Nurses touch: Wellness and self care practice assessment
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 to behavior to the nurse manager
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?
Reviewing the technique for breast self-exams
A nurse is caring for hospice clients and is experiencing compassion fatigue. Which of the following is a manifestation of compassion fatigue?
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?
Sedentary lifestyle
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.
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
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?
Cancer
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
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?
Bronchodilation of the airways
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
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 1
A nurse is caring for a group of clients. For which of the following infections is an alcohol-based hand rub contraindicated?
Clostridium difficile (C-diff)
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
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?
Difficulties coping with work-related stress
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
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
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?
Engages in constant physical activity
A nurse is experiencing psychological stress. Which of the following is a clinical finding associated with psychological stress?
Fear
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?
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
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?
Location of excess body fat is a reliable indicator of risk
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?
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
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?
Scarce resources
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
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?
The immunization series is recommended at 11-12 years of age before sexually active.
A nurse is preparing a health promotion program for a group of adolescents. Which of the following topics is appropriate to include?
The need for daily physical activity
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?
When sitting, keep the knees slightly lower than the level of the hips
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 walk for 30 minutes three times per week
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
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?
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 a provider's office is caring for a group of clients. For which of the following clients is the zoster immunization recommended?
A 60 year old client - Zoster Immunization is not recommended for children or young adults
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 Health status
A manager is discussing general adaptation syndrome. Identify the order of the stages in which biological response to stress occurs.
Alarm Resistance Exhaustion Illness
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?
Art therapy
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?
Autogenic training
A nurse is caring for a client who has sleep deprivation. Which of the following findings should the nurse expect to observe?
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
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?
Democratic
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?
Frequent hunger
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 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?
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 should use quick circular motions while participating in tai chi
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
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 skip scheduled meals if i do not feel hungry
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?
Increase intake of omega 3 fatty acids
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?
Jumping rope
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 Creating organizational worksheets
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?
Nap during the day
A nurse is caring for a client who abuses alcohol. which of the following systems should the nurse assess first?
Neurological
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
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 conugate immunization is now recommended prior to starting kindergarten.
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 number of servings in the entire package
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?
Total cholesterol measurement every 3-5 years