FON Final Part 3

A client from a non-English speaking culture is dying. Which should the nurse do to ensure that this client receives culturally specific care? a) provide towels and a clean gown for the family to bathe the body. b) Ask via interpreter if there are any specific cultural interventions at this time. c) Suggest the family leave. d) Ask the chaplain to see the client

b) Ask via interpreter if there are any specific cultural interventions at this time

A client who has tried several forms of complementary and alternative medicine (CAM) is looking for a way to become more aware of the changes in her heart rate, blood pressure, and muscle contractions. Which may help the client? a) Music therapy b) Biofeedback c) Aromatherapy d) Meditation

b) Biofeedback

The nurse is caring for a client who is having breast augmentation surgery. The nurse knows that this would be considered what type of surgery? a) Corrective b) Cosmetic c) Curative d) Exploratory e) Palliative

b) Cosmetic

Which herbal supplement can be used as an antiviral agent to prevent or eliminate colds, flu, and other infections? a) Chamomile b) Echinacea c) Feverfew d) Ginseng

b) Echinacea

Which herbal supplement is used for memory enhancement and dementia and to help increase blood flow to the brain? a) Ginseng b) Gingko c) Valerian d) Capsaicin

b) Gingko

Which term refers to the relationship among all living things? a) Acupuncture b) Holism c) Acupressure d) Allopathic medicine

b) Holism

A nurse is performing an initial admission assessment on a client. The client states that he takes chamomile. The nurse suspects that the client has which of the following? a) Hypercholesterolemia b) Insomnia c) Migraine headaches d) Irritable bowel syndrome

b) Insomnia

The nurse is interviewing a client that stated "I wasn't really angry; just a little upset." The nurse knows that expressing an emotion that is separated from the original feeling is a utilizing a defense mechanism known as: a) Restitution b) Isolation c) Dissociation d) Repression e) Reaction formation

b) Isolation

The health-care organization uses a system of health-care delivery aimed at managing the cost and quality of access to health care. Which type of delivery system should the nurse review prior to arriving for an interview for a position? a) Private insurance b) Managed care c) Medicaid d) Medicare

b) Managed care

A client has a federal government's health insurance program for people older than 65 years. Which type of health insurance should the nurse expect to see documentation in the client's medical record? a) Private insurance b) Medicare c) Social Security d) Medicaid

b) Medicare

The nurse provides care to a terminal patient who is approaching end of life. Which information does the nurse reinforce with the family members as indicating death is very near? (4/4) a) Decreased appetite b) Mottling of feet and legs c) Edema of lower extremity d) Nonresponsiveness e) Agitation and withdrawal f) Slow and thready pulse

b) Mottling of feet and legs c) Edema of lower extremity d) Non responsiveness f) Slow and thready pulse

The nurse is caring for a client who has terminal cancer and is having surgery to remove a piece of a tumor that is considerable pain. The nurse knows that this would be considered what type of surgery? a) Cosmetic b) Palliative c) Exploratory d) Corrective e) Curative

b) Palliative

The nurse manager is discussing a job promotion to charge nurse with one of the floor nurses. The floor nurse states "I didn't get the promotion because you don't like me." The nurse manager remains calm as she knows that this form of mental or verbal "finger-pointing" at another for a problem is a defense mechanism known as: a) Restitution b) Projection c) Isolation d) Conversion reaction e) Sublimation

b) Projection

The nurse is talking to a co-worker who made a medication error. The co-worker states "I did not make a medication error; I followed the physician's order." The nurse knows the use of a logical-sounding excuse to cover up true thoughts and feelings is a defense mechanism known as: a) Dissociation b) Rationalization c) Reaction formation d) Repression e) Denial

b) Rationalization

The nurse is interviewing a client that has been sexually assaulted who states "I don't remember anything that happened." The nurse recognizes this as an unconscious "burying" or "forgetting" mechanism that excludes or withholds from our consciousness events or situation that are unbearable. This defense mechanism is known as: a) Denial b) Repression c) Reaction formation d) Dissociation e) Compensation

b) Repression

The nurse is caring for a client with increasing difficulty breathing. With which health-care worker should the nurse collaborate to address this client's health problem? a) Physical therapist b) Respiratory therapist c) Occupational therapist d) Speech and language therapist

b) Respiratory therapist

Which herbal supplement can be used for mild to moderate depression; when used for this purpose, studies have shown it to be at least as effective as some prescription drugs? a) Ginko b) St. John's wort c) Valerian d) Coenzyme Q10

b) St. John's wort

The nurse is interviewing a client who used to be a burglar who now teaches home safety classes. The nurse that when unacceptable traits or characteristics are diverted into acceptable traits or characteristics the client is using a defense mechanism known as: a) Dissociation b) Sublimation c) Projection d) Repression e) Reaction formation

b) Sublimation

A client telephones the home care agency to find out why the nurse did not arrive as scheduled to change a foot wound dressing. For which situation should the agency manager investigates? a) Overscheduling b) Assault c) Abandonment d) Negligence

c) Abandonment

A nurse is caring for a client with cancer. The client is interested in complementary treatments to help relieve chemotherapy-induced nausea and vomiting. Which would the nurse expect the health-care provider to recommend? a) Ginger b) Shiatsu c) Acupuncture d) Melatonin

c) Acupuncture

Which terms refers to the treatment of disease by creating an environment that is antagonistic to the disease? a) Acupunture b) Holism c) Allopathic d) Acupressure

c) Allopathic

The nurse provides care to the whole client, incorporating within that care the cultural context of the client's beliefs and values. Which type of care is the nurse providing? a) Culturally assimilated b) Culturally incompetent c) Culturally competent d) Culturally insensitive

c) Culturally competent

The LPN/LVN is told to provide an intravenous push medication through a client's central line. Which action should the nurse take? a) Prepare the medication for administration. b) Read the indication for the medication. c) Decline and suggest that an RN provide the medication. d) Review the procedure in the policy manual

c) Decline and suggest that an RN provide the medication.

A client seeks a vigorous, strenuous massage with focused pressure applied to tightened muscle areas and trigger points. This type of massage is called: a) Reflexology b) Shiatsu c) Deep Tissue d) Swedish

c) Deep Tissue

The nurse is caring for a client who has a ruptured appendix and is rushed into surgery immediately. The nurse knows that the degree of urgency of this surgery is: a) Elective b) Salvage c) Emergency d) Urgent

c) Emergency

Which of the following herbal supplements can be used as an anti-inflammatory, for migraine headaches, fever suppression, and menstrual cramps? a) Peppermint b) Ginseng c) Feverfew d) Echinacea

c) Feverfew

A nurse is performing an admission assessment on a client who states that he adheres to a discipline in which the mind is focused on an object of thought or awareness, and usually involves turning attention to a single point of reference. The nurse recognizes that the client participates in which of the following? a) Phytonutrients b) Aromatherapy c) Meditation d) Biofeedback

c) Meditation

A infant is brought into a medical center and diagnosed with measles, a communicable disease. Which action should the nurse take? a) Refer to a rehabilitation facility b) Notify the local police department c) Notify the health department d) Prepare the client for hospice care

c) Notify the health department

An 8 year old client is injured during a football game. What should the nurse do before providing this client with treatment? a) Have a stepparent sign the informed consent b) Solicit the signature of the non custodial parent on the informed consent c) Obtain a custodial parent's signature non the informed consent d) Have the client sign the informed consent

c) Obtain a custodial parent's signature on the informed consent

Which of the following is the scrub nurse's main task? a) Sustaining the patient's life b) Coordinating the surgical team c) Providing and maintaining a sterile field d) Being the primary patient advocate

c) Providing and maintaining a sterile field

The LPN/LVN is assisting an RN who is caring for a mentally competent client with a terminal illness. The client refuses to take prescribed medications. Which action should the nurse take? a) Speak to the family about the client refusing medication. b) Ask the RN if the physician should change the client's medication so they can be given intravenously. c) Report the client's decision to the RN in charge and the primary health-care provider and continue to provide appropriate compassionate care. d) Explain to the client the unwise nature of the decision and the effect that it will have family members.

c) Report the client's decision to the RN in charge and the primary health-care provider and continue to provide appropriate compassionate care.

The nurse is caring for a client that is undergoing a surgical procedure for a ruptured aneurysm in his brain. The nurse knows that the degree of urgency of this surgery is: a) Elective b) Emergency c) Salvage d) Exploratory

c) Salvage

The nurse is caring for a client with RLQ abdominal pain that has been diagnosed with an acute appendicitis. The client is scheduled for surgery the next day (12 hours from now). The nurse knows that the degree of urgency of this surgery is: a) Elective b) Emergency c) Urgent d) Salvage

c) Urgent

When talking to a patient, the nurse wants to encourage the client to verbalize her feelings. When the client states, "I'm so anxious about what my tests will show", the nurse replies "you are anxious about your test results?" The nurse is using a therapeutic communication technique that is known as: a) Using Open-Ended Questions or Statements b) Offering Self c) Using reflection d) Seeking Clarification

c) Using Reflection

After providing morning care, the nurse forgot to put the bed in the lowest position and left one of the bed rails down causing the client to fall. For which reason could the nurse be reported to the board of nursing? a) assault b) battery c) negligence d) libel

c) negligence

The nurse witnesses a terminally ill patient telling the health-care provider, "I don't want my life prolonged, as stated in my living will." Which action does the nurse anticipate from the health-care provider based on the patient's statement? a) The provider will ignore the patient's request. b) The provider will explain to the patient the importance of positive thinking. c) The provider will write a do-not-resusciate (DNR) prescription. d) The provider will speak to the patient's family before writing a DNR prescription.

c) the provider will write a do-not-resuscitate (DNR) prescription.

A client requests a copy of their personal medical record. Which response should the nurse make? a) "Only your lawyer can request a copy, so you need to contact them." b) I'll get a copy made right away, How many copies do you need?" c) "The Health Insurance Portability and Accountability Act or HIPPA, prevents the hospital from copying your chart but you could speak to your physician about it." d) "The chart belongs to the hospital, but if you give written permission, a copy can be made for you."

d) "The chart belongs to the hospital, but if you give written permission, a copy can be made for you."

The nurse provides care to a terminally ill patient. Which patient response indicates to the nurse a readiness to talk about dying? a) "Do you think you could sit with me for a while?" b) "I'm feeling a little stronger each day." c) "I've decided to begin taking chemotherapy again." d) "What do you think death feels like?"

d) "What do you think death feels like?"

A client makes an appointment at the health clinic to receive an annual influenza vaccination. Which health belief is this client demonstrating? a) Holistic b) Folk Healing c) Religious based d) Biomedical

d) Biomedical

The nurse provides care to a terminal patient who states, " I don't need anything from you. Leave me alone!" Based on this information, the nurse documents that the patient is likely experiencing which stage of grief? a) Depression b) Acceptance c) Bargaining d) Denial e) Anger

e) Anger

The nurse is interviewing a client that states "I can't go to the class reunion tonight. I'm just so tired. I have to sleep." The nurse knows that unconsciously staying away from events or situations that might open feelings of aggression or anxiety is a defense mechanism known as: a) Conversion reaction b) Reaction formation c) Sublimation d) Isolation e) Avoidance

e) Avoidance

The nurse is interviewing a client that suddenly starts crying and seems to have a "temper tantrum". The nurse believes the client is emotionally returning to an earlier time in life when there was far less stress, a defense mechanism known as: a) Denial b) Sublimation c) Projection d) Repression e) Regression

e) Regression

The nurse is interviewing a person who believes he is a physically unattractive person but wanted to be a model who now speaks out for eliminating beauty pageants. The nurse knows that this person that developed the exact opposite trait is exhibiting this defense mechanism: a) Repression b) Sublimation c) Dissociation d) Regression e) Reaction formation

e) reaction formation

-ostomy

to create an opening

-otomy

to cut or separate

-ablation

to remove from

A client is experiencing spiritual distress. Which should the nurse expect to assess in the client? (3/3) a) Exhibits anger at God b) Requests a visit from a member of the clergy. c) Shows signs of depression d) Exhibits feelings of hopelessness e) Reads the Bible

a) Exhibits anger at God c) shows signs of depression d) Exhibits feelings of hopelessness.

The nurse is caring for a client who is having surgery to help determine the cause of her abdominal pain. The nurse knows that this would be considered what type of surgery? a) Exploratory b) Cosmetic c) Corrective d) Palliative e) Curative

a) Exploratory

When discussing a patient's choices regarding treatment for newly diagnosed cancer, the nurse states "I would never decide against chemotherapy." This is a barrier to therapeutic communication known as: a) Expressing disapproval b) Belittling a patient's feelings c) Looking at Alternatives d) Giving information

a) Expressing Disapproval

Which herbal supplement helps reduce total blood cholesterol and low-density lipoprotein (bad cholesterol) over short periods of time (for example, 4-12 weeks)? a) Garlic b) Echinacea c) Chamomile d) St. John's wort

a) Garlic

During an assessment, a client reports performing self-care techniques to balance the hot disease state of diabetes. Which health belief should the nurse realize that this client practices? a) Holistic b) Religious based. c) Biomedical d) Folk Healing

a) Holistic

The nurse provides care to a patient who is prescribed palliative care. The patient asks, "What is the difference between hospice care and palliative care?" Which does the nurse include in the response to the patient regarding palliative care? a) It may be aggressive and is directed at eliminating discomfort b) It is aggressive but administered to cure the disease. c) It is geared toward the patient, family, and their wishes toward death and dying d) It indicates the patient has fewer than six months to live

a) It may be aggressive and is directed at eliminating discomfort.

The nurse is caring for a client that has just underwent spinal surgery. The nurse is reinforcing post operative teaching by explaining that the client needs to follow the following precautions at all times to prevent complications: (3/3) a) No bending b) No twisting c) No internal rotation d) No lifting greater than 10 pounds e) No flexion greater than 90 degrees f) No adduction across the midline

a) No bending b) No twisting d) No lifting greater than 10 lbs

The nurse is caring for a client that has just underwent a total hip arthroplasty. The nurse is reinforcing post operative teaching by explaining that the client needs to follow the following precautions at all time to prevent complications: (3/3) a) No hip flexion greater than 90 degrees b) No internal rotation c) No adduction across the midline d) No bending e) No twisting f) No lifting greater than 10 pounds

a) No hip flexion greater than 90 degrees b) No internal rotation c) No adduction across the midline

When talking to a patient who is having a hard time describing a medical incident to the nurse, the nurse states "I see what you are saying, and then what happened?" The nurse is using a therapeutic communication technique that encourages initiation or elaboration of conversation known as: a) Providing General Leads b) Offering Self c) Using Open-Ended Questions or Statements d) Using Silence

a) Providing General Leads

The nurse witnesses a coworker taking a narcotic medication prescribed for a client. Which action should the nurse take first? a) Report the incident to the nurse supervisor. b) Ask the other nurses on the unit what they would do. c) Tell the coworker that the incident will be reported the next time it happens. d) Offer to care for the nurses' clients until the medication is no longer effective.

a) Report the incident to the nurse supervisor.

The nurse is interviewing a client who routinely gives a treat to their child when they are being punished for a wrongdoing. The nurse knows that making amends for a behavior one things is unacceptable is a defense mechanism known as: a) Restitution b) Repression c) Compensation d) Reaction formation e) Dissociation

a) Restitution

What herbal supplement can be used to treat enlarged prostate in men; helps improve the symptom of difficult urination but does not actually shrink the prostate? a) Saw palmetto b) St. John's wort c) Feverfew d) Cranberry

a) Saw plametto

When talking to a patient who is having a hard time describing a medical incident to the nurse, the nurse sits quietly and waits for the patient to explore his thoughts and feelings. The nurse is using a therapeutic communication technique that utilizes pauses or silence for up to several minutes without verbalizing that is known as: a) Using silence b) Offering self c) Using Open-Ended Questions or statements d) Providing General Leads

a) Using Silence

A case manager is giving an in-service about public health insurance to a group of nursing students. For which student comment should the case management provide more information? a) "Medicaid is an example of public health insurance." b) "Aetna is an example of public health insurance." c) "Indian Health Service is an example of health insurance." d) "Medicare is an example of public health insurance."

b) "Aetna is an example of public health insurance."

The spouse of a client with a terminal illness asks about hospice. Which information should the nurse include when responding to the spouse? a) "It is appropriate when the client is expected to live for fewer than 9 months." b) "It is a program that focuses on palliative treatment and emotional support for the client with a terminal illness and their family." c) "This type of care is warranted when the client still seeks a cure for the terminal illness." d) "It is a service that provides care to the terminally ill client only."

b) "It is a program that focuses on palliative treatment and emotional support for the client with a terminal illness and their family."

The nurse has been reported to the board of nursing for performing skills that are outside the legal scope of practice. What should the nurse expect to occur next? a) Immediate revocation of the nursing license b) A hearing by the board of nursing to determine whether the charges are true. c) Requirement to complete a minimum of 10 CEUs. d) A lawsuit by the institution for malpractice.

b) A hearing by the board of nursing to determine whether the charges are true

-ectomy

To remove

Local anesthesia

A very small area of tissue is blocked from sensory perception

Regional anesthesia

Specific nerves and the region innervated by the nerves are blocked from sensory perception.

A homeless client reports having foot pain for several months, but is just seeking medical attention because he did not have access to health insurance. For which reason has this client delayed seeking care? a) Economics b) Stereotyping c) Geography d) Misunderstanding

a) Economics

Conscious sedation

The patient is asleep but not totally unconscious; can breath on his own

General anesthesia

The patient is totally unconscious; must be intubated

The nurse is taking care of a client with a recent surgical incision. While inspecting the wound, the nurse determines that the edges of the surgical incision meet and are aligned with each other. The nurse would document this finding as: a) Approximation b) Sloughing c) Evisceration d) Dehiscence

a) Approximation

The nurse provides care to a patient who is dying of colon cancer who states, "I know I can beat this cancer if I just change the things that I eat." Based on Kübler-Ross' stages of grief, which stage does the nurse document in the medical record that the patient is experiencing? a) Bargaining b) Acceptance c) Anger d) Denial e) Depression

a) Bargaining

The nurse thoughtfully plans care for an assigned client. Would should the nurse do to provide culturally competent care? a) Become familiar with any facet of the client's culture that may have an impact on the care. b) Show respect for each client. c) Deliver appropriate care that is not discriminatory to any race, sex, or ethnic group. d) Openly discuss his own thoughts and beliefs about the client's culture

a) Become familiar with any facet of the client's culture that may have an impact on the care.

The nurse is interviewing a small boy who wants to be a basketball center but instead became an honor roll student. The nurse knows that making up for something we perceive as an inadequacy by developing some other desirable trait is an example of: a) Compensation b) Regression c) Sublimation d) Repression e) Dissociation

a) Compensation

The nurse is interviewing a teenager that develops nausea the night before a major examination. causing the teenager to miss the examination. The nausea disappeared soon after the scheduled test was finished. The nurse realizes that when anxiety is channeled into physical symptoms it could be a defense mechanism known as: a) Conversion reaction b) Reaction formation c) Avoidance d) Isolation e) Dissociation

a) Conversion reaction

The nurse is interviewing a client that has been diagnosed as an alcoholic who states "I can quit drinking any time I want to." The nurse knows this defense mechanism is an unconscious refusal to see reality known as: a) Denial b) Repression c) Reaction formation d) Dissociation e) Compensation

a) Denial

During evening rounds the nurse finds a client lying on the floor next to the bed. What should the nurse do when documenting this situation? a) Document the incident in the medical record but not mention an incident report was completed. b) Document that the supervisor was notified of the incident in the medical record c) Complete an incident report. d) Document in the medical record that an incident report was completed.

a) Document the incident in the medical record but not mention an incident report was completed.

A health-care organization is preparing for a site visit from The Joint Commission. What should the organization ensure about addressing client's culture? a) Clients have the right to expect care to be provided by a nurse of the same culture. b) Clients have the right to expect care to be provided by a nurse of the same religion. c) Clients have the right to expect care to be provided by a nurse of the same ethnicity. d) Clients have the right to receive care that is considerate of culture religion, and spiritual being.

d) Clients have the right to receive care that is considerate of culture, religion, and spiritual being.

The nurse is caring for a client who is being treated for chronic back pain. in addition to prescription pain medication, the client also sees a chiropractor several times a month. In this case, seeing a chiropractor would be considered which of the following? a) Alternative therapy b) Conventional therapy c) Physical therapy d) Complementary therapy

d) Complementary therapy

The nurse is caring for a client who is having surgery to repair a congenital septal defect in his heart. The nurse knows that this would be considered what type of surgery? a) Cometic b) Curative c) Exploratory d) Corrective e) Palliative

d) Corrective

Before creating a plan of care, the nurse assesses a client's rituals, values, customs, and beliefs. What is the nurse assessing? a) Heritage b) Ethnicity c) Race d) Culture

d) Culture

The nurse is caring for a client who is having surgery to repair an injured meniscus in his knee. The nurse knows that this would be considered what type of surgery? a) Exploratory b) Cosmetic c) Corrective d) Curative e) Palliative

d) Curative

The nurse is interviewing a child whose parent lost their job without notice; the parent went home and verbally abused the spouse, who unjustly punished the child, who then hits the dog. The nurse knows that transferring anger and hostility to another person or object that is perceived to be less powerful is a defense mechanism known as: a) Projection b) Restitution c) Conversion reaction d) Displacement e) Sublimation

d) Displacement

The nurse is interviewing a client who had been sexually abused as a child describes the situation as if ti happened to a friend or a sibling. The nurse knows that when painful events or situations are separated or dislocated from the conscious mind it is a defense mechanism known as: a) Reaction formation b) Denial c) Repression d) Dissociation e) Compensation

d) Dissociation

The nurse is caring for a client who has chosen to have surgery to repair a torn ACL. The nurse knows that the degree of urgency of this surgery is: a) Salvage b) Urgent c) Emergency d) Elective

d) Elective

A client from a non-English speaking culture becomes visibly upset when the phlebotomist arrives to draw a blood sample, and he changes clothes to leave the hospital. What should the nurse do at this time? a) Help the client get dressed and obtain a wheelchair to escort them to the exit. b) Provide the paperwork for the client to sign before leaving the Hosptial. c) Call the health-care provider to stop the client from leaving. d) Find an interpreter to help with communication.

d) Find an interpreter to help communication

When discussing treatment options with a client, the nurse states "Don't worry, everything will be alright." This is a barrier to therapeutic communication known as: a) Giving information b) Belittling a patient's feelings c) Giving advice d) Giving false reassurance

d) Giving false reassurance

A client is concerned that the health insurance plan will not cover a diagnostic test. Which information should the nurse explain about medical necessity? a) The insurer will cover the test if they like the physician. b) Most test are covered even if they have no connection to the health problem. c) There is no guarantee that any test will be covered . It depends upon the reviewer. d) If the test is found reasonable and necessary for your illness, it will be covered.

d) If the test is found reasonable and necessary for your illness, it will be covered.

The nurse is caring for a client that has a chronic illness and some physical disabilities; as a result the client requires around the clock nursing care. What type of facility would the nurse anticipate the client be referred to? a) Independent living facility b) Memory care facility c) Assisted living facility d) Long-term care facility

d) Long-term care facility

The nurse manager is reviewing risk management data collected for the care area after the staff attended an educational program on health-care collaboration. Which outcome indicates that this program has been successful? a) Five clients delayed discharged because catheter-related infections b) Same number of medication errors as the last month c) Two clients readmitted for wound infections d) Number of client falls reduced by 85%

d) Number of client falls reduced by 85%

When talking to a patient who is newly diagnosed with a terminal disease, the nurse simply states "What can I do to help you?" The nurse is using a therapeutic communication technique that shows concern and willingness to help that is known as: a) Using Open-Ended Questions or Statements b) Using Silence c) Providing General Leads 18 d) Offering Self

d) Offering Self

Which may be used to treat diarrhea in infants? a) Capsaicin b) Saw plametto c) Valerian d) Soy

d) Soy

Which member of the therapy staff would be consulted if a patient had difficulty swallowing? a) Occupational therapist b) Respiratory therapist c) Physical therapist d) Speech therapist

d) Speech therapist

The nurse feels that a client needs to be placed in a protective-restraint device to be protected from injury. Which action should the nurse take to use the restraints? a) The client must be alert and oriented b) The client must give consent for restraints to be used c) A family member must give consent to use restraints before calling a doctor to get an order for restraints. d) The nurse must have documentation that other methods have been used and failed to protect the client before calling a doctor for a restraint order.

d) The nurse must have documentation that other methods have been used and failed to protect the client before calling a doctor for a restraint order.

The nurse prepares to address a client's spirituality concerns. Which should the nurse assess first? a) The client's understanding of religion b) The client's definition of morality c) The frequency of the client's health complaints. d) Whether the client practices a religion

d) Whether the client practices a religion.