Which of the following is a current trend in families or family living? 1. People marrying earlier 2. Reduction in the divorce rate 3. People having more children 4. More people choosing to live alone ANSWER ANS: 4 The number of people living alone is expanding rapidly and represents approximately 26% of all households. […]
Which one of the following actions is an example of an unintentional tort? 1. Restraining a client who refuses care 2. Taking photos of a client’s surgical wounds 3. Leaving the side rails down and the client falls and is injured 4. Talking about a client’s history of sexually transmitted diseases ANSWER ANS: 3 […]
The nurse is evaluating the outcome “Client describes surgical procedures and postoperative treatment” and determines that the client has not achieved this outcome. The nurse should: 1. Obtain the consent, because this is expected with preoperative anxiety 2. Teach the client all about the procedure 3. Ask the unit manager to assist with a teaching […]
A client has a long history of hypertension and has developed heart failure. The nurse should anticipate giving medications for which purpose? 1. To increase preload 2. To decrease afterload 3. To decrease contractility 4. To decrease cardiac output ANSWER Correct Answer: 2 Rationale 1: There is no reason to provide medication to increase […]
The nurse recognizes that a client’s sense of personal control is most therapeutically impacted when: 1. The client attends a self-help/support group 2. The nurse encourages the client to make menu selections 3. The client views a video on the use of a personal glucose monitor 4. The nurse provides instructions on a patient-controlled analgesic […]
The nurse is preparing a 6-year-old child for a tonsillectomy. Which strategy should the nurse use for teaching this client? 1. Pamphlets 2. Play 3. Books 4. Videotapes ANSWER Correct Answer: 2 Rationale 1: Pamphlets would be appropriate to supplement instruction to an adult or older client. Rationale 2: Play is an effective teaching […]
The nurse notes that a narcotic is to be administered “per epidural cath.” The nurse; however, does not know how to perform this procedure. Which aspect of the implementation process should be followed? 1. Seek assistance 2. Reassess the client 3. Use interpersonal skills 4. Critical decision making ANSWER ANS: 1 If a nurse […]
The nursing role regarding a medication error includes: (Select all that apply.) 1. Immediate assessment of the client 2. Notification of the health care provider 3. Report the error to the appropriate institutional administrator 4. Notify the client’s family or medical power of attorney of the error 5. Attach a written incident report to the […]
Which of the following statements made by the nurse best reflects an understanding of the cli-ent’s role in goal setting? 1. “He knows what he needs better than anyone else.” 2. “When he sets the goals he is more likely to follow the plan.” 3. “He identifies the goals and then together we create the […]
The nurse notes that the client with diabetes mellitus that he is caring for has some edema in both lower extremities. The client also has a small open lesion on her right great toe. The nurse understands that this is a complication of diabetes mellitus and will additionally assess the client’s sensation to light touch, […]
