A 61-year-old client recently suffered left-sided paralysis from a cerebrovascular accident (stroke). In planning care for this client, the nurse implements which one of the following as an appropriate intervention? 1. Encourage an even gait when walking in place. 2. Assess the extremities for unilateral swelling and muscle atrophy. 3. Encourage holding the breath frequently […]
The nurse recognizes that Freud’s theory approaches development by looking at: 1. Moral reasoning. 2. Logical maturity 3. Psychosexual aspects 4. Cognitive development ANSWER ANS: 3 Freud’s theory of personality development approaches development by looking at psychosexual aspects. Kohlberg’s theory approaches development by looking at moral reasoning. Gould’s the-ory approaches development by looking at […]
Which of the following statements made by a client reporting severe pain expresses the most in-sight into how pain impacts a client’s energy reserves? 1. “I can’t sleep if I don’t get something for this pain.” 2. “If only I could get an hour when I was free of this pain.” 3. “I’m exhausted physically […]
A client admitted for an abdominal hysterectomy reports that she has been under a lot of stress since the death of her mother and wonders how that will affect her surgery and recovery. Which of the following nursing statements reflects the most therapeutic response to the client’s question? 1. “Being under stress isn’t going to […]
In preparing to conduct a physical examination on a client, the nurse plans to: 1. Perform painful procedures at the end of the exam 2. Take long, detailed notes of all the findings during the exam 3. Keep the TV or radio on to distract the client throughout the exam 4. Assess the dominant side […]
The nurse may incorporate similarities of nutritional needs into the plan of care for clients who are Mormon and Buddhist. Members of these religions both: 1. Fast on Fridays 2. Follow vegetarian diets 3. Avoid alcohol and tobacco 4. Avoid mixing dairy and meat products ANSWER ANS: 3 Both Mormons and Buddhists avoid alcohol […]
In order that they are clear and easily understood by other members of the health care team, the nurse recognizes that client goals or outcomes should be documented according to specific crite-rion. Of the following, the outcome statement that best meets the established criteria is: 1. “Client will describe activity restrictions.” 2. “Client will verbalize […]
A staff member experienced a shoulder injury while assisting with a client transfer. The nurse manager’s most therapeutic response to this situation is to: 1. Thoroughly review the accident report filed by the injured personnel to determine the factors that contributed to the injury 2. Have a nonpunitive meeting with all the involved staff to […]
A client has recently had mitral valve replacement surgery. To prevent excess serosanguineous fluid buildup, the nurse anticipates that care will include: 1. Increased oxygen therapy 2. Frequent chest physiotherapy 3. Incentive spirometry on a regularly scheduled basis 4. Chest tube placement in the thoracic cavity ANSWER ANS: 4 Chest tubes are inserted to […]
A secondary school teacher with advanced multiple sclerosis insists on teaching from a wheel-chair and being treated the same as other colleagues. The teacher is demonstrating which of the following? 1. Prizing her choice 2. Choosing from alternatives 3. Considering all consequences 4. Acting with a pattern of consistency ANSWER ANS: 1 The teacher […]
