Foun Chap 4,5,6 & 7 End of book questions

1) A student nurse approaches the instructor and states, "the staff nurse told me to witness this surgical consent after the surgeon signs it." What is the best response by the instructor? a. "Students are not to serve as a witness to legal papers. Let's explain this to the staff nurse so they may have it witnessed." b. "You will need another student to go with you to co-sign the consent." c. "That is fine. Do you want me to come with you?" d. "This type of consent doesn't need to be witnessed."

a. "Students are not to serve as a witness to legal papers. Let's explain this to the staff nurse so they may have it witnessed."

4) A parent states that since the birth of a sibling, the older child is wetting the bed. How should the nurse respond to the parent? a. "This is referred to as regression and is a common defense mechanism." b. "The child is in denial and can't accept the fact that another child is part of the family." c. "The child is repressing feelings of anger." d. "The child is punishing the parent by soiling."

a. "This is referred to as regression and is a common defense mechanism."

4) The nurse is assigned to care for a group of four clients. Which client should be seen first? a. A client, short of breath with chest pain b. A client that is incontinent of stool c. A client requiring a flu vaccine d. A client requesting a bath

a. A client, short of breath with chest pain

1) The nurse is planning a community program with other healthcare providers in order to address prevention of the leading cause of death for men and women. What program would take priority to address this issue? a. Early recognition and intervention of coronary artery disease b. Development of a support group for families of those affected by Alzheimer disease c. Recognition of the early signs of Parkinson disease d. Recognition and intervention to prevent suicide

a. Early recognition and intervention of coronary artery disease

1) The nurse is caring for a client who is recovering from a recent stroke and is unable to move the left side of the body. Based on Maslow's hierarchy of needs, what nursing action will take priority in the care of this client? a. Ensuring the client is eating and drinking b. Instituting fall precautions c. Assisting with education regarding sexual activity d. Providing care with hygiene

a. Ensuring the client is eating and drinking

5) A client is having a surgical procedure. What intervention provided by the nurse can help the client feel safe and aid in postoperative recovery? a. Explain the procedure before surgery b. Inform the client that they will be alright c. Call a family member prior to the client entering the surgical suite d. Make sure all insurance information has been obtained

a. Explain the procedure before surgery

3) A nurse discovers that a neighbor is a client on the unit in which the nurse works although the nurse is not assigned to care for that client. The nurse accesses the electronic medical record (EMR) to find out what the client's diagnosis is. What action may clients take if they are aware of this type of incident? a. Report the incident as a HIPAA violation b. Sue the nurse for libel c. Sue the nurse for negligence d. Report the nurse for defamation

a. Report the incident as a HIPAA violation

3) A parent brings a toddler in to the clinic with a strong odor of cigarette smoke on the toddler's clothing. What information should the nurse discuss with the parent? a. Second hand smoke may cause numerous health-related problems b. If the parent continues to smoke around the child, the parent will be reported for child abuse c. Continuing to smoke around the child can create childhood nicotine addiction d. Seeing a parent smoke will lead to the child smoking

a. Second hand smoke may cause numerous health-related problems

1) A client is admitted to the acute care facility with a suspected case of malaria. What question is a priority for the nurse to ask related to this diagnosis? a. "Have you had unprotected sex?" b. "Have you recently traveled out of the country?" c. "What medication are you taking?" d. "Do you take any street drugs?"

b. "Have you recently traveled out of the country?"

5) Parents inform the nurse that they have chosen not to vaccinate their child. What is the best response by the nurse? a. "I can't believe you would knowingly expose your child to these illnesses." b. "Vaccinations increase life span. Can you tell me what you're fears are?" c. "I am going to have to report this to child protective services." d. "I understand. If you are going to home school, it doesn't matter anyway."

b. "Vaccinations increase life span. Can you tell me what you're fears are?"

5) A client is to be transferred from the acute care facility to a rehabilitation facility after suffering a stroke. The nurse is gathering papers to send to the accepting facility but is unsure what to send. What is the best action by the nurse? a. Send the entire chart b. Consult the charge nurse c. Call the transferring physician and ask what to send d. Only send the demographic information

b. Consult the charge nurse

4) A staff nurse comes to work and accepts the assignment of clients. After a verbal altercation with the nurse manager about the assignment, the nurse states, "I quit" and leaves the facility. What action may the nurse manager take? a. Call to ask the nurse to come back b. Report the nurse for abandonment of care c. Have the police arrest the nurse d. Let the nurse cool off and come back when ready

b. Report the nurse for abandonment of care

2) The nurse is obtaining data from a 5-year-old child admitted with fractured ribs from an alleged fall. The child states to the nurse, "I was bad and my dad punished me by pushing me down the steps." What is the priority action by the nurse? a. Nothing. It will just create problems for the child b. Report the statement to child protective services c. Confront the parent with what the child stated d. Talk to another coworker about the situation

b. Report the statement to child protective services

5) The nurse is gathering data from a client in the home setting for care of a pressure wound. The nurse observes multiple areas of ecchymosis in various stages of healing. The client states, "They do their best to care for me but get frustrated when I wet the bed." What is the priority nursing action? a. Ask the family why they are abusing the client b. Place the client in the car and take the client to the nearest emergency department c. Ensure the client's safety and notify adult protective services d. Call the police department and file a complaint

c. Ensure the client's safety and notify adult protective services

3) The nurse is visiting an older adult client in the home for a dressing change. When the nurse arrives, she finds the client on the floor, unresponsive. What is the priority action by the nurse? a. Notify the client's family members b. Obtain the client's glucose level c. Establish a patent airway d. Take the client's blood pressure

c. Establish a patent airway

2) A client with diabetes asks the nurse, "If I can't do heavy exercise, what's the point in exercising?" What response by the nurse can encourage the client to perform moderate exercise? Select all that apply a. It will prevent the use of insulin b. It will prevent cancer c. It will enhance energy levels d. It will reduce stress e. It will provide relaxation

c. It will enhance energy levels d. It will reduce stress e. It will provide relaxation

4) The nurse is assisting a client who is recovering from a hip replacement in the home setting. The nurse offers suggestions for safety adaptations. What suggestions by the nurse would be most helpful in addressing the client's safety needs? Select all that apply a. Encourage ambulation and exercise b. Adjust the temperature in the home for comfort c. Remove scatter rugs d. Use a night light e. Have a shower chair when bathing

c. Remove scatter rugs d. Use a night light e. Have a shower chair when bathing

3) The nurse is observing a client to determine belonging needs. What question will the nurse ask? a. "What type of medications are you taking?" b. "Are you having difficulty breathing?" c. "Do you have a history of falling?" d. "Are you feeling isolated or upset?"

d. "Are you feeling isolated or upset?"

2) The nurse is caring for a client who has been confused and climbing out of the bed. What action should the nurse take if the nurse must take care of another client and leave the room? a. Place all four side rails up and come back and check on the client when finished with the other task. b. Place the client in soft wrist restraints so the client will not get out of the bed. c. Inform the client not to get out of the bed. d. Don't leave the client alone and request that another nurse sit one-on-one with the client.

d. Don't leave the client alone and request that another nurse sit one-on-one with the client.

2) The nurse is caring for a group of clients. What fundamental procedure of healthcare should the nurse include in the care? a. Sterile technique b. Having assistance from another healthcare worker c. Determining financial status d. The use of standard precautions

d. The use of standard precautions