NURS 233- Quiz 1

Which question or statement would be an appropriate termination of the health history interview?

"Can you think of anything else you would like to tell me?"

Which statement indicates that a plan to assist a client in developing and following an exercise program has been effective?

"I have lost 10 pounds (4.5 kg) because I walk 2 miles (3.2 km) every day."

The primary care provider is yelling at the nurse in the client's room because the client has not received an intravenous antibiotic. Which statement by the nurse demonstrates assertiveness?

"Lets go to the nurses' station, and I will explain."

A nurse is admitting an older client named Grace Staples to a long-term care facility. How should the nurse address the client?

"What name do you want us to use for you?"

A client scheduled to have hip replacement surgery states, "I am so scared of the surgery and of the anesthetic." What is the best response by the nurse?

"What questions do you have about the surgery?"

When doing discharge planning for an older adult client who had a stroke, what is the nursing priority?

Plan reachable goals with the client and family.

Which nursing care task is acceptable for a registered nurse to delegate to the unlicensed assistive personnel (UAP)?

assisting a client with ambulation

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

autocratic

In general, how do most people view change?

by how they are affected personally

The nurse is caring for a client in a critical care unit. The client's cardiac monitor alarms, and the nurse recognizes the rhythm as atrial flutter. What two skills did the nurse use to interpret this cardiac rhythm?

cognitive and technical skills

The nurse manager in a critical care unit actively listens to the staff and engages the staff to offer decisions regarding problem solving and implementing these decisions. What types of managerial mindset does this manager exhibit?

collaborative mindset

A nursing facility has recently implemented new policies regarding nurse-to-client ratios. The nursing staff seems very resistant to the change. How can the nurse manager help the staff accept the change?

hold a unit meeting to discuss how the changes will benefit the staff

A nurse is concerned about the requirements needed to complete all of her courses successfully. Which of the following factors would assist her to be successful?

implement time management skills

During an annual performance review with an employee, the nurse manager does not maintain eye contact and seems concerned about the time and the next appointment. What type of communication is the manager exhibiting?

nonverbal

A nurse is caring for a client who is in acute respiratory distress from pneumonia but refuses to stay for treatment. It is the nurse's responsibility to:

notify the health care provider, discuss the outcomes of the client's decisions, have the client sign a release form

A client comes to the emergency department with flulike symptoms. The nurse records the vital signs and listens to the client's lung sounds. Vital signs and lung sounds are examples of which type of data?

objective

A group of nurses is working together on a hospital task force focused on preventing infection. One nurse in the group continually argues with other members and attempts to block each step of the process. The nurse's behavior is causing frustration for the others and slowing their progress. Which attribute best describes this nurse's behavior in relation to group dynamics?

self-serving

After completing an assessment of a client, which finding should the nurse determine is the priority for care?

severe bleeding from a wound

The nurse is caring for a client who is postoperative and has pain that is an 8 on a scale of 0 to 10. There is an order for intravenous pain medication every 4 hours as needed. The nurse administers the prescribed pain medication to the client. What should the nurse do to assist in meeting this client's desired outcome of a pain scale score less than 4 on a scale of 0 to 10?

Evaluate the client's pain level after the appropriate amount of time has elapsed for the pain medication to take effect.

A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance?

encourage open communication and feedback

Which phrase best describes continuity of care?

facilitating transition between settings

On walking into the room of a client, an experienced nurse has a strong sense that something is going wrong with the client. Which type of clinical decision making is the nurse demonstrating?

intuitive thinking

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

kinesthetic

The nurse enters a client's room to find the client diaphoretic (sweat-covered) and shivering and infers that the client has a fever. How should the nurse best follow up this cue and inference?

measure the client's oral temperature

A client is being prepared for cardiac catheterization. The nurse performs an initial assessment and records the vital signs. Which data collected can be classified as subjective data?

nausea

According to established standards, which health care provider should conduct a holistic assessment for all clients admitted to the hospital?

registered nurse

A nurse assesses a client, obtaining the information from a primary source. The nurse has gathered the information from which source?

the client

The nurse is performing an assessment on an older adult client and notices that the blood pressure has increased from 140/82 to 198/120 mm Hg. This is a significant difference in the client's baseline. Who is ultimately responsible for reporting this significant change to the health care provider?

the nurse

A nurse is caring for a client who decided to leave the hospital against medical advice (AMA). The nurse knows that the client must sign a form before leaving. What is the purpose of the AMA form?

to release the health care provider and the institution from any legal responsibility

A nurse tells a client, "Are you going to get out of bed, or are you just going to sleep all day and night?" This is an example of which barrier to communication?

using judgmental or belittling language