With which of the following interventions does the nurse best reflect caring by maintaining belief in a client? 1. Offering a client with cancer pain medication before a family visit 2. Explaining to a client what to expect during a bone marrow aspiration 3. Arranging for a burn client to talk with others who survived […]
If a client is identified as following the traditional health care beliefs of Judaism, the nurse should prepare to incorporate the following into care: 1. Faith healing 2. Regular fasting 3. Ongoing group prayer 4. Observance of the Sabbath ANSWER ANS: 4 Observance of the Sabbath is important to a client who follows the […]
A client who has recently lost 75 pounds continues to dress in loose, baggy clothing and frequently talks about being fat. The nurse realizes this finding most likely indicates 1. role confusion. 2. body image disturbance. 3. fear of success. 4. lack of education. ANSWER Correct Answer: 2 Rationale 1: Role confusion would be […]
The nurse on the unit is determining which activities may be delegated to assistive personnel. Assuming that the nurse assistant is competent, which one of the following activities may be safely delegated by the registered nurse? 1. Vital signs on a stable client 2. An admission history on a new client 3. Initial transfer of […]
A client shares with the nurse that “My wife complains about my snoring, and I never really feel rested.” Which of the following responses best attempts to explain the cause of the problem to the client? 1. “Sleep disturbances can really affect all aspects of your life. How long have you been experiencing this problem?” […]
While working as a nursing assistant, a nursing student is asked to reinsert a Foley catheter by the RN. Which of the following reflects the most appropriate initial student response to the request? 1. Notify the nursing supervisor of the inappropriate request. 2. Tell the RN that she can only perform as a nursing assistant. […]
A student nurse accidentally left the call light outside the reach of an elderly client. Luckily another nurse found the situation and was able to rectify the matter before something happened. The student responded, “I know better. I should’ve double checked where the light was before I left the room.” This student is demonstrating which […]
There are a number of variables that may influence the client’s communication with the health care team. Which of the following is an example of an interpersonal variable? 1. Postoperative discomfort 2. An extremely warm room 3. A talkative roommate 4. A loud television ANSWER ANS: 1 Interpersonal variables are factors within both the […]
Which of the following foods will have the greatest impact on the heart’s conductivity of the person consuming it? 1. A pickle 2. A banana 3. A milkshake 4. A spinach salad ANSWER ANS: 2 Potassium is the major electrolyte and principal cation in the intracellular compartment. It regu-lates many metabolic activities and is […]
A similarity between the theories of Leininger and of Benner and Wrubel is: 1. Caring as a central focus 2. The client’s adaptation to demands 3. An emphasis on the maximum level of wellness 4. Dynamic interpersonal communication ANSWER ANS: 1 Leininger states that care is the essence of nursing and the dominant, distinctive, […]
