Adaptive Quiz All Concept Review
A client with acquired immunodeficiency syndrome (AIDS) comments to the nurse, "There are so many rotten people around. Why couldn't one of them get AIDS instead of me?" The nurse's best response is:
"It seems unfair that you should be so ill."
A client who is dying appears happy and tells a nurse a joke about the situation despite becoming sicker and weaker. What is the nurse's most therapeutic response?
"Does it help to joke about your illness?"
During follow-up visits, the nurse informs the mother of a 3-month-old infant how to feed the infant expressed milk. Which statements by the mother indicate effective learning? Select all that apply.
"I can express milk by hand or with a breast pump." "I can store expressed milk in the refrigerator for 5 days."
A client with expressive aphasia becomes agitated and upset when attempting to communicate with the nurse. To help reduce the client's frustration, the nurse should:
Allow the client adequate time to speak
A practitioner recommends that an adolescent with the diagnosis of osteogenic sarcoma have the affected leg amputated and then be treated with chemotherapy. The parents are concerned about what to tell their child and ask the nurse for advice. The nurse suggests that they discuss the:
Amputation and provide information about chemotherapy
A 26-year-old woman whose sister recently had a lumpectomy for breast cancer calls the local women's health center for an appointment for a mammogram. What should the nurse advise the client in preparation for the test?
During the procedure, each breast will be compressed firmly between two plates Compression of the breast flattens mammary tissue and maximizes penetration of the breast by x-rays; this is especially important for the dense breast tissue of adolescents, young nulliparous women, and women with large breasts. Fasting before the test is not necessary. The room is usually darkened for sonography, not mammography. The American Cancer Society recommends that women at risk for breast cancer (the client's sister had breast cancer) should have routine mammography, regardless of age or relationship to menopause. It is recommended that a woman have her first mammogram by age 40 to establish a baseline for future annual mammograms.
A client who retired a year ago tells the nurse in the community health center, "I don't have any hobbies or interests, and since I retired I feel useless and unneeded." According to Erikson's developmental theory, with which developmental conflict is the client faced?
Integrity versus despair
The nurse who is teaching the client with chronic obstructive pulmonary disease (COPD) to use pursed-lip breathing (PLB) is aware that this is beneficial for the client through which mechanism?
Prolonged exhalation to decrease air trapping.
A nurse is managing the care of a client with recently diagnosed schizophrenia. Effective therapeutic communication will directly affect which client-focused outcomes? Select all that apply.
a. The client will become capable of part-time employment. b. The client will effectively express emotional and physical needs. c. The client will demonstrate wellness reflective of physical potential. d. The client will demonstrate an understanding of the mental health disorder. e. The client will recognize the issues most important to managing this disorder. ************************************************ B, D, & E! Therapeutic communication facilitates the exchange of information between the nurse and the client that focuses on the client's attaining health and wellness. This information can be directed towards the client's health needs such as the effective expression of the client's physical and emotional needs, the understanding of the cause and prognosis of the current mental health problem, and the recognition of issues important to the management of the client's health issues. The client's ability to maintain part-time employment and the client's physical health potential are minimally affected by therapeutic communication.
