The nurse shares with a client diagnosed with bipolar disorder who is in the manic phase that, “The CNA will be in 20 minutes to complete your ADLs.” This nurse-initiated communication will likely result in client confusion or noncompliance because: 1. The timing of the conversation was poorly chosen 2. The client was not actively […]
Which of the following statements made by a nurse shows a lack of understanding regarding the Uniform Anatomical Gift Act? 1. “A client must be 21 to give consent to be an organ donor.” 2. “All clients admitted to the hospital are asked about becoming an organ donor.” 3. “We have a form here on […]
The nurse is preparing a new mother for discharge when the woman shares that she is “worried about going back to work and its effects on my infant.” The most therapeutic response by the nurse is: 1. “Do you want to go back to work?” 2. “Just be sure you have an excellent baby sitter.” […]
A 36-year-old female diabetic client is having an elective breast augmentation procedure done. Which of the following tests must be done on the day of surgery? 1. Complete blood count (CBC) 2. Blood glucose 3. Serum electrolytes 4. Coagulation studies ANSWER ANS: 2 Blood glucose level can be obtained by either a finger stick […]
The nurse has identified deficient knowledge regarding surgery for a client who is scheduled for an outpatient procedure. Which of the following instructional topics will best minimize the cli-ent’s anxiety regarding the procedure? 1. Assure the client that preoperative sedation will be administered. 2. Discuss the pre- and postprocedure care that will be provided. 3. […]
A 58-year-old woman asks the nurse what she can do to promote healthy physical sexual rela-tions. Based on the client’s age, the nurse responds by saying: 1. “Using a water-based lubricant may be helpful.” 2. “Reducing the frequency of intercourse may help you.” 3. “I will refer you to a sexual therapist to better assist […]
Which of the following are reasons for communication during the assessment phase of the nurs-ing process? (Select all that apply.) 1. Providing information to the client 2. Obtaining information from the client 3. Establishment of the nurse-client relationship 4. Identification of the client’s physical health needs 5. Mutual goal setting regarding client health needs 6. […]
Although the most common effect of obstructive sleep apnea is a disrupted sleep pattern, the condition can cause a serious decline in arterial oxygen levels that may result in: (Select all that apply.) 1. Hypertension 2. Angina attacks 3. Alzheimer’s disease 4. Cardiac dysrhythmias 5. Cerebral vascular accidents 6. Type 2 diabetes ANSWER ANS: […]
A seasoned nurse works in a busy ICU unit. When a particularly complex client is admitted, the nurse uses past experiences and knowledge gained from those situations to help care for this client. This nurse is practicing which of the attributes of critical thinking? 1. Reflection 2. Context 3. Dialogue 4. Time ANSWER Correct […]
The nurse caring for a 78-year-old male client recovering from hip replacement surgery is as-sessing for signs of improvement of the client’s activity tolerance. The nurse determined a base-line for ongoing assessments by: 1. Determining how much time it takes the client to recover from an activity 2. Assessing how much the client can do […]
