Nursing 250 pre u

The health belief model is useful when educating individuals about health and illness. Why would this be?

It allows you to assess the client's beliefs and structure goals so he can meet health needs.

A nurse is sitting near a client while conducting a health history. The client keeps edging away from the nurse. What might this mean in terms of personal space?

The nurse is in the client's personal space.

Chronic illness may be characterized by periods of remission. Remission is best defined as:

the presence of a disease with the absence of symptoms.

A diabetes nurse educator is teaching a client, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this education?

to help the client develop self-care abilities

Why are nursing organizations important for the continued development and improvement of nursing as a whole?

to set standards for nursing education and practice

The delivery of culturally competent nursing practice incorporates the concept of:

planning and implementing care in a way that is sensitive to the needs of individuals, families, and groups from diverse cultural populations.

The family of a client in a burn unit asks the nurse for information. The nurse sits with the family and discusses their concerns. What type of communication is this?

Interpersonal

Which of the following nurse leaders most clearly exemplifies transformational leadership?

A leader who is dynamic, inspiring, and promotes change by the power of her convictions

When a client says, "I don't care if I get better; I have nothing to live for, anyway," which type of counseling would be appropriate?

Motivational counseling

In which way can nurses can develop cultural self-awareness?

Objectively examine one's own beliefs, values, and practices.

A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established?

Orientation phase

A nurse is caring for a client from Taiwan who constantly requests pain medication. What should the nurse consider when assessing the client's pain?

Pain is what the client says it is.

The nurse is preparing a care plan for an black man aged 68 years who was recently diagnosed with hypertension. Age, race, gender, and genetic inheritance are examples of what human dimension?

Physical

A nurse has recently completed the administration of seasonal influenza vaccinations for the residents of a long-term care facility. Which aim of nursing has the nurse most clearly demonstrated?

Preventing illness

The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. What level(s) of health promotion is this an example of?

Primary

A nurse is educating women on the need for calcium to prevent bone loss. What level of prevention does this represent?

Primary prevention

A client 36 years of age is able to understand the health education when she is given the opportunity to put the education into practice. The nurse helps the client to self-administer the medication dosage before the client is discharged from the health care facility. Which domain correctly identifies the client's learning style?

Psychomotor domain

When caring for a diabetic client, the nurse notes that the client learns better when he practices the self-administration of the insulin injection by himself. In which learning domain does this client's learning style fall?

Psychomotor domain

Which statement best conveys the relationship between race and ethnicity?

Race denotes physical characteristics while ethnicity is rooted in a common heritage.

A female client has been having yearly Pap smears and yearly mammograms for more than 10 years. According to Lewin, this is an example of what type of change?

Refreezing

Which is an example of tertiary health promotion?

Rehabilitation

A nurse is caring for a client with myasthenia gravis. The client is having difficulty forming words and his tone is nasal. Which communication strategy is an effective one for this client?

Repeat what the client has said to verify the meaning.

A nurse evaluates whether a middle-age client with chronic back pain has been performing the different exercises and physiotherapy procedures recommended by the physician. What would the nurse most likely use to evaluate the client?

Return demonstration

Which characteristic is used to describe racial categories?

Skin color

A nurse is caring for an older adult from a far eastern culture. How does the nurse demonstrate awareness of culturally competent care?

establishing effective communication

When a client states, "I only want a white doctor," the client is expressing cultural:

ethnocentrism.

A nurse who is discharging a client is terminating the nurse-client relationship. Which action might the nurse perform in this phase?

examining goals of the relationship to determine their achievement

A senior student nurse has been elected class president. What type of power will the student have in this position?

explicit power

Developing an education plan is comparable to what other nursing activity?

formulating a nursing care plan

A nurse who is preparing to administer an injection to the client states, "This injection will not be painful." The nurse has used which communication technique?

giving false reassurance

The Standards of Practice provide nurses with:

guidelines for providing care

When chronic illnesses and disabilities are present, individuals benefit most from activities that:

help them maintain independence.

The nurse is administering immunizations to a group of teens in a county health clinic. The nurse correctly identifies this action as:

illness prevention.

A client tells the nurse that her doctor just told her that she had a "chronic condition." She asks the nurse what does "chronic condition" mean. What would be the nurse's best response?

"Chronic conditions usually come on slowly and may have periods of remission and exacerbation."

A client tells the nurse that he is very worried about his surgery. Which response by the nurse is a cliché?

"Don't worry, everything will be fine."

A client has been recently diagnosed with diabetes. He is seen in the emergency room every day with high blood sugar. The client apologizes to the nurses for bothering them every day, but he cannot give himself insulin injections. What should the nurse's response be?

"Has someone taught you how to take them?"

A registered nurse assigns the task of tracheostomy suctioning of a client to the LPN. The LPN informs the nurse that she has never performed the procedure practically on a client. What should be the most appropriate response from the registered nurse?

"I will help you in performing the procedure on the client."

The nurse is providing home care for a client who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea?

"Let me check with the doctor to make sure it is okay to drink the tea with your medicines."

A female client reports to her primary care physician with aggravated chest pain. The physician orders a stress test. The client tells the nurse that she does not want to take the test and feels she should instead continue with the medication a little longer. Understanding that the client is anxious, what is the most appropriate response by the nurse?

"Tell me more about how you are feeling."

The nurse has been working with a client for several days during the client's recovery from a femoral head fracture. How should a nurse best evaluate whether client education regarding the prevention of falls in the home has been effective?

"What changes will you make around your house to reduce the chance of future falls?"

A nurse is assessing a client's nutritional intake prior to admission based upon information that indicates the client has lost 10 lb (4.5 kg) over the last 2 months. Which therapeutic communication technique is appropriate to gain information?

"What factors have contributed to your weight loss over the last few months?"

A client has just been given a diagnosis of cirrhosis of the liver. Which statements by the nurse should be avoided because they could impede communication? Select all that apply.

- "Cheer up. Tomorrow is another day." - "Your doctor knows best." - "Don't worry. You will be just fine in another day or two." - "Everything will be all right."

A nurse is considering applying for a leadership role on her medical unit. She asks her colleagues what they consider to be good personal leadership skills. Which of the following would be appropriate? Choose all that apply.

- Communication - Problem solving - Self-evaluation

The definition of chronic conditions can be complex. Which factors would a nurse expect to be included in the definition of chronic conditions? (Select all that apply.)

- Diseases that have a prolonged course - Diseases that do not resolve spontaneously - Diseases where complete cures are rare

The nurse is a manager on an orthopedic unit. The unit changed to a new computer documentation system three days ago. One of the night nurses has called in sick every shift since the new system started. The nursing manager is aware that this situation has to do with resistance to change. Which of the following are common reasons why people resist change? Choose all that apply.

- Feel threatened - Fear increased responsibility - Lack of understanding - See no benefits to the change

The nursing student is working to improve his time management. Which of the following would assist the nursing student in accomplishing his goal? Choose all that apply.

- Identify priorities for the day. - Evaluate time management at the end of the day. - Establish a reasonable time line.

Which of the following statements accurately describes recommended guidelines for overcoming resistance to change? Select all that apply.

- List the advantages of the proposed change for members of the group. - If possible, introduce change gradually.

Which activity takes place during the working phase of the nurse-client relationship? Select all that apply.

- The client participates actively in the relationship. - The client genuinely expresses concerns to the nurse.

A nurse is providing teaching to patients in a short-term rehabilitation facility. Which examples are common teaching mistakes made by health care professionals? (Select all that apply.)

- The nurse fails to accept that patients have the right to change their minds. - The nurse uses medical jargon frequently when discussing the teaching plan. - The nurse ignores the restrictions of the patient's environment.

A nursing instructor is discussing differences between nurse-client relationships and social relationships with a group of nursing students. Which statement is a characteristic of a person-centered or helping relationship?

A person-centered or helping relationship is characterized by an unequal sharing of information.

Which organization is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice?

American Nurses Association (ANA)

Which of the following nursing groups provides a definition and scope of practice for nursing?

ANA

A client admitted to the telemetry floor informs the nurse that he has an advance directive and does not wish to be resuscitated if his heart stops beating. The client takes a copy of the advance directive from his wallet and hands it to the nurse. The nurse documents on the electronic chart that the client has an advance directive, makes a copy of the advance directive, and immediately informs the client's physician. In this situation, what is the nursing role demonstrated by the nurse?

Advocate

The nurse has just graduated with a Bachelor of Science in Nursing and is eager to find a mentor at this early stage in her career. Which of the following individuals is most likely to be an appropriate mentor for the nurse?

An experienced nurse who was a preceptor in a previous clinical placement

What is the primary focus of communication during the nurse-client relationship?

Client and client needs

A nurse plans the nursing activities for the shift. Which of the following activities should the nurse assign to the nursing assistant?

Assist a client to ambulate and sit on a bedside chair.

A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check patients' blood glucose levels. The nurse manager informs the group this was a new policy on the unit, and discussions will not change the enforcement of this policy. What type of leadership style is the nurse manager demonstrating?

Autocratic

A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action?

Autocratic

The parents of an infant suffering from apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents?

Baseline knowledge of these concepts

After graduation from an accredited program in nursing and successfully passing the NCLEX, what gives the nurse a legal right to practice?

Being licensed by the State Board of Nursing

What may happen to the family when one of the family members suffers an illness?

Changes in roles for the client and family

A father, mother, grandmother, and three school-age children have immigrated from Thailand. Which member(s) of the family are likely to learn to speak the dominant more rapidly?

Children

An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?

Chronic illness

What is a misconception about chronic disease?

Chronic illnesses cannot be prevented.

A nurse develops a care plan for a diabetic patient that focuses on the patient's knowledge deficit of insulin administration, and devises interventions to accomplish the desired outcomes. This is an example of using which of the following type of nursing skills?

Cognitive

A nurse instructs a client to tell her about the side effects of a medication. What learning domain is the nurse evaluating?

Cognitive

When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which of the following learning domains does the client's learning style fall?

Cognitive domain

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This is an example of what learning theory?

Cognitive learning theory

A nurse receives an x-ray report on a newly admitted client suspected of having a fractured tibia. The nurse contacts the physician to report the findings. What role is the nurse engaged in?

Communicator

During the clinical rotation, a nurse documents the vital signs of a client on the bedside chart. What role is the nurse playing in such a situation?

Communicator

A nurse is caring for a client who is a chronic alcoholic. The nurse educates the client about the harmful effects of alcohol and educates the family on how to cope with the client and his alcohol addiction. Which type of skill is the nurse using?

Counseling

Which term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person or people from a different culture?

Cultural imposition

Which statement is true of factors that influence communication?

Culture and lifestyle influence the communication process.

Upon moving to China, an North American college student is experiencing many new feelings that the student associates with placement in a different culture. What are the feelings experienced by this student?

Culture shock

A staff nurse works on a medical unit where staff retention is very high. There is a a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which of the following leadership styles?

Democratic

What type of leader shares decisions and activities with group participants?

Democratic

The nurse is having an exceptionally busy shift on an obstetrical unit. Which of the following tasks is the nurse justified in delegating to an unlicensed care provider?

Emptying a client's Foley catheter bag and reporting the volume to the nurse

Which nursing action best exemplifies the nurse's role in promoting health?

Encouraging a group of junior high school students to engage in regular physical activity.

Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor?

Environmental risk factor

A nurse is caring for a postoperative client of Asian descent after knee arthroplasty. The nurse plans to help the client ambulate, but is aware that the client may feel threatened due to physical closeness. What would be the most appropriate nursing action?

Explain the purpose and need for assistance during ambulation.

A man age 61 years is distraught because he has just learned that his most recent computed tomography (CT) scan shows that his colon cancer has metastasized to his lungs. Which nursing aim should the nurse prioritize in the immediate care of this client?

Facilitating coping

A nurse is caring for a client 72 years of age with arthritis. Which action is the priority for the nurse when conducting the health education for the client?

Find out what the client wants to know.

Which of the following is not one of the six general types of risk factors in regard to increasing an individual's chances for illness and injury?

Gender

A nursing instructor is working with a class of first semester nursing students. The instructor explains the interrelatedness of health and wellness. What would be the best definition the nursing instructor could give of health?

Health is a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity.

A nurse educator uses models of health and illness when teaching. Which model of health and illness places high-level health and death on opposite ends of a graduated scale?

Health-Illness Continuum

When is the best time to evaluate one's own teaching effectiveness?

Immediately after an education session

The designated charge nurse on the telemetry unit organizes and facilitates the unit meetings; however, during most of the meetings, another registered nurse runs the show and influences staff decisions just by her charisma and personality. Her power to lead is defined by which of the following terms?

Implied

When providing client education it is essential for the nurse to incorporate what action so that learning can be optimized?

Include educational strategies that encourage clients to be active participants.

Which strategy might a nurse use to increase compliance with education?

Include the client and family as partners.

A nurse touches a client's hand to indicate caring and support. What channel of communication is the nurse using?

Kinesthetic

Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?

Know the client's cultural personal space preferences.

What was one barrier to the development of the nursing profession in the United States after the Civil War?

Lack of educational standards

A staff nurse works on a surgical unit where the nurse leader allows the staff to make all decisions and direct themselves. The staff nurses fill out the work schedule and sometimes there are days where the unit is short staffed. The staff nurse feels the unit needs better leadership. The nurse leader is practicing which of the following leadership styles?

Laissez-Faire

A registered nurse (RN) serves as the chair of the Nursing Practice Committee for the hospital. The meetings do not have a planned agenda; members of the committee who are interested in a particular topic feel free to suggest it and then to lead the subsequent discussion. This chairman's leadership style could be termed what?

Laissez-faire

How might one define leadership?

Leadership is the process of guiding, educating, motivating, and directing others.

A client of English descent reports to the primary health care facility with symptoms of fever, cough, and running nose. While interviewing the client, which point should the nurse keep in mind?

Maintain eye contact while talking.

A nurse uses the SBAR method to hand off the communication to the health care team. Which of the following might be listed under the "B" of the acronym?

Mental status

When a labor and delivery nurse tells a coworker that a client of Asian decent probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as what?

Stereotype

Which type of skills is not needed for nursing leadership?

Technical skills

Which model is most useful in examining the cause of disease in an individual, based upon external factors?

The Agent-Host-Environment Model

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client?

The client describes signs and symptoms of hypoglycemia.

In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle?

The client may have a very different understanding of health promotion.

Why is communication important to the "assessment" step of the nursing process?

The major focus of assessing is to gather information.

In Lewin's classic theory of change, what happens during unfreezing?

The need for change is recognized.

While applying dressings to a client's wound, the nurse teaches the client about his wound care. To promote the most effective teaching-learning relationship with this client, what would be most important for the nurse to keep in mind?

The nurse and client relationship is based on mutual sharing and negotiation.

A client arrives at a health care facility complaining of pain in the abdomen and diarrhea. The physician diagnoses the client with colitis, an acute illness. Why is colitis considered an acute illness?

The onset is sudden.

Which definition best describes acute illness?

The rapid onset of symptoms lasting a relatively short time.

A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which of the following as a characteristic of an adult learner?

Their readiness to learn is often related to a developmental task or social role.

Primary health promotion is an integral part of health care. What is the purpose of primary health promotion?

To promote health and prevent disease or injury.

Which factor is most important in the development of rapport between nurse and client?

Trust

Following a myocardial infarction (heart attack), a client begins to recognize the need to increase exercise, eat a low-fat diet, and implement relaxation techniques. According to Lewin, this is an example of what type of change?

Unfreezing

The need for university-based nursing education programs was brought to light during which important historical time?

World War II

A community health nurse is providing care to a group of Hispanic people living in an area that is heavily populated by white people. What are the Hispanic people in this community an example of?

a minority

Which characteristic is part of a nurse-client relationship?

an unequal sharing of communication

A male client of Asian descent is operated on for gallstones. On the postoperative night, the nurse finds that the client is not sleeping and is tossing and turning. When asked about analgesics, the client denies having pain. Which nursing action is most appropriate?

assessing for nonverbal expressions of pain

Which nursing intervention is an example of tertiary preventive care?

assisting with speech therapy for a client with a traumatic brain injury

A nursing student is preparing a presentation regarding different cultures. Which definition of culture is most accurate?

belief system that guides behavior

A nurse who provides care in a large, inner-city hospital is aware of the large influence of culture on health. The nurse recognizes that culture is best understood as a shared system that encompasses:

beliefs, values, and behavioral expectations.

Despite the presence of a large number of older adult residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. The nurses at the facility should recognize this as an example of:

cultural blindness.

A nurse is providing care for a client from Cambodia. The nurse says, "You have to get up and walk whether you want to or not." This statement is an example of:

cultural imposition.