Nineteen Questions, Five Seconds Each — ADL: Hygiene, Week Four (2026)

Hygiene looks like the easiest unit of the term, right up to the moment a question asks for the five precautions on mouth care and you can produce two. The information is not hard. Retrieving it on demand is.

This drill runs the whole Week 4 deck in the deck's own order: the assessment you do before any care, the five principles of hygiene care, the complete and partial bed bath, what you notice while you work, the cultural side of hygiene, mouth care, and foot care in diabetes and peripheral vascular disease. The slides point to Chapter 39 of Astle et al. (2024), pages 901 to 952, and every answer stays inside what those pages say.

Five seconds, every question

I ask, you answer out loud, and you get five seconds. That is long enough for material you actually know to arrive, and short enough that half-known material shows itself immediately. Then the answer, and one line on why it matters.

How to use it

Play it with the slides closed and a pen within reach.
Write down the numbers where you hesitated or guessed, not only the ones you got wrong. A guess that lands is still a gap.
Open the slides to those sections, read them once with the page in front of you, then run the episode again tomorrow with your answers covered.
The questions you still fumble on the second pass are your real study list.

Where the marks go

Four answers carry most of the unit's weight, and they are the long ones: the five principles of hygiene care, the six cultural influences, the run of mouth-care precautions, and the foot-care list for diabetes and peripheral vascular disease. If the deck is going to be examined, it will be examined there.

What the deck lists in full

Three of the answers in the audio are deliberately cut short, because a five-second window should not be spent on a fifteen-item read. The deck's full versions, for the page:

Observations during hygiene: skin condition, hygiene habits and preferences, level of independence, range of motion and mobility, signs of pain or discomfort during movement, cognitive function and ability to follow instructions, emotional state and mood, odours that may mean infection or poor hygiene, assistive devices or prosthetics, cultural practices, signs of abuse or neglect, nutritional status through skin and nails, circulation problems such as edema or discoloration, respiratory function during activity, and fatigue or endurance.
Patients who need help with mouth care: unconscious or comatose patients, dementia or delirium, physical disability affecting the upper limbs, oral health problems or injuries, stroke or Parkinson's disease, severe fatigue or weakness, developmental disabilities, recent surgery, limited dexterity, visual impairment, medication side effects such as dry mouth, and oral pain.
Hygiene nursing diagnoses: impaired dentition, fatigue, ineffective health maintenance, risk for infection, deficient knowledge about hygiene practices, impaired physical mobility, impaired oral mucous membrane, self-care deficit for bathing, dressing and toileting, chronic low self-esteem, risk for impaired skin integrity, and ineffective tissue perfusion.

The same deck splits the hands-on work into five areas for practice: bathing, oral care and dentures, eye care and glasses, ear care and hearing aids, and foot and nail care. If a lab check is coming, those five are the stations.

On partial answers

When a question asks for a list of five and you can only produce three, say the three. Partial recall earns more on a written exam than silence does, and hearing the missing items named afterwards is how they stick. The whole point of an answer window is to find the edge of what you have, not to protect you from it.

Run it as many times as you need. The aim is not a clean first pass. It is a clean last one.