Nursing Questions #1

Which statement reflects an example of nonassertive communication?

"Do you believe the client is breathing faster and using accessory muscles?"

The nurse is caring for a client who is admitted for the third time in 6 months for uncontrolled diabetes mellitus. When assessing the causative and contributing factors of these exacerbations, what should the nurse ask first?

"Do you have financial difficulty affording the blood glucose meter supplies and a healthy diet?"

The nurse is exploring personal issues with a client and wants to obtain more information. Which question asked by the nurse would obtain the most information?

"Tell me what happened to encourage you to seek counseling."

Which nurse would fall into Benner's stage of being an expert nurse?

A nurse who assesses a client and believes that something is not right and notifies the health-care provider

Which relaxation techniques would the nurse instruct a client to incorporate into his or her life in order to decrease anxiety? Select All That Apply.

Acupuncture Exercise Meditation Visualization

A registered nurse (RN) is developing a plan of care for a client admitted with pneumonia. Which tasks can the RN delegate to the nursing assistive personnel (NAP)? Select all that apply.

Bathing the client Shaving the client Providing oral care

The nurse is working with a family of a child who has self-esteem issues. Which activities should the nurse instruct the parents to perform in order to provide security for the child? Select All That Apply.

Being consistent with rules Respecting

Identify the examples of acute illness. Select All That Apply.

Cholecystitis Pyelonephritis Appendicitis

Which communication technique allows the nurse to provide input while discussing goals at the client's bedside?

Client Rounding

While conducting research on weight management among Native Americans, what information would be integral in developing a theory?

Client preferences regarding weight management (timing, location, and costs) and how meeting these preferences will influence success

What are the components of a theory? Select all that apply.

Concept Definition Phenomenon Proposition

Which statement explains the concept of contextual awareness?

Contextual awareness is the way a person reacts to change.

Which cultural considerations must the nurse include for all clients? Select All That Apply.

Cultural influences on responses to illnesses Cultural influences on health decisions and behaviors

A nurse prepares to do an assessment on an 80-year-old client admitted for pneumonia. The nurse will assess the client for which risk factors that are known to be leading causes of functional decline in older clients? Select All That Apply.

Depression Burden of disease Cognitive impairment

In which capacity would a clinical nurse specialist best serve a health-care facility?

Educating clients and families on disease management

Which are advantages of online resources as sources of information? Select all that apply.

Empowers clients to access information easily Large amount of information easily available Use of audiovisual materials engages clients Private and can be used at any time

Which techniques are barriers to communication with clients? Select All That Apply.

Expressing approval Providing false hope Asking "why" questions

According to Selye, which are nonspecific systemic responses a client experiences with general adaptation syndrome as a result of stress? Select All That Apply.

Fight-or-flight response Resistance or adaptation Recovery or exhaustion

Which behaviors should the nurse include when actively listening to a client? Select All That Apply.

Focus on nonverbal behaviors. Sit at eye level next to the patient Face the client and lean in.

Which behaviors would the nurse expect to see in a client who has assumed the sick role? Select All That Apply.

Having a duty to become well Planning to see a health-care provider Following the treatment plan as prescribed

What occurs when a client successfully moves to the resistance stage of general adaptation syndrome?

Homeostasis

Which cardiovascular responses occur during the alarm stage of a stress response from the release of adrenaline and norepinephrine? Select All That Apply.

Increased blood volume Increased heart rate Increased blood pressure

The nursing manager of an intensive care unit is worried about staff burnout. Which behaviors of the nurses may indicate this problem? Select All That Apply.

Increased client acuity Nurses being floated to other units

An impoverished 55-year-old client has accrued a large hospital charge after emergency surgery and is unable to pay the bill. What insurance can the nurse recommend to the client to help with the cost? Select all that apply.

Medicaid, charity

A student nurse is trying to determine which type of teaching method to use for a client who will be using oxygen at home. What advantages would the preceptor list for the demonstration and return demonstration strategy? Select all that apply.

Most effective in teaching psychomotor skills When performed correctly, can build client self-confidence Allows for specific, targeted questions and answers

Which credible sources of information should the nurse use to obtain information about the client when developing a plan of care? Select all that apply.

Nursing Textbooks Spouse Electronic medical record

The nurse documents, "Anxiety related to change in health status and situational crisis." This is an example of which step in the nursing process?

Nursing diagnosis

Which characteristics of registered nursing are identified by the American Nurses Association (ANA)? Select all that apply.

Nursing practice is individualized. Nurses coordinate care by establishing partnerships.

When researching the correlation between depression and health-related issues in older adults, what will the nurse find? Select All That Apply.

Older adults with depression report higher rates of physical ailments. Older adults with depression present with greater functional impairments. Older adults with depression tend to use health-care services more frequently.

Which interventions should the nurse include in the plan of care for a client with dementia? Select All That Apply.

Promotion of independence with daily activities Provision of activities that provide socialization

Which are common responsibilities of the state boards of nursing? Select all that apply.

Providing approval for nursing education programs Enforcing rules that govern nursing practice Developing criteria that permit someone to be licensed as a registered nurse (RN) or as a licensed practical or vocational nurse (LPN/LVN)

According to the Institute of Medicine, which competency best promotes the concept of providing safe, quality client care?

Quality improvement

A registered nurse (RN) is interviewing for a new staff position at a hospital and asks about staffing and client assignments. The interviewer explains nurses work in a functional nursing role. Which statement best explains this approach?

RNs provide compartmentalized care, perform complex treatments, and are in charge.

The scientific basis for client care is ever-changing. What can a nurse do to stay current with this multifaceted information?

Refine critical-thinking skills as well as update knowledge and skills frequently.

Which health-care setting would the registered nurse (RN) recommend for a client who needs further inpatient therapy after sustaining a stroke?

Rehab center

Which are critical aspects of informed consent? Select all that apply.

Right to not be harmed Right to full disclosure Right to self-determination

Which factors work together to form a client's self-concept? Select All That Apply.

Sexual performance Physical appearance Intellectual abilities Problem-solving abilities

Which recommendations to redesign the health-care system does the American Nurses Association's Healthcare System Reform Agenda include? Select all that apply.

Shift the priority from illness care to health promotion. Establish health policies that support safe, effective, patient-centered care. Provide universal access to essential health-care services for all citizens and residents.

The nurse enters the room of a client lying in bed to discuss ostomy care. Which form of nonverbal language is most appropriate when speaking with the client?

Sit down at eye level with the client.

Which behaviors would the nurse expect to find in a client with dementia? Select All That Apply.

Sleeping a lot during the day Difficulty finding correct words Answers questions inappropriately

Which circumstances would qualify a client for a move into an independent living center? Select all that apply.

The client must be over the age of 55. The client must be autonomous in all activities of daily living. The client must have a desire to live with other senior citizens.

Verbal communication is a key process for caring for clients. Verbal communication consists of which factors? Select all that apply.

Timing and Relevance Vocabulary Pacing and rhythm

The nurse is working with a family of a child who has self-esteem issues. Which activities should the nurse instruct the parents to perform in order to provide security for the child? Select All That Apply.

Treating the child with respect Being consistent with rules

Which phase of the nurse-client relationship allows the client to express thoughts and feelings to the nurse?

Working Phase