The nurse is gathering a nursing health history on the client. The client tells the nurse that he just lost his job. Job loss best fits into which of the following categories? 1. Family history 2. Psychosocial history 3. Biographical history 4. Environmental history ANSWER ANS: 2 The psychosocial history reveals the client’s support […]
A 76-year-old client who recently lost his wife is admitted for surgery. The nurse is using Erikson as a psychosocial framework for client assessment. Which of the following behaviors would alert the nurse that the client has an alteration in the in-tegrity stage of his psychosocial development? 1. Accepting his own limitations 2. Verbalizing fear […]
The nurse appropriately instructs trained ancillary personnel to avoid using an electronic blood pressure cuff to take the blood pressure of which of the following clients? 1. A 25-year-old who was admitted for depression and anxiety 2. A 69-year-old diagnosed with Parkinson’s disease 5 years ago 3. A 57-year-old prescribed antihypertensive medication 6 weeks ago […]
A client complains of not being able to stay awake during the day even after sleeping throughout the night. What should the nurse suggestion to this client? 1. Go to your physician for a physical examination. 2. Go to a mental health professional for evaluation of possible depression. 3. Purchase an over-the-counter sleep aid to […]
A nurse’s use of ethical responsibility can best be seen in which of the following nursing actions? 1. Delivery of competent care 2. Formation of interpersonal relationships 3. Correct application of the nursing process 4. Evaluation of new computerized technologies ANSWER ANS: 1 The term responsibility refers to the characteristics of reliability and dependability. […]
Which intervention would the nurse plan to help a client prevent a urinary tract infection? 1. Encourage the use of bubble baths. 2. Have the client increase sugar in the diet. 3. Instruct the client to empty the bladder completely. 4. Wipe from back to front. ANSWER Correct Answer: 3 Rationale 1: Irritating soaps […]
The nurse recognizes that the primary goal of a client’s teaching plan is to: 1. Facilitate a knowledge-based client decision-making process 2. Provide information that brings about informed client consent 3. Enhance the client’s sense of personal control regarding his or her health care 4. Therapeutically affect the client’s health, wellness, and independence ANSWER […]
The nurse, in working with children of this age, plans to allow a 5-year-old boy who was admit-ted to the surgical center to have his tonsils removed to: 1. Perform his own preoperative hygienic care 2. Have alone time to relax before the procedure 3. Handle the equipment when taking his blood pressure 4. Have […]
The nurse is discussing food selection with a client who recently experienced a partial-thickness burn over 20% of her body. The client expresses a reluctance to ingest a large amount of carbohydrates because she success-fully lost 50 pounds and does not want to regain the weight. The most therapeutic response to the client’s nutritional needs […]
A client with a history of epilepsy arrives in the emergency department experiencing status epi-lepticus. The nurse should never do which of the following? 1. Document sequence of events, including any adverse outcomes. 2. Prepare to initiate IV access. 3. Access oxygen and suctioning equipment. 4. Open client’s mouth by placing fingers on jaw and […]
