During an assessment interview, the nurse understands that the client has decided not to take the physician’s advice about an elective surgical procedure. The client shares that this is “just not part of what I have in mind for my life’s goals.” This would fall into which of Gordon’s functional health patterns? 1. Cognitive/perceptual pattern […]
During a home visit, an older male client tells the nurse that his wife died 3 years ago. What did the nurse observe as an indication that this client is experiencing complicated grief? 1. The client has an album of photographs of his wife open on the living room table. 2. He tells the nurse […]
Which of the following nursing statements has the greatest therapeutic value when counseling a ‘sandwich generation’ client caring for a chronically ill parent? 1. “I can help you in finding assistance with the in-home care.” 2. “What is the most stressful aspect of caring for your parent?” 3. “I’m sure your children love having grandmother […]
Which of the following client evaluations is most reflective of compliance for a preoperative cli-ent with a nursing diagnosis of deficient knowledge regarding preoperative requirements related to lack of exposure to information? 1. Client will present for scheduled blood laboratory work 48 hours before surgery. 2. Client’s preoperative blood laboratory work results are present on […]
The nurse recognizes that children living in older housing that may contain lead-based paints may exhibit which of the following signs and symptoms? (Select all that apply.) 1. Vomiting 2. Anorexia 3. Headaches 4. Bloody urine 5. Thoracic rash 6. Swollen joints ANSWER ANS: 1, 2, 3 Signs and symptoms of lead poisoning typically […]
The electrical activity of the client’s heart is being continuously monitored while the client is on the coronary care unit. Suddenly the nurse finds that the client is experiencing ventricular fibrilla-tion. The nurse will prepare to: 1. Administer atropine 2. Prepare for cardiopulmonary resuscitation (CPR) 3. Prepare the client for surgical placement of a pacemaker […]
Which of the following statements concerning health promotion habits made by a young adult best reflects an understanding regarding the primary cause of death and injury among that age group? 1. “Eating a healthy, low-fat diet is very important to me.” 2. “AIDS is nothing to mess with, so I always practice safe sex.” 3. […]
The health care provider has ordered a stool specimen for ova and parasites from the 43-year-old male client. The nurse knows that when collecting the specimen the stool must be: 1. Kept on ice 2. Kept warm 3. Collected using sterile technique 4. Free from urine ANSWER ANS: 2 It is important to avoid […]
On admission, the client weighs 165 lb (75 kg). The client reports that this is a weight loss from 180 lb (82 kg). What is this client’s percent weight loss? 1. 4.5% 2. 6.25% 3. 8.3% 4. 10.0% ANSWER Correct Answer: 3 Rationale: To calculate the percent weight loss, subtract the current weight (165 […]
Nurses are directly involved in cost containing or cost control measures. Which of the following reasons are related to cost increases? (Select all that apply.) Indicate whether the statement is true or false. ANSWER Correct Answer: true Rationale : The total population is growing, especially in the older adult segment who tend to have […]
