NURS 299 Exam #6

Which comments to a patient by a new nurse regarding palliative care needs are correct? (Select all that apply.) 1. "Even though you're continuing treatment, palliative care is something we might want to talk about." 2. "Palliative care is appropriate for people with any diagnosis." 3. "Only people who are dying can receive palliative care." 4. "Children are able to receive palliative care." 5. Palliative care is only for people with uncontrolled pain

1. "Even though you're continuing treatment, palliative care is something we might want to talk about." 2. "Palliative care is appropriate for people with any diagnosis." 4. "Children are able to receive palliative care."

A family consisting of a grandparent, two adults, and three school age children just immigrated to the United States. They come to a community wellness center to establish health care. Which of the following questions does the nurse ask to assess the family's function? (Select all that apply.) 1. "What does your family do to keep members healthy?" 2. "How does your family usually make decisions?" 3. "What health services are available in your neighborhood?" 4. "Which rituals or celebrations are important for your family?" 5. "Is there a lot of crime in your neighborhood?" 6. "How many parks are there in your community?"

1. "What does your family do to keep members healthy?" 2. "How does your family usually make decisions?" 4. "Which rituals or celebrations are important for your family?"

Which of the following are examples of the conventional reasoning form of cognitive development? (Select all that apply.) 1. A 35-year-old woman is speaking with you about her recent diagnosis of a chronic illness. She is concerned about her treatment options in relation to her ability to continue to care for her family. As she considers the options and alternatives, she incorporates information, her values, and emotions to decide which plan will be the best fit for her. 2. A young father is considering whether or not to return to school for a graduate degree. He considers the impact the time commitment may have on the needs of his wife and infant son. 3. A teenage girl is encouraged by her peers to engage in shoplifting. She decides not to join her peers in this activity because she is afraid of getting caught in the act. 4. A single mother of two children is unhappy with her employer. She has been unable to secure alternate employment but decides to quit her current job. 5. A young man drives over the speed limit regularly because he thinks he is an excellent driver and will not get into a car accident.

1. A 35-year-old woman is speaking with you about her recent diagnosis of a chronic illness. She is concerned about her treatment options in relation to her ability to continue to care for her family. As she considers the options and alternatives, she incorporates information, her values, and emotions to decide which plan will be the best fit for her. 2. A young father is considering whether or not to return to school for a graduate degree. He considers the impact the time commitment may have on the needs of his wife and infant son.

Intimate partner violence (IPV) is linked to which of the following factors? (Select all that apply.) 1. Alcohol abuse 2. Marriage 3. Pregnancy 4. Unemployment 5. Drug use.

1. Alcohol abuse 3. Pregnancy 4. Unemployment 5. Drug use.

A nurse is caring for a 66-year-old patient who lives alone and is receiving chemotherapy and radiation for a new cancer diagnosis. He is unable to care for himself because of severe pain and fatigue. He moves into his 68-year-old brother's home so his brother can help care for him. Which assessment findings indicate that this family caregiving situation will be successful? (Select all that apply.) 1. Both the patient and his brother attend church together regularly. 2. The brothers are living together and enjoy eating the same foods. 3. Other siblings live in the same city and are willing to help. 4. The patient and his brother have a close network of friends. 5. The patient has obsessive-compulsive disorder and has difficulty throwing away possessions.

1. Both the patient and his brother attend church together regularly. 3. Other siblings live in the same city and are willing to help. 4. The patient and his brother have a close network of friends

The nurse recognizes that which factors influence a person's approach to death? (Select all that apply.) 1. Culture 2. Spirituality 3. Personal beliefs 4. Previous experiences with death 5. Gender 6. Level of education

1. Culture 2. Spirituality 3. Personal beliefs 4. Previous experiences with death

A nurse is completing an assessment on a 27-year-old female patient. Which questions best assess the psychosocial aspects of this young woman's health? (Select all that apply.) 1. Do you feel safe in your home and at work? 2. How many fruits and vegetables do you typically eat every day? 3. Describe your relationship with your family. 4. Have you had the vaccine to prevent HPV? 5. What are your long-term career goals?

1. Do you feel safe in your home and at work? 3. Describe your relationship with your family. 5. What are your long-term career goals?

Which actions by the nurse help grieving families? (Select all that apply.) 1. Encourage involvement in nonthreatening group social activities. 2. Follow up with the family in their home. 3. Remind them that feelings of sadness or pain can return around anniversaries. 4. Encourage survivors to ask for help. 5. Look for overuse of alcohol, sleeping aids, or street drugs

1. Encourage involvement in nonthreatening group social activities. 3. Remind them that feelings of sadness or pain can return around anniversaries. 4. Encourage survivors to ask for help. 5. Look for overuse of alcohol, sleeping aids, or street drugs

A nurse is caring for a man who is recently retired and who appears withdrawn. He says he is "bored with life." The nurse helps this individual find meaning in life by: 1. Encouraging him to reflect on his relationships with others 2. Encouraging relocation to a new city. 3. Explaining the need to simplify life. 4. Encouraging him to adopt a new pet.

1. Encouraging him to reflect on his relationships with others

A family is facing job loss of the father, who is the major wage earner, and relocation to a new city where there is a new job. The children will have to switch schools, and his wife will have to resign from the job she enjoys. Which of the following contribute to this family's hardiness? (Select all that apply.) 1. Family meetings 2. Established family roles 3. New neighborhood 4. Willingness to change in time of stress 5. Passive orientation to life

1. Family meetings 2. Established family roles 4. Willingness to change in time of stress

A 9 year old child has a difficult time making friends at school and being chosen to play on the team. He also has trouble completing his homework and, as a result, receives little positive feedback from his parents or teacher. According to Erikson's theory, failure at this stage of development results in: (Select all that apply) 1. Feelings of inadequacy 2. A sense of guilt 3. A poor sense of self 4. Feelings of inferiority 5. Mistrust

1. Feelings of inadequacy 4. Feelings of inferiority

A 71-year-old patient enters the emergency department after falling down stairs in the home. The nurse is conducting a fall history with the patient and his wife. They live in a one-level ranch home. He has had diabetes for over 15 years and experiences some numbness in his feet. He wears bifocal glasses. His blood pressure is stable at 130/70. The patient does not exercise regularly and states that he experiences weakness in his legs when climbing stairs. He is alert, oriented, and able to answer questions clearly. What are the fall risk factors for this patient? (Select all that apply.) 1. Impaired vision 2. Residence design 3. Blood pressure 4. Leg weakness 5. Exercise history

1. Impaired vision 4. Leg weakness 5. Exercise history

Which of the following are common barriers to effective discharge planning? (Select all that apply) 1. Ineffective communication among providers 2. Lack of role clarity among health care team members 3. Sufficient number of hospital beds to manage patient volume 4. Patients long term disabilities 5. The patients cultural background

1. Ineffective communication among providers 2. Lack of role clarity among health care team members

Chronic illness (e.g., diabetes mellitus, hypertension, rheumatoid arthritis) may affect a person's roles and responsibilities during middle adulthood. When assessing the health-related knowledge base of both the middle-age patient with a chronic illness and his or her family, the assessment should include which of the following? (Select all that apply.) 1. Medical course of the illness 2. Prognosis for the patient 3. Coping mechanisms of the patient and family 4. Socioeconomic status 5. Need for community and social services

1. Medical course of the illness 2. Prognosis for the patient 3. Coping mechanisms of the patient and family 5. Need for community and social services

When Ryan was 3 months old, he had a toy train; when his view of the train was blocked, he did not search for it. Now that he is 9 months old, he looks for it, reflecting the presence of: 1. Object permanence. 2. Sensorimotor play. 3. Schemata. 4. Magical thinking.

1. Object permanence.

A nurse is providing restorative care to a patient following an extended hospitalization for an acute illness. Which of the following is an appropriate goal for restorative care? 1. Patient will be able to walk 200 feet without shortness of breath 2. Wound will heal without signs of infection 3. Patient will express concerns related to return to home 4. Patient will identify strategies to improve sleep habits

1. Patient will be able to walk 200 feet without shortness of breath

To best assist a patient in the grieving process, which factors are most important for the nurse to assess? (Select all that apply.) 1. Previous experiences with grief and loss 2. Religious affiliation and denomination 3. Ethnic background and cultural practices 4. Current financial status 5. Current medications

1. Previous experiences with grief and loss 2. Religious affiliation and denomination 3. Ethnic background and cultural practices

A 36-year-old patient newly diagnosed with type 1 diabetes shares with you that he is frustrated with the time it takes to prepare meals and monitor his exercise and blood sugar. He also is having trouble understanding his insulin schedule. Which of the following suggestions would be most appropriate? (Select all that apply.) 1. Provide patient education materials that are easy to read. 2. Refer this patient to a diabetes support group. 3. Refer the patient to his endocrinologist. 4. Suggest that the patient make an appointment with a registered dietitian. 5. Suggest ways to modify his schedule.

1. Provide patient education materials that are easy to read. 2. Refer this patient to a diabetes support group. 4. Suggest that the patient make an appointment with a registered dietitian. 5. Suggest ways to modify his schedule.

Which of the following are examples of a nurse participating in primary care activities? (Select all that apply) 1. Providing prenatal teaching on nutrition to a pregnant women during the first trimester 2. Assessing the nutritional status of older adults who come to the community center for lunch 3. Working with patients in a cardiac rehabilitation program 4. Providing home wound care to a patient 5. Teaching a class to parents at the local grade school about the importance of immunizations

1. Providing prenatal teaching on nutrition to a pregnant women during the first trimester 2. Assessing the nutritional status of older adults who come to the community center for lunch 5. Teaching a class to parents at the local grade school about the importance of immunizations

When planning care for a dying patient, which interventions promote the patient's dignity? (Select all that apply.) 1. Providing respect 2. Viewing the patient as a whole 3. Providing symptom management 4. Showing interest 5. Being present 6. Inserting a straight catheter when the patient has difficulty voiding

1. Providing respect 2. Viewing the patient as a whole 4. Showing interest 5. Being present

A nurse sees a 76-year-old woman in the outpatient clinic. She states that she recently started noticing a glare in the lights at home. Her vision is blurred; and she is unable to play cards with her friends, read, or do her needlework. Which of the following nursing interventions are appropriate? (Select all that apply) 1. Refer her to an ophthalmologist 2. Suggest large-print books and playing cards 3. Reassure her that this is part of normal aging 4. Suggest lower-wattage light bulbs to decrease glare. 5. Assess her home environment for safety

1. Refer her to an ophthalmologist 2. Suggest large-print books and playing cards 5. Assess her home environment for safety

A patient who is newly diagnosed with breast cancer states, "Although I am really scared about what is going to happen to me, I know my family will learn from this experience, and we will be stronger in the end." What term does the nurse use in the patient's medical record to describe the characteristic displayed in this statement? 1. Resiliency 2. End-of-life care 3. Family functioning 4. Family's culture

1. Resiliency

Which are examples of positive health habits that may prevent the development of chronic illness later in life? (Select all that apply.) 1. Routine screening and diagnostic tests 2. Unprotected sexual activity 3. Regular exercise 4. Consistent seat belt use 5. Excess alcohol consumption.

1. Routine screening and diagnostic tests 3. Regular exercise 4. Consistent seat belt use

Which of the following describe characteristics of an integrated health care system? (Select all that apply) 1. The focus is holistic 2. Participating hospitals follow the same model of health care delivery 3. The system coordinates a continuum of services 4. The focus of health care providers is finding a cure for patients 5. Members of the health care team link electronically to use the EMR to share the patient's health care record.

1. The focus is holistic 3. The system coordinates a continuum of services 5. Members of the health care team link electronically to use the EMR to share the patient's health care record.

The nurse is aware that preschoolers often display a developmental characteristic that makes them treat dolls or stuffed animals as if they have thoughts and feelings. This is an example of: 1. Logical reasoning. 2. Egocentrism. 3. Concrete thinking. 4. Animism.

4. Animism

A 63-year-old patient is retiring from his job at an accounting firm where he was in a management role for the past 20 years. He has been with the same company for 42 years and was a dedicated employee. His wife is a homemaker. She raised their five children, babysits for her grandchildren as needed, and belongs to numer- ous church committees. What are the major concerns for this patient? (Select all that apply.) 1. The loss of his work role 2. The risk of social isolation 3. A determination on whether the wife will need to start working 4. How the wife expects household tasks to be divided in the home in retirement 5. The age the patient chose to retire

1. The loss of his work role 4. How the wife expects household tasks to be divided in the home in retirement

A 45-year-old woman who is obese tells a nurse that she wants to lose weight. Which assessment findings may be contributing factors to the woman's obesity? (Select all that apply.) 1. The woman works in an executive position that is very demanding. 2. The woman says that she has little time to prepare meals at home and eats out at least four nights a week. 3. The woman works out at the corporate gym at 5 am three mornings per week. 4. The woman says that she tries to eat "low-cholesterol" foods to help lose weight. 5. The woman says that she vacations annually to reduce stress.

1. The woman works in an executive position that is very demanding. 2. The woman says that she has little time to prepare meals at home and eats out at least four nights a week.

A patient's family member is considering having her mother placed in a nursing center. You have talked with the family before and know that this is a difficult decision. Which of the following criteria would you recommend in choosing a nursing center? (Select all that apply.) 1. The center needs to be clean, and rooms should look like a hospital room. 2. Adequate staffing is available on all shifts. 3. Social activities are available for all residents. 4. The center provides three meal daily with a set menu and serving schedule. 5. Staff encourage family involvement in care planning and assisting with physical care.

2. Adequate staffing is available on all shifts. 3. Social activities are available for all residents. 5. Staff encourage family involvement in care planning and assisting with physical care.

Which interventions does a nurse implement to help a patient at the end of life maintain autonomy while in a hospital? (Select all that apply.) 1. Use therapeutic techniques when communicating with the patient. 2. Allow the patient to determine timing and scheduling of interventions. 3. Allow patients to have visitors at any time. 4. Provide the patient with a private room close to the nurses' station. 5. Encourage the patient to eat whenever he or she is hungry

2. Allow the patient to determine timing and scheduling of interventions. 3. Allow patients to have visitors at any time. 5. Encourage the patient to eat whenever he or she is hungry

A nurse is assessing an older adult brought to the emergency department following a fall and wrist fracture. She notes that the patient is very thin and unkempt, has a stage 3 pressure ulcer to her coccyx, and has old bruising to the extremities in addition to her new bruises from the fall. She defers all of the questions to her caregiver son who accompanied her to the hospital. The nurse's next step is to: 1. Call social services to begin nursing home placement. 2. Ask the son to step out of the room so she can complete her assessment. 3. Call adult protective services because you suspect elder mistreatment. 4. Assess patient's cognitive status.

2. Ask the son to step out of the room so she can complete her assessment.

The nurse is completing a health history with the daughter of a newly admitted patient who is confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer's disease 1 year ago but became extremely confused last evening and was hallucinating. She was unable to calm her, and her mother thought she was a stranger. On the basis of this history, the nurse suspects that the patient is experiencing: 1. Normal aging 2. Delirium 3. Depression 4. Worsening dementia.

2. Delirium

A nurse has conducted an assessment of a new patient who has come to the medical clinic. The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. He is alert but becomes easily distracted during the nursing history. He recently moved to a new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing: 1. Dementia. 2. Depression. 3. Delirium. 4. Disengagement.

2. Depression.

A hospice nurse is caring for a family that is providing end-of-life care for their grandmother, who has terminal breast cancer. The nurse focuses on symptom management for the grandmother and on helping the family with developing coping skills. This approach is an example of which of the following? 1. Family as context 2. Family as patient 3. Family as a system 4. Family as structure

2. Family as patient

During a visit to a family clinic, a nurse teaches a mother about immunizations, the use of car seats, and home safety for an infant and toddler. Which type of nursing interventions are these? 1. Restorative 2. Health promotion 3. Acute care 4. Growth and development

2. Health promotion

A nurse newly hired at a community hospital learns about international hourly rounding during orientation. Which of the following are known evidence-based outcomes from international rounding? (Select all that apply) 1. Reduction in nurse staffing requirements 2. Improved patient satisfaction 3. Reduction in patient falls 4. Increased costs 5. Reduction in patient call light use

2. Improved patient satisfaction 3. Reduction in patient falls 5. Reduction in patient call light use

The nurse teaches parents how to have their children learn impulse control and cooperative behaviors. This would be during which of Erikson's stages of development? 1. Trust versus mistrust 2. Initiative versus guilt 3. Industry versus inferiority 4. Autonomy versus sense of shame and doubt

2. Initiative versus guilt

What are the physical circulatory changes that occur as death approaches? 1. Skin irritation 2. Mottling 3. Increased urine output 4. Weakness

2. Mottling

A patient is receiving palliative care for symptom management related to anxiety and pain. A family member asks whether the patient is dying and now in "hospice." What does the nurse tell the family member about palliative care? (Select all that apply.) 1. Palliative care and hospice are the same thing. 2. Palliative care is for any patient, any time, any disease, in any setting. 3. Palliative care strategies are primarily designed to treat the patient's illness. 4. Palliative care relieves the symptoms of illness and treatment. 5. Palliative care selects home health care services

2. Palliative care is for any patient, any time, any disease, in any setting. patient's illness. 4. Palliative care relieves the symptoms of illness and treatment.

During a home health visit a nurse talks with a patient and his family caregiver about the patient's medications. The patient has hypertension and renal disease. Which of the following findings place him at risk for an adverse drug event? (Select all that apply.) 1. Taking two medications for hypertension 2. Taking a total of eight different medications during the day 3. Having one physician who reviews all medications 4. Patient's health history of renal disease 5. Involvement of the caregiver in helping with medication administration

2. Taking a total of eight different medications during the day 4. Patient's health history of renal disease

A mother and her two children are homeless and enter a free health care clinic. Which statements most likely describe the effects of homelessness on this family? (Select all that apply.) 1. The children have stability in their education. 2. The family members may have symptoms of malnutrition, such as anemia. 3. The family is at a low risk for experiencing violence. 4. The children are at higher risk for developing ear infections. 5. All family members may have mental health issues.

2. The family members may have symptoms of malnutrition, such as anemia. 4. The children are at higher risk for developing ear infections. 5. All family members may have mental health issues.

The school nurse has been following a 9 year old student who has shown behavioral problems in class. the student acts out and does not follow teacher instructions. The nurse plans to meet with the students family to learn more about social determinants of health that might be affecting the student. Which of the following factors would be appropriate for this type of assessment? (Select all that apply) 1. The students seating placement in the classroom 2. The level of support parents offer when the student completes homework 3. The level of violence in the family's neighborhood 4. The age at which the child first began having behavioral problems 5. The cultural values about education held by family

2. The level of support parents offer when the student completes homework 3. The level of violence in the family's neighborhood 5. The cultural values about education held by family

A nurse is assigned care for an 82 year old patient who will be transferred from the hospital to a rehabilitation center. the patient and her husband have selected the rehabilitation center closest to their home. the nurse learns that the patient will be discharged in 3 days and decides to make the referral on the day of discharge. the nurse reviews the recommendations for physical therapy and applies the information to fall prevention strategies in the hospital. what discharge planning action by the nurse has not been addressed correctly? 1. Patient and family involvement in referral 2. Timing of referral 3. Incorporation of referral discipline recommendations into plan of care 4. Determination of discharge date.

2. Timing of referral

A nurse is participating in a health and wellness event at the local community center. A woman approaches and relates that she is worried that her widowed father is becoming more functionally impaired and may need to move in with her. The nurse inquires about his ability to complete activities of daily living (ADLs). ADLs include independence with: (Select all that apply.) 1. Driving. 2. Toileting. 3. Bathing. 4. Daily exercise. 5. Eating.

2. Toileting. 3. Bathing. 5. Eating.

According to Piaget's cognitive theory, a 12-year-old child is most likely to engage in which of the following activities? (Select all that apply) 1. Using building blocks to determine how houses are constructed 2. Writing a story about a clown who wants to leave the circus 3. Drawing pictures of a family using stick figures 4. Writing an essay about patriotism 5. Hanging out with a best friend.

2. Writing a story about a clown who wants to leave the circus 5. Hanging out with a best friend.

Which activity preformed by the nurse is related to maintaining competency in nurse practice 1. Asking another nurse about how to change the settings on a medication pump. 2. Regularly attending unit staff meetings 3. Participating as a member of the professional nursing council 4. Attending a review course in preparation for the certification examination

4. Attending a review course in preparation for the certification examination

Which of the following nursing activities is provided in a secondary health care environment? 1. Conducting blood pressure screenings for older adults at the Senior Center 2. Teaching a clinic patient with chronic obstructive pulmonary disease purse-lipped breathing techniques 3. Changing the postoperative dressing for a patient on a medical-surgical unit 4. Doing endotracheal suctioning for a patient on a ventilator in the medical intensive care unit

3. Changing the postoperative dressing for a patient on a medical-surgical unit

A married couple has three children. The youngest child just graduated from college and is moving to a different city to take a job. The other two children left the home several years ago. Both of their parents are older and are beginning to need help to maintain their home. What assessment questions will help the nurse determine the family's functioning? (Select all that apply). 1. Which transitions or changes in your family are you currently experiencing? 2. Are your children having any problems that are affecting your family right now? 3. Describe a recent family conflict and how your family resolved it. 4. What coping strategies do you typically use as a family? 5. Who is involved in helping care for your parents?

3. Describe a recent family conflict and how your family resolved it. 4. What coping strategies do you typically use as a family? 5. Who is involved in helping care for your parents?

A 50-year-old woman has elevated serum cholesterol levels that increase her risk for cardiovascular disease. One method to control this risk factor is to identify the patient's current diet trends and describe dietary changes to reduce the risk. This nursing activity is a form of: 1. Referral. 2. Counseling. 3. Health education. 4. Stress-management techniques

3. Health education.

A nurse is completing an assessment on a male patient, age 24. Following the assessment, the nurse notes that his family history is not significant for chronic illnesses, and his physical and laboratory findings are within normal limits. Because of these findings, nursing interventions are directed toward activities related to: (Select all that apply.) 1. Instructing him to return in 2 years. 2. Instructing him in secondary prevention. 3. Instructing him in health promotion activities. 4. Instructing him about routine screenings. 5. Instructing him about proper vaccinations.

3. Instructing him in health promotion activities. 4. Instructing him about routine screenings. 5. Instructing him about proper vaccinations.

Which factor affects a middle-age adult's adherence to a treatment plan? 1. Gender 2. Lifestyle 3. Motivation 4. Family history

3. Motivation

When providing postmortem care, which actions are necessary for the nurse to complete? 1. Locating the patient's clothing 2. Calling the funeral home 3. Providing culturally and religiously sensitive care in body preparation 4. Providing postmortem care to protect the family of the deceased from having to view the body

3. Providing culturally and religiously sensitive care in body preparation

A family includes a mother, a stepfather, two teenage biological daughters of the mother, and a biological daughter of the father. The father's daughter just moved home following the loss of her job in another city. The family is converting a study into a bedroom and is in the process of distributing household chores. Nursing assessment reveals all members of the family think that their family can adjust to lifestyle changes. This is an example of family: 1. Diversity. 2. Durability. 3. Resiliency. 4. Configuration.

3. Resiliency.

A 7-year-old child was recently diagnosed with asthma. A nurse is providing education to the child and her parents about the treatment and management of asthma and changes they need to make in their home environment to promote her health. Which statement made by the parents requires follow-up by the nurse? 1. "We have made an appointment to talk with the school nurse about the change in our child's health." 2. "We forgot to give our daughter her medications before bedtime, so we made a list of her medications to help us remember." 3. "We have worked out a schedule to check on her before and after school." 4. "We have not been spending time with our parents because we are so busy taking care of our daughter."

4. "We have not been spending time with our parents because we are so busy taking care of our daughter."

Older adults frequently experience a change in sexual activity. Which best explains this change? 1. The need to touch and be touched is decreased. 2. The sexual preferences of older adults are not as diverse. 3. Medication side effects often impact sexual functioning. 4. Frequency and opportunities for sexual activity may decline.

4. Frequency and opportunities for sexual activity may decline.

Dave reports being happy and satisfied with his life. What do we know about him? 1. He is in one of the later developmental periods, concerned with reviewing his life. 2. He is atypical, since most people in any of the developmental stages report significant dissatisfaction with their lives. 3. He is in one of the earlier developmental periods, concerned with establishing a career and satisfying long-term relationships. 4. It is difficult to determine Dave's developmental stage since most people report overall satisfaction with their lives in all stages

4. It is difficult to determine Dave's developmental stage since most people report overall satisfaction with their lives in all stages

Which of the fallowing statements is true regarding Magnet status recognition for a hospital? 1. Nursing is run by a Magnet manager who makes decisions for the nursing unit. 2. Nurses in Magnet hospitals make all of the decisions on the nursing unit. 3. Magnet is a term that is used to describe hospitals that are able to hire nurses they need 4. Magnet is a special designation for hospitals that achieve excellence in nursing practice

4. Magnet is a special designation for hospitals that achieve excellence in nursing practice

When preparing a 4-year-old child for a procedure, which method is developmentally most appropriate for the nurse to use? 1. Allowing the child to watch another child undergoing the same procedure 2. Showing the child pictures of what he or she will experience 3. Talking to the child in simple terms about what will happen 4. Preparing the child through play with a doll and toy medical equipment

4. Preparing the child through play with a doll and toy medical equipment

Elizabeth, who is having unprotected sex with her boyfriend, comments to her friends, "Did you hear about Kathy? You know, she fools around so much; I heard she was pregnant. That would never happen to me!" This is an example of adolescent: 1. Imaginary audience. 2. False-belief syndrome. 3. Personal fable. 4. Sense of invulnerability.

4. Sense of invulnerability

A 34-year-old female executive has a job with frequent deadlines. She notes that when the deadlines appear, she tends to eat highfat, high-carbohydrate foods. She also explains that she gets frequent headaches and stomach pain during these deadlines. After receiving health education from the nurse, the executive decides to try yoga. In this scenario yoga is used as a(n): 1. Outpatient referral. 2. Counseling technique. 3. Health promotion activity. 4. Stress-management technique.

4. Stress-management technique.

A nurse has the responsibility of managing a patient's postmortem care. What is the proper order for postmortem care when there is no autopsy ordered? 1. Bathe the body of the deceased. 2. Collect any needed specimens. 3. Remove all tubes and indwelling lines. 4. Position the body for family viewing. 5. Speak to the family members about their possible participation. 6. Ensure that the request for organ/tissue donation and/or autopsy was completed. 7. Notify support person (e.g., spiritual care provider, bereavement specialist) for the family. 8. Accurately tag the body, including the identity of the deceased and safety issues regarding infection control. 9. Elevate the head of the bed

6. Ensure that the request for organ/tissue donation and/or autopsy was completed. 9. Elevate the head of the bed 2. Collect any needed specimens 5. Speak to the family members about their possible participation. 7. Notify support person (e.g., spiritual care provider, bereavement specialist) for the family. 3. Remove all tubes and indwelling lines. 1. Bathe the body of the deceased. 4. Position the body for family viewing. 8. Accurately tag the body, including the identity of the deceased and safety issues regarding infection control.

A nurse is consoling the partner of a client who just expired after a long battle with liver cancer. The partner is displaying grief and states, "I hate him for leaving me." Which of the following statements by the nurse successfully facilitate mourning for the grieving partner? (Select all that apply.) A. "Would you like me to contact the chaplain to come speak with you?" B. "You will feel better soon. You have been expecting this for a while now." C. "Let's talk about your children and how they are going to react." D. "You know, it is quite normal to feel anger toward your husband at this time." E. "Tell me more about how you are feeling."

A. "Would you like me to contact the chaplain to come speak with you?" D. "You know, it is quite normal to feel anger toward your husband at this time." E. "Tell me more about how you are feeling."

A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy? A. Collaborating with providers to perform obesity screenings during routine office visits. B. Ensuring the availability of specialized beds in rehab centers for clients who have obesity C. Providing specialized intraoperative training regarding surgical treatments for obesity D. Educating acute care nurses on post-op complications related to obesity

A. Collaborating with providers to perform obesity screenings during routine office visits.

A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (select all) A. Home Health Care B. Rehab facilities C. Diagnostic centers D. Skilled Nursing Facilities E. Oncology centers

A. Home Health Care B. Rehab facilities D. Skilled Nursing Facilities

A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (select all) A. ICU B. Oncology treatment center C. Burn center D. Cardiac rehab E. Home health care

A. ICU B. Oncology treatment center C. Burn center

A nurse is talking with an older client about improving nutritional status. Which of the following interventions should the nurse recommend? (Select all that apply) A. Increase protein intake to increase muscle mass. B. Decrease fluid intake to prevent urinary incontinence. C. Increase Calcium intake to prevent osteoporosis. D. Limit sodium intake to prevent edema E. Increase fiber intake to prevent constipation.

A. Increase protein intake to increase muscle mass. C. Increase Calcium intake to prevent osteoporosis. D. Limit sodium intake to prevent edema E. Increase fiber intake to prevent constipation.

A nurse is caring for a client who has left-sided hemiplegia resulting from a cerebrovascular accident. The client works as a carpenter and is now experiencing a situational role change based on physical limitations. The client is the primary wage earner in the family. Which of the following best describes the client's role problem? A. Role conflict B. Role overload C. Role ambiguity D. Role strain

A. Role conflict

a nurse is preparing a health promotion course for a group of middle adults. which of the following strategies should the nurse recommend? (select all that apply) A. eye examination every 1-3 years B. decrease intake of calcium supplements C. DXA screening for osteoporosis D. increase intake of carbohydrate in the diet E. screening for depressive disorders

A. eye examination every 1-3 years C. DXA screening for osteoporosis D. increase intake of carbohydrate in the diet E. screening for depressive disorders

a nurse is reviewing CDC immunization recommendations with a young adult client. which of the following vaccines should the nurse recommend as routine, rather than catch up, during young adulthood? (select all that apply) A. influenza B. measles, mumps, rubella C. pertussis D. teatnus E. polio

A. influenza C. pertussis D. teatnus

a nurse is collecting history and physical examination data from a middle adult. the nurse should expect to find decreases in which of the following physical examination data from a middle adult. the nurse should expect to find decreases in which of the following physiological functions? (select all that apply) A. metabolism B. ability to hear low pitched sounds C. gastric secretions D. Far vision E. Glomerular filtration

A. metabolism C. gastric secretions E. Glomerular filtration

A nurse is discussing the plan of care for a client who reports following Islamic practices. Which of the following statements by the nurse indicates culturally responsive care to the client? A. "I will make sure the menu includes kosher options." B. "I will ask the client if they want to schedule some times to pray during the day." C. "I will avoid discussing care when the clients family is around." D. "I will make sure daily communion is available for this client."

B. "I will ask the client if they want to schedule some times to pray during the day."

a nurse is counseling a middle adult client who describes having difficulty dealing with several issues. which of the following client statements should the nurse identify as the priority to assess further? A. "i am struggling to accept that my parents are aging and need so much help." B. "Its been so stressful for me to think about having intimate relationships." C. "i know i should volunteer my time for a good cause, but maybe I am just selfish." D. "i love my grandchildren, but my child expects me to relive my parenting days."

B. "Its been so stressful for me to think about having intimate relationships."

A nurse is caring for a client whose partner passed away 4 months ago and who has been recently diagnosed with diabetes mellitus. He is tearful and states, "How could you possibly understand what I am going through?" Which of the following is an appropriate response by the nurse? A. "It takes time to get over the loss of a loved one." B. "You are right; I cannot really understand. Perhaps you'd like to tell me more about what you're feeling." C. "Why don't you try something to take your mind off your troubles, like watching a funny movie." D. "I might not share your exact situation, but I do know what people go through when they deal with a loss."

B. "You are right; I cannot really understand. Perhaps you'd like to tell me more about what you're feeling."

A nurse is instructing a young adult client about health promotion and illness prevention. which of the following statements indicate understanding? A. "I already had my immunizations as a child, so i'm protected in that area." B. "it is important to schedule routine health care visits even if i am feeling well." C. "i will just go to an urgent care center for my routine medical care." D. "there is no reason to seek help if i am feeling stressed because its just part of life."

B. "it is important to schedule routine health care visits even if i am feeling well."

A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following nursing interventions for stress, coping, and adherence to the treatment plan would be appropriate at this time? (Select all that apply.) A. Suggest coping skills for the client to utilize in this situation. B. Allow the client to provide input in the treatment plan. C. Assist the client with time management, and address the client's priorities. D. Provide extensive instructions on the client's treatment regimen. E. Encourage the client in the expression of feelings and concerns.

B. Allow the client to provide input in the treatment plan. C. Assist the client with time management, and address the client's priorities. E. Encourage the client in the expression of feelings and concerns.

A nurse is collecting data from an older client as part of a comprehensive physical examination. Which of the following findings should the nurse expect as associated with aging? (Select all that apply.) A. Skin thickening B. Decreased height C. Increased saliva production D. Nail thickening E. Decreased bladder capacity

B. Decreased height D. Nail thickening E. Decreased bladder capacity

A nurse is using an interpreter to communicate with a client. Which of the following actions should the nurse use when communicating with a client and his family? (Select all that apply.) A. Talk to the interpreter about the family while the family is in the room. B. Determine client understanding several times during the conversation C. Look at the interpreter when asking the family questions. D. Use lay terms if possible. E. Do not interrupt the interpreter and the family as they talk.

B. Determine client understanding several times during the conversation D. Use lay terms if possible. E. Do not interrupt the interpreter and the family as they talk.

A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? A. Monitoring EBP for clients who have a specific diagnosis B. Ensuring that health care providers comply with regulations C. Setting quality standards for accreditation of health care facilities D. Determining if meds are safe for administration for clients

B. Ensuring that health care providers comply with regulations

A nurse is explaining the various types of health care coverage clients might have to a group of nurses. Which of the following health care financing mechanisms should the nurse include as federally funded? (select all) A. Preferred provider organization (PPO) B. Medicare C. Long-term care insurance D. Exclusive provider organization (EPO) E. Medicaid

B. Medicare E. Medicaid

A nurse is planning a presentation for a group of older adults about health promotion and disease prevention. Which of the following interventions should the nurse plan to recommend? (Select all that apply) A. HPV immunization B. Pneumococcal immunization C. Yearly eye exam D. Periodic mental health screening E. Annual fecal occult blood test

B. Pneumococcal immunization C. Yearly eye exam D. Periodic mental health screening E. Annual fecal occult blood test

a nurse is collecting data to evaluate a middle adult's psychosocial development. the nurse should expect middle adults to demonstrate which of the following developmental tasks? (select all that apply) A. develop an acceptance of diminished strength and increased dependence on others. B. spend time focusing on improving job performance C. welcome opportunities to be creative and productive D. commit to finding friendship and companionship E. become involved with community issues and activities

B. spend time focusing on improving job performance C. welcome opportunities to be creative and productive E. become involved with community issues and activities

a nurse is reviewing safety precautions with a group of young adults at a community health fair. which of the following recommendations should the nurse include to address common health risks for this age group? (select all that apply) A. install bath rails and grab bars in bathroom B. wear a helmet while skiing C. install a carbon monoxide detector D. secure firearms in a safe location E. remove throw rugs from the home

B. wear a helmet while skiing C. install a carbon monoxide detector D. secure firearms in a safe location

A nurse is providing teaching for an older adult client who has lost 4.5 kg (9.9 lbs) since the last admission 6 months ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply) A. "Eat 3 large meals a day" B. " Eat your meals in front of the TV" C. " Eat foods that are easy to eat, such as finger foods." D. " Invite family members to eat meals w/ you." E. " Exercise every day to increase appetite."

C. " Eat foods that are easy to eat, such as finger foods." D. " Invite family members to eat meals w/ you." E. " Exercise every day to increase appetite."

a nurse is counseling a young adult who describes having difficulty dealing with several issues. which of the following statements should the nurse identify as the priority to assess further? A. "I have my own apartment now, but its not easy living away from my guardians." B. "its been so stressful for me to even think about having my own family." C. "i dont even know who i am yet, and now I'm supposed to know what to do." D. "my partner is pregnant, and I don't think I have what it takes to be a good parent."

C. "i dont even know who i am yet, and now I'm supposed to know what to do."

A nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass graft. Just as the transport team arrives, the nurse takes the client's vital signs and notes an elevation in blood pressure and heart rate. The nurse should recognize this response as which part of the general adaptation syndrome (GAS)? A. Exhaustion stage B. Resistance stage C. Alarm reaction D. Recovery reaction

C. Alarm reaction

A nurse is about to perform postmortem care of a client. The family wishes to view the body. Which of the following actions should the nurse take? (Select all that apply.) A. Remove the dentures from the body B. Make sure the body is lying completely flat C. Apply fresh linens and place a clean gown on the body D. Remove all equipment from the bedside E. Dim the lights in the room

C. Apply fresh linens and place a clean gown on the body D. Remove all equipment from the bedside E. Dim the lights in the room

A nurse is caring for a client who has stage 4 lung cancer and is 3 days postoperative following a wedge resection. The client states, "I told myself that I would go through with the surgery and quit smoking, if I could just live long enough to attend my daughter's wedding." Based on Kübler-Ross' Five Stages of Grief, which stage is the client experiencing? A. Anger B. Denial C. Bargaining D. Acceptance

C. Bargaining

A nurse enters the room of a client who is crying while reading from a religious book and asks to be left alone. Which of the following actions should the nurse to take? A. Contact the hospital's spiritual services. B. Ask what is making the client cry. C. Ensure no visitors or staff enter the room for a short time period D. Turn on the television for a distraction.

C. Ensure no visitors or staff enter the room for a short time period

A nurse is caring for a client who has terminal lung cancer. The nurse observes the client's family assisting with all ADLs. Which of the following rationales for self-care should the nurse communicate to the family? A. Allowing the client to function independently will strengthen her muscles and promote healing. B. The client needs to be given privacy at times for self-reflecting and organizing her life. C. The client's sense of loss can be lessened through retaining control of certain areas of her life. D. Performing ADLs is required prior to discharge from an acute care facility.

C. The client's sense of loss can be lessened through retaining control of certain areas of her life.

a charge nurse is explaining the various stages of the lifespan to a group of newly licensed nurses. which of the following examples should the charge nurse include as a developmental task for a young adult? A. becoming actively involved in providing guidance to the next generation B. adjusting to major changes in roles and relationships due to losses C. devoting time to establishing an occupation D. finding oneself "sandwiched" between and being responsible for two generations

C. devoting time to establishing an occupation

A nurse is caring for two clients who report following the same religion. Which of the following information should the nurse consider when planning care for these clients? A. members of the same religion share similar feelings about their religion. B. a shared religious background generates mutual regard for one another. C. the same religious beliefs may influence individuals differently. D. they should discuss the differences and commonalities in their beliefs.

C. the same religious beliefs may influence individuals differently.

A nurse is counseling an older adult who describes having difficulty dealing w/ several issues. Which of the following problems verbalized by the client should the nurse identify as the priority? A. " I spent my whole life dreaming about retirement, and now I wish I had my job back." B. " It's been so stressful for me to have to depend on my child to help around the house." C. " I just heard my friend Al died. That's the third one in 3 months." D. " I keep forgetting which medications I have taken during the day."

D. " I keep forgetting which medications I have taken during the day."

A nurse is caring for a client who tells the nurse that based on his religious values and mandates, a blood transfusion is not an acceptable treatment option. Which of the following responses by the nurse is appropriate? A. "I believe in this case you should really make an exception and accept the blood transfusion." B. "I know your family would approve of your decision to have a blood transfusion." C. "Why does your religion mandate that you cannot receive any blood transfusions?" D. "Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution."

D. "Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution."

A nurse is caring for a family who is experiencing a crisis. Which of the following approaches should the nurse use when working with a family using an open structure for coping with crisis? A. Prescribing tasks unilaterally B. Delegating care to one member C. Speaking to the primary client privately D. Convening a family meeting

D. Convening a family meeting

A nurse is caring for a client who has a terminal illness. Death is expected within 24 hr. The client's family is at the bedside and asks the nurse what are anticipated clinical findings at this time. Which of the following is an appropriate response by the nurse? A. Regular breathing patterns B. Warm extremities C. Increased urine output D. Decreased muscle tone

D. Decreased muscle tone

a charge nurse is explaining the various stages of the lifespan to a group of newly licensed nurses. which of the following examples should the nurse include as a developmental task for middle adulthood? A. the client evaluates their behavior after a social interaction B. the client states they are learning to trust others C. the client wishes to find meaningful friendships D. the client expresses concerns about the next generation.

D. the client expresses concerns about the next generation.