Berman/Snyder, Test Bank For Skills in Clinical Nursing 8th Edition

Berman/Snyder, Test Bank for Skills in Clinical Nursing 8th Edition
Chapter 5
Question 1
Type: MCSA
Which is the recommended technique for the nurse to use when brushing a client's teeth?
1. Sulcular technique
2. Xerostomia technique
3. Gingivitis technique
4. Pyorrhea technique
Correct Answer: 1
Rationale 1: The sulcular technique aims the toothbrush at an angle toward the gums, and is recommended as the
best means of brushing the client's teeth. Xerostomia is the term for dry mouth, and there is no technique
associated with it. Gingivitis is a form of periodontal disease causing red swollen gingiva. Pyorrhea is loose teeth
and pus that is evident when the gums are pressed.
Global Rationale: The sulcular technique aims the toothbrush at an angle toward the gums, and is recommended
as the best means of brushing the client's teeth. Xerostomia is the term for dry mouth, and there is no technique
Cognitive Level: Remembering

Client Need: Physiological Integrity
Client Need Sub: Basic Care and Comfort
QSEN Competencies: II.B.3. Base individualized care plan on client values, clinical expertise, and evidence
AACN Essential Competencies: III.1. Explain the interrelationships among theory, practice, and research
NLN Competencies: Knowledge and Science: Relationships between knowledge/science and quality and safe
Copyright 2016 by Pearson Education, Inc.
client care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Define the key terms used in the skills of hygienic care.
Page Number: p. 182
Question 2
Type: MCSA
The nurse is caring for a client who had abnormal hair growth as a side effect of medical treatment. Which term
will the nurse use when documenting this side effect?
1. Alopecia
2. Hirsutism
3. Pediculosis
4. Scabies
Correct Answer: 2
Rationale 1: Hirsutism is abnormal hair growth. Alopecia is hair loss. Pediculosis is commonly known as lice.
Scabies is a contagious skin infection caused by mites.
Global Rationale: Hirsutism is abnormal hair growth. Alopecia is hair loss. Pediculosis is commonly known as
lice. Scabies is a contagious skin infection caused by mites.

client care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: Define the key terms used in the skills of hygienic care.
Page Number: p. 187
Question 3
Type: MCSA
The nurse who is planning the day will perform morning care at which point?
1. When the client first awakens
2. After breakfast
3. Before retiring for the night
4. Whenever the client requests it
Correct Answer: 2
Rationale 1: The nurse generally provides morning care after breakfast. Early-morning care is provided when the
client first awakens. Hour of sleep (HS) care is provided before going to bed. PRN care is provided as required by
the client.
the client.
the client.
the client.
Global Rationale: The nurse generally provides morning care after breakfast. Early-morning care is provided
when the client first awakens. Hour of sleep (HS) care is provided before going to bed. PRN care is provided as
required by the client.

QSEN Competencies: I.B.3. Provide client-centered care with sensitivity and respect for the diversity of human experience
AACN Essential Competencies: IX.3. Implement holistic, client-centered care that reflects an understanding of
human growth and development, pathophysiology, pharmacology, medical management, and nursing management
across the health-illness continuum, across life span, and in all health care settings
client care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: Describe the kinds of hygienic care nurses provide to clients.
Page Number: p. 171
Question 4
Type: MCMA
The nurse must assess which items prior to providing personal hygienic care?

Standard Text: Select all that apply.
1. Allergies
2. Culture
3. Ability to provide self-care
4. Social history
5. Diagnosis
Correct Answer: 1,2,3,5
Rationale 1: The nurse needs to assess for allergies to avoid a reaction to the products used during hygienic care.
The client's culture will impact how he meets his daily hygiene needs. The client should be encouraged to perform
as much of his hygiene care as possible, so the nurse must assess his ability to provide self-care. The client's
diagnosis will impact how much care he can tolerate at one time and his ability to move about in bed. The client’s
social history is assessed during an admission assessment and not prior to providing personal hygienic care each
day.
day.
day.
day.
day.

Global Rationale: The nurse needs to assess for allergies to avoid a reaction to the products used during hygienic
care. The client's culture will impact how he meets his daily hygiene needs. The client should be encouraged to
perform as much of his hygiene care as possible, so the nurse must assess his ability to provide self-care. The
client's diagnosis will impact how much care he can tolerate at one time and his ability to move about in bed. The
client’s social history is assessed during an admission assessment and not prior to providing personal hygienic
care each day.
Cognitive Level: Analyzing

client care
Page Number: p. 172
Question 5
Type: MCMA
The nurse recognizes that personal hygiene is impacted by which items?
1. Culture
2. Environment
3. Allergies
4. Developmental level
5. Health and energy
Correct Answer: 1,2,4,5
Rationale 1: The client's hygiene is influenced by culture. Although North Americans place great value on
cleanliness, not all cultures share this value. The client's environment, and access to finances, can have an impact
on how often the client bathes and the types of products used. Developmental levels will determine what the client
can or is willing to do when it comes to personal hygiene. People who don't feel well, or have low energy levels,
might not attend to hygiene in the way they did when they felt well. Although allergies can impact what product
the client chooses to use in order to maintain hygiene needs, it will not impact the client's hygiene needs.
Global Rationale: The client's hygiene is influenced by culture. Although North Americans place great value on
Cognitive Level: Applying

client care
Learning Outcome: Identify factors that influence personal hygiene.
Page Number: p. 172
Question 6
Type: MCSA
When preparing the bag bath for the client, which action is the priority for the nurse?
1. Wetting 10–12 disposable washcloths

2. Drying the client after using a washcloth
3. Using one washcloth for the lower extremities
4. Warming the washcloth in the microwave
Correct Answer: 4
Rationale 1: The package arrives with 10–12 presoaked disposable washcloths that the nurse must warm in the
microwave. Once the washcloths are safely warmed, the nurse uses one washcloth on each area of the body (one
for each arm, one for each leg). Drying is not necessary because the solution on the washcloths is no-rinse
cleanser that will dry quickly.
Global Rationale: The package arrives with 10–12 presoaked disposable washcloths that the nurse must warm in
the microwave. Once the washcloths are safely warmed, the nurse uses one washcloth on each area of the body
(one for each arm, one for each leg). Drying is not necessary because the solution on the washcloths is no-rinse
Cognitive Level: Analzying

Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
client care
Learning Outcome: Describe various types of baths.
Page Number: p. 172
Question 7
Type: MCSA

The nurse is caring for a healthy young adult client who was involved in a motor vehicle crash resulting in a
fractured femur. The femur was pinned, and the client was placed in traction. Which type of bath would the nurse
provide for this client?
1. Complete bed bath
2. Self-help bed bath
3. Partial bath
4. Bag bath
Correct Answer: 2
Rationale 1: This client is self-sufficient, and only needs some assistance reaching areas such as the back and the
feet. A complete bath is when the nurse bathes all areas of the body, which would not be necessary with a healthy
young adult. A bag bath is a bath using no-rinse solution, which would not be necessary for this client because
there is available water and bathing products. A partial bath would be incomplete for this client, who is bedridden
for several weeks and will require a full bath.
Global Rationale: This client is self-sufficient, and only needs some assistance reaching areas such as the back
and the feet. A complete bath is when the nurse bathes all areas of the body, which would not be necessary with a
healthy young adult. A bag bath is a bath using no-rinse solution, which would not be necessary for this client
because there is available water and bathing products. A partial bath would be incomplete for this client, who is
bedridden for several weeks and will require a full bath.

client care
Learning Outcome: Identify factors that influence personal hygiene.
Page Number: p. 172
Question 8
Type: MCSA
The nurse is bathing a client with dementia. Which actions by the nurse would require corrective teaching?
1. The nurse who sings to the client while bathing
2. The nurse who moves slowly from one area to another, explaining what will be done next
3. The nurse who offers praise for the client's cooperation
4. The nurse who rubs areas dry after washing them
Correct Answer: 4
Rationale 1: When bathing a client with dementia, the nurse should pat areas dry, using a soft touch, rather than
rubbing. The remaining actions follow proper technique.
Global Rationale: When bathing a client with dementia, the nurse should pat areas dry, using a soft touch, rather
than rubbing. The remaining actions follow proper technique.

Client Need: Psychosocial Integrity
client care
Learning Outcome: Describe guidelines for bathing persons with dementia.
Page Number: p. 174

Question 9
Type: MCSA
The nurse is bathing a client with dementia who has been cooperating throughout the process. As the nurse
prepares to bathe the client's genitalia, the female client starts screaming, "No! Don't touch me there! Rape!"
Which action by the nurse is the most appropriate?
1. Stop and assess the cause of the distress.
2. Explain that the client needs to be cleaned, but it will be done in a second.
3. Proceed with the bath but finish quickly.
4. Finish the bath without touching the genitalia.
Correct Answer: 1
Rationale 1: The nurse's best course of action is to stop and assess for the cause of the distress. The nurse can
adjust the approach to reduce the client's anxiety. It would not be healthy to avoid washing the genitals, especially
if the client has experienced incontinence or leakage, but even without these concerns, the genitalia must be
cleaned regularly to avoid tissue damage. Proceeding with the bath while the client screams is not ideal; a better
strategy would be to encourage the client to wash her own genitalia with some guidance or assistance.
Global Rationale: The nurse's best course of action is to stop and assess for the cause of the distress. The nurse
can adjust the approach to reduce the client's anxiety. It would not be healthy to avoid washing the genitals,
especially if the client has experienced incontinence or leakage, but even without these concerns, the genitalia
must be cleaned regularly to avoid tissue damage. Proceeding with the bath while the client screams is not ideal; a
better strategy would be to encourage the client to wash her own genitalia with some guidance or assistance.

client care
Learning Outcome: Describe guidelines for bathing persons with dementia.
Page Number: p. 174
Question 10
Type: MCMA
The nurse prepares to delegate bathing a client to the unlicensed assistive personnel (UAP). Which actions are
appropriate prior to delegating this task to the UAP?
1. Informing the UAP what type of bath is appropriate
2. Describing precautions specific to the needs of the client
3. Telling the UAP who to notify if there are any concerns
4. Informing the UAP to encourage the client to perform as much self-care as appropriate
5. Having the UAP document the bathing experience for the nurse to read later
Correct Answer: 1,2,4
Rationale 1: The nurse would inform the UAP what type of bath and what precautions are appropriate for that
specific client's needs. Although it is often faster to perform the entire bath without encouraging client
participation, the UAP should take the time needed and encourage the client to perform as much self-care as
possible to promote the client's autonomy. The nurse does not need to tell the UAP to whom to report concerns,
because they should be reported to the nurse. The nurse should instruct the UAP to report about the bathing
experience as soon as it is completed, and the nurse would not wait to read the UAP's documentation.

Global Rationale: The nurse would inform the UAP what type of bath and what precautions are appropriate for
that specific client's needs. Although it is often faster to perform the entire bath without encouraging client

QSEN Competencies: II.A.2. Describe scopes of practice and roles of health care team members
AACN Essential Competencies: IX.14. Demonstrate clinical judgment and accountability for client outcomes when
delegating to and supervising other members of the health care team
NLN Competencies: Teamwork: Manage delegation effectively.
Learning Outcome: Recognize when it is appropriate to delegate hygienic care to unlicensed assistive personnel.
Page Number: p. 175
Question 11
Type: MCSA
The nurse is preparing to bathe the clients assigned for the shift. Which client would the nurse need to wear gloves
to bathe?
1. The client diagnosed with HIV/AIDS
2. The newborn just admitted from the delivery room
3. The client with psoriasis
4. The postoperative client

Correct Answer: 2
Rationale 1: The nurse should wear gloves when bathing the newborn just admitted from the delivery room
because of the high likelihood of blood and body fluids found on the baby. The client with HIV/AIDS or psoriasis,
or the postoperative client, would not require the nurse to wear gloves unless there was bleeding or drainage from
open wounds.
open wounds.
open wounds.
open wounds.
Global Rationale: The nurse should wear gloves when bathing the newborn just admitted from the delivery room
open wounds.

QSEN Competencies: III.A.5. Explain the role of evidence in determining best clinical practice
AACN Essential Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing
the acute and chronic care of clients and promoting health across the life span
NLN Competencies: Quality and Safety: Current best practices
Learning Outcome: Verbalize the steps used in:
a. Bathing an adult or pediatric client.
b. Providing perineal-genital care.
c. Brushing and flossing the teeth.
d. Providing special oral care.
e. Providing hair care.
f. Providing foot care.
g. Removing, cleaning, and inserting a hearing aid.
Page Number: p. 174
Question 12
Type: SEQ
Place the steps of providing perineal-genital care for a female in the appropriate order

Standard Text: Click on the down arrow for each response in the right column and select the correct choice from
the list.
Response 1. Apply gloves.
Response 2. Wipe from the pubis to the rectum.
Response 3. Place a towel under the client's hips.
Response 4. Clean the labia minora.
Response 5. Position and drape the client.
Correct Answer: 3,5,1,4,2
Rationale 1: The nurse first places a towel under the client's hip to protect the bed. The female client should be
positioned in a back-lying position with the knees flexed and spread well apart. Cover the body and legs with the
bath blanket to minimize exposure. Apply gloves and clean the labia majora, then open the labia to clean the labia
minora using separate quarters of the washcloth for each stroke. After cleaning the genitalia, wipe from the pubis
to the rectum in order to avoid bringing bacteria from the rectum toward the urethra, which could result in a
urinary tract infection.

Global Rationale: The nurse first places a towel under the client's hip to protect the bed. The female client should
be positioned in a back-lying position with the knees flexed and spread well apart. Cover the body and legs with
the bath blanket to minimize exposure. Apply gloves and clean the labia majora, then open the labia to clean the
labia minora using separate quarters of the washcloth for each stroke. After cleaning the genitalia, wipe from the
pubis to the rectum in order to avoid bringing bacteria from the rectum toward the urethra, which could result in a

Page Number: pp. 180-181
Question 13
Type: MCSA
Which is the best device to stimulate blood circulation in the scalp when the nurse provides hair care to a client?
1. A stiff-bristle brush
2. A soft-bristle brush
3. A sharp-bristle brush
4. A comb with dull, even teeth
Correct Answer: 1
Rationale 1: A stiff-bristle brush that is not so sharp as to injure the client's scalp is best to stimulate blood
circulation in the scalp. A soft-bristle brush would not stimulate the scalp or effectively prevent mats. A sharp-
bristle brush could scratch the scalp. A comb would not stimulate the scalp.

Global Rationale: A stiff-bristle brush that is not so sharp as to injure the client's scalp is best to stimulate blood

Question 14
Type: MCSA
While providing foot care to a client diagnosed with diabetes mellitus, the nurse notes very dry skin. Which action
by the nurse is the most appropriate?
1. Apply a pleasantly scented lotion to the foot, using care to rub the lotion in between the toes.
2. Assist the client to soak the feet in warm water twice a day.
3. Instruct the client to avoid the use of lotions and creams.
4. Instruct the client to use a nonscented lotion, avoiding the area between the toes.
Correct Answer: 4
Rationale 1: Clients with diabetes often have extremely dry skin, and should be taught to use a nonperfumed
lotion and avoid putting lotion between the toes. They should be advised not to soak their feet in water, because it
is drying to the skin.
Global Rationale: Clients with diabetes often have extremely dry skin, and should be taught to use a
nonperfumed lotion and avoid putting lotion between the toes. They should be advised not to soak their feet in
water, because it is drying to the skin.

Client Need Sub: Reduction of Risk Potential
the acute and chronic care of cliients and promoting health across the life span
Question 15
Type: MCSA
Which would the nurse document after providing hair care to the client?
1. Number of times the hair was combed or brushed throughout the shift
2. Type of brush used to provide hair care
3. Abnormal assessment findings
4. Routine nursing interventions
Correct Answer: 3

Rationale 1: Generally, daily combing and brushing of the hair are not recorded, but the nurse should document
any abnormal or unusual findings during assessment.
Global Rationale: Generally, daily combing and brushing of the hair are not recorded, but the nurse should
document any abnormal or unusual findings during assessment.

QSEN Competencies: VI.B.4. Document and plan client care in an electronic health record
AACN Essential Competencies: IV.5. Use standardized terminology in a care environment that reflects nursing’s
unique contribution to client outcomes
NLN Competencies: Quality and Safety: Carefully maintain and use electronic and/or written health records
Learning Outcome: Demonstrate appropriate documentation and reporting of hygienic care.
Question 16
Type: MCSA
Routine hygienic care has been provided to the client, with no abnormal findings assessed. Which item will the
nurse document in the medical record?
1. Foot care
2. Hair care
3. Removal or insertion of a hearing aid
4. Type of bath provided and client's ability to provide self-care
Correct Answer: 4
Rationale 1: The nurse would document what type of bath was provided to the client and the client's ability to
assist or provide self-care. Foot care, hair care, and removal or insertion of a hearing aid usually is not
documented unless there are unexpected assessment findings.
Global Rationale: The nurse would document what type of bath was provided to the client and the client's ability
to assist or provide self-care. Foot care, hair care, and removal or insertion of a hearing aid usually is not

QSEN Competencies: VI.B.4. Document and plan client care in an electronic health record
AACN Essential Competencies: IV.5. Use standardized terminology in a care environment that reflects nursing’s
unique contribution to client outcomes
NLN Competencies: Quality and Safety: Carefully maintain and use electronic and/or written health records
Learning Outcome: Demonstrate appropriate documentation and reporting of hygienic care.
Question 17
Type: SEQ
Place the steps of providing special oral care for an unconscious client in the correct order.
the list.
Response 1. Prepare the client by positioning in a side-lying position with the head of the bed lowered.
Response 2. Clean the teeth and rinse the mouth. Brush the teeth gently to prevent irritating the gums.
Response 3. Ensure client comfort and document procedure per policy.
Response 4. Perform hand hygiene and observe other appropriate infection control procedures.
Response 5. Place a towel under the client's chin. Place the curved basin against the client's chin and lower cheek
to collect fluid.
Response 6. Provide for client privacy by drawing curtains around bed or closing the door to the room.
Correct Answer: 4,6,1,5,2,3
Rationale 1: The third step of providing oral care for an unconscious client is to position the client in a side-lying
position with the head of the bed lowered.

Rationale 2: The fifth step in providing oral care for an unconscious client is to clean the teeth and rinse the
mouth. The nurse will gently brush the teeth to prevent irritating the gums.
Rationale 3: Ensuring client comfort and documenting the procedure, per policy, is the final step.
Rationale 4: The first step is to perform hand hygiene and observe other appropriate infection control procedures.
Rationale 5: The fourth step is to place a towel and the curved basin under the client’s chin and lower cheek to
collect fluid.
Rationale 6: The second step is to provide the client privacy by drawing the curtains around the bed and closing
the door to the room.
Global Rationale: The first step is to perform hand hygiene and observe other appropriate infection control
procedures. The second step is to provide the client privacy by drawing the curtains around the bed and closing
the door to the room. The third step of providing oral care for an unconscious client is to position the client in a
side-lying position with the head of the bed lowered. The fourth step is to place a towel and the curved basin
under the client’s chin and lower cheek to collect fluid. The fifth step in providing oral care for an unconscious
client is to clean the teeth and rinse the mouth. The nurse will gently brush the teeth to prevent irritating the gums.
Ensuring client comfort and documenting the procedure, per policy, is the final step.

Client Need: Health Promotion and Maintenance
Client Need Sub:
Question 18
Type: MCSA
Which explanation is the most accurate when describing PM care to a client?
1. Providing for elimination needs, washing face and hands, giving oral care, and possibly a back massage.
2. Providing care when the client awakens to include providing urinal or bedpan, washing of face and hands, and
giving oral care

3. Providing care after breakfast that includes elimination needs, a bath or shower, perineal care, and oral, nail,
and hair care.
4. Providing care required by the client such as changing of linen and clothes when they become soiled.
Correct Answer: 1
Rationale 1: Providing for elimination needs, washing face and hands, giving oral care, and possibly a back
massage occur during PM care.
Rationale 2: Providing care when the client awakens to include providing urinal or bedpan, washing of face and
hands, and giving oral care describes early morning care.
Rationale 3: Providing care after breakfast that includes elimination needs, a bath or shower, perineal care, and
oral, nail, and hair care describes morning care.
Rationale 4: Providing care required by the client such as changing of linen and clothes when they become soiled
describes as-needed (pm) care.
Global Rationale: Providing for elimination needs, washing face and hands, giving oral care, and possibly a back
massage occur during PM care. Providing care when the client awakens to include providing urinal or bedpan,
washing of face and hands, and giving oral care describes early morning care. Providing care after breakfast that
includes elimination needs, a bath or shower, perineal care, and oral, nail, and hair care describes morning care.
Providing care required by the client such as changing of linen and clothes when they become soiled describes as-
needed (pm) care.

client care
Page Number: p. 171
Question 19
Type: SEQ
Place the steps of assisting with the cleaning of a client’s hearing aid in the appropriate order
the list.
Response 1. Perform hand hygiene and wear appropriate personal protective equipment.
Response 2. Remove the hearing aid and turn off and lower the volume.
Response 3. Remove the earmold and soak in mild soap solution.
Response 4. After throughly drying, insert hearing aid into the client’s ear.
Response 5. Prior to performing procedure, introduce self and identify the client.
Response 6. Provide for client privacy by drawing curtains or closing the door.
Rationale 1: Performing hand hygiene and wearing appropriate personal protective equipment is the second step.
Rationale 2: Removing the hearing aid and turning it off and lowering the volume is the fourth step.
Rationale 3: Removing the earmold and soaking it in a mild soap solution is the fifth step.
Rationale 4: Drying the hearing aid and placing it in the client’s ear is the last step.
Rationale 5: Introducing self and identifying the client is the first step.
Rationale 6: Providing for client privacy by drawing the curtains or closing the door is the third step.
Global Rationale: Introducing self and identifying the client is the first step. Performing hand hygiene and
wearing appropriate personal protective equipment is the second step. Providing for client privacy by drawing the
curtains or closing the door is the third step. Removing the hearing aid and turning it off and lowering the volume
is the fourth step. Removing the earmold and soaking it in a mild soap solution is the fifth step. Drying the
hearing aid and placing it in the client’s ear is the last step.

Question 20
Type: SEQ

Place the steps of providing foot care to a diabetic client in the appropriate order.
the list.
Response 1. Provide for privacy by pulling curtain or closing door to room.
Response 2. Fill washbasin with warm water and test temperature of water.
Response 3. File fingernails straight across and even with tops of toes. Use nail clippers to clip nails straight
across, then shape with nail file.
Response 4. Assist client to sitting position. Help bedridden client to supine position with head of bed elevated.
Place disposable bath mat on floor under client's feet, or place towel on mattress.
Response 5. Perform hand hygiene. Arrange equipment on over-bed table.
Response 6. Help client place feet in basin. Fill basin with warm water, and soak for 10 minutes.
Rationale 1: Maintaining client privacy is the second step as it reduces client anxiety.
Rationale 2: Filling the washbasin with warm water and testing the temperature is the fourth step. This prevents
accidental burns to client’s skin. Diabetic clients have peripheral neuropathy with decreased sensation.
Rationale 3: The last step is filing and clipping the nails. Filing and cutting straight across avoids skin overgrowth
at the nail edges, which leads to ingrown toenails or infection. If nails become thick, a professional should provide
nail care.
Rationale 4: The third step is to assist the client into a sitting position. Sitting facilitates immersing feet in the
basin. The bath mat protects feet from exposure to soil or debris.
Rationale 5: The first step is to perform hand hygiene and arrange the equipment on the over-bed table. Easy
access to equipment prevents delays. Hand hygiene is done before every procedure.
Rationale 6: Helping the client place feet in the basin and soaking them for 10 minutes is the fifth step. Clients
with muscular weakness or tremors may have difficulty positioning feet. Warm water softens nails and thickened
epidermal cells.
Global Rationale: The first step is to perform hand hygiene and arrange the equipment on the over-bed table.
Easy access to equipment prevents delays. Hand hygiene is done before every procedure. Maintaining client
privacy is the second step as it reduces client anxiety. The third step is to assist the client into a sitting position.
Sitting facilitates immersing feet in the basin. The bath mat protects feet from exposure to soil or debris. Filling
the washbasin with warm water and testing the temperature is the fourth step. This prevents accidental burns to
the client’s skin. Diabetic clients have peripheral neuropathy with decreased sensation. Helping the client place
feet in the basin and soaking them for 10 minutes is the fifth step. Clients with muscular weakness or tremors may
have difficulty positioning feet. Warm water softens nails and thickened epidermal cells. The last step is filing and
clipping the nails. Filing and cutting straight across avoids skin overgrowth at the nail edges, which leads to
ingrown toenails or infection. If nails become thick, a professional should provide nail care.
Client Need: Health Promotion and Maintenance
Client Need Sub:
Question 21
Type: SEQ
Place the steps of assisting the client with combing and brushing of the hair in the appropriate order.
the list.
Response 1. Brush or comb from the scalp toward the hair ends.
Response 2. Move fingers through hair to loosen any larger tangles
Response 3. Use a wide-tooth comb, start on either side of the head, and insert the comb with the teeth upward to
the hair near the scalp. Comb through the hair in a circular motion by turning the wrist while lifting up and out.
Continue until all hair is combed through, and then comb into place to shape and style.
Response 4. Moisten hair lightly with water, conditioner, or an alcohol-free detangle product before combing.
Response 5. Part the hair into two sections, then separate hair into two more sections.
Correct Answer: 4,5,2,1,3
Rationale 1: Brushing or combing from the scalp toward the end of the hair minimizes pulling and is the fourth
step.
Rationale 2: Moving the fingers through the hair to loosen tangles makes hair easier to comb. This is the third
step.
Rationale 3: Using a wide-tooth comb, start on either side of the head, and insert the comb with the teeth upward
to the hair near the scalp. Comb through the hair in a circular motion by turning the wrist while lifting up and out.
Continue until all hair is combed through, and then comb into place to shape and style. This is the final step and
moves the comb evenly through hair without pulling.
Rationale 4: Moistening the hair lightly with water, conditioner, or an alcohol-free detangle product before
combing makes hair easier to comb and is the first step.
Rationale 5: Parting the hair into two sections, then separating hair into two more sections, is the second step.
Brushing and combing are more effective when small areas of hair are groomed at any one time.
Global Rationale: Moistening the hair lightly with water, conditioner, or an alcohol-free detangle product before
combing makes hair easier to comb and is the first step. Parting the hair into two sections, then separating hair
into two more sections, is the second step. Brushing and combing are more effective when small areas of hair are
groomed at any one time. Moving the fingers through the hair to loosen tangles makes hair easier to comb. This is
the third step. Brushing or combing from the scalp toward the end of the hair minimizes pulling and is the fourth
step. Using a wide-tooth comb, start on either side of the head, and insert the comb with the teeth upward to the
hair near the scalp. Comb through the hair in a circular motion by turning the wrist while lifting up and out.
Continue until all hair is combed through, and then comb into place to shape and style. This is the final step and
moves the comb evenly through hair without pulling.



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Berman/Snyder, Test Bank For Skills in Clinical Nursing 8th Edition

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Berman/Snyder, Test Bank for Skills in Clinical Nursing 8th Edition

Cognitive Level: Remembering

Cognitive Level: Remembering

1. When the client first awakens

3. Before retiring for the night

4. Whenever the client requests it

Cognitive Level: Remembering