Study Guide Fundamentals Quiz #4

A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the "R" in the NURSE mnemonic? a. "It is impressive how you have managed to deal with this situation." b. "It sounds like you are exhausted." c. "Tell me more about how you are feeling." d. "You have so much to deal with. How can I be of help to you?"

a. "It is impressive how you have managed to deal with this situation."

A nurse is caring for a group of clients. Which of the following clients is eligible for hospice care? (Select All that Apply.) a. A client who has end-stage kidney disease and has stopped dialysis. b. A client who has terminal lung cancer and has discontinued all treatment. c. A client who has type 1 diabetes mellitus and is on an insulin pump. d. A client who has stage IV breast cancer and is expected to live 3 months. e. A client who has a new diagnosis of COPD and requires supplemental oxygen.

a. A client who has end-stage kidney disease and has stopped dialysis. b. A client who has terminal lung cancer and has discontinued all treatment. d. A client who has stage IV breast cancer and is expected to live 3 months.

A nurse is assisting with teaching a class about alternative medicine. The nurse should include that which of the following therapies is part of traditional Chinese medicine? (Select All that Apply.) a. Acupuncture b. Chiropractic medicine c. Herbal remedies d. Hypnotherapy e. Massage

a. Acupuncture c. Herbal remedies e. Massage

A nurse is assisting with teaching a class about nonpharmacological therapies to decrease stress. The nurse should include which of the following therapies? (Select all that Apply.) a. Acupuncture (Biofeedback) b. Yoga c. Electromagnetic therapy d. Meditation e. Acupuncture

a. Acupuncture (Biofeedback) b. Yoga d. Meditation

A nurse is caring for a client whose partner has recently died. The client states, "I am learning how to pay my own bills." The nurse should identify that the client is experiencing which of the following tasks in Worden's Four Tasks of Grieving? a. Adjusting to an environment without the deceased b. Finding an enduring connection while embarking on a new life c. Experiencing the pain of grief d. Accepting the reality of the loss

a. Adjusting to an environment without the deceased

A nurse collecting data on a client who has vitamin C deficiency. Which of the following findings should the nurse expect? a. Bleeding gums b. Swollen tongue c. Diarrhea d. Impaired vision

a. Bleeding gums

A nurse is caring for a client who is scheduled for surgery and who reports they smoke cigarettes. The nurse should identify that tobacco use increases the client's risk for which of the following postoperative complications? a. Blood clots b. Bleeding c. Malignant hyperthermia d. Nausea

a. Blood clots

A nurse is collecting data on a preschooler whose parent has recently died. Which of the following findings should the nurse expect? a. Clings to their caregiver b. Reports tightness in their chest c. Depends on their friends for emotional support d. Displays high-risk behavior

a. Clings to their caregiver

A nurse is assisting with scheduling a client for surgery. Which of the following actions should the nurse take to obtain precertification for the client to have surgery? a. Contact the client's insurance carrier to obtain authorization b. Notify the provider to obtain approval for the surgery c. Witness the client sign the surgical consent form d. Inform the client of the need to pre-pay for the consent of authorization

a. Contact the client's insurance carrier to obtain authorization

A nurse is caring for a client who is at the end of life and is unresponsive. Which of the following actions should the nurse take? a. Continue to talk to the client as if they are awake. b. Avoid touching the client. c. Limit the client's visitors to one at a time. d. Whisper when talking in the client's room.

a. Continue to talk to the client as if they are awake.

A nurse is collecting data on a toddler whose parent has recently died. Which of the following findings should the nurse expect? a. Cries frequently b. Depends on their friends for emotional support c. Displays aggressive behavior d. Reports tightness in their chest

a. Cries frequently

A nurse is planning to learn about a culture by interviewing members of the culture. The nurse is planning to obtain which of the following types of information? a. Emic knowledge b. Root cause analysis c. Health disparity data d. Etic knowledge

a. Emic knowledge

A nurse is assisting with teaching a newly licensed nurse about hospice care. Which of the following information should the nurse include? a. Hospice care is restricted to clients who are terminally ill. b. The goal of hospice care is to prolong life. c. Hospice care is limited to clients who are in a health care facility. d. Hospice care cannot be discontinued once it is initiated.

a. Hospice care is restricted to clients who are terminally ill.

A nurse is caring for a client who requests nonpharmacological assistance with smoking cessation. Which of the following therapies should the nurse recommend? a. Hypnotherapy b. Massage therapy c. Chiropractic medicine d. Pilates

a. Hypnotherapy

A nurse is assisting with teaching a class about cultural bias in health care. The nurse should include that which of the following can occur as a result of cultural bias? a. Impaired therapeutic relationship with clients b. Increased amount of time spent with each client c. Reduced health care disparities d. Improved data collection on clients

a. Impaired therapeutic relationship with clients

A nurse is assisting with teaching a class about cultural bias in health care. The nurse should include that which of the following can occur as a result of cultural bias? a. Increased disparities in health care b. Improved data collection on clients c. Improved therapeutic communication with clients d. Increased amount of time spent with each client.

a. Increased disparities in health care

A nurse is documenting postmortem care for a client. Which of the following information should the nurse include? a. Location of the client's belongings b. Length of time the family stayed with the client's body c. Whether an autopsy will be performed on the client d. Name of the client's mortician

a. Location of the client's belongings

A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take? a. Make eye contact with the client when speaking. b. Use high-pitched tones to speak to the client. c. Speak to the client using a loud voice. d. Talk quickly when speaking to the client.

a. Make eye contact with the client when speaking.

A nurse is assisting with teaching a newly licensed nurse about palliative care. Which of the following information should the nurse include? a. Palliative care is not restricted to clients who are terminally ill. b. Palliative care should be avoided for a client who is receiving a curative treatment. c. Palliative care is limited to clients who are in a health care facility. d. The goal of palliative care is to prolong the life of a client.

a. Palliative care is not restricted to clients who are terminally ill.

A nurse is working with a social worker and a physical therapist in preparing a discharge projection for a client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in? a. Planning b. Implementation c. Evaluation d. Data collection

a. Planning

A nurse is caring for a client who is a member of a marginalized sexual group . The nurse should recognize the client is at risk for which of the following conditions? a. Post-traumatic stress disorder b. Rhinitis c. Sore throat d. Fractures

a. Post-traumatic stress disorder

A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief? a. Prolonged grief b. Anticipatory grief c. Disenfranchised grief d. Uncomplicated grief

a. Prolonged grief

A nurse is caring for a client who is at the end of life. Which of the following actions should the nurse take to support the client's dignity? (Select all that apply.) (Select All that Apply.) a. Provide care with an optimistic attitude. b. Give the client privacy when providing care. c. Demonstrate empathy when caring for the client. d. Tell the client that their condition will improve. e. Perform nasopharyngeal suctioning to clear the client's secretions.

a. Provide care with an optimistic attitude. b. Give the client privacy when providing care. c. Demonstrate empathy when caring for the client.

A nurse is assisting with teaching a class about factors that influence a client's perception of death. Which of the following factors should the nurse include? (Select All that Apply.) a. Religious beliefs b. Financial concerns c. Gender d. Cultural practices e. Education level

a. Religious beliefs b. Financial concerns d. Cultural practices

A nurse is teaching a class about manual therapies. The nurse should include that which of the following treatments is part of chiropractic medicine? a. Spinal manipulation b. Acupuncture c. Surgical procedures d. Prescription medications

a. Spinal manipulation

A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include? a. Spirituality decreases feelings of depression. b. Spirituality increases the desire to hasten death. c. Spirituality decreases quality of life. d. Spirituality increases feelings of hopelessness.

a. Spirituality decreases feelings of depression.

A nurse is assisting with teaching a class about alternative medicine. The nurse should include that which of the following practices is used in traditional Native American medicine to promote healing energy? a. Storytelling b. Cupping c. Acupressure d. Tai chi

a. Storytelling

A nurse is collecting data from a client who is postoperative. Which of the following findings should the nurse identify as objective data? (Select All that Apply.) a. The client's current blood pressure is below their preoperative reading. b. The client states they are experiencing "extreme pain". c. The client is reporting nausea. d. The client's right calf is swollen and warm to the touch. e. The client's urine output has been 150 mL over the past 3 hr.

a. The client's current blood pressure is below their preoperative reading. d. The client's right calf is swollen and warm to the touch. e. The client's urine output has been 150 mL over the past 3 hr.

A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make? a. "Keep your eye open for 30 sec after instilling the ointment." b. "Apply the ointment in a thin line into the conjunctival sac." c. "Always wipe from the outer to the inner canthus when wiping away secretions." d. "Use a sterile glove and applicator to apply the antibiotic ointment."

b. "Apply the ointment in a thin line into the conjunctival sac."

A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the "E" in the NURSE mnemonic? a. "It is impressive how you have managed to deal with this situation." b. "Tell me more about how you are feeling." c. "You have so much to deal with. How can I be of help to you?" d. "It sounds like you are exhausted."

b. "Tell me more about how you are feeling."

A nurse is assisting with the care of a client who is at the end of life. Which of the following 3 actions should the nurse plan to take? Vital Signs 1200: Temperature 38.5° C (101.3° F) Blood pressure 76/46 mm Hg Heart rate 112/min Respiratory rate 34/min, irregular Pulse oximetry 84% on 40% humidified face mask Nurses' Notes 1000: Client is lethargic, shakes their head at times to respond to questions, and indicates they are experiencing pain. Extremities cool to touch and mottled. Breath sounds rapid, irregular, and scattered rhonchi heard throughout. 1200: Client begins hallucinating and speaking to someone who is not in the room. a. Tell the client there is nobody else in the room. b. Administer an opioid narcotic to the client. c. Provide deep nasotracheal suctioning for the client. d. Place a fan to blow lightly toward the client. e. Turn the client on their side.

b. Administer an opioid narcotic to the client. d. Place a fan to blow lightly toward the client. e. Turn the client on their side.

A nurse is caring for a client who has a terminal diagnosis and states, "If I get better, I promise to go to church every day." The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief? a. Anger b. Bargaining c. Denial d. Depression

b. Bargaining

A nurse is caring for a client who has a terminal diagnosis and a 3-month life expectancy. The client appears cheerful and states they are looking forward to a vacation next year. The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief? a. Anger b. Denial c. Depression d. Bargaining

b. Denial

A nurse is caring for a client who reports that they are experiencing grief following the loss of a pet and feel like they are grieving alone. The nurse should identify that the client has manifestations of which of the following types of grief? a. Prolonged grief b. Disenfranchised grief c. Anticipatory grief d. Uncomplicated grief

b. Disenfranchised grief

A nurse is planning to use the nursing process to care for a client who is experiencing grief. Which of the following actions should the nurse take first? a. Incorporate the treatment into the client's care. b. Establish whether the client's grieving is healthy or complicated. c. Determine whether coping strategies were successful. d. Develop client-specific goals and outcomes.

b. Establish whether the client's grieving is healthy or complicated.

A nurse is planning to learn about a culture by observing the cultural practices from the outside. The nurse is planning to obtain which of the following types of information? a. Emic knowledge b. Etic knowledge c. Root cause analysis d. Health disparity data

b. Etic knowledge

A nurse collecting data on a client who has iron deficiency. Which of the following findings should the nurse expect? a. Tetany b. Fatigue c. Goiter d. Tooth decay

b. Fatigue

A nurse is assisting with teaching a class about alternative medicine. The nurse should include that which of the following practices is based on the root cause of an illness? a. Naturopathy b. Functional medicine c. Ayurveda d. Homeopathy

b. Functional medicine

A nurse collecting data on a client who has vitamin A deficiency. Which of the following findings should the nurse expect? a. Swollen tongue b. Impaired vision c. Constipation d. Bleeding gums

b. Impaired vision

A nurse is assisting with teaching a class about the physical manifestations of grief. Which of the following manifestations should the nurse include? a. Increased ability to concentrate b. Insomnia c. Blurred vision d. Bradycardia

b. Insomnia

A nurse is performing cultural data collection on a client using the sunrise enabler tool. The nurse should identify that which of the following information is included in the technological factors element? a. Marital status b. Internet availability c. Family medical history d. Religious beliefs

b. Internet availability

A nurse is assisting with teaching a class about aromatherapy. The nurse should include that which of the following essential oils can promote sleep. a. Orange b. Lavender c. Peppermint d. Ginger

b. Lavender

A nurse is performing a cultural data collection on a client using the sunrise enabler tool. The nurse should identify that which of the following information is included in the kinship and social factors element? a. Religious beliefs b. Marital status c. Family medical history d. Education level

b. Marital status

A nurse is assisting with teaching a class about spiritual influences on grief. Which of the following information should the nurse include? a. Members of the Jewish faith often request the sacrament of the sick performed before death. b. Members of the Christian faith often hold a wake for the deceased. c. Members of the Christian faith often request the body of the deceased is bathed by a family member. d. Members of the Jewish faith often request the body of the deceased face south after death.

b. Members of the Christian faith often hold a wake for the deceased.

A nurse is assisting with teaching a class about spiritual influences on grief. Which of the following information should the nurse include? a. Members of the Christian faith often request the body of the deceased is bathed by a family member. b. Members of the Jewish faith often request the body of the deceased is buried as soon as possible. c. Members of the Jewish faith often request the sacrament of the sick performed before death. d. Members of the Christian faith often request the body of the deceased face south after death.

b. Members of the Jewish faith often request the body of the deceased is buried as soon as possible.

A nurse is caring for an older client with a history of stroke who has been prescribed several medications and expresses reluctance to take them because of his difficulty swallowing. Which of the following actions is the nurse's priority? a. Check to see if the client's medications can be crushed and mixed with soft foods. b. Observe for symmetry of the client's soft palate and uvula. c. Notify the provider of the client's report. d. Ask the pharmacist whether a liquid form of the medication can be substituted for the client.

b. Observe for symmetry of the client's soft palate and uvula.

A nurse is assisting with teaching a class about organ donation. Which of the following information should the nurse include? a. Tissue donation is involuntary. b. Organ donation can be authorized by a client's surrogate. c. A nurse can initiate a request for tissue donation from a client. d. Each organ donation request should be reported to a facility's ethics committee.

b. Organ donation can be authorized by a client's surrogate.

A nurse is caring for an older adult client who experienced temporary disorientation following surgery. The nurse should identify that this finding as a manifestation of which of the following complications? a. Postoperative cognitive dysfunction b. Postoperative delirium c. Alzheimer's disease d. Dementia

b. Postoperative delirium

A nurse is contributing to the plan of care for clients who have rheumatoid arthritis. Which of the following plans incorporates integrative health? a. Offer nonsteroidal anti-inflammatory medications and occupational therapy to clients. b. Provide massage therapy and corticosteroid medications to clients. c. Monitor C-reactive protein and joint x-rays on clients. d. Request a referral for surgery and physical therapy for clients.

b. Provide massage therapy and corticosteroid medications to clients.

The nurse is preparing to administer ear drops to an adult client. Which of the following actions should the nurse plan to take? a. Don sterile gloves to instill the medication. b. Pull the pinna upward and backward. c. Chill the otic solution prior to administration. d. Avoid applying pressure to the tragus of the ear.

b. Pull the pinna upward and backward.

A nurse opens a unit-dose of a prescribed medication prior to administering it to a client. The client refuses to take the medication. Which of the following actions should the nurse take? a. Notify the facility's ethics committee. b. Report the incident to the provider. c. Return the opened medication to the medication cart. d. Fill out an incident report.

b. Report the incident to the provider.

A nurse is assisting with teaching a newly licensed nurse about end-of- life care. The nurse should include that which of the following services provides support for a client's caregiver? a. Home care b. Respite care c. Restorative care d. Postmortem care

b. Respite care

A nurse is assisting with teaching a class about health disparities that impact access to health care. The nurse should include that which of the following factors can impact access to health care? a. Nutritional status b. Sensory deficits c. Family history d. Sedentary lifestyle

b. Sensory deficits

An acute care nurse is assisting with providing care for a client who is postoperative and has a prescription for physical therapy 2-3 times per day for 2 weeks. Which of the following resources should the nurse anticipate that the client will require upon discharge? a. Long-term care b. Skilled nursing c. Assisted living d. Palliative care

b. Skilled nursing

A nurse is reviewing the medical history of a client who is scheduled for surgery. Which of the following findings places the client at risk for an incisional hematoma? a. The client has peripheral vascular disease. b. The client takes anticoagulant medications. c. The client has urinary incontinence. d. The client is underweight.

b. The client takes anticoagulant medications.

A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Which of the following data should the nurse report to the provider? a. Serosanguineous drainage noted on the abdominal dressing b. The client urine output has been 50 mL since surgery. c. The client's pain level has decreased since the administration of morphine. d. Postoperative laboratory results are Hgb 15% and Hct 40%.

b. The client urine output has been 50 mL since surgery.

A nurse is assisting with the care of a client who is scheduled for an elective surgery. The client informs the nurse that they no longer wish to proceed with surgery. Which of the following ethical principles should the nurse uphold for the client? a. Justice b. Veracity c. Autonomy d. Fidelity

b. Veracity

A nurse is reinforcing teaching with a client who is scheduled for abdominal surgery about coughing and deep breathing. Which of the following statements should the nurse make? a. "Cough and deep breath every 4 hours." b. "Lie supine to cough and deep breath." c. "Splint your incision with a pillow when coughing." d. "Inhale through your mouth when deep breathing."

c. "Splint your incision with a pillow when coughing."

A nurse is reinforcing teaching with a client about using a PCA for postoperative pain management. Which of the following statements should the nurse make? a. "Your partner can push the PCA button for you if you are asleep." b. "The pain medication is delivered into your muscle." c. "You will have control of administering your own pain medication." d. "A large dose of pain medication is administered with each injection."

c. "You will have control of administering your own pain medication."

A nurse is caring for a client who is at the end of life and is experiencing dyspnea. Which of the following actions should the nurse take? a. Increase the heat in the client's room. b. Place the head of the client's bed flat. c. Administer an opioid narcotic to the client. d. Perform nasotracheal suctioning for the client.

c. Administer an opioid narcotic to the client.

A nurse is assisting with teaching a class about complementary and integrative health. The nurse should include nutritional supplements are a component of which of the following therapies? a. Bioenergetic b. Manual c. Biological d. Mind-body

c. Biological

A nurse is caring for a client who is scheduled for surgery and has a history of alcohol abuse. The nurse should identify that alcohol abuse increases the client's risk for which of the following postoperative complications? a. Malignant hyperthermia b. Blood clots c. Bleeding d. Nausea

c. Bleeding

A nurse is providing a handoff report using the introduction, situation, background, assessment, recommendation, and readback (I-SBSR-R) for a client postoperative a total hip placement. Which of the following information should be included in the background component? a. Client reports pain a 6 on 0 to 10 pain scale b. Request prescription for oxygen administration c. Client broke hip 24 hr ago due to fall d. Client requests a change in prescribed diet

c. Client broke hip 24 hr ago due to fall

A hospice nurse tells another nurse that they are feeling overwhelmed after caring for multiple clients who are dying and reports having difficulty feeling sympathy for their clients. The nurse has manifestations of which of the following conditions? a. Adventitious stress b. Post-traumatic stress disorder (PTSD) c. Compassion fatigue d. Prolonged grief disorder

c. Compassion fatigue

A nurse is assisting with scheduling a client for surgery. Which of the following actions should the nurse take to obtain precertification for the client to have surgery? a. Witness the client sign the surgical consent form b. Notify the provider to obtain approval for the surgery c. Contact the client's insurance carrier to obtain authorization d. Inform the client of the need to pre-pay for the consent of authorization

c. Contact the client's insurance carrier to obtain authorization

A nurse is collecting data on an adolescent client whose parent has recently died. Which of the following findings should the nurse expect? a. Reports tightness in their chest b. Exhibits toileting problems c. Depends on their friends for emotional support d. Clings to their caregiver

c. Depends on their friends for emotional support

A nurse is caring for a client who is a member of a marginalized sexual group . The nurse should recognize the client is at risk for which of the following conditions? a. Rhinitis b. Infectious diseases c. Depression d. Fractures

c. Depression

A nurse is caring for a client whose family wishes to actively participate in the client's care. The nurse encourages and values the family's contribution. The nurse is demonstrating which of the following concepts? a. Assimilation b. Acculturation c. Inclusion d. Emic knowledge

c. Inclusion

A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect? a. Hypertension b. Moist mucous membranes c. Irregular respirations d. Tachycardia

c. Irregular respirations

A nurse is using a medical interpreter to communicate with a client. Which of the following actions should the nurse take? a. Have the interpreter sit in front of the client. b. Speak to the client in the third person. c. Make eye contact with the client when speaking. d. Use long sentences when speaking to the client.

c. Make eye contact with the client when speaking.

A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect? a. Hypertension b. Moist mucous membranes c. Mottled skin d. Increased bowel sounds

c. Mottled skin

A nurse is reviewing the medical history on a client who is preoperative for surgery. Which of the following findings places the client at risk for a postoperative complication? a. Glucose level 75 mg/dL b. BMI 24 c. Obstructive sleep apnea d. Fractured ankle

c. Obstructive sleep apnea

A nurse is assisting with teaching a class for hospice nurses about interventions to reduce the risk for compassion fatigue. Which of the following interventions should the nurse include? a. Request to work additional shifts. b. Work through lunch breaks. c. Perform daily exercise. d. Volunteer at a health clinic on days off work.

c. Perform daily exercise.

A nurse is caring for a client who is at the end of life. Which of the following actions should the nurse take to support the client's dignity? (Select All that Apply.) a. Tell the client that their condition will improve. b. Perform nasopharyngeal suctioning to clear the client's secretions. c. Provide care with an optimistic attitude. d. Give the client privacy when providing care. e. Demonstrate empathy when caring for the client.

c. Provide care with an optimistic attitude. d. Give the client privacy when providing care. e. Demonstrate empathy when caring for the client.

A nurse is caring for a client who reports that they are experiencing grief following the recent loss of a partner. The client states that the grief is decreasing in severity over time, and they are looking forward to spending time with their grandchildren. The nurse should identify that the client has manifestations of which of the following types of grief? a. Disenfranchised grief b. Prolonged grief c. Uncomplicated grief d. Anticipatory grief

c. Uncomplicated grief

A nurse is assisting with the care of a client. Select the 3 findings that require immediate follow-up. Vital Signs 1600: Temperature 37.6° C (99.7° F) Blood pressure 110/58 mm Hg Heart rate 72/min Respiratory rate 18/min Pulse oximetry 98% on room air 1630: Temperature 37.5° C (99.5° F) Blood pressure 78/52 mm Hg Heart rate 112/min Respiratory rate 26/min Pulse oximetry 92% on room air Nurses' Notes 1600: Antibiotic administered as prescribed. Bilateral breath sounds clear and present throughout. 1630: Client reports itching on the chest and has urticaria over the chest and trunk. Client states they are having difficulty swallowing and feel as if there is a lump in their throat. Bilateral breath sounds with scattered wheezing heard throughout. Medication Administration Record Cefaclor 500 mg PO q8h a. Breath sounds at 1600 b. Temperature c. Urticaria d. Blood pressure at 1630 e. Report of dysphagia

c. Urticaria d. Blood pressure at 1630 e. Report of dysphagia

A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take? a. Shave the client's hair near the surgical site. b. Scrub the surgical site starting at the outer edge and moving inward. c. Use a new sponge each time the surgical site is scrubbed. d. Cleanse the surgical site with a povidone-iodine solution.

c. Use a new sponge each time the surgical site is scrubbed.

A nurse is providing postmortem care for a client. Which of the following actions should the nurse take? a. Remove the client's dentures. b. Place the head of the client's bed flat. c. Wash the client's body. d. Increase the lights in the client's room.

c. Wash the client's body.

A nurse is caring for a client who reports frequent headaches. Which of the following statements by the nurse uses holistic nursing? a. "We should check your blood pressure when you have a headache." b. "Do you feel nausea when you have your headaches?" c. "Do any medications relieve your headaches?" d. "Are you feeling stressed before you have a headache?"

d. "Are you feeling stressed before you have a headache?"

A nurse is caring for a client who is at the end of life. The client's partner is concerned about using opioid narcotics to manage the client's pain. Which of the following statements should the nurse make? a. "The use of opioid narcotics is restricted to when death is imminent." b. "Opioid narcotics are restricted for the client because of the risk for addiction." c. "Using opioid narcotics will limit options available for future management of pain." d. "The dosage of the opioid narcotic is unlimited."

d. "The dosage of the opioid narcotic is unlimited."

A nurse is caring for a client who has a potassium deficiency. Which of the following foods should the nurse recommend as the best source of potassium? a. 1 slice of cheddar cheese b. 1 slice of wheat bread c. 1 wedge of cantaloupe d. 1 banana

d. 1 banana

A nurse is caring for a client who has a terminal diagnosis and states, "I am ready to update my will." The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief? a. Bargaining b. Anger c. Denial d. Acceptance

d. Acceptance

A nurse is assisting with teaching a class about alternative medicine. The nurse should include that which of the following practices is based on a balance of the body, mind, and spirit to prevent disease? a. Functional medicine b. Homeopathy c. Naturopathy d. Ayurveda

d. Ayurveda

A nurse is caring for a client who is postoperative, has a peripheral IV, and is requesting ice chips. Which of the following actions should the nurse take? a. Check the client for bladder distention. b. Remove the client's peripheral IV. c. Lower the head of the client's bed. d. Check the client's gag reflex.

d. Check the client's gag reflex.

A nurse is assisting with teaching a class about vulnerable populations that are at risk for health disparities. The nurse should include that which of the following populations are at risk for health disparities? a. Clients who have a college education b. Clients who have an employer-provided health insurance c. Clients who are fluent in the primary language of their health care team d. Clients experiencing poverty

d. Clients experiencing poverty

A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client's activity level for the day? a. Clinical practice guidelines b. Textbook reference c. Standards of care d. Critical pathway

d. Critical pathway

A nurse is caring for a client who is experiencing postoperative nausea and vomiting. The nurse should monitor the client for which of the following complications of vomiting? a. Urinary frequency b. Peripheral edema c. Diarrhea d. Dehydration

d. Dehydration

A nurse is caring for a client whose partner has died. The client states, "One moment I am feeling sad about the loss of my partner, and the next moment I am making plans for my future." The nurse should identify that the client is experiencing which of the following responses to grief? a. Disorganization and despair b. Recollect and re-experience c. Yearning and searching d. Dual Process Model

d. Dual Process Model

A nurse is caring for a client who reports chronic pain. Which of the following actions by the nurse uses holistic nursing? a. Check the client's oxygen saturation level. b. Obtain blood work from the client. c. Request a prescription for an analgesic for the client. d. Encourage the client to take slow, deep breaths.

d. Encourage the client to take slow, deep breaths.

A nurse is caring for a client whose partner has died. The client states, "Even though I am in a new relationship, I treasure the memories of my former partner." The nurse should identify that the client is experiencing which of the following tasks in Worden's Four Tasks of Grieving? a. Adjusting to an environment without the deceased b. Experiencing the pain of grief c. Accepting the reality of the loss d. Finding an enduring connection while embarking on a new life

d. Finding an enduring connection while embarking on a new life

A nurse is assisting with teaching a class about herbal supplements that can decrease nausea. Which of the following supplements should the nurse include? a. Echinacea b. Cranberry c. Garlic d. Ginger

d. Ginger

A nurse is assisting with teaching a class about alternative medicine. The nurse should include that which of the following practices uses diluted substances to stimulate the body to heal itself? a. Ayurveda b. Functional medicine c. Naturopathy d. Homeopathy

d. Homeopathy

A nurse is assisting with teaching a newly licensed nurse about incident reports. Which of the following information should the nurse include? a. Identify the person responsible for the error in the incident report. b. Include a note in the medical record that an incident report was completed. c. Include personal opinions regarding an event in an incident report. d. Identify other people involved with the event in the incident report.

d. Identify other people involved with the event in the incident report.

A nurse is assisting with teaching a class about vulnerable populations that are at risk for health disparities. The nurse should include that a client who lives in a crowded apartment building is at risk for which of the following conditions? a. Deep vein thrombosis b. Rheumatoid arthritis c. Weight gain d. Infectious diseases

d. Infectious diseases

A nurse is assisting with teaching a class about routes of medication administration. The nurse should include that which of the following routes has the fastest rate of absorption? a. Enteral b. Topical c. Intramuscular d. Intravenous

d. Intravenous

A nurse is assisting with teaching a class about complementary and integrative health. The nurse should include hypnosis is a component of which of the following therapies? a. Bioenergetic b. Biological c. Manual d. Mind-body

d. Mind-body

A nurse is preparing to administer an intradermal injection for a client who requires a tuberculin skin test. Which of the following actions should the nurse plan to take? a. Place a 1 in needle on the syringe. b. Draw up 0.5 mL of purified protein derivative (PPD) from the vial. c. Hold the syringe at a 20° angle to the client's skin. d. Pinch the skin up at the chosen site with the nondominant hand before inserting the needle.

d. Pinch the skin up at the chosen site with the nondominant hand before inserting the needle.

A nurse is caring for a client who is at the end of life. Which of the following interventions is most effective in reducing the client's social isolation? a. Ask the client's friends to text the client. b. Encourage family members to call the client. c. Instruct the client to join an online support group. d. Schedule home visits with the client.

d. Schedule home visits with the client.

A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include? a. Spirituality can increase the desire to hasten death. b. Spirituality can increase feelings of hopelessness. c. Spirituality can increase depression. d. Spirituality can increase the quality of life.

d. Spirituality can increase the quality of life.

A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take? a. Stand next to the client's side when speaking. b. Use high-pitched tones to speak to the client. c. Speak to the client using a loud voice. d. Talk slowly when speaking to the client.

d. Talk slowly when speaking to the client.