Which of the following statements is true regarding the implications of the nurse’s signature as a witness for a client’s consent? (Select all that apply.) 1. Client signed voluntarily. 2. The signature is authentic. 3. Client appears to be competent. 4. Client appears knowledgeable about the procedure. 5. The nurse has discussed the possible risks […]
A client is experiencing job-related stress. The nurse is working with the client in an outpatient health care setting. The nurse believes this client is dissociated as a result of observing the client: 1. Avoid discussion of job problems 2. Act like another colleague on the job 3. Experience chronic headaches and stomach aches 4. […]
The 25-year-old male client who has been in the trauma intensive care unit (ICU) for 3 weeks is confused and agitated. The nurse knows that this can happen to clients in an ICU setting due to: 1. Boredom 2. Sensory overload 3. Pain 4. A lack of stimulation ANSWER ANS: 2 When a person […]
The nurse is preparing to complete a physical examination on a client. What should the nurse realize as being the purpose for this examination? 1. Obtain baseline data. 2. Obtain data to help determine nursing diagnoses. 3. Identify areas for disease prevention. 4. Identify the client’s employment status. 5. Obtain data about the client’s leisure […]
The nurse has just taken vital signs for a 30-year-old client. Based on the results, the nurse will report the following finding that is out of the expected range for a client of this age: 1. T = 37.4° C 2. P = 110 beats/min 3. R = 20 breaths/min 4. BP = 120/76 mm […]
The client who has the medical diagnosis of Alzheimer’s disease is confused and has difficulty interpreting environmental stimuli. Which nursing diagnosis problem statement most accurately describes this client’s situation? 1. Acute Confusion 2. Altered Role Performance 3. Disturbed Sensory Perception 4. Disturbed Thought Processes ANSWER Correct Answer: 4 Rationale 1: Clients with Alzheimer’s disease […]
The pediatric nurse implements Watson’s assumption regarding a caring environment by which of the following? 1. Providing all needs and cares to the nurse’s clients 2. Ensuring that a zone of professionalism is present between the nurse and client 3. Allowing the clients to have choices, as appropriate, in their care 4. Selecting games and […]
The client is diagnosed with malabsorption syndrome (celiac disease). In teaching about the glu-ten-free diet, the nurse informs the client to avoid: 1. Citrus fruits 2. Vegetables 3. Red meats 4. Wheat products ANSWER ANS: 4 The treatment of malabsorption syndromes, such as celiac disease, includes a gluten-free diet. Gluten is present in wheat, […]
Which of the following statements reflects the correct interpretation of the effect of age on cop-ing strategies? 1. “The young adult client generally handles stress more effectively than does the elder adult.” 2. “Life provides the older adult with more opportunities to effectively manage their stressful events.” 3. “Children appear to be less aware of […]
In teaching a client about an upcoming diagnostic test, the nurse identifies that which one of the following uses an injection of contrast material? 1. Holter monitor 2. Echocardiography 3. Cardiac catheterization 4. Exercise stress test ANSWER ANS: 3 A cardiac catheterization involves the injection of contrast material in order to visualize the car-diac […]
