QUESTION When working on a psychiatric unit, the nurse recognizes that indicators of potential violence include which of the following? (Select all that apply.) a. Confusion b. Orientation c. Coherent speech d. Exaggerated gestures e. Prolonged eye contact ANSWER: ANS: A, D, E Indicators of potential violence include confusion, exaggerated gestures, and prolonged eye […]
QUESTION The nurse is caring for an older adult client who has recently experienced losses associated with deaths of important people in her life. The nurse recognizes that this type of problem challenges which of Maslow’s hierarchy of needs? a. Physiological integrity b. Love and belonging c. Self-actualization d. Safety and security ANSWER: ANS: […]
QUESTION A client experiences an unusually stressful life event that exceeds their resources and coping skills. The nurse recognizes the client is experiencing which type of crisis? a. Developmental b. Private c. Adventitious d. Situational ANSWER: ANS: D A situational crisis is an unusually stressful life event that exceeds a person’s resources and coping […]
QUESTION A client has an order for a new medication. When preparing to administer the medication to the client for the first time, the nurse gets ready to educate the client and the client’s daughter about the medication. When educating the client and the daughter, the nurse should do all of the following except a. […]
QUESTION A client is admitted to a psychiatric unit for crisis intervention. When caring for this client, the nurse recognizes that crisis intervention is a. a long-term treatment to improve coping skills. b. a system for focusing on future problem-solving skills. c. a method of intervention with a goal of returning the client to a […]
QUESTION When assessing an older adult client, the nurse recognizes the client has a significant hearing loss. The most appropriate intervention by the nurse is to a. introduce herself first. b. shout into the client’s good ear. c. repeat words the client doesn’t understand. d. check the hearing aid batteries. ANSWER: ANS: D Adaptive […]
QUESTION When communicating with older adult clients, the nurse recognizes that a. hearing problems can diminish an older person’s ability to interact with others. b. hearing loss associated with normal aging begins after age 40 years. c. older adults who experience hearing loss initially cannot hear lower-frequency sounds of vowels. d. older adults distinguish sounds […]
QUESTION The nurse is caring for a frail older adult client who is admitted to the hospital after falling. The client has been living alone independently and appears reluctant to accept assistance. The nurse recognizes that the client’s reluctance to accept assistance is most likely caused by fear of a. inability to pay for services. […]
QUESTION The nurse has just completed a care plan on a visually impaired client. Which of the following interventions is most appropriate for this client? a. Stand away from the client when communicating to not obstruct the view of the immediate environment. b. Provide the client with reading material that has all capital letters. c. […]
QUESTION When visiting a client in his or her home, the home health nurse notes that the client frequently shifts the conversation to reminisce. Which of the following communication techniques would be most effective for the nurse to use with this client? a. Restating b. Changing the subject c. Providing information d. Asking about the […]
