MULTIDIMENSIONAL CARE 1 FINAL EXAM
WITH Q&A TESTED AND APPROVED NEWLY
MODIFIED 2025/2026 LATEST
Nurses role in clients rights -- ANSWER---Ensure client's understand their rights, and must
protect their client's rights
-Understand the aspect of care to be active in the decision-making process
-Accept, refuse, or request modification of the plan of care
-Receive care from competent individuals who treat the client with respect
providers order -- ANSWER--advance directive; unless a provider writes DNR or AND
prescription in the client's medical record, the nurse initiates CPR when the client has no
pulse or respirations
Semi-Fowlers -- ANSWER---pt lies supine with the head of the bed elevated 15 to 45 degrees
(typically 30 degrees).
-Position prevents regurgitation of enteral feedings and aspiration by pts who have difficulty
swallowing, it also promotes lung expansion for clients who have dyspnea or are receiving
mechanical ventilation
1
,fowlers -- ANSWER---pt lies supine with the head of the bed elevated 46 to 60 degrees. -
Position us useful during procedures (nasogastric tube insertion and suctioning)
-it allows for better chest expansion and ventilation and better dependent drainage after
abdominal surgeries
high-fowlers -- ANSWER---pt lies supine with the head of the bed elevated 60 to 90 degrees
-promotes lung expansion by lowering the diaphragm and thus helps relieve severe dyspnea,
also helps prevent aspiration during meals
supine or dorsal recumbent -- ANSWER---pt lies on their back with the head and shoulders
elevated on a pillow and forearms on pillows or at their sides.
-A foot support prevents foot drop and maintains proper alignment without excessive flexion
or extension of the head and neck.
-Ensure that the vertebrae are in straight alignment without excessive flexion or extension of
the head and neck
prone -- ANSWER---pt lies flat on their abdomen and chest with the head to one side and
back in correct alignment, a pillow may be placed under the leg
-this promotes relaxation by permitting some knee flexion and dorsiflexion of the ankles
-promotes drainage from mouth after throat or oral surgery, but inhibits chest expansion, it is
for short-term use only, helps prevent hip flexion contractures following a lower extremity
amputation
UTI Patient Teaching -- ANSWER---avoid tub baths, spermicides, oil-bass lube, perfume to
peritoneal area
2
,-void after intercourse
-cotton underwear and no tight fitting stuff
-hygienic care --> front to back wiping
-increase fluid intake to 8-10 glasses a day
UTI Nursing Interventions -- ANSWER--drink plenty of fluids
dont wait to pee void after sex no bubble baths perineal care
administer meds
Tasks that can be delegated to UAPs -- ANSWER--ADLS (Bathing, grooming, dressing,
toileting, ambulating, feeding [without swallowing precautions], positioning)
Routine tasks (Bed making, specimen collection, I&O, vital signs for stable pts)
TAPE -- ANSWER--Teaching
Assessment
Planning
Evaluating
5 rights of delegation -- ANSWER--right task
right circumstance right person right
direction/communication right
supervision/evaluation
3
, informed consent -- ANSWER--legal process by which a client or the client's legally
appointed designee has given written permission for a procedure or treatment
advance directives -- ANSWER--communicates a client's wishes regarding end-of-life care
should the client become unable to do so
living will -- ANSWER--advance directive; legal document that expresses the client's wishes
regarding medical treatment in the event the client becomes incapacitated and is facing
endof-life issues
durable power of attorney for health care -- ANSWER--advance directive; document in which
client's designate a health care proxy to make health care decisions for them if they are unable
to do so
lateral or side-lying -- ANSWER---pt lies on their side with most of the weight on the
dependent hip and shoulder and the arms in flexion in front of the body.
-They should have a pillow under the head and neck, upper arms, and legs and thighs to
maintain body alignment
-good sleeping position, but clients need to be turned regularly to prevent the development of
pressure ulcers on the dependent areas.
-30 degree lateral position is essential for clients at risk for pressure ulcers
sims' or semi-prone -- ANSWER---pt lays on their side halfway between lateral and prone
positions, with the weight on their anterior ileum, humerus, and clavicle.
4
WITH Q&A TESTED AND APPROVED NEWLY
MODIFIED 2025/2026 LATEST
Nurses role in clients rights -- ANSWER---Ensure client's understand their rights, and must
protect their client's rights
-Understand the aspect of care to be active in the decision-making process
-Accept, refuse, or request modification of the plan of care
-Receive care from competent individuals who treat the client with respect
providers order -- ANSWER--advance directive; unless a provider writes DNR or AND
prescription in the client's medical record, the nurse initiates CPR when the client has no
pulse or respirations
Semi-Fowlers -- ANSWER---pt lies supine with the head of the bed elevated 15 to 45 degrees
(typically 30 degrees).
-Position prevents regurgitation of enteral feedings and aspiration by pts who have difficulty
swallowing, it also promotes lung expansion for clients who have dyspnea or are receiving
mechanical ventilation
1
,fowlers -- ANSWER---pt lies supine with the head of the bed elevated 46 to 60 degrees. -
Position us useful during procedures (nasogastric tube insertion and suctioning)
-it allows for better chest expansion and ventilation and better dependent drainage after
abdominal surgeries
high-fowlers -- ANSWER---pt lies supine with the head of the bed elevated 60 to 90 degrees
-promotes lung expansion by lowering the diaphragm and thus helps relieve severe dyspnea,
also helps prevent aspiration during meals
supine or dorsal recumbent -- ANSWER---pt lies on their back with the head and shoulders
elevated on a pillow and forearms on pillows or at their sides.
-A foot support prevents foot drop and maintains proper alignment without excessive flexion
or extension of the head and neck.
-Ensure that the vertebrae are in straight alignment without excessive flexion or extension of
the head and neck
prone -- ANSWER---pt lies flat on their abdomen and chest with the head to one side and
back in correct alignment, a pillow may be placed under the leg
-this promotes relaxation by permitting some knee flexion and dorsiflexion of the ankles
-promotes drainage from mouth after throat or oral surgery, but inhibits chest expansion, it is
for short-term use only, helps prevent hip flexion contractures following a lower extremity
amputation
UTI Patient Teaching -- ANSWER---avoid tub baths, spermicides, oil-bass lube, perfume to
peritoneal area
2
,-void after intercourse
-cotton underwear and no tight fitting stuff
-hygienic care --> front to back wiping
-increase fluid intake to 8-10 glasses a day
UTI Nursing Interventions -- ANSWER--drink plenty of fluids
dont wait to pee void after sex no bubble baths perineal care
administer meds
Tasks that can be delegated to UAPs -- ANSWER--ADLS (Bathing, grooming, dressing,
toileting, ambulating, feeding [without swallowing precautions], positioning)
Routine tasks (Bed making, specimen collection, I&O, vital signs for stable pts)
TAPE -- ANSWER--Teaching
Assessment
Planning
Evaluating
5 rights of delegation -- ANSWER--right task
right circumstance right person right
direction/communication right
supervision/evaluation
3
, informed consent -- ANSWER--legal process by which a client or the client's legally
appointed designee has given written permission for a procedure or treatment
advance directives -- ANSWER--communicates a client's wishes regarding end-of-life care
should the client become unable to do so
living will -- ANSWER--advance directive; legal document that expresses the client's wishes
regarding medical treatment in the event the client becomes incapacitated and is facing
endof-life issues
durable power of attorney for health care -- ANSWER--advance directive; document in which
client's designate a health care proxy to make health care decisions for them if they are unable
to do so
lateral or side-lying -- ANSWER---pt lies on their side with most of the weight on the
dependent hip and shoulder and the arms in flexion in front of the body.
-They should have a pillow under the head and neck, upper arms, and legs and thighs to
maintain body alignment
-good sleeping position, but clients need to be turned regularly to prevent the development of
pressure ulcers on the dependent areas.
-30 degree lateral position is essential for clients at risk for pressure ulcers
sims' or semi-prone -- ANSWER---pt lays on their side halfway between lateral and prone
positions, with the weight on their anterior ileum, humerus, and clavicle.
4
