In assessing the roles and power structure of a client’s nuclear family, the nurse should specifi-cally ask the client: 1. “Who decides where to go on vacation?” 2. “What type of health care insurance do you have?” 3. “How many family members currently live in your home?” 4. “What types of social activities do you […]
Which of the following assessment questions is most likely to result in pertinent information re-garding the client’s expectations of the outcomes of a regular exercise program? 1. “What is your greatest barrier to regular exercise?” 2. “What is your idea of a workable exercise program?” 3. “What do you want to happen from exercising regularly?” […]
A client asks the nurse to please close the door when entering or exiting the room because the noise is more than the client is used to because he lives alone. The nurse identifies the reason for this client’s response to sensory stimuli as being due to which factor? 1. Lifestyle 2. Developmental stage 3. […]
The nurse understands that using metabolic functioning, measures of height, weight, and skinfold thickness, to evaluate muscle atrophy in an immobilized client is known as: 1. Anthropometric measurements 2. Anhydrous measurements 3. Balke test 4. Calorimetry ANSWER ANS: 1 When assessing metabolic functioning, use anthropometric measurements (measures of height, weight, and skinfold thickness) to […]
A nurse educator senses that a student has been struggling with clinical skills learned in lab. In the clinical area, this student is usually lagging behind and seems to be involved when the other students have opportunities to perform some of the tasks. The educator pairs the student with a particularly outgoing staff nurse who […]
The nurse recognizes that the client’s teaching plan is most directly driven by: 1. The client’s identified learning needs 2. The complexity of the client’s health needs 3. The client’s readiness and motivation to learn 4. The presence of cultural or physical barriers ANSWER ANS: 1 Teaching is most effective when it responds to […]
A client is to have a stool test for occult blood. The nurse is instructing the nursing assistant in the correct procedure for the test. The nursing assistant is correctly informed that: 1. Sterile technique is used for collection 2. Stool should be collected over a 3-day period 3. The specimen should be kept warm […]
When calculating the daily intake and output, the nurse anticipates that the urinary output for an average adult should be: 1. 800 to 1000 mL/day 2. 1000 to 1200 mL/day 3. 1500 to 1600 mL/day 4. 2000 to 2300 mL/day ANSWER ANS: 3 Although output does depend on intake, the normal adult urine output […]
The best communicator is the nurse who: 1. Thinks critically 2. Is a good listener 3. Is comfortable talking 4. Empathizes with the client ANSWER ANS: 1 Nurses who develop good critical thinking skills make the best communicators. The remaining options identify components of good communication.
A client diagnosed with chronic obstructive lung disease who is receiving oxygen at 1.5 liters per minute via nasal cannula is complaining of shortness of breath. What action should the nurse take? 1. Increase the oxygen to 3 liters per minute via nasal cannula. 2. Lower the head of the client’s bed to the semi-Fowler’s […]
