Prevention of plantar flexion (footdrop) through the application of high-topped shoes is a primary intervention for which of the following mobility-impaired clients? 1. A 54-year-old diagnosed with osteoarthritis in all lower extremity joints 2. A 25-year-old with a fractured pelvis as a result of a motorcycle accident 3. A 78-year-old who has experienced left-sided paralysis […]
The nurse manager suspects the nursing staff is experiencing burnout because of complaints and an increase in absenteeism. The nurses also appear tired and anxious. What can the manager do to help reduce this burnout? 1. Ask the physician staff to take over some of the tasks they routinely ask the nurses to do. 2. […]
Which one of the following interventions selected by the nurse is classified as Level 2, Domain 2 (Physiological: complex)? 1. Maintaining regular bowel elimination 2. Promoting the health of the entire family 3. Managing severely restricted body movement 4. Restoring tissue integrity to areas damaged by friction ANSWER ANS: 4 Interventions to maintain or […]
Which of the following factors are related to cost increases? 1. Health care of the older adult. 2. Number of uninsured population. 3. Changes in birth rate over last 20 years. 4. Cost of prescription drugs. 5. State of inflation. 6. Amount of diagnosed chronic illnesses. ANSWER Correct Answer: 1,2,4,5,6 Rationale 1: The total […]
The nurse is preparing to provide a morning bath to a client diagnosed with dementia. What can the nurse do to ensure a positive bathing experience for the client? 1. Move slowly. 2. Be flexible. 3. Help the client feel in control. 4. Avoid stopping once the bath is started. 5. Be prepared. ANSWER […]
The client has a nursing diagnosis of impaired gas exchange as a result of excessive secretions. An outcome for the client is that the airways will be free of secretions. A positive evaluation will focus upon the client’s: 1. Respiratory rate 2. Complaint of chest pain 3. Lungs clear bilaterally on auscultation 4. Ability to […]
A nurse who wants to apply a theory that relates to moral development should read more from the work of: 1. Gould 2. Freud 3. Erikson 4. Kohlberg ANSWER ANS: 4 Kohlberg developed a theory on moral development. Gould developed a theory on psychosocial development. Freud developed a theory on psychosexual development. Erikson developed […]
Home care nursing is a fast growing sector of the health care system. Which of the following factors have contributed to the growth of home health care? (Select all that apply.) 1. The need for custodial care 2. Third-party payers who support cost control measures 3. The increase in the older adult population 4. The […]
Which of the following statements shows the greatest understanding of wound staging? 1. “An ulcer must involve broken skin in order to be staged.” 2. “A wound that contains slough is difficult to stage.” 3. “This wound can’t be staged until it’s debrided.” 4. “The health care provider will need to stage the ulcer.” […]
The nurse identifies the diagnosis Self-Care Deficit related to cognitive impairment as appropriate for a client. What should the nurse select as an expected outcome for this client? 1. The client will be able to name the staff that works on the day shift. 2. The client will eliminate safety hazards in her environment. 3. […]
