Chapter 22 – Facilitating Hygiene

1. Hygiene care includes activities such as bathing, showering, and combing hair. These are classified as what type of activities?

A. Activities of daily living (ADLs)
B. Instrumental activities of daily living (IADLs)
C. Comfort measures
D. Restorative activities

2. What is the nurse’s role in hygiene care?

A. Assessing self-care abilities and promoting independence
B. Performing all hygiene tasks regardless of ability
C. Teaching only family members about hygiene
D. Delegating all hygiene care to unlicensed staff

3. What factor most affects hygiene practices for a person experiencing homelessness?

A. Living environment
B. Cultural beliefs
C. Mental illness
D. Education level

4. A client prefers to bathe before bedtime instead of in the morning. This preference is most influenced by what factor?

A. Personal preference
B. Developmental level
C. Economic status
D. Cultural background

5. A client practices daily bathing due to religious belief in ritual cleansing. What factor influences this practice?

A. Culture or spirituality
B. Personal preference
C. Developmental stage
D. Economic status

6. A patient living in poverty may have poor hygiene primarily due to what factor?

A. Limited access to hygiene facilities
B. Poor cultural awareness
C. Excessive knowledge of ADLs
D. Strong family traditions

7. A patient with severe arthritis has difficulty performing hygiene. What physical factor contributes to this limitation?

A. Limited mobility
B. Sensory deficit
C. Cognitive impairment
D. Emotional disturbance

8. A client forgets when they last bathed and cannot determine hygiene needs. What factor is affecting hygiene care?

A. Cognitive impairment
B. Emotional disturbance
C. Sensory deficit
D. Cultural practice

9. A client with depression shows no interest in bathing or grooming. What factor is interfering with hygiene?

A. Emotional disturbance
B. Pain
C. Personal preference
D. Developmental level

10. During hourly rounds, what is the nurse’s primary focus?

A. Checking comfort and self-care needs
B. Giving complete baths
C. Preparing the client for visitors
D. Promoting relaxation before sleep

11. During early morning care, what tasks are usually performed?

A. Washing face and hands, mouth care
B. Bathing, toileting, hair care, skin care
C. Toileting, handwashing, and visitor readiness
D. Relaxation activities and preparing for sleep

12. What hygiene care is typically provided after breakfast?

A. Bathing and toileting with bed making
B. Mouth care only
C. Relaxation and preparing for sleep
D. Comfort rounds

13. What is the purpose of PM care in the hospital?

A. Preparing clients for visitors in the afternoon
B. Bathing clients before bedtime
C. Performing wound care
D. Conducting hourly safety checks

14. What type of hygiene care is provided before sleep to promote rest?

A. HS care
B. AM care
C. Early morning care
D. PM care

15. Before delegating hygiene care to a UAP, what action must the nurse take?

A. Assess the client’s limitations and give instructions
B. Assume the UAP knows the client’s needs
C. Provide no instructions
D. Let the client decide on delegation

16. When the nurse bathes only the areas necessary such as the perineum, what type of bath is this?

A. Partial bath
B. Complete bath
C. Assist bath
D. Therapeutic bath

17. When the nurse helps a client bathe areas that are difficult to reach, what type of bath is this?

A. Assist bath
B. Partial bath
C. Complete bath
D. Tub bath

18. What type of bath is used to soothe irritated skin or sore muscles?

A. Therapeutic bath
B. Tub bath
C. Shower
D. Complete bath

19. What is the safest foot care practice for a client with diabetes?

A. Regular inspection by a healthcare provider
B. Soaking feet in warm water daily
C. Nurses trimming toenails regularly
D. Walking barefoot indoors

20. What is a normal assessment finding for nails?

A. Clean, pink, and smooth appearance
B. Thickened and brittle nails in youth
C. Clubbing of nail beds
D. White spots from poor hygiene

21. What change commonly occurs in nails with aging?

A. Thickening
B. Increased smoothness
C. Increased pink color
D. Decreased nail growth

22. What might nail changes indicate besides aging?

A. Underlying disease or inadequate diet
B. Increased exercise
C. Good nutrition
D. High hydration levels

23. What is one benefit of regular oral care?

A. Reduced incidence of pneumonia
B. Improved vision
C. Increased skin elasticity
D. Enhanced wound healing

24. During oral assessment, what condition might be identified?

A. Gingivitis or stomatitis
B. Pressure injuries
C. Hearing impairment
D. Clubbing of nails

25. A patient with poor oral hygiene and oral lesions is at greater risk for what condition?

A. Oral malignancies
B. Reduced appetite
C. Stronger teeth
D. Improved circulation