Which of the following statement best reflects the nurse’s appropriate attention to a client’s need for self-efficacy? 1. “What can I do to help you lose the weight?” 2. “Are you really ready to start a regular exercise regimen?” 3. “After you watch me demonstrate this inhaler, you will have no problems using it at […]
A client is caring for her husband who recently experienced a cerebral vascular accident. She tells the home care nurse that she has been very anxious lately about all the added responsibilities. She adds that she has not been sleeping well and has had several bouts of diarrhea. Which of the following statements by the […]
After asking general assessment questions regarding spirituality, the nurse finds the client content and satisfied. How should the nurse conduct the rest of the assessment? 1. Specific questions regarding beliefs should be included. 2. The nurse should validate spiritual information with the client’s family. 3. The assessment can now move on to physical assessment. 4. […]
A nurse who is sensitive to the care of families recognizes that the term ‘family’ is primarily de-fined: 1. As individuals legally bound to the client 2. As people with biological connections to the client 3. In terms generally accepted by the majority of clients 4. By the client as individuals important to the client […]
When the nurse is reviewing a client’s laboratory results, a low calcium level is noted. When the nurse then reviews the client’s electrocardiogram, the most likely change noted will be a(n): 1. Increased Q-T interval 2. Increased P-R interval 3. Q-T interval less than 0.12 seconds 4. QRS interval greater than 0.12 seconds ANSWER […]
The client reports difficulty sleeping and awakening several times during the night. What intervention should the nurse recommend for the client when unable to sleep? 1. Get out of bed, go into another room, and pursue some relaxing activity until drowsy. 2. Get out of bed, go into another room, and exercise until tired before […]
Which of the following clients is most at risk for fluid volume deficit? 1. 25-year-old male near-drowning victim 2. 56-year-old woman with salicylate poisoning 3. 45-year-old woman with second-degree burns over 20% of her body 4. 13-year-old boy with an oral temperature of 103.4° F ANSWER ANS: 3 The greater the body surface burned, […]
The nurse is working with a client diagnosed with multiple sclerosis. The goal is that the client will be capable of living independently. The nursing theory that best supports this client’s situa-tion is: 1. Orem’s theory 2. Neuman’s theory 3. Abdellah’s theory 4. Henderson’s theory ANSWER ANS: 1 According to Orem, the goal of […]
A nursing care assistant fails to report in a timely manner a request for pain medication from an African-American male client who is recovering from a stab wound. The nurse’s initial action is to evaluate the care assistant’s: 1. Feelings regarding this particular client 2. Need for administrative disciplinary action 3. Understanding of the need […]
The nurse realizes that the primary goal of a cultural assessment is to: 1. Minimize client distress resulting from unmet cultural expectations 2. Provide care that is in concert with the client’s cultural expectations 3. Identify cultural beliefs and traditions that are important to the client 4. Blend Western nursing practice with the client’s cultural […]
