Concept Practice Questions

The nurse and a student nurse are discussing the effects of bed immobility on patients. The nurse knows that the student nurse understands the concept of mobility when she states, "Patients with impaired bed mobility a. have an increased risk for pressure ulcers." b. like to have extra visitors." c. need to have a mechanical soft diet." d. are prone to constipation."

a. have an increased risk for pressure ulcers."

A nurse researcher examines the risk factors of obesity. Which statements does the nurse find true? Select all that apply a) Risk factors that identify the odds of being diagnosed with obesity are predictable and defined b) Causes of obesity are complex and multifactorial c) Obesity increases the risk of mortality d) Obesity decreases overall life expectancy

b) Causes of obesity are complex and multifactorial c) Obesity increases the risk of mortality d) Obesity decreases overall life expectancy

While assessing a newly admitted client, the nurse identifies impaired coordination, decreased muscle strength, limited range of motion, and reluctance to move. What nursing diagnosis do these signs and symptoms most clearly suggest? a) Ineffective health maintenance b) Impaired physical mobility c) Disturbed sensory perception d) Ineffective coping

b) Impaired physical mobility

Which of the following tasks are completed during the assessment stage of the nursing process? a) setting priorities of care b) clustering data to find emerging patterns c) creating a nursing care plan d) collecting patient data from a variety of sources

b) clustering data to find emerging patterns d) collecting patient data from a variety of sources

Which one of the following is considered subjective data? a) vomiting b) nausea c) flushed face d) pulse = 88 bpm

b) nausea

The overall goals of care for individuals experiencing a stress response are to focus on interventions to develop ___? a) positive social support b) positive coping skills c) reappraisal d) cognitive appraisal

b) positive coping skills

A patient tells the nurse "I'm told that I should reduce the stress in my life, but I have no idea where to start." What would be the best initial nursing response? a) "Why not start by learning to meditate? That technique will cover everything." b) "Reading about stress and how to manage it might be a good place to start." c) "Let's talk about what is going on in your life and then look at possible options." d) "In cases like yours, physical exercise works to elevate mood and reduce anxiety."

c) "Let's talk about what is going on in your life and then look at possible options."

A diabetic patient who is hospitalized tells the nurse "I don't understand how I can keep my blood sugar under control at home with diet alone, because when I get sick, my blood sugar goes up." Which response by the nurse is appropriate? a) "Your diet is different here in the hospital than at home, and that is the most likely cause of the increased glucose level." b) "It is probably just coincidental that your blood sugar is high when you are ill" c) "Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times" d) "Stressors such as illness cause the release of hormones that increase blood sugar"

d) "Stressors such as illness cause the release of hormones that increase blood sugar"

A nurse is caring for an older adult client who has become increasingly frail and unsteady on her feet. During the assessment the client indicates that she has fallen three times in the month, though she has not yet suffered an injury. The nurse should take action in the knowledge that this client is at a high risk for what health problem? a) femoral fracture b) pelvic dysplasia c) medical meniscus tear d) hip fracture

d) hip fracture

A patient is talking with the nurse about hip fractures. The patient would like to know the best approach to strengthen the bones. The nurse's best response is which of the following? a) "Talk to your physician about a calcium supplement." b) "Stand up slowly so you don't feel faint." c) "Wear proper fitting shoes to prevent tripping." d) "Walk at least 5 miles every day for exercise."

a) "Talk to your physician about a calcium supplement."

Harmful effects of unrelieved pain include all of the following except: a) Bradycardia b) Increased cortisol secretion c) Hyperglycemia d) Hypertension

a) Bradycardia

A patient who had been complaining of intolerable stress at work has demonstrated the ability to use progressive muscle relaxation and deep breathing techniques. He will return to the clinic for follow-up evaluation in 2 weeks. Which data will best suggest that the patient is successfully using the techniques to cope more effectively with stress? a) His systolic blood pressure has gone from the 140's to the 120's (mm Hg) b) The patient's wife reports that he spends more time sitting quietly at home c) he reports that this appetite, mood energy levels are all good? d) He reports that he feels better and that things are not bothering him as much

a) His systolic blood pressure has gone from the 140's to the 120's (mm Hg)

The nurse is developing a care plan for a newly diagnosed cancer patient with ineffective coping skills. Which intervention would be the best example of a problem-focused coping strategy? a) attending a seminar for treatment options b) attending a support group for families c) scheduling a regular exercise program d) identifying a confidant to share feelings

a) attending a seminar for treatment options

Which one of the following is a part of a nursing diagnosis (actual, not risk)? a) etiology of the problem b) NANDA international diagnostic label c) nursing outcomes classification (NOC) d) verification of data

a) etiology of the problem b) NANDA international diagnostic label

A person's ideas, convictions, and attitudes about health and illness are a) health beliefs b) internal variables c) external variables d) risk factors

a) health beliefs

A patient who has been in the hospital for several weeks is about to be discharged. The patient is weak from the hospitalization and asks the nurse to explain why this is happening. The nurse's best response is "you are weak because... a) of your immobility in the hospital. This is known as deconditioning." b) of your poor appetite. This is known as malnutrition." c) your iron level is low. This is known as anemia." d) of your medications. This is known as a drug-induced weakness."

a) of your immobility in the hospital. This is known as deconditioning."

A patient has not been sleeping well because he is worried about losing his job and not being able to support his family. The nurse takes the patient's vital signs and notes a pulse rate of 112 beats/min, respirations are 26 breaths/min, and his blood pressure is 166/88 instead of his usual 110-120/76-84 range. Which nursing intervention or recommendation should be used first? a) Go to sleep 30 to 60 minutes earlier each night to increase rest b) Relax by spending more time playing with his pet dog c) Slow and deepen breathing via use of positive, repeated word d) Consider that a new job might be better than his present one

c) Slow and deepen breathing via use of positive, repeated word

The nurse walks in to the patient's room and finds the patient sobbing uncontrollably. When the nurse asks what the problem is, the patient responds, "I am so scared. I have never known anyone who goes into the hospital and comes out alive." On this patients care plan the nurse notes a nursing diagnosis of ineffective coping R/T overwhelming stress response and fear S/T hospitalization AEB pt sobbing uncontrollably. "I am so scared. I have never known anyone who goes into the hospital and comes out alive". What is the best outcome to be expected for this patient? a) The patient will begin antianxiety medications as ordered b) The patient will avoid stressful situations c) The patient will adopt relaxation techniques to reduce stress d) The patient will be stress free

c) The patient will adopt relaxation techniques to reduce stress

What is secondary prevention? a) restoring maximum functions in patients with chronic disease b) reducing disability resultant from disease c) screening to detect disease before symptoms appear d) preventing disease and illness from occurring

c) screening to detect disease before symptoms appear