Which of the following statements, made by a client experiencing anxiety who practices relaxa-tion techniques regularly, requires follow-up by the nurse? 1. “I want to share this with my sister; her life is stressful, too.” 2. “Relaxation gives me a sense of being in control of my anxiety.” 3. “Relaxation helps me feel less physically […]
While teaching the client about management of his heart disease, a nurse might use a strategy that is implemented to promote learning in the affective domain such as: 1. Asking the client what he believes he needs to know about the diagnosis 2. Providing brochures both on current exercises and on nutrition guidelines 3. Encouraging […]
A nurse needs to be alert to possible negative responses to biobehavioral therapies. Clients who have reacted negatively have most often experienced: 1. Aggressive behaviors 2. Delusions 3. Insomnia 4. Loss-of-control sensations ANSWER ANS: 4 A person who has a strong fear of losing control, or who has experienced sensations of loss of control, […]
A client has had a nonhealing wound for a period of time. The home health nurse decides to implement a variety of wound care products to see if any of them work. Each day, the nurse switches to a different brand or product. In this situation, the nurse is utilizing which method of problem solving? […]
An older client is having difficulty handling the specimen cup for a clean catch urine specimen. What can the nurse do to help this client? 1. Provide a clean funnel to pour the urine into the specimen cup. 2. Document that the specimen could not be obtained. 3. Catheterize the client for the specimen. 4. […]
Which of the following statements best reflects the client’s positive feedback to the nurse’s ques-tion, “Do you understand how to check your blood sugar?” 1. Nodding affirmatively 2. “I test it 4 times a day.” 3. “Yes, I understand how to do it.” 4. Demonstrating a fingerstick to the nurse ANSWER ANS: 4 Feedback […]
A client who ruptured his spleen in a motor vehicle accident rates his postoperative pain as a level 8 on a 0 to 10 pain scale. After administering pain medication, the nurse discusses the use of complementary therapies with the client to explore ways to reduce the pain. The client would like to try a […]
A 47-year-old female client tells the nurse that her heart feels as though it is racing. The client’s pulse is 160 beats per minute. The nurse knows that a vagal response will stimulate the parasympathetic nervous system to slow the heart rate and instructs the client to: 1. Bear down as though she is having […]
A client has been using the call light routinely throughout the evening. Upon entering the room, the nurse observes the following details. Organize them according to priority sequencing (1 is first priority; 5 is least priority). 1. Family is at bedside. 2. The IV pump is running on battery. 3. ECG monitor shows tachycardia. 4. […]
Which of the following statements made by the RN preparing to conduct a client’s initial health history shows the best understanding of the therapeutic objective of the interview? 1. “It’s all about finding out what the problems are and discovering the best way to fix them.” 2. “Clients are more comfortable when you take the […]
