When meeting for the first time, the home health nurse smiles warmly and shakes the client’s hand. The nurse-client relationship is in the: 1. Working phase 2. Orientation phase 3. Termination phase 4. Preinteraction phase ANSWER ANS: 2 When the nurse and client meet and get to know one another, they are engaged in […]
The client has hyperesthesia apparently associated with a neurological trauma. Which of the fol-lowing is an appropriate nursing intervention in regard to the client’s sense of touch? 1. Reminding the client of the need to have frequent tactile contact 2. Keeping the client loosely covered with sheets and blankets 3. Allowing the client to lie […]
The nurse is assessing a client for possible sensory deprivation. What findings would indicate the client is at risk for developing this sensory disorder? 1. Client has severe pain. 2. Client has impaired vision. 3. Client is unable to ambulate. 4. Client is on medication that alters sensory perception. 5. Client has no family in […]
Grounding nursing research in theories from other disciplines is argued to be undesirable by some scholars. The reasons for this are which of the following? 1. It detracts from developing nursing as a separate discipline. 2. It makes nursing less relevant. 3. It helps bring a broader perspective and insight to nursing. 4. Other disciplines […]
In an assessment of a client with reflex incontinence the nurse expects to find that the client has: 1. A constant dribbling of urine 2. An uncontrollable loss of urine when coughing or sneezing 3. No urge to void and an unawareness of bladder filling 4. An immediate urge to void but not enough time […]
The nurse understands the implications of the Patient Self-Determination Act. This legislation requires that: 1. Clients designate a power of attorney 2. DNR orders for clients meet standard criteria 3. Organ donation is required upon death, if possible 4. Information be provided to the client regarding rights for refusal of care ANSWER ANS: 4 […]
Which of the following actions is the primary nursing responsibility regarding client education? 1. Providing accurate, current, relevant information 2. Answering the client’s questions regarding health-related issues 3. Assessing the individual client’s readiness and motivation to learn 4. Identifying areas where clients are in need of educational information ANSWER ANS: 1 Nurses have an […]
The client had surgery in the morning that involved the right femoral artery. To assess the client’s circulation status to the right leg, the nurse will make sure to check the pulse at the: 1. Radial artery 2. Ulnar artery 3. Brachial artery 4. Dorsalis pedis artery ANSWER ANS: 4 The nurse should assess […]
An example of a predictive type of question that a nurse might use for research is which of the following? 1. “What creates an increase in stress levels?” 2. “How often does the stress reaction occur?” 3. “What does guided imagery mean to clients?” 4. “If guided imagery is used, will stress levels be reduced?” […]
The nurse is completing an assessment of the client’s sleep patterns. A specific question that the nurse should ask to determine the potential presence of sleep apnea is: 1. “How easily do you fall asleep?” 2. “Do you have vivid, lifelike dreams?” 3. “Do you ever experience loss of muscle control or falling?” 4. “Do […]
