The nurse is prioritizing care for two postoperative abdominal surgery clients; the first is 15 hours postoperative and the second is ready for discharge. Which of the interventions should be ac-complished first? 1. Discharge pain control 2. First day dangling and ambulation 3. First day post op coughing and deep breathing 4. Discharge teaching regarding […]
The client is working to include his spouse in the treatment and recovery process of his illness. Which of Roy’s modes does this exemplify? 1. Physiologic 2. Self-concept 3. Role function 4. Interdependence ANSWER Correct Answer: 4 Rationale 1: The physiologic mode involves the body’s basic physiologic needs and ways of adapting with regard […]
Which of the following characteristics are considered guidelines for the writing of appropriate goals and outcomes? (Select all that apply.) 1. Singular 2. Realistic 3. Practical 4. Observable 5. Measurable 6. Meaningful ANSWER ANS: 1, 2, 4, 5 There are seven guidelines for writing goals and expected outcomes. The guidelines are cli-ent-centered, singular, observable, […]
A 70-year-old client asks the nurse to explain her hypertension as she is to have her blood pres-sure checked each shift. An appropriate response by the nurse as to why older clients often expe-rience hypertension is because of: 1. Myocardial muscle damage 2. Reduction in physical activity 3. Ingestion of foods high in sodium 4. […]
Which one of the following is a NANDA International nursing diagnosis label? 1. Frequent urination 2. Coughing and dyspnea 3. Risk for impaired parenting 4. Abnormal hygienic care practices ANSWER ANS: 3 “Frequent urination” is a symptom, not a NANDA International nursing diagnosis label. “Coughing and dyspnea” are symptoms, not a NANDA International nursing […]
The goal of Pender’s Health Promotion theory is best reflected in which of the following nursing interventions? 1. Suggesting the client experience a variety of exercise routines before settling on the one to adapt 2. Arranging for a client to attend a support group for individuals who also have se-vere burn scars 3. Playing soft, […]
The nurse observes an adult client of Middle Eastern descent diagnosed with bipolar disorder attempting to bathe himself using only his left hand. The nurse assumes that the most likely rea-son for this behavior relates to: 1. A cultural preference 2. A personal idiosyncrasy 3. His psychiatric diagnosis 4. A need for personal control […]
Which of the following occupations poses the least risk for sensory alterations? 1. Waiter 2. Welder 3. Computer programmer 4. Construction worker ANSWER ANS: 1 The waiter is at least risk for sensory alterations. A welder is at risk for visual alterations. A computer programmer is at risk for peripheral nerve injury. A construction […]
QUESTION Which of the following is not one of the four positive psychological attributes of authentic leadership? a. Confidence b. Resilience c. Self-awareness d. Optimism ANSWER: C
QUESTION A prerequisite for all of the other adaptive leader behaviors is to regulate distress. a. True b. False ANSWER: FALSE
