NUR 321 Hygiene Review Questions and Correct Answers
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Course
NSG 321
Institution
NSG 321
Factors Affecting Personal Hygiene Culture (influence whether bathing is private or communal activity) -Socioeconomic class (homeless people can't afford showers) -Spiritual practices -Developmental level (children learn hygiene practices while growing up, older adults may experience an increase in...
NUR 321 Hygiene Review Questions and
Correct Answers
Factors Affecting Personal Hygiene ✅Culture (influence whether bathing is private or
communal activity)
-Socioeconomic class (homeless people can't afford showers)
-Spiritual practices
-Developmental level (children learn hygiene practices while growing up, older adults
may experience an increase in skin conditions, thus more education related to hygiene)
-Health state- (surgery may reduce a patient's ability to bathe)
-Personal preferences (person's self-concept, sexuality influences hygiene) ex. in order
to promote positive self-image, older adults may use products to prevent wrinkles
Assessing (Nursing Process for skin care/hygiene) ✅The nursing assessment uses
interview and assessment skills to elicit data about the patient's hygiene.
When documenting the patient's typical hygiene practices be clear
Interview Questions/Skin Alterations ✅Questions about past or current skin problems:
(bumps, lesions,) as well as recent surgeries:
-How long have you had this problem?
-Does it bother you?
-How does it bother you (itching)?
-Have you found anything helpful in relieving these symptoms?
Physical Assessment of the Skin (Factors to Consider when Examining the Skin)
✅Inspection and palpation.
-Cleanliness
-Color
-Temperature
-Turgor
-Moisture
-Sensation
-Vascularity
-Evidence of lesions
Guidelines for Assessing the Skin ✅-Incorporate assessment of the skin during the
assessment of the other body systems
-Use a good source of light, preferably daylight
-Compare bilateral parts for symmetry
-Use standard terminology to report and record findings
-Allow data obtained in the nursing history to direct the skin assessment
-Identify any variable known to cause
, Physical Assessment of the Oral Cavity ✅-Lips: color, moisture, lumps, ulcers, lesions,
and edema
-Buccal mucosa- color, moisture, lesions, nodules, and bleeding
-Color and surface of gums: lesions, bleeding, and edema
-Teeth: any loose, missing, or carious (decayed) teeth. Note: the presence and
condition of dentures or other orthodontic devices
-Tongue: color, symmetry, movement, texture, and lesions
-Hard and soft palates: intactness, color, patches, lesions, and petechiae (pinpoint
round, red, purple, or brown spots that result from bleeding)
-Oropharynx: movement of the uvula and condition of tonsils, if present
At Risk for Skin Alteration ✅-Lifestyle factors
-Changes in health state
-Illness
-Diagnostic measures
-Therapeutic measures
Assessment may reveal dry skin, acne, or skin rashes.
Diagnosing ✅A careful assessment of a patient's hygiene practices and assessment of
the skin, mucous membranes may lead to the development of one or more nursing
diagnoses related hygiene.
Problems concerning deficient hygiene are categorized as self-care deficits.
Focus of Self-Care Deficit Diagnose ✅Self-care deficit diagnosis address specific
activities necessary to meet daily needs:
-Feeding
-Bathing and hygiene
-Dressing and grooming
-Toileting
It is important to identify the cause of these problems. If hygiene is deficient because of
insufficient knowledge, health education may quickly remedy this problem. If however,
hygiene is viewed as low priority by the individual or the person lacks the physical ability
to perform hygiene measures, these problems must be addressed before health
education can be effective.
ex. Bathing Self-Care Deficit due to postoperative weakness
Outcome Identification and Planning (3rd step of nursing process-planning) ✅The
planning stage is where goals and outcomes are formulated that directly impact patient
care based on EDP guidelines. The nursing care plan identifies nursing measures to
assist the patient to develop or maintain hygiene practices that contribute to a sense of
well being.
Ex of planning outcomes: The patient will:
-verbalize feeling of comfortable and clean
-participate in hair and scalp care
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