ATI: Nurses touch: Wellness and self care practice assessment
A nurse is giving a presentation at a community center about encouraging exercise kn children of all ages. Which of the following activities should the nurse recommend for preschoolers? Playing baseball Jumping rope Roller skating
Jumping rope
A nurse is caring for clients who are in a hospital recovering from a systemic infection. The nurse should encourage them to do which of the following? Take a short walk before bedtime Lie supine when trying to sleep Nap during the day
Nap during the day
A nurse is presenting a program on breast cancer to a group of female clients. Which of the following is a method of secondary prevention the nurse should include? Identifying local support groups for breast cancer survivors Teaching strategies to reduce risk factors for breast cancer Reviewing the technique for breast self-exams
Reviewing the technique for breast self-exams
A nurse is discussing health screenings with a group of adults between the ages of 65 and 70. Which of the following recommendations should the nurse include? Blood lead screening every year Total cholesterol measurement every 3-5 years Digital rectal examination every 5 years
Total cholesterol measurement every 3-5 years
A nurse is developing a program on healthy nutrition. Which of the following should the nurse include as factors that contribute to dietary habits? Advertising Personality Socioeconomic status Anthropometry Health status
Advertising Personality Socioeconomic status Health status
A nurse is discussing activities that facilitate self-expression with the parent of a child who has experienced a traumatic event. Which of the following activities should the nurse recommend? Meditation Massage therapy Art therapy
Art therapy
A nurse in a clinic is caring for an older adult client who has pneumonia and refuses admission to the hospital. Using Maslow's hierarchy of needs, which of the following is the priority action by the nurse? Determine respiratory status Encourage verbalization of fears Provide teaching about new medications
Determine respiratory status
A nurse is giving a presentation to a group of nursing students about the autonomic nervous system's response to stress. The nurse should explain that the parasympathetic branch causes which of the following physiologic reactions? Decreased pupil size Increased blood glucose Decreased salivation
Decreased pupil size
A nurse is caring for a group of clients. For which of the following infections is an alcohol-based hand rub contraindicated? Giardia Clostridium difficile Rotavirus
Clostridium difficile (C-diff)
A nurse is evaluating a client's need to lose weight. His body mass index is 32.2. Which of the following BMI classifications should the nurse apply during her recommendations for this client? Obesity class I Obesity class II Obesity class III
Obesity class 1
A nurse is teaching a client about health promotion. Which of the following statements by the client indicates the teaching was effective? "The goal of health promotion efforts is to improve well-being." "Alternative medicine is a required component of health promotion efforts." "Health promotion efforts emphasize the prevention of specific diseases."
The goal of health promotion efforts is to improve well-being
An occupational health nurse is teaching a group of newly licensed nurses about body mechanics. Which of the following statements by a newly licensed nurse indicates a need for further teaching? "Pivot the body to turn in the desired direction." "When sitting, keep the knees slightly lower than the level of the hips." "When carrying an object, move in a direction away from the weight of the object."
When sitting, keep the knees slightly lower than the level of the hips
A nurse is teaching a wellness support group about healthy eating. Which of the following statements by a member of the group indicates a need for further teaching? "I must consume enough calories to meet my basal metabolic rate." "I should eat a diet that will decrease my high-density lipoprotein level." "High-fiber foods will help me maintain my weight."
I should eat a diet that will decrease my high-density lipoprotein level
A nurse is discussing healthy sleep habits with a client who has a new diagnosis of sleep apnea. Which of the following statements by the client demonstrates a need for further teaching? "My sleep apnea causes me to have a morning headache." "I am at a higher risk for a stroke." "I should use oxygen while I sleep."
I should use oxygen while I sleep -People who have sleep apnea ARE at a higher risk for stroke and hypertension. They also report morning headaches.
A nurse is discussing tai chi with a group of clients. Which of the following statements made by one of the clients indicates a need for further teaching? "I will use both meditation and physical activity in tai chi classes." "I will improve my balance doing tai chi." "I should use quick circular motions while participating in tai chi."
I should use quick circular motions while participating in tai chi
A nurse is conduction a health education class for clients who have osteoporosis. Which of the following statements by a participant indicates an understanding of the teaching? "I should run five times per week." "I should ride a horse for 20 minutes several times weekly." "I should walk for 30 minutes three times per week."
I should walk for 30 minutes three times per week
A nurse is discussing disease prevention activities with an adult female client. Which of the following statements by the client indicates a need for further teaching? "I will continue breast self-exams monthly until I reach menopause." "I will maintain my BMI at 24." "I will take 1,000 mg of calcium daily."
I will continue breast self-exams monthly until I reach menopause
A nurse is discussing a healthy diet plan with a client who is obese. Which of the following statements by the client indicates a need for further teaching? "I will engage in aerobic exercises for 20 minutes, three to four times a week." "I will try to consume three nonfat dairy products each day." "I will skip scheduled meals if I do not feel hungry."
I will skip scheduled meals if i do not feel hungry
A nurse is caring for a client who abuses alcohol. which of the following systems should the nurse assess first? Neurological Gastrointestinal Psychological
Neurological
A nurse has been experiencing prolonged stress and is now exhibiting clinical manifestations of depression. Which of the following components of stress does the nurse's response represent? Emotional Physical Mental
Emotional
Nurse suspects that the child is not getting enough sleep. The nurse should explain that school-age children require how many hours of sleep per night? 8 10 12
10
A nurse is counseling a client who is female, 5 feet 5 inches tall, and has an active lifestyle. How many calories should this client consume in a day? (round to the nearest whole number)
1875 start with 100 for 5 feet and then add 5 for each inch totaling 25. So 100+25= 125 then multiply that number by the activity factor 15 (for active) 125 x 15 = 1875
A nurse is caring for a client who has been experiencing insomnia. Which of the following health conditions should the nurse recognize as a potential cause of the insomnia? Endocrine imbalances Seborrheic keratoses Vertigo
Endocrine imbalances
A nurse is caring for a client who has acute mania. Using Maslow's hierarachy of needs, the nurse should first address which of the following client findings? Low self-esteem Engages in constant physical activity Poor family relationships
Engages in constant physical activity
A nurse is a provider's office is caring for a group of clients. For which of the following clients is the zoster immunization recommended? A 10-year-old client A 30-year-old client A 60-year-old client
A 60 year old client - Zoster Immunization is not recommended for children or young adults
A manager is discussing general adaptation syndrome. Identify the order of the stages in which biological response to stress occurs. Resistance Illness Exhaustion Alarm
Alarm Resistance Exhaustion Illness
A nurse is instructing a group of clients to relieve anxiety by controlling the body with the mind using specific phrases. Which of the following techniques is the nurse practicing? Image visualization Autogenic training Guided imagery
Autogenic training
A nurse is giving a presentation to a group of nursing students about the autonomic nervous system's response to stress. The nurse should explain that sympathetic arousal from a stressor causes which of the following physiologic reactions? Vasodilation of the blood vessels to the skin Bronchodilation of the airways Reduction in blood pressure
Bronchodilation of the airways
A nurse is cautioning an adult client who plays competitive sports about the risks of using epoetin alfa (Epogen) to increase the body's oxygenation ability, particularly at high altitudes. Which of the following is an adverse outcome of using this type of endurance enhancer? Cerebrovascular accident Hypotension Psychotic episodes
Cerebrovascular accident
A school nurse is giving a presentation to a group of high school athletes about the dangers of using androgenic anabolic steroids to build muscle strength. Which of the following is an adverse outcome of using these products? Seizures Myocardial infarction Cancer
Cancer
A nurse is stressed and considering a career change since receiving an annual performance evaluation that he feels focused only on his weaknesses. By recognizing the impact of her negative emotions and deciding to have a more positive outlook, the nurse is demonstrating which of the following? Cognitive restructuring Vicarious experience Conflict negotiation
Cognitive restructuring
A nurse is caring for a client who has sleep deprivation. Which of the following findings should the nurse expect to observe? Decreased reasoning Hyperreflexia Reduced sensitivity to pain
Decreased reasoning Also, decrease in reflexes and increase in pain sensitivity.
An occupational health nurse is conducting annual screenings on a group of employees. Which of the following findings is a physiological manifestation of stress? Decreased urinary output Bradypnea Constricted pupils
Decreased urinary output
A nurse manager on a medical-surgical unit is involving the staff in providing input for decisions about how the unit functions. This manager exemplifies which of the following leadership styles? Autocratic Democratic Laissez-faire
Democratic
A nurse is giving a presentation to a group of nurses to raise awareness about career burnout. Which of the following should the nurse include as a classic indication of this phenomenon? Witness guilt Creation of boundaries between home and work life Difficulties coping with work-related stress
Difficulties coping with work-related stress
A nurse is experiencing psychological stress. Which of the following is a clinical finding associated with psychological stress? Constipation Fear Insomnia
Fear
A client asks nurse in a provider's office about various well-known weight-loss programs. In discussing low-calorie diet programs, the nurse should point out that clients report which of the following when using this type of plan? Heart healthy advantages Prohibitive cost Frequent hunger
Frequent hunger
A nurse is planning to conduct a class on weight loss and will include information on appetite suppressants containing stimulants such as ephedra. Which of the following should the nurse include as a potential health risk of such appetite suppressants? Diabetes Heart attack Osteoporosis
Heart attack
A nurse is teaching a client who is classified as overweight about healthy eating habits. Which of the following statements by the client indicates a need for further teaching? "I need to consume additional simple carbohydrates." "Meat portions should be no larger than the palm of my hand." "Consuming six small meals a day is okay as long as they are healthy food choices."
I need to consume additional simple carbohydrates
A nurse is talking with a client who has a strong family history of cardiovascular disease. Which of the following lifestyle measures should the nurse recommend to help reduce the risk of cardiovascular disease? Decrease intake of insoluble fiber. Increase intake of omega-3 fatty acids. Maintain a consistent intake of vitamin K.
Increase intake of omega 3 fatty acids
A nurse is reinforcing teaching about risk factors for cardiovascular disease with a client. Which of the following should the nurse include in the teaching? To reduce risk, red meat should be eliminated from the diet. High-intensity workouts are necessary five times per week to maintain current cardiovascular health. Location of excess body fat is a reliable indicator of risk.
Location of excess body fat is a reliable indicator of risk
A nurse is experiencing stress in the workplace. Which of the following is an appropriate stress management technique? Maintaining a daily journal Participating in physical activities Keeping a sense of humor Minimizing discussions of stressors with peers Creating organizational worksheets
Maintaining a daily journal Participating in physical activities Keeping a sense of humor Creating organizational worksheets
Several staff nurses are having a conflict about the unit's "taking turns" float policy. The nurse manager convenes a meeting and tells the nurses to respect each other's opinions during the meeting. Which of the following strategies is the nurse manager using during the conflict negotiation process? Presenting the ground rules Beginning with a presentation of facts Focusing on solutions
Presenting the ground rules
A nurse on a medical-surgical unit is having difficulty managing his client workload because he has to transport one of his clients to the surgical suite and another to the radiology department. This is an example of which of the following workplace stressors? Client acuity Power imbalances Scarce resources
Scarce resources
A newly licensed nurse is uncomfortable at work because of continually having to decline requests for a date from a coworker. Which of the following actions should the nurse take first? Report the behavior to the nurse manager. Seek support from professional colleagues. Request that the unit participate in an in-service on safe working environments.
Report to behavior to the nurse manager
A nurse is caring for a client who recently lost his home to a fire. Which of the following should the nurse identify as a potential stress-related illness? Pneumonia Renal calculi Rheumatoid arthritis
Rheumatoid arthritis
A nurse in a provider's office is talking with a client who reports daytime sleepiness. Which of the following factors should alert the nurse to possible interference with the client's biological rhythms? Rotating between day and night shifts at work Having "a couple of beers" before bedtime Difficulty learning new tasks at his job
Rotating between day and night shifts at work
A nurse is caring for hospice clients and is experiencing compassion fatigue. Which of the following is a manifestation of compassion fatigue? Increased intimacy Mistrust Sadness
Sadness
A 35 year-old female client asks a nurse how many calories she needs to maintain a healthy weight. Which of the following client attributes should the nurse consider when calculating the clients caloric needs? Vegetarian Age Sedentary lifestyle
Sedentary lifestyle
A nurse in a provider's office is talking with an older adult client who is beginning to lose bone density about exercise she can do to help prevent further bone-density loss. Which of the following activities should the nurse recommend? Stair climbing Bicycle riding Swimming
Stair climbing
A nurse is discussing disease prevention with a newly licensed nurse. Which of the following statements by the newly licensed nurse demonstrates a need for further teaching? "Tertiary prevention aims to identify an illness early and begin treatment." "The goal of primary prevention is to prevent the occurrence of an illness." "There are three levels of disease prevention."
Tertiary prevention aims to identify an illness early and begin treatment.
A nurse is caring for a school-age female whose mother asks for additional information about the human papillomavirus (HPV) immunization. Which of the following is an appropriate statement by the nurse? "It is recommended to wait to begin this immunization series until after menarche." "Completion of this series of three immunizations will prevent most ovarian cancers." "The immunization series is recommended at 11-12 years of age before becoming sexually active."
The immunization series is recommended at 11-12 years of age before sexually active.
A nurse at a pediatrician's office is reinforcing teaching with the mother of a 5-year old who is scheduled to receive immunizations at a well-child visit the next day. Which of the following statements by the mother indicates a need for further teaching? "The meningococcal conjugate immunization is now recommended prior to starting kindergarten." "I will need to schedule my child for a diphtheria, tetanus, and acellular pertussis booster when he turns 11 years old." "I should give my child a dose of Tylenol just before the immunizations are administered."
The meningococcal conugate immunization is now recommended prior to starting kindergarten.
A nurse is preparing a health promotion program for a group of adolescents. Which of the following topics is appropriate to include? The purpose of required immunizations The need for daily physical activity Treatments for sexually transmitted infections
The need for daily physical activity
A nurse is teaching a client whol is trying to lose weight about reading food labels to help with portion control strategies. The nurse should explain that "servings per container" means which of the following? The amount to put in a serving container The amount in the portion size for one person The number of servings in the entire package
The number of servings in the entire package
