Practice Exam 1-PrepU

A nurse is conducting a health history. The client's spouse is answering the interview questions. What question would be appropriate to ask the client before proceeding with the remainder of the interview?

"Who manages health care-related issues in your family?"

When a client is experiencing a stressful event, the nurse uses nursing interventions to help with coping. Which of the following would be a coping intervention?

Encouraging a realistic attitude about the situation

The nurse is obtaining a health history from a client with stress-related illnesses. When the nurse asks the client how the client copes with stress, which coping mechanism causes the nurse the most concern?

I run eight hours per day

A nurse is preparing a presentation for a local community group addressing the influences on health care delivery. Which will the nurse include in presentation when describing disease patterns?

obesity along with conditions associated with it has become a major health concern

A nurse working in a health clinic assesses sleep patterns during each health assessment. Based upon the nurse's knowledge regarding sleep needs, the nurse recognizes which age group as generally needing the least amount of sleep?

older adults

When the nurse is caring for a child presenting with a traumatic injury, which action is priority?

perform a primary assessment

Prior to the discharge of a client who is recovering from a stroke from an acute care facility, the nursing case manager has the nursing staff, client, client's family, physical therapist, and home health nurse meet. The most likely purpose of this meeting is to:

prepare the client for home care

A nurse is giving a talk to a local community group on the importance of proper diet and regular exercise. This is an example of which type of health promotion?

primary

When preparing to transfer an older adult client back to the long-term care facility where the client has been for several years, it is the primary responsibility of the nurse to:

provide for the coordination and continuity of care by the health care providers

A client diagnosed with terminal leukemia is receiving home health care services to assist in the client's care. After assessing the client, the home health care nurse determines that the client is unable to afford needed medical supplies. Which is the best strategy for the nurse to implement to assist the client?

refer the client to a social worker to determine eligibility for assistance

Which is an example of tertiary health promotion?

rehabilitation

According to the Maslow hierarchy of needs, which of the following is the highest level of needs?

self-actualization

The nurse is implementing the principles of the high-level wellness model to plan the care of a client with complex needs. What characteristic of the client will best support their wellness within this model of health?

the client is willing and able to accept responsibility for their own life

A nurse on the night shift checks on a client and suspects that the client is in rapid eye movement (REM) sleep. Which client cue is indicative of this stage of sleep?

the client's muscle tone is visibly decreased

The nurse is providing education for parents on the four month-old infant's sleep patterns. Which education will the nurse provide?

the infant should generally sleep 12-16 hours per day

When a multidisciplinary team is involved in meeting the home care needs of a client, who is the person responsible for the coordination of the care provided?

the registered nurse

During the hospital admission interview, a client begins to cry when asked about number of pregnancies. Which communication technique would the nurse employ during this interaction?

use of silence

A client who underwent a hysterectomy 4 days ago says to the nurse, "I wonder if I'll still feel like a woman." Which response would most likely encourage the client to expand on this and express concerns in more specific terms?

"feel like a woman. . ."

Parents tell the nurse that their 5-year-old is only sleeping 10 hours now and is refusing to take an afternoon nap. The nurse should teach the parents:

"this is normal development for children in this age group"

The nurse is assessing the pain of a preschooler. Which pain scales would be appropriate for the nurse to utilize? (Select all that apply.)

-FLACC scale -Wong-Baker faces scale -COMFORT scale

The nurse takes into consideration factors that influence communication when communicating with clients. Which situations accurately reflect communication that considers these variables? Select all that apply.

-a nurse uses simple language and demonstrations to explain a procedure to a preschooler -a nurse checks a client's occupation for clues on how this will affect communication but avoids stereotyping the person -a nurse takes into consideration a client's culture when planning how far away to sit when communicating

The nurse prepares to promote the client's comfort using guided imagery. Which actions should the nurse take? Select all that apply.

-ask the client to imagine oneself in a favorite place -ask the client to concentrate on the details of a pleasant image

The nurse has started employment at a new agency and is assigned a user ID for the computer system. What steps would the nurse undertake to make a strong and confidential password? Select all that apply.

-does not share the password with anyone -develops a password that has not been used for other websites -uses at least eight characters in the password as recommended by the agency's computer program

What are healthy self-care practices that the nurse can utilize? Select all that apply.

-engage in an enjoyable activity such as painting -practice meditation for 5 mins on regular basis -attend a continuing education class on assertivenss -schedule adequate time for hygiene and eating before attendance at work

A nurse is giving a client a back massage. Which actions should the nurse perform? Select all that apply.

-observe the client's skin over bony prominences -warm the lubricant in the palm of the hand -keep hands in contact with the client's skin at all times

The nurse is caring for a client who has had unrelieved back pain for 3 years. How will the nurse document this type of pain? Select all that apply.

-somatic -chronic

A nurse is communicating the plan of care for a client who is unconscious. Which nursing actions best facilitate this process? Select all that apply.

-the nurse is careful what is said in the client's presence because hearing is the last sense to go. -the nurse assumes the client can hear and discusses things that would ordinarily be discussed -the nurse speaks with the client before touching the client

Place the following levels of needs in the correct ascending order (starting with the most basic as 1) according to Maslow's hierarchy of basic human needs.

1. physiologic needs 2. safety and security needs 3. love and belonging needs 4. self-esteem needs 5. self-actualization needs

A nurse accompanies a physician who will be telling a client about positive biopsy results. The family gets up to leave the room. The nurse immediately encourages the family to stay in the room. Which of the following is the nurse's reasoning for having the family stay?

The family will provide emotional support

A nurse is preparing to educate a client about self-care after cataract surgery. Which should the nurse do first?

determine the client's willingness to follow the regimen

Which activity related to respiratory health is an example of tertiary health promotion and illness prevention?

administering a nebulized bronchodilator to a client who is short of breath

A nurse is discussing sleep problems with a client. What type of foods should the nurse recommend to promote sleep?

cheese and crackers

A client having acute pain tells the nurse that her pain has gradually reduced, but that she fears it could recur and become chronic. What is a characteristic of chronic pain?

chronic pain has far-reaching effects on the client

During the clinical rotation, a nurse documents the vital signs of a client on the bedside chart. What role is the nurse playing in such a situation?

communicator

Which activity would be appropriate to suggest to the client who reports having difficulty falling asleep every evening?

eat some crackers with peanut butter at bedtime

Which is the most important role of the nurse in using complementary and alternative therapies?

educating the public about safety and effectiveness

The children of an elderly client who has suffered an ischemic stroke have informed the nurse that an herbalist will be coming to their parent's bedside tomorrow to make recommendations for client's care. Which considerations should the nurse prioritize in light of the practitioner's planned visit?

ensuring any complementary therapies are safe when combined with his prescribed therapy

The parents of a preschool child who is experiencing pain from ear surgery inform the nurse that the child is uncharacteristically withdrawn and seems ambivalent. What is the nurse's most appropriate action?

explain that this is likely a normal, short-term response

While communicating with a client who is hearing impaired, the nurse must take into account that the client's hearing serves as a:

filter