A nursing student is learning how to implement the nursing process in the clinical area. The purpose of the diagnosis phase includes which of the following? (Select all that apply.) 1. Develop a list of problems. 2. Identify client strengths. 3. Develop a plan. 4. Specify goals and outcomes. 5. Identify problems that can be […]
A nurse caring for a 78-year-old client recently diagnosed with pneumonia will find Erikson’s psychosocial development theory most helpful in determining: 1. Which needs the client will typically develop 2. Which coping mechanisms the client will likely use 3. How the client will respond to the respiratory problem 4. How the client and his family […]
The doctrine that holds the hospital responsible as well as the nurse in cases of professional malpractice is which of the following? 1. Contractual relationship 2. Stare decisis 3. Respondeat superior 4. Res ipsa loquitur ANSWER Correct Answer: 3 Rationale 1: A contractual relationship is not a doctrine; it is what the nurse and […]
The nurse is presenting an information session on nutritional guidelines at a senior living center. Which of the following foods meets the recommended nutritional guidelines for older adults? 1. Grilled chicken 2. Hamburger and french fries 3. Hot dog with dill pickle relish 4. Baked potato with cheese and bacon bits ANSWER ANS: 1 […]
A client states that she does not understand managed care organization (MCO) health insurance. The nurse responds most appropriately by explaining that the MCO: 1. Reimburses nursing home funding 2. Focuses on health maintenance and primary care 3. Allows the individual to go to any physician that he desires 4. Requires a contractual agreement between […]
Which of the following assessment findings best supports the nursing diagnosis of pain in right knee joint related to degenerative process? 1. Paternal family history of osteoarthritis has been reported. 2. Client is observed grimacing when walking to bathroom. 3. Right knee appears edematous when compared to left knee. 4. Client rated the pain felt […]
Which of the following statements made by a nurse regarding personal reflection related to client care requires follow-up by the unit’s nurse manager? 1. “Mary and I were comparing foot wound dressing techniques.” 2. “I’ve been caring for orthopedic clients for 10 years and I think I’ve seen it all.” 3. “I can’t believe that […]
The nurse is reviewing instructions provided to a client about an upcoming cystoscopy. Which client response indicates that no further teaching is required? 1. “During the procedure the physician will take x-rays.” 2. “I will be awake for this procedure.” 3. “The doctor will be able to see my kidneys.” 4. “The scope is a […]
A nurse who is opposed to abortion works in a hospital where they are done. According to the Supreme Court’s conscience clause, the nurse: 1. Cannot interfere with a woman’s constitutional right. 2. Should not be working in this particular hospital. 3. Can counsel women before they have an abortion. 4. Has the right to […]
Unlicensed assistive personnel are caring for a client’s ears. What information should be reported to the nurse? 1. Excessive earwax 2. Loud talking 3. Presence of a hearing aid 4. Presence of any drainage ANSWER Correct Answer: 4 Rationale 1: Excess earwax is not an immediate problem. Rationale 2: Loud talking could be an […]
