NURS 101

A pregnant client at 10 weeks' gestation is receiving education by the nurse about the importance of abstaining from alcohol while pregnant. What statement made by the client demonstrates an understanding of the education provided?

"I should abstain from alcohol to prevent the development of a fetal alcohol spectrum disorder."

A nurse is calling a physician to communicate a change in the client's condition. According to the ISBARR format for handoff communication among health care personnel, which is the most appropriate way to begin the conversation?

"My name is Sue Smith, RN, and I am calling regarding Mrs. Jones in room 356 at Jefferson Hospital."

"Feel like a woman . . ."

A client who underwent a hysterectomy 4 days ago says to the nurse, "I wonder if I'll still feel like a woman." Which response would most likely encourage the client to expand on this and express concerns in more specific terms?

Perform self-examination of the skin every month

A healthy 52-year-old client asks the nurse what she can do to maintain her health. Which of the following does the nurse recommend

have group members confront the dominant member to promote the needed team work.

A unit-based infection control task force was developed in an attempt to reduce catheter-acquired infections. The group consists of 10 team members. During the past three meetings, one person dominated the meeting and did not allow other members ample time to speak. The best way to address the team dysfunction is to:

Which government policy addresses penalizing hospitals for readmissions of clients with certain diagnoses within 30 days after discharge?

Affordable Care Act

"Can you tell me what your sleep patterns are?" "Have you had any changes in weight recently such as a gain or loss?" "Have you lost interest in things you previously found pleasurable?"

An adult child accompanies an older adult client to the clinic and states, "I am not sure what is going on with my parent but I think it is depression." What questions should the nurse ask the client to determine if he or she is depressed? Select all that apply.

The growth in home health care is largely attributed to which factor?

Early discharge of clients from the hospital setting

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The nurse explains to the client that COPD is a chronic disease. Why is COPD considered a chronic disease?

It has a gradual onset and lasts for a long time.

Request assistance from an agency interpreter. Use an electronic translator. Contact a telephone-based medical interpreter.

Options for non english speaking clients

The nurse is preparing to talk to a local community group regarding chronic illness. The nurse informs the group that both external and internal factors influence a person's health. When discussing the fact that the male client has a higher chance of developing lung cancer due to his gender, which dimension is the nurse referring to?

Physical dimension

No. Speaking loudly will not assist the client in understanding another language.

Should you try to speak slowly and clearly if an interpreter is not present for a non english speaking client

Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone?

Sociocultural needs

"Just take your time. I am listening." The response, "Just take your time. I am listening." allows the client permission to collect thoughts while also expressing emotion and lets the client know the nurse is there for the client.

The client is talking to the nurse about recent health problems of immediate family members and the strain the client has been under trying to care for them. The client begins to cry. What response by the nurse demonstrates the most empathy?

loss of physiologic reserve of the organ systems.

When the older adult faces illness, the greatest threat to health is:

The client is oriented to person and place but is unsure of the month.

Which of the following assessment findings of a male client age 77 years should signal the nurse to a potentially pathologic finding, rather than a normal age-related change?

A client with a lump in the breast calls the healthcare provider to schedule an appointment for an evaluation. Based on the client's actions, what stage of illness is the client demonstrating?

assuming the sick role. Seeking out a healthcare provider for diagnosis and treatment is an example of assuming the sick role.

A student nurse is preparing a poster for a health fair, which will present the basic information related to a nursing career. Which factor should the student nurse include on the poster?

combine the client's complaints with what the nurse observes

A middle-aged nurse is concerned about a potential shortage of nurses when the baby boomer generation retires. What proactive intervention can the nurse take to address this anticipated deficit of nurses?

develop a community program related to healthy nutrition and exercise

A newly licensed nurse would like to work in a hospital that is innovative in the provision of nursing services. The nurse should apply to which institution?

A hospital that is Magnet recognized A designation as a Magnet hospital recognizes quality client care, nursing excellence, and innovations in professional nursing practice.

The client will express feelings and concerns to the nurse. The client expressing feelings and concerns demonstrates the work that is going on to meet the specific goals that are set in the orientation phase.

A nurse and client are in the working phase of the helping relationship. What outcome statement developed by the nurse and client correlates with this phase?

Identity-continuity theory

A nurse encourages residents of a long-term care facility to continue a similar pattern of behavior and activity that existed in their middle adulthood years to ensure healthy aging. This intervention is based on which aging theory?

Determining if the client is able to communicate pain verbally or nonverbally

A nurse is preparing to medicate an older adult client with an opioid analgesic. Which information will the nurse obtain first to decide about administering the medication?

To meet the aims of nursing practice, the nurse uses four blended competencies:

Cognitive, technical, interpersonal, and ethical/ legal

A client is distraught because a recent computed tomography (CT) scan shows that the client's colon cancer has metastasized to the lungs. Which nursing aim should the nurse prioritize in the immediate care of this client?

Facilitating coping

Feedback

Feedback is a person's reactions to a message that provide evidence that the person has understood the intended message. Based on one's feedback during communication, the other party can produce further messages.

elf-examination of the skin every month; beginning at age 50, colonoscopy every 3-5 years; physical examination every year from age 40; the zoster vaccine is recommended for adults 60 years and older.

Guidelines for health-related screenings, examinations and immunizations for the adult include

ISBARR was recently revised by the QSEN institute to include initial identification of the nurse and the client. The nurse should identify oneself and one's role during the initial conversation with the physician, as in the answer in which the nurse states the full name and degree.

ISBARR

contacting the interprofessional care team to discuss alternative treatment options

The nurse is caring for a postoperative client who refuses a blood transfusion due to religious beliefs. The nurse is demonstrating trustworthiness when taking which action in response to the client's treatment wishes?

The client is an accountant and has had three episodes of bookkeeping errors.

Which activity performed by an older adult client would make the client's family suspicious of the onset of dementia?

The sender and the receiver use one another's reactions to produce further messages.

Which statement accurately describes the concept of feedback as it pertains to the process of communication?

Tertiary health promotion and illness prevention

begins after an illness is diagnosed and treated, with the goal of reducing disability and helping rehabilitate the client to a maximum level of functioning. Nursing activities on a tertiary level include teaching a client with heart failure the importance of adhering to a low-sodium diet.