In assessing the structure of the community in order to identify the needs of its population, the nurse will focus on: 1. Collecting demographic data on age distribution 2. Visiting neighborhood schools to review health records 3. Interviewing clients to determine the cultural composition of the subgroups 4. Observing locations where services, such as water […]
The nurse defines ageism most accurately as: 1. The undervaluing of individuals based on their age. 2. Perception of a person’s worth based on productivity 3. Biases directed towards individuals considered aged 4. Discrimination based on an individual’s increasing age ANSWER ANS: 4 The correct option best describes ageism since it identifies discrimination towards […]
The nurse is preparing to discuss the management of the sleeping disorder narcolepsy. In addition to the prescription of stimulants and antidepressants, which of the following non-pharmaceutical strategies should be included and shared with the client? (Select all that apply.) 1. Wine with meals 2. Regular use of a sauna 3. Light but high-protein meals […]
During an assessment of the client’s integument, the nurse notes a flat, nonpalpable change in skin color that is smaller than 1 cm. This finding is documented by the nurse as a: 1. Macule 2. Papule 3. Vesicle 4. Nodule ANSWER ANS: 1 This finding is consistent with the definition of a macule. A […]
The primary benefit of achieving Magnet status is the nursing staff is empowered to make inno-vative changes that: 1. Promote nursing autonomy 2. Positively affect client care outcomes 3. Enhance the perception of the nursing profession 4. Strengthen the collaborative RN/MD relationship ANSWER ANS: 2 A Magnet hospital empowers the nursing team to make […]
A rapid infusion of citrated blood has been given to the client. The nurse observes for: 1. Diaphoresis 2. Anxiety 3. Chvostek’s sign 4. Nausea and vomiting ANSWER ANS: 3 Chvostek’s sign is seen with hypocalcemia. Rapid administration of blood transfusions contain-ing citrate may cause hypocalcemia. Citrate solution is used to prevent clotting of […]
Which of the following questions asked by the nurse during the assessment process is best di-rected towards gathering information regarding the client’s depression? 1. “Have you ever felt this depressed before?” 2. “What do you believe is the cause of your depression?” 3. “What makes you feel that you are experiencing depression?” 4. “What can […]
The nurse is collecting a sputum specimen from a client. Which action should the nurse take during the collection of this specimen? 1. Collect at least 30 mL of sputum. 2. Offer mouth care. 3. Take shallow breaths. 4. Wear a mask. ANSWER Correct Answer: 2 Rationale 1: At least 1 to 2 teaspoons […]
The nurse working in a free clinic is caring for a homeless client diagnosed with paranoid schizo-phrenia who has reported that, “I hurt my foot running away from them. It hurts so bad I can hardly walk now.” On assessment the nurse notices bruising on the client’s back, arms, and thighs, a red rash on […]
What priority assessment area has been noticed by a nurse while working with clients who are experiencing a significant degree of stress? 1. The client’s primary physical needs 2. What else is happening in the client’s life 3. How the stress has influenced the client’s activities of daily living 4. Determining whether the client is […]
