1. Factors Influencing individual hygienic practices:: Answer - culture - religion - environment - developmental level - health and energy - personal preferences 2. Patient Environment:: Answer o Environment: focus on comforto Room temp: adjust according to patient comfort level. o Ventilation: focus on movement of air and removal of odors o Noise: be aware of extraneous noise and utilize quiet times esp. evening and nighthours o Hospital beds: understand how to work the bed and keep it in the low position when not working with the patient to prevent falls/injury and keep at working heightsto avoid back injuries. o Clean mattresses if soiled. o Side rails: only 3 siderails should be up, not 4: consider a restraint with all rails upunless have HCP order of patient request, this should be documented. 3. Medical Surgical Nursing: Answer Adult Health Nursing. Specialty practice in which nurses promote, restore, or maintain optimal health for patients from 18 to older than 100 years of age. Majority of patients in health care settings are older than 65years of age. 4. Role of the Medical Surgical Nurse:: Answer 1. Care coordinator. 2. Transition manager. 3. Caregiver 4. Patient educator