Midterm Nurs 4304

A client newly diagnosed with insulin dependent diabetes mellitus is preparing for discharge. The nurse prepares a teaching plan. For each of the learning objectives set by the nurse, click to specify whether it belongs to the cognitive, affective, or psychomotor learning domain. 1. The client will verbalize concerns regarding insulin administration. - psychomotor, affective, or cognitive domain? 2. The client will demonstrate how to inject insulin. - psychomotor, affective, or cognitive domain? 3. The client will identify the signs of hypoglycemia. - psychomotor, affective, or cognitive domain? 4. The client will explain the importance of accurate and timely blood sugar monitoring. - psychomotor, affective, or cognitive domain?

1. cognitive 2. psychomotor 3. affective 4. cognitive

The nurse is teaching a client about enoxaparin sodium for the first time. This client has never given a self-injection before. Which action(s) are appropriate for the nurse to take? Select all that apply. a. Have the client demonstrate the proper technique for injection. b. Provide a printed diagram highlighting the injection site. c. Gather all necessary supplies for injection teaching. d. Review medication data sheets to ensure correct dosage. e. Weigh the client to select the needle size.

a, b, c, d a. Have the client demonstrate the proper technique for injection. b. Provide a printed diagram highlighting the injection site. c. Gather all necessary supplies for injection teaching. d. Review medication data sheets to ensure correct dosage.

A nurse is conducting an in-service education program for a group of staff nurses about ways to reduce the risk of client handling injuries. Which action(s) would the nurse include as contributing to this risk? Select all that apply. a. lifting when tired b. using uncoordinated lifts c. using assistive devices d. standing for long periods e. engaging in repetitive movements

a, b, d, e a. lifting when tired b. using uncoordinated lifts d. standing for long periods e. engaging in repetitive movements

A nurse is providing teaching to clients in a short-term rehabilitation facility. Which examples are common teaching mistakes made by health care professionals? Select all that apply. a. The nurse ignores the restrictions of the client's environment. b. The nurse uses medical jargon frequently when discussing the teaching plan. c. The nurse reviews educational media when planning learner objectives. d. The nurse negotiates goals with the client. e. The nurse fails to accept that clients have the right to change their minds. f. The nurse evaluates what the client has learned.

a, b, e a. The nurse ignores the restrictions of the client's environment. b. The nurse uses medical jargon frequently when discussing the teaching plan. e. The nurse fails to accept that clients have the right to change their minds.

A nurse is conducting a home assessment of a 90-year-old client with a history of several minor strokes that have left the client with a hemiplegic gait. The nurse is particularly concerned about falls. Which activities would help to prevent falls for this client? Select all that apply. a. placing nightlights in the bathroom and hallways b. installing hardwood floors c. removing clutter from the floor d. moving the bedroom to the ground floor

a, c, d a. placing nightlights in the bathroom and hallways c. removing clutter from the floor d. moving the bedroom to the ground floor

The client has Alzheimer disease and is a new admission to the nursing home. The client was transferred from the hospital. When first meeting the client, what technique(s) will the nurse use to facilitate communication with this client? Select all that apply. a. Approach the client from the front of the client. b. Correct the client when the client communicates erroneous information. c. Use simple words and short sentences when talking with the client. d. Fill in information when the client has difficulty answering questions. e. Call the client by the client's preferred name.

a, c, e a. Approach the client from the front of the client. c. Use simple words and short sentences when talking with the client. e. Call the client by the client's preferred name.

A nurse is preparing to teach a client about the importance of contraception and safe-sex practices. Which factors can most affect the nurse's teaching strategies for this client? Select all that apply. a. Learning style preferences b. Size of family c. The client's job d. Available resources e. Literacy level

a, d, e a. Learning style preferences d. Available resources e. Literacy level

The unlicensed assistive personnel (UAP) is preparing to help the client make a lateral transfer from the bed to a stretcher. The client informs the nurse that the client is able to move onto the stretcher without the nurse's help. What is the nurse's best response? a. "You are free to move onto the stretcher without assistance, but I will supervise for your safety." b. "I can only allow you to transfer without assistance with a health care provider's order, so I will help you now." c. "That is fine if you want to transfer without my help; ring your call bell after you have transferred and are ready to go." d. "You may not transfer without my help, because you need a friction-reducing device to prevent harm to your skin."

a. "You are free to move onto the stretcher without assistance, but I will supervise for your safety."

Which statement describes the person who is likely the most motivated to learn? a. A 70-year-old female who is the client's spouse and is learning the care so the client can come home b. A 52-year-old male who has been hired to drive the client home from the clinic c. A 29-year-old male whose significant other is insisting on the client receiving the education d. A 25-year-old female who just completed a course of physical therapy

a. A 70-year-old female who is the client's spouse and is learning the care so the client can come home Explanation: The adult learner who is seeking knowledge to assist a loved one may be the most motivated. On the other hand, a stranger to the client who has just been hired to bring the client home from the clinic is the least likely to be motivated to learn.

The nurse is preparing to provide health education to a client with a new diagnosis of diabetes. Which action should the nurse perform to create an effective learning environment? a. Adopt a position of empathy while still communicating that the nurse is the expert in the teaching-learning environment. b. Be prepared to handle criticism during the teaching-learning process. c. Adopt a position in which the client and the nurse are equal participants. d. Prioritize the assimilation and application of psychomotor concepts.

a. Adopt a position of empathy while still communicating that the nurse is the expert in the teaching-learning environment

The nurse is planning to teach an exercise class to a group of older adults. What guideline should the nurse adopt when planning this education? a. Allow ample time for psychomotor skills. b. Keep the session at 2 to 3 hours. c. Allow for long-term memory loss. d. Provide information in a structured format.

a. Allow ample time for psychomotor skills.

A nurse is working with a 15-year-old client with sickle cell anemia. The client was started on a new pain management plan today, and the nurse is evaluating the effectiveness of the plan. Which is not appropriate to include in the nursing care? a. Asking only the client's parents to be present at the education session b. Including a note about who was taught this new information in the client's chart c. Answering questions openly and honestly d. Assuring the client that the conversation is confidential except under extreme circumstances

a. Asking only the client's parents to be present at the education session - keywords being "not appropriate"

A nurse is educating a 4-year-old client about cast care following a tibia-fibula fracture. Which action is not developmentally appropriate to include in the nurse's teaching? a. Blocking 30 minutes of time for skill teaching b. Using dolls to demonstrate psychomotor skills c. Ensuring the client's parents are present d. Giving stickers as a reward for task completion

a. Blocking 30 minutes of time for skill teaching

A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with a quick recovery. In which domain is the client demonstrating successful learning? a. Cognitive b. Affective c. Psychomotor d. Interpersonal

a. Cognitive

A nurse is preparing to teach a 6-year-old child with a broken arm and the child's parent about caring for the child's cast. Which statement reflects the best education plan for these clients? a. Include the child in the education; ask questions of both the parent and the child. b. Focus mainly on the parent; ask the child a couple of simple questions. c. Provide the parent with written materials; teach the child about keeping the cast dry. d. Separate the parent and the child; teach the parent and then let the parent teach the child.

a. Include the child in the education; ask questions of both the parent and the child.

A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce the client's risk for cancer, improve respiratory status, and enhance the quality of life. The nurse also shares a personal story of smoking cessation, provides information on other individuals who have successfully quit, and encourages the client to attend a support group for smoking cessation. The client discusses feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client? a. Motivational b. Long-term c. Developmental d. Situational

a. Motivational

A nurse is planning a health education session with several middle-aged adults. What principle should the nurse integrate into the planning and provision of this teaching? a. Participants likely do not take good health for granted. b. Participants likely have ample time for daily health promotion practices. c. Unsafe medication use is a priority issue to address. d. Role playing and demonstrations should be avoided.

a. Participants likely do not take good health for granted.

An active, otherwise healthy, older adult client presents to the clinic with severe osteoarthritis in both knees. The nurse knows this client does not want to be a burden on the family, and the client remains stoic despite reporting the pain as severe. The client avoids the topic of surgery and attends church weekly. The client's family is supportive of any decisions the client makes regarding health. Which of the assessment data is most important to forming an individualized education plan for this client concerning treatment for osteoarthritis? a. Personal perception of health and aging b. Formal religious beliefs c. Floor plan of the client's dwelling d. Orthopedic surgical history

a. Personal perception of health and aging

The nurse is conducting a community health promotion class and has developed scenarios that will involve active participation by the class attendees. What type of education strategy is the nurse incorporating into this class? a. Role-playing b. Role modeling c. Programmed instruction d. Panel discussion

a. Role-playing

When teaching a client, the nurse notices the client tends to lose focus easily. The nurse would adapt client teaching in which way? a. Talk with animation and vocal inflection to stimulate the client aurally. b. Provide less health teaching because of the language barrier. c. Request family members to serve as translators. d. Elongate the teaching session to be sure the client understands.

a. Talk with animation and vocal inflection to stimulate the client aurally.

The nurse is caring for a client with a new diagnosis of osteoarthritis and degenerative joint disease. Which action should the nurse perform when addressing the client's cognitive learning needs? a. Assess the client's feelings and emotions surrounding the diagnosis. b. Demonstrate techniques for minimizing mobility challenges. c. Educate the client about the pathophysiology of the disease process. d. Assess how the diagnosis will affect the client's daily routines.

c. Educate the client about the pathophysiology of the disease process.

Using proper body mechanics, which motions would the nurse make to move an object? a. The nurse uses the internal girdle and a long midriff to stabilize the pelvis and to protect the abdominal viscera when stooping, reaching, lifting, or pulling. b. The nurse uses the muscles of the back to help provide the power needed in strenuous activities. c. The nurse directly lifts an object rather than sliding, rolling, pushing, or pulling it, thus reducing the energy needed to lift the weight against the pull of gravity. d. The nurse balances the head over the shoulders, leans forward, and relaxes the stomach muscles when moving an object.

a. The nurse uses the internal girdle and a long midriff to stabilize the pelvis and to protect the abdominal viscera when stooping, reaching, lifting, or pulling.

A nurse is providing care to a client confined to bed. To promote independence while the client is moving in bed and provide the client assistance in moving up in bed, which device would be appropriate? a. bed trapeze b. trochanter roll c. bed cradle d. foot board

a. bed trapeze

A nurse is using the teaching-learning process to teach new parents how to care for their infants. Which nursing actions reflect recommended steps of this process? Select all that apply. a. The nurse does not allow time constraints, schedules, and the physical environment to influence the choice of education strategies. b. The nurse relates new learning material to clients' past life experiences to help them to assimilate new knowledge. c. The nurse formulates a verbal or written contract with clients. d. The nurse identifies general long-term goals for client learning when developing learning objectives. e. The nurse assesses the learning needs and readiness of the parents. f. The nurse includes group teaching and formal teaching in every education plan.

b, c, e b. The nurse relates new learning material to clients' past life experiences to help them to assimilate new knowledge. c. The nurse formulates a verbal or written contract with clients. e. The nurse assesses the learning needs and readiness of the parents.

Which documentation example best reflects the complexity of client teaching by the nurse? a. "Told client to take antibiotic as ordered." b. "Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal." c. "Taught client about peak flows; client verbalized understanding." d. "Client return demonstrated how to use glucometer."

b. "Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal."

A nurse is reviewing the teaching plan about heart failure with a client. The nurse determines that learning in the affective domain has been achieved based on which client statement? a. "I understand why I need to take a water pill." b. "I realize now just how important it is to watch how much salt I use." c. "I know to call my provider if my ankles swell." d. "I can identify the signs or symptoms of heart failure."

b. "I realize now just how important it is to watch how much salt I use."

The UAP asks the nurse what hand rolls are used for when providing client care. What is the appropriate nursing response? a. "To prevent the legs from rotating outward." b. "To preserve the client's functional ability to grasp and pick up objects." c. "To help client to turn independently." d. "To prevent foot drop."

b. "To preserve the client's functional ability to grasp and pick up objects."

A nurse is counseling several clients for depression. Four of them do not seem to be improving, which leads the nurse to suggest a referral to a psychiatric nurse practitioner. Which of these clients would be most likely to attend the scheduled appointment? a. A 36-year-old male who uses public transportation, is unable to read, and wants to confer with a pastor b. A 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the appointment c. A 51-year-old male who walks to most places because of a lack of transportation, has a low income, and works days d. A 45-year-old female who is unsure of the benefit of psychiatric care, on a fixed income, and has good family support

b. A 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the appointment

The nurse is caring for a client who demonstrates a health literacy concern. The nurse adjusts client teaching in which way? a. gives instructions in multiple ways so the client will understand b. provides general teaching instead of specificity regarding diagnosis c. uses videos, diagrams, and pictures rather than focusing on verbal teaching d. uses medical terminology to help the client feel smarter

c. uses videos, diagrams, and pictures rather than focusing on verbal teaching

A nurse is educating a 4-year-old client about cast care following a tibia-fibula fracture. Which action is not developmentally appropriate to include in the nurse's teaching? a. Using dolls to demonstrate psychomotor skills b. Blocking 30 minutes of time for skill teaching c. Ensuring the client's parents are present d. Giving stickers as a reward for task completion

b. Blocking 30 minutes of time for skill teaching - keyword in the question being "not developmentally appropriate"

A 46-year-old client experiencing obesity has been diagnosed with hypertension and type 2 diabetes. The client desires to lose weight in order to reach their fitness goals and improve chances of positive health outcomes. The client recently visited a local fitness club, obtained a membership, and has signed up for their next water aerobics class. According to the Transtheoretical Model of Change, what stage of change is this client in related to their weight loss? a. Maintenance b. Preparation c. Precontemplation d. Contemplation

b. Preparation

The nurse is educating a client regarding a new skill. When evaluating the client's knowledge about the topic covered, which best represents that the client has learned a new skill? a. The client states understanding and passes a written test. b. The client organizes materials needed and gives return demonstration. c. The client verbalizes items needed and how to perform the skill. d. The client nods when asked about process and assists with cleanup.

b. The client organizes materials needed and gives return demonstration.

A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which as a characteristic of an adult learner? a. Previous experiences have little impact on learning. b. Their readiness to learn is often related to a developmental task or social role. c. The material presented should focus on future application. d. Peer group acceptance is a critical issue for this age group.

b. Their readiness to learn is often related to a developmental task or social role.

The nurse is responsible for providing a 1-hour presentation on sexual health to a group of 30 college students. What is the most appropriate teaching strategy for the nurse to use? a. role play b. lecture/discussion c. demonstration d. case studies

b. lecture/discussion explanation: Lecture/discussion is appropriate for this topic, audience, and group size. A lecture is a formal presentation of information by a teacher to a group of learners. This format is most effective when communicating facts. Role play would not be an appropriate teaching strategy for this topic, as key points cannot be acted out, or for this size of a group, as there are too many students for each one to be able to participate in role play. Demonstration would not be appropriate, either, as the topic does not focus on particular skills that can be demonstrated. Case studies may be used in the lecture but using them as the sole basis of learning would not normally be possible on only 1 hour.

The nurse is assessing the developmental level of children in a pediatric clinic. The nurse would be most concerned about which client? a. the 6-month-old child who is unable to roll over b. the 24-month-old child who is unable to walk unassisted c. the 3-month-old child who is unable to raise the head when prone d. the 18-month-old child who is unable to stack blocks

b. the 24-month-old child who is unable to walk unassisted

Which developmental consideration is a nurse assessing when determining that an 8-year-old child is not equipped to understand the scientific explanation of the child's disease? a Motor development b Emotional maturity c Intellectual development d Psychosocial development

c Intellectual development

The nurse is assisting an older adult client with dementia in getting dressed after morning care. Which statement would be most beneficial to the client? a. "Put on your shirt." b. "Put your pants on and zip the zipper." c. "Put your arm in this sleeve." d. "Do not put on your shoes yet."

c. "Put your arm in this sleeve."

A client has undergone foot surgery and will use crutches in the short term. Which teaching point should the nurse provide to the client? a. "When your crutches fit right, most of your body weight will be supported by your armpits." b. "We will have the unlicensed assistive personnel watch you while you walk around the unit the first time." c. "Your elbows will be slightly bent when you are using your crutches." d. "If you feel tired while walking with your crutches, rest your weight on your armpits for a moment and then continue slowly."

c. "Your elbows will be slightly bent when you are using your crutches."

An occupational health nurse is planning in-service training sessions for the employees. Which teaching topic would be most appropriate to cover with these clients? a. Safe sex b. Infection control c. Cardiopulmonary resuscitation d. The need for immunizations

c. Cardiopulmonary resuscitation

The nurse is completing documentation after an education session with a client. Which statement best demonstrates detailed documentation of an effective teaching plan? a. Spouse taught to flush feeding tube before and after medication. Denied further instruction needed. b. Lecture provided about infection, and client stated understanding what infection is. c. Demonstrated cord care to parent, who stated understanding and performed return demonstration using correct technique. d. Discussed wet-to-dry dressing changes, and client stated understanding.

c. Demonstrated cord care to parent, who stated understanding and performed return demonstration using correct technique

A client diagnosed with type 2 diabetes has been prescribed insulin therapy in conjunction with an oral agent because the client has been experiencing difficulty controlling blood sugar levels with an oral agent alone. The nurse is preparing a teaching plan for this client. Which intervention would the nurse include in the teaching plan to address the psychomotor domain? a. Reviewing with the client appropriate foods to eat b. Describing the signs and symptoms of low blood sugar c. Demonstrating the technique for insulin self-injection d. Explaining what to do if hypoglycemia occurs

c. Demonstrating the technique for insulin self-injection

As the nurse enters the room to teach the client about self-care at home, the client states, "I am glad you are here. I need some pain medicine. I can't stand it anymore." What is the best action of the nurse? a. Redirect the client to learning about self-care and begin education. b. Give written materials to the client and administer pain medication. c. Have the client rate pain level, and reschedule the teaching session. d. Assess the client's understanding of self-care and administer medication.

c. Have the client rate pain level, and reschedule the teaching session. explanation: The client is not ready or able to learn and is reporting a need that first must be met. Assessing the client's knowledge of self-care or redirecting the client to discuss self-care only delays the care that must be done before the client is able to learn. Although providing written materials is an excellent supplement to a teaching session, it does not replace teaching the client. It is best to address the physical needs before attempting to educate the client.

Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for parents who are breastfeeding/chestfeeding? a. Advising parents to avoid taking over-the-counter drugs while breastfeeding/chestfeeding b. Showing charts that illustrate the types of human milk c. Observing human milk being expressed by someone d. Advising the parents to drink plenty of water while breastfeeding/chestfeeding

c. Observing human milk being expressed by someone

When caring for a diabetic client, the nurse notes that the client learns better when practicing the self-administration of the insulin injection alone. In which learning domain does this client's learning style fall? a. Cognitive b. Affective c. Psychomotor d. Interpersonal

c. Psychomotor

The nurse has provided teaching for a client with a sinus infection who has been prescribed antibiotics and a decongestant. The client states, "I'm not sure how many days I'm supposed to take this antibiotic." What is the nurse's appropriate response? a. Ask the client to restate the teaching that was provided. b. Proceed with teaching about the decongestant. c. Reteach the length of time to take the prescription. d. Tell the client to take the antibiotic until symptoms subside.

c. Reteach the length of time to take the prescription.

A nurse evaluates whether a middle-age client with chronic back pain has been performing the different exercises and physiotherapy procedures recommended by the health care provider. What would the nurse most likely use to evaluate the client? a. Written test b. Oral test c. Return demonstration d. Simulation

c. Return demonstration

A nurse may attempt to help a client solve a situational crisis during what type of counseling session? a. Long-term counseling b. Professional counseling c. Short-term counseling d. Motivational counseling

c. Short-term counseling

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client? a. The client expresses a desire to improve nutritional intake and lose weight. b. The client demonstrates proper technique for injecting insulin. c. The client describes signs and symptoms of hypoglycemia. d. The client prepares the skin for the administration of an insulin injection.

c. The client describes signs and symptoms of hypoglycemia.

The nurse teaches proper body mechanics for a group of unlicensed assistive personnel (UAP). Which statement by a class participant indicates the need for additional education? a. When I lift an object, I will get close to the object being lifted. b. When lifting an object, I will bend at the knees instead of the waist. c. When I lift and carry a heavy box of supplies I will keep it at arm's length from my body. d. When lifting an object, I will keep my feet shoulder width apart.

c. When I lift and carry a heavy box of supplies I will keep it at arm's length from my body.

A nurse applies padded boots to maintain the unconscious client's foot in dorsiflexion. The nurse is protecting the client from what complication? a. muscle atrophy b. muscle spasms c. foot drop d. decubitus ulcers

c. foot drop

The nurse adjusts a client's bed to a comfortable working height in order to turn the client. What would be the nurse's next action? a. push the client to the edge of the bed to which the client will be turning b. push the client to the opposite side of the bed c. move the client to edge of the bed opposite the side that client will be turning d. pull the client to the edge of the bed to which the client will be turning

c. move the client to edge of the bed opposite the side that client will be turning

After positioning a client to move from the bed into a wheelchair, how would the nurse stand when helping the client sit up on the side of the bed? a. to the dominant side of the client, with legs together and one foot near the head of the bed b. to the nondominant side of the client, with legs together and one foot near the head of the bed. c. near the client's hip, with legs shoulder width apart and one foot near the head of the bed d. near the client's hip, with legs together

c. near the client's hip, with legs shoulder width apart and one foot near the head of the bed

A home health nurse states to the client, "I am very proud of you. You gave your first insulin injection without a problem. You have done wonderfully and are learning fast." The nurse is applying which health promotion technique? a. reinforcement b. motivational interviewing c. positive feedback d. clinical validation

c. positive feedback

The nurse is assessing a client who is bedridden. For which condition would the nurse consider this client to be at risk? a. increase in the movement of secretions in the respiratory tract b. increase in circulating fibrinolysin c. predisposition to renal calculi d. increased metabolic rate

c. predisposition to renal calculi

The nurse is caring for a client who works in a warehouse and has been having low back pain. Which statement by the client indicates the need for more education regarding safe lifting? a. "I try to rest between periods of lifting." b. "I stand with my feet apart so I have a better stance when I lift." c. "I bend with my knees when I pick up boxes." d. "I hold the boxes away from my body so I do not drop them on my feet."

d. "I hold the boxes away from my body so I do not drop them on my feet."

The client reports to the clinic as ordered by the primary care provider for counseling on weight loss to improve overall health. The client received printed information in the mail to review before the session, and reports having read through it before the appointment. Which client statement alerts the nurse to a need for clarification and further education? a. "I can lower my blood pressure by losing weight." b. "Osteoarthritis in my knees may be because of my weight." c. "I can monitor my caloric intake by measuring portions." d. "I will be doing well if I lose between 5 and 10 lb (2.3 and 4.5 kg) per week."

d. "I will be doing well if I lose between 5 and 10 lb (2.3 and 4.5 kg) per week."

The nurse has provided education to a client about home care for an open surgical wound on the lower left extremity. When evaluating learning through the cognitive domain, what statement by the nurse would be appropriate? a. "I notice that you do not have the dressing secured. Place a piece of tape on the wrap." b. "I would like you to demonstrate how to change the dressing on your leg." c. "Let's see how you irrigate the wound with saline." d. "Tell me about what signs of infection you will report to the health care provider."

d. "Tell me about what signs of infection you will report to the health care provider."

While the nurse is caring for a client who is hard of hearing, and a family member of the client states, "What do you think is the best way to communicate?" What is the best response by the nurse? a. "Use words that begin with 'f,' 's,' 'k,' and 'sh' to communicate." b. "Limit communication to avoid frustration." c. "Encourage family members to increase their vocal pitch." d. "Use flash cards and writing pads."

d. "Use flash cards and writing pads."

A nurse is trying to encourage a client with paraplegia who is depressed and not adhering to the treatment program to join a support group. Which statement by the nurse is most appropriate? a. "Support groups are for people like you who are depressed." b. "I am sure you would feel better if you joined a support group." c. "I am going to sign you up for a support group." d. "What do you know about support groups?"

d. "What do you know about support groups?"

A nurse is working with an older adult client, educating the client on how to ambulate with the aid of a walker. The nurse notes that the client appears to lack the motivation to learn how to use the device. The client states, "I'm just too old to learn." What would be most appropriate for the nurse to do to motivate this client? a. Tell the client how to move the walker as the client ambulates. b. Explain how the walker supports the client's lower extremities. c. Fully discuss the rationale for using the walker. d. Describe how the walker can improve the client's quality of life.

d. Describe how the walker can improve the client's quality of life.

The nurse is assessing the gait of an older adult client who is walking with knees slightly flexed and body leaning slightly forward. Which action will the nurse take? a. Encourage the client to consider assistive devices. b. Apply falls prevention measures. c. Facilitate an orthopedic consultation. d. Document a common gait for the older adult.

d. Document a common gait for the older adult.

A nurse receives an order to apply graduated compression stockings for a client at risk for venous thromboembolism. How should the nurse apply the stockings? a. Avoid the use of powders on the legs before applying stockings. b. Apply the stockings after the client has been sitting up for an hour. c. Apply the stockings at night when the client is going to bed. d. If the client was sitting up, have him or her lie down and elevate feet for 15 minutes before applying stockings.

d. If the client was sitting up, have him or her lie down and elevate feet for 15 minutes before applying stockings.

A school nurse is discussing bike and outdoor safety measures with a group of Boy Scouts. What type of health education and counseling is the nurse providing to this group of children? a. Promoting health b. Restoring health c. Facilitating coping d. Preventing illness

d. Preventing illness

Two nurses are moving a client up in bed. What motion would the nurses use to counteract the client's weight? a. Turn the client from side to side while pushing upward. b. Rock the client back and forth to raise the client up in bed. c. Shift their weight back and forth from the legs to the back muscles. d. Shift their weight back and forth, from back leg to front leg.

d. Shift their weight back and forth, from back leg to front leg.

A nurse is writing learner objectives for a client who was recently diagnosed with type 2 diabetes. Which statement best describes the proper method for writing objectives? a. The nurse plans learner objectives with another nurse before obtaining input from the client and family. b. The nurse writes general statements for learner objectives that could be accomplished in any amount of time. c. The nurse writes one or two broad objectives rather than several specific objectives. d. The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.

d. The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.

A nurse is preparing to turn a client who is unable to mobilize independently. Which action best ensures the safety of both the client and the nurse? a. standing at the top of the bed and having a colleague stand at the bottom of the bed b. using back muscles to gently and gradually pull the client to the side c. placing the bed in its lowest position to reduce the client's risk for falls d. positioning a friction-reducing sheet under the client to facilitate movement

d. positioning a friction-reducing sheet under the client to facilitate movement

The pediatric nurse is caring for a newborn. In which position will the nurse place the newborn to sleep? a. Sims b. lateral c. prone d. supine

d. supine