Exam 1 Review

If a 7 year old child is eating a carrot and beings coughing, what is the nurse's priority action? Start CPR Educate the child to put his hands on his neck to show that he is choking Promote coughing Leave and get help

Promote coughing

All of the following will help nursing personnel reduce musculoskeletal disorders except: reporting hazards frequent bending and twisting learning about body mechanics safe moving programs

frequent bending and twisting

All of the following are nursing education points to avoid motor vehicle injuries except: it is safe to eat while driving do not drive over the speed limit be cautious when bicycling on the roadway do not change the music while driving

it is safe to eat while driving

All of the following are nursing interventions to promote mobility except: keep patients skin clean and dry encourage ambulation evaluate if patient needs ambulatory aids teach the client to do AROM exercises every 2 hours

keep patients skin clean and dry

All of the following are appropriate interventions for a client that is visually impaired except: provide discharge instructions in a larger font minimize environmental noise ensure adequate lighting speak louder

speak louder

Folk medicine is a standard practice in the North American Healthcare System. true/false

false

Motor vehicle accidents are the leading cause of accidental death in individuals between the ages 35-64. true/false

false

The American Nurses Association publishes the National Patient Safety Goals. true/false

false

Which statement is an example of empathy shown to a patient with a chronic diagnosis? "Tomorrow will be better" "This must be hard news to hear. Tell me more about it" "What is your biggest fear about this diagnosis? "I believe you can overcome this because I have seen how strong you are"

"This must be hard news to hear. Tell me more about it"

A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions? "I will keep my walker at the end of my bed" "I will keep the fluorescent ceiling light on in my room at night" "I will place an area rug at the entry of my bathroom" "I will place a bath seat in my shower to use when I bathe"

"I will place a bath seat in my shower to use when I bathe"

What is best defined as social distance? 12 inches 4-12 feet 18 inches-4 feet 18 feet

4-12 feet

A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority? Lock the doors to the unit and secure windows so they cannot be opened Provide the client with plastic eating utensils for meals Remove any objects from the client's environment that could be used for self harm Assign a staff member to stay with the client at all times

Assign a staff member to stay with the client at all times

You are providing care to a patient that speaks only spanish. The spouse is there interpreting. What is your priority responsibility? Call the chaplain for support Allow the unlicensed assistive personnel to interpret Call for a spanish interpreter Continue to work with the spouse for interpretation

Call for a spanish interpreter

If a patient is requesting a DNR/DNI status, what action should the nurse take? Call the provider using the SBAR format Call the provider and use natural communication Call the provider using the allowance policy Call the provider and explain that you wrote orders and need his/her signature to "back you up"

Call the provider using the SBAR format

A Muslin patient with Type II diabetes is prescribed long acting insulin. The patient fasts during ramadan. What is the most appropriate intervention for this patient? Educate the patient that fasting is not an option Tell the patient not tot take his insulin the night before Inform the patient that he will need to change his lifestyle completely Collaborate with the patient and the provider to develop a patient centered plan of care

Collaborate with the patient and the provider to develop a patient centered plan of care

Which of the following is an example of false reassurance that a nurse might provide? We take care of many patients just like you Dont worry. Im sure you will be just fine. You will receive immediate care I have been a nurse for 10 years

Dont worry. Im sure you will be just fine.

If the patient is refusing care based on cultural beliefs, what is your role as a nurse? Educate the client and document his/her wishes per policy Wait for the patient to not pay attention and perform refused care Insist that if the patient refuses the care, he/she has to sign an against medical advice (AMA) form Have the patient's spouse give consent for care

Educate the client and document his/her wishes per policy

What is a priority nursing interventions to promote safety when orienting a patient to their hospital room? Educate on use of the telephone Introduce the patient to the roommate Go over the hospitals policy on visiting hours Educate the patient on how to operate the call light

Educate the patient on how to operate the call light

A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include? Encourage brief exercise before meals to promote appetite Place food in the affected side of the mouth Encourage the client to take small bites Place the client with the head reclined back to facilitate swallowing

Encourage the client to take small bites

A nurse is adhering to standard precautions while caring for a group of clients. For which of the following tasks should the nurse wear protective eye equipment? (select all that apply) Providing hygiene care to a client who is HIV positive Emptying a urinary drainage bag for a client who has pneumonia Irrigating a client's abdominal wound Transporting a cerebrospinal fluid specimen to the lab Suctioning a client's new tracheostomy tube

Irrigating a client's abdominal wound Suctioning a client's new tracheostomy tube

When transferring a patient from bed to wheelchair, what is priority safety action by the nurse? Encourage the patient to push up from the wheelchair Ensure the patient is bathed before getting into the wheelchair Lock the wheels of the wheelchair Place the bed in reverse trendelenburg position

Lock the wheels of the wheelchair

A nurse is caring for an older client who was alert and orientated at admission, but now seems increasingly restless and intermittently confused. Which of the following actions should the nurse take to address the client's safety needs? Call the family and ask them to to stay with the client Move the client to a room closer to the nurses' station Apply wrist and leg restraints to the client Administer medication to sedate the client

Move the client to a room closer to the nurses' station

Which is the best response by the nurse when the patient states "I don't know what to do. My life is a mess."? Remind the patient that everything will workout Remain attentive, but silent Immediately place the patient on a 72 hour hold Leave the room

Remain attentive, but silent

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk? Electrical cords are placed along the walls Scatter rugs are present in the kitchen Handrails are present in the bathroom Uses a microwave for cooking

Scatter rugs are present in the kitchen

All of the following are true about side rails except: They are considered a restraint if a patient requests them Full-length side rails are a restraint if used to prevent from getting out of bed They have not been linked to serious injuries falls They should not be used routinely

They have not been linked to serious injuries falls

Which type for food would be most appropriate to provide for a patient that is in Orthodox Jew? bacon for breakfast a kosher meal fresh fish during lent pork chop cutlets

a kosher meal

All of the following are forms for therapeutic communication except: asking clarifying questions restating what the client said expressing advice that will be best for the client being attentive and listening

expressing advice that will be best for the client

A German patient moved to the US and has started to eat more local foods and learn English. What is an example of? socialization acculturation assimilation ethnocentrism

assimilation

A patient had an above the knee amputation. The patient has pain distal to the amputation, this is called visceral pain. true/false

false

What herbal product does not correctly match its effect? aloe promotes wound healing ginseng increases physical endurance echinacea enhances immunity chamomile enhances the immune response to influenza a

chamomile enhances the immune response to influenza a

All of the following are types of pollution except: cross contamination air pollution noise pollution hazardous waste

cross contamination

Bathing promotes all of the following except: circulation delayed healing relaxation enhanced healing

delayed healing

A priority nursing intervention for a patient with narcolepsy would include: drink 2 cups of regular coffee stop drinking caffeine after 12 pm educate patient not to drive participate in normal activities

educate patient not to drive

All of the following are nursing interventions to prevent elderly risk for falling except: keep stairs free of clutter go upstairs swiftly use shower chairs and raised toilet seats promote healthy sleep patterns

go upstairs swiftly

A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions? carbonated beverages milk orange juice grapefruit juice

grapefruit juice

What is the best room placement for a patient with dementia and syncope? in a double room in the room with the best television for distraction in a room close to the nurses' station in a room at the end of the hallway away from the nurses' station

in a room close to the nurses' station

All of the following physiological changes increases the risk of falls except: reduced muscle strength sensory losses like vision and hearing slowing of reflexes inability to adapt

inability to adapt

The nurse walks in the patient's room and states "Hello, I am Marie, and I will be your nurse today. How would you like me to address you while we work together today? What phase of the therapeutic relationship does this represent? pre interaction phase orientation phase working phase termination phase

orientation phase

Which of the following complication may cause decreased mobility? increased energy diarrhea pressure injuries euphoria

pressure injuries

There is a fire in a patient's room that you notice when going to help that patient to see the bathroom. What is your first response? activate the fire alarm call 911 notify the supervisor remove the patient from the room

remove the patient from the room

The statement "Spanish women typically are stoic" by a nurse would be known as: bias ethnic slur stigma stereotype

stereotype

All of the following is appropriate advice for a mother to keep her infant safe except: do not warm the formula in the microwave the infant should be put to bed on their back the infant should remain in their car seat at all times the infant's car seat should be rear-facing in the back seat

the infant should remain in their car seat at all times

The primary purpose of an incident report is: to use for disciplinary action to eliminate unforeseen errors to identify opportunities for improvement to hold persons accountable for their errors

to identify opportunities for improvement

Accepting pauses or silences without interjecting a verbal response is considered therapeutic communication. true/false

true

OSHA's mission is to prevent work related injuries, illnesses, and deaths. true/false

true

Pain reassessment occurs 10 to 60 minutes after medication administration (pending route of administration). true/false

true

The nurse asking a Latino patient what matters most to them in their treatment demonstrates cultural competence. true/false

true

The nurse and patient are working on exercise strategies. What phase of the therapeutic relationship are they in? working termination pre-interaction orientation

working