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Qs A nurse is caring for a client who states, "I have to check with my wife and see if she thinks I am ready to go home" The nurse replies, "How do you feel about going home today?" Which clarifying technique is the nurse using to enhance communication with the client? A. pacing B. reflecting C. paraphrasing D. restating - n Ans✔ B Qs which of the following actions should the nurse take when using the communication technique of active listening (select all that apply) A. open posture B. write down what client says to avoid forgetting details C. establish and maintain eye contact D. nod in agreement with the client throughout conversation E. respond positively when giving feedback - n Ans✔ A C
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Qs a nurse if caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. which of the following statements should the nurse use (select all that apply) A. you will do great. you just have to get used to it. B. what are you worried about going home C. your daily routines will be different when you go home D. tell me about your support system youll have after you leave the hospital E. let me tell you about a friend of mine with a colostomy who also enjoys swimming - n Ans✔ C D E Qs which of the following strategies should a nurse use to establish a helping relationship with a client A. make sure the communication is equally reciprocal between the nurse and client B. encourage client to communicate his thoughts and feelings C. give nurse-client communication no time limits D. allow communication to occur spontaneously throughout nurse-client relationship - n Ans✔ B
A. Offering general leads B. Summarizing C. Focusing D. Restating - n Ans✔ D Qs A nurse is communicating with a newly admitted client. Which of the following is a barrier to therapeutic communication? A. Offering advice B. Reflecting meaning C. Listening attentively D. Giving information - n Ans✔ A Qs A nurse is conducting therapy with several clients and their families. Effective communication with clients and families is based on: A. discussing in-depth topics with which the client feels comfortable. B. using silence to avoid unpleasant or difficult topics. C. attending to verbal and nonverbal behaviors. D. requiring the client and family to ask for feedback. - n Ans✔
C
Qs When a family asks a nurse for reassurance about a client's condition, which of the following is an appropriate response? A. "I think your son is getting better. What have you noticed?" B. "I'm sure everything will be okay. It just takes time to heal." C. "I'm not sure what's wrong. Have you asked the doctor about your concerns?" D. "I understand you're concerned. Let's discuss what concerns you specifically." - n Ans✔ D Qs A nurse is caring for a 20-year-old client who is sexually active and has come to the college health clinic for a first-time checkup. Which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention? a. Measure vital signs. b. Encourage HIV screening. c. Determine risk factors. d. Instruct the client to use condoms. - n Ans✔ C Qs
Qs A nurse is talking with a client who recently attended a cholesterol screening event and a heart-healthy nutrition presentation at a neighborhood center. The client's total cholesterol was 248 mg/dL. After seeing the provider, the client started taking medication to lower his cholesterol level. The client was later hospitalized for severe chest pain, and subsequently enrolled in a cardiac rehabilitation program. Which of the following activities for the client is an example of primary prevention? a. Cholesterol screening b. Nutrition presentation c. Medication therapy d. Cardiac rehabilitation - n Ans✔ B Qs A nurse at a provider's office is talking about routine screenings with a 45-year-old female client who has no specific family history of cancer or diabetes mellitus. Which of the following client statements indicates that the client understands how to proceed? a. "So I don't need the colon cancer procedure for another 2 or 3 years." b. "For now, I should continue to have a mammogram each year." c. "Because the doctor just did a Pap smear, I'll come back the next year for another one." d. "I had my blood glucose test last year, so I won't need it again till next year." - n Ans✔ B Qs
A nurse is observing a client drawing up and mixing insulin. Which of the following findings should the nurse identify as an indication that psychomotor learning has taken place? a. The client is able to discuss the appropriate technique. b. The client is able to demonstrate the appropriate technique. c. The client states that he understands. d. The client is able to write the steps on a piece of paper. - n Ans✔ B Qs A nurse in a provider's office is collecting data from the mother of a 12-month-old infant. The client states that her son is old enough for toilet training. Following an educational session with the nurse, the client now states that he will postpone toilet training until her son is older. Learning has occurred in which of the following domains? a. Cognitive b. Affective c. Psychomotor d. Kinesthetic - n Ans✔ B Qs A nurse is providing preoperative education for a client who will undergo a mastectomy the next day. Which of the following statements should the nurse identify as an indication that the client is ready to learn?
d. Ask the client if she has resources for further instruction on this topic. - n Ans✔ B Qs By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, what should the nurse do next according to the nursing process? a. reassess the client to determine the reasons for inadequate pain relief b. wait to see whether the pain lessens during the next 24 hours c. change the plan of care to provide different pain relief interventions d. teach the client about the plan of care for managing his pain - n Ans✔ A Qs A nursing instructor is reviewing the steps of the nursing process with a group of nursing students. The students should identify which of the following data as objective (Select all that apply) A. Respiratory rate of 22/min with even, unlabored respirations. B. "I can only walk three blocks before my legs start to hurt." C. Pain level 3 on a scale of 0- D. Skin pink, warm, and dry E. Urine output of 300mL/8 hr F. Dressing clean, dry, and intact. - n
Ans✔ A D E F Qs A nursing student is reporting to the clinical instructor about the care she gave to a client. She states: " The client said his leg pain was back, so I checked his medical record, and he last received his pain medication 6 hr ago. The prescription reads every 4 hr PRN for pain, so I decided he needs it. I asked the unit nurse to observe me preparing and administering it I checked with the client 40 min later and he said his pain is going away." The instructor should inform the student she left out which of the following steps of the nursing process? A. Assessment B. Planning C. Intervention D. Evaluation - n Ans✔ A Qs A nursing instructor is reviewing which actions nurses can initiate without a provider's prescription with a group of nursing students. The students should identify which of the following interventions as nurse-initiated? (Select all that apply) A. Give morphine sulfate 1 to 2 mg IV every 1 hr as needed for pain. B. Insert an NG tube to relieve a client's gastric distention.
E. complete fall-risk assessment - n Ans✔ C D E Qs a nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure. which of the following statements by a nurse requires further instruction? A. I will place the client on his side B. I will go to the nurses station for assistance C. I will administer his meds D. i will prepare to insert an airway - n Ans✔ B Qs a nurse observes smoke coming from under the door of the staffs lounge. which of the following actions is the nurses priority? A. extinguish the fire B. activate the alarm C. move the clients who are nearby D. close all open doors on the unit - n Ans✔ C
Qs a nurse is caring for a client who has a history of falls. which of the following actions is the nurses priority? A. complete fall-risk assessment B. educate client and family about fall risks C. eliminate safety hazards from clients environment D. make sure the client uses assistive devices - n Ans✔ A Qs a charge nurse is assigning rooms for the clients to be admitted to the unit. to prevent falls, which of the following clients should be assigned to rooms closest to the nursing station? A. a middle adult who is postop following a laparoscopic cholecystectomy B. a middle adult who requires telemetry for a possible myocardial infarction C. young adult who is postop following an open reduction internal fixation of the ankle D. an older adult who is postop following a below-the-knee amputation - n Ans✔ D Qs a nurse is caring for a client who has been sitting in a chair for 1 hr. which of the following complications is the greatest risk to the client?
D. reposition q4 - n Ans✔ A Qs a nurse is evaluating teaching on a client who has a new rx for a sequential compression device. which of the following client statements should indicate the client understands? A. this device will keep me from getting sores on my skin B. this thing will keep the blood pumping through my leg C. with this thing my leg muscles wont get weak D. this device is going to keep my joints in good shape - n Ans✔ B Qs a nurse is instructing a client who has an injury to the left lower extremity about the use of a cane. which of the following instructions should the nurse include? (select all that apply) A. hold cane to right side B. keep 2 points of support on floor C. place cane 38 cm(15in) in front of feet before advancing D. after advancing care, more weaker leg forward E. advance stronger leg so that it aligns with the cane - n Ans✔ A B
D
Qs A nurse is talking with the parents of a 6-month-old infant about gross motor development. Which of the following gross motor skills are expected findings in the next 3 months? (Select all that apply.) a. Rolls from back to front b. Bears weight on legs c. Walks holding onto furniture d. Sits unsupported e. Sits down from a standing position - n Ans✔ A B D Qs A nurse is cautioning the mother of an 8-month-old infant about safety. Which of the following statements by the mother indicates an understanding of safety for the infant? a. "My baby loved to play with his crib gym, but I took it away from him." b. "I just bought a soft mattress so my baby will sleep better." c. "My baby really likes sleeping on the fluffy pillow we just got for him." d. "I just bought a child-safety gate that folds like an accordion." - n Ans✔ A
A nurse is assessing from a 2-week-old newborn during a routine checkup. Which of the following findings should the nurse expect? (Select all that apply) a. sleeps 14-16 hours a day b. posterior fontanel closed c. pincer grasp present d. hands remain in closed position e. current weight same as birth weight - n Ans✔ A D E Qs A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-prevention strategies should the nurse include? (Select all that apply.) a. Keep toxic agents in locked cabinets. b. Keep toilet seats up. c. Turn pot handles toward the back of the stoves. d. Place safety gates across stairways. e. Make sure balloons are fully inflated. - n Ans✔ A C D
Qs A nurse is planning diversionary activities for children on an inpatient unit. Which of the following should the nurse incorporate as appropriate play activities for a toddler? (Select all that apply.) a. Building simple models b. Working with clay c. Filling and emptying containers d. Playing with blocks e. Looking at books - n Ans✔ C D E Qs A nurse is talking with the parents of a toddler. Which of the following should the nurse suggest regarding discipline? a. Establish consistent boundaries. b. Place him in a room with the door closed. c. Have him learn by trial and error. d. Use favorite snacks as rewards. - n Ans✔ A Qs
