Chapter 7 NCLEX BNS
a nurse is working on a medical surgical unit with a licensed practical.vocational nurse. which information will the nurse consider when deciding what nursing action to delegate to the LPN/LVN (select all that apply) a) hospital policy b) LPN/LVN teaching ability c) scope of practice d) client stability e) LPN/LVN proficiency level
a) hospital policy c) scope of practice d) client stability e) LPN/LVN proficiency level
a nurse caring for a client who was recently diagnosed with metastatic lung cancer finds the client crying in the room. which statement made by the nurse best demonstrates the use of empathy a) i see you are upset would you like to talk b) do you want me to call someone for you c) i am sorry to hear you have cancer d) don't worry i have seen lots of people with cancer do fine
a) i see you are upset would you like to talk
a nurse is caring for a client experiencing biliary colic from uncomplicated cholelithiasis the client asks, "My doctor says i should have surgery to remove my gallbladder. do you think it is really necessary" what is the nurses best response a) share with me the advantages and disadvantages of your options as you see them b) you should follow your physician's recommendation and have the surgery c)it is a minimally invasive surgery with rapid recovery time so you will do fine d)when you see the physician this morning, request more information about the surgery
a) share with me the advantages and disadvantages of your options as you see them
a nurse is performing an admission assessment with a non english speaking client. which actions can the nurse take to enhance communications (select all that apply) a) use an electronic translator b) request assistance from and agency interpreter c) contact a telephone based medical interpreter d) ask the client's teenage daughter to interpret e) use gestures and pictures to convey information
a) use an electronic translator b) request assistance from and agency interpreter c) contact a telephone based medical interpreter
the wife of a client who is terminally ill expresses to the nurse that she is unable to see her husband die and she may not come to the health care facility anymore. what should the nurses response be a) you have been coming here every day; are you taking some time for yourself b) i think at this stage of the disease you should focus on your husband and not yourself c) you are right after all your husband knows that you love him. we will take care of him d) your husband would come to know that you are not here and you would feel guilty
a) you have been coming here every day; are you taking some time for yourself
a client with chronic hyperparathyrodism expresses that she is fed up with her diet and can no longer continue with it. what should the nurse's appropriate response to the client be a) you may be having a difficult time staying on that diet; let's discuss it b) i think it is not so difficult to follow the suggested dietary restrictions c) it's important to stay on the diet to prevent formation of kidney stones d) what is the reason that you cannot adhere to the prescribed diet plan
a) you may be having a difficult time staying on that diet; let's discuss it
a nurse is completing a health history with a newly admitted client. during the interview, the clients presents with an angry affect and states "If my doctor did a good job, I would not be here right now" what is the nurses best response a) nod and say I agree if i were you i would get a new doctor b) be silent and allow the client to continue speaking when ready c) stand and say "U can see this interview is making you uncomfortable so we can continue later d) smile and say don't worry I'm sure the physician is doing a good job
b) be silent and allow the client to continue speaking when ready
a nurse anticipates collaborating with the UAP, physical therapist, surgeon, and respiratory therapist in which circumstance a) feeding a client who has difficult swallowing after a stroke b) caring for a client following a total hip replacement c)) preparing a client to receive treatment for second degree burn d) ambulating a client with a new e.g. cast and crutches
b) caring for a client following a total hip replacement
which qualities in a nurse help the nurse to become effective in providing for a client's needs while remaining compassionately detached a) commiseration b) empathy c) kindness d) sympathy
b) empathy
a nurse is conducting an admission assessment of a client who will be receiving treatment for a kidney infection. to foster therapeutic conversation, which action should the nurse take a) sit one to two feet away from the client b) remove as many distractions from the interaction as possible c) avoid directly discussing the client's kidney infection d) avoid silence during the conversation
b) remove as many distractions from the interaction as possible
a nurse on a subacute geriatric ward is working with a male client who has diagnosis of alzheimer disease. how can the nurse best enhance therapeutic communication with this client a) ask the client frequently if the client understands what the nurse is saying b) avoid assessing the client unless the client has trusted family member nearby c) give the client plenty of time to make responses to questions that nurse asks d) ask the client to paraphrase or summarize the nurse's statements
c) give the client plenty of time to make responses to questions that nurse asks
the nurse educator on a busy medical unit that serves diverse populations is discussing the importance of therapeutic nurse-client relationships with a group of recent nursing graduates. What principle should the nurse educator promote a) aim to minimize differences in the care that clients receive in order to promote justice b) remember that there is a wide gap between nurses' knowledge and the learning needs of clients c) view each client as a unique individual with unique needs and priorities d) view each client on the unit in light of the client's medical diagnosis and necessary treatment
c) view each client as a unique individual with unique needs and priorities
