungs
Choose the most appropriate answer from description about communication using a box type hearing aid.
Speaking in a whisper is just as effective when the user wears a hearing aid
There is no need to face the user or speak clearly because the hearing aid will do all the work
Comparatively user should put the earphone in the ear with a remaining
hearing ability
Choose the most appropriate response when Mr./Mrs. A with dysarthria (difficulty in speaking) said “a,e,i,e,o”
Rushing the user or finishing their words for them
Repeat “oniku” as what you have heard.
Stop repeating those sounds, it doesn’t make sense; just be quiet
Choose the most appropriate measures in reducing the user’s burden in the mind and body when entering the care facility.
Limit social interaction to prevent ‘trouble’ during adjustment
Make effort for the user to be familiar with the staff as soon as possible
Force the user to follow all facility routines immediately without considering their preferences or emotional state.
Choose the appropriate cane assistance method for user with right hemiplegia.
When going up the stairs, cane, right foot, left foot
When going downstairs, cane, right foot, left foot
When going downstairs, cane, leftfoot, right foot
Choose the most appropriate description related to oral care for users using tube feeding.
Do not perform oral care immediately after eating
Oral care is unnecessary because the user does not eat by mouth
Brushing teeth or cleaning the mouth is optional since the user cannot swallow
Choose the appropriate walking assistance for users with Parkinson’s disease with symptom of postural reflex disturbance.
Assist the user by pulling the feet to get his/her first step
Pull the user from behind or hold them tightly around the waist to prevent falling.
Do not use assistive devices because the user might feel dependent
Choose the appropriate outdoor wheelchair assistance.
Try to lift or push the wheelchair up curbs alone without assistance or proper technique
Ignore locking the brakes when stopping on slopes or uneven ground
Confirm whether the user’s feet are on the foot support (foot rest)
Choose the best combination for proper grooming.
Oral care on the bed----Gargle basin
Cultural or personal grooming preferences is not important
Skipping privacy measures, such as covering the body or closing doors
Choose the appropriate method when the user with right hemiplegia will stand from lying position on the bed.
Pull the user up by their right arm to help them stand
Ask the user to push themselves up entirely with the right side
Support the right knee of the user with the caregiver’s hand to assist when standing up.
When going down the stairs, choose the appropriate statement about the cane assistance for user with left hemiplegia.
The cane should always be held in the left hand to help the user walk
he user does not need to place the cane slightly ahead while stepping with the weaker leg
When going up the stairs, stand at the back side of the user’s paralyzed side
Choose the best one for the excrement assisting to “A” bedridden.
Wash the private parts using 38-40° C
Optional use of gloves or proper hygiene during excretion care
Failing to monitor or document urine/stool characteristics
Choose the best cautions to do during meal assistance for user with right paralysis sitting on a chair.
Confirm if the user can swallow well every after one bite
Leaning the user's back
Leave the user to eat alone without supervision, even if they have difficulty using their right hand or chewing/swallowing safely
Which is the most appropriate description of a long-term care insurance service in Japan?
There is a service to visit the user’s houses and cook food
Insurance covers all medical treatments, including unrelated hospitalizations or surgeries
Long-term care insurance in Japan provides unlimited free healthcare and caregiving services for all elderly, regardless of need or assessment
Choose the most appropriate way to provide meals in response to the changes in the physical functions of the elderly.
Force the elderly person to eat quickly or finish the meal, regardless of their chewing, swallowing, or physical limitations
For user with decline peristaltic movement, give food with high dietary fiber.
Using cutlery or meal textures that are difficult to manage without adaptation
Mr. B needs full assistance. He is lying in bed in supine position. He has asthma with symptoms of persistent coughing and difficulty in breathing. Mr. B asked “I want to be in a comfortable position”. Choose the most appropriate action to do as a caregiver.
Not providing pillows or supports to maintain semi-upright or Fowler’s position
Put the pillow on the over table, and sleep with the face down
Lay him flat on the bed without adjusting his position because it’s easier for the caregiver to provide care.
Choose the incorrect statement about dehydration.
Adjust fluid intake during hot weather, fever, or illness
Dehydration occurs when fluid intake is insufficient to meet the body’s needs
There is no change to all appearance even if the aged dehydrate
Choose the best combination for the user’s movement and the caregiver’s use of his/her body while doing full assistance in transferring the user from the bed to the wheelchair.
The caregiver pulls the user upward by the arms while bending their own back and twisting the torso.
Caregiver twists while holding the user, instead of pivoting feet.
Transferring to the wheelchair----stabilize the gravity and move your feet at the direction of the wheelchair
