Finul Egzam Four Nursen Skewl

While assisting in a community health project for middle-aged adults, the nurse attempts to identify members of the community who have been successful in the tasks identified by Erikson. What characteristic should the nurse identify in the community members? 1. Ability to have satisfaction in their volunteer activities 2. Ability to find an acceptable social group 3. Satisfaction with rearing children 4. Ability to manage a home

1. Ability to have satisfaction in their volunteer activities

A client visits a clinic that integrates Western medicine with complementary therapies. Which therapies might the client utilize and believe to keep the flow of qi at a therapeutic level? 1. Acupressure and reflexology 2. Therapeutic touch and Reiki 3. Aromatherapy and naturopathic remedies 4. Chiropractic and massage therapy

1. Acupressure and reflexology

An elderly client who has had a stroke is ready for hospital discharge. How should the gerontological nurse case manager support this clients independence? 1. Allow the client to be actively involved in all decisions made. 2. Make arrangements based on what the nurse feels is in the best interest of the client. 3. Work closely with the social worker and physician to make the decisions necessary for the client. 4. Set up a meeting with the family members so decisions can be made.

1. Allow the client to be actively involved in all decisions made.

The nurse is performing discharge teaching for a client taking an NSAID. The client states he has heard that taking an antacid with this medication will help decrease the incidence of upset stomach. What is the nurses best response? 1. Antacids reduce the absorption and therefore the effectiveness of the NSAID. 2. Antacids help to reduce the incidence of gastric bleeding that could occur with the use of NSAIDs. 3. Antacids should never be taken with an NSAID. 4. Antacids help to reduce the incidence of pain.

1. Antacids reduce the absorption and therefore the effectiveness of the NSAID.

A client with pain has had previous episodes of uncontrolled pain in the past and is worried about the current pain pattern. Which diagnosis would be appropriate for the nurse to include for this client? 1. Anxiety 2. Ineffective Coping 3. Deficient Knowledge 4. Hopelessness

1. Anxiety

The nurse is using Kalishs adaptation of Maslows hierarchy of needs when planning client care. Which client should the nurse identify as exhibiting a level of Kalishs adaptation? 1. Has a homosexual encounter for the first time 2. Has a need to participate in school sports and be on the team 3. Strives to become the CEO of a company 4. Is sleep deprived because of musculoskeletal discomfort

1. Has a homosexual encounter for the first time

The parents of a 6-month-old tell the nurse that they are exhausted because their baby wakes up several times every night. What advice should the nurse give these parents? 1. Be certain that the baby is truly awake before picking him up for feeding. 2. Let the baby cry it out for a few nights until he can sleep through the night. 3. Continue to respond to the baby whenever he is restless during the night. 4. Bring the baby in for a possible sleep study to check for sleeping disorders.

1. Be certain that the baby is truly awake before picking him up for feeding.

A client with degenerative joint disease comes to the clinic and states that he has been reading a lot about essential oils that are helpful for stomach problems. The nurse should offer the client information about the use of which oil? 1. Chamomile 2. Eucalyptus 3. Lavender 4. Tea tree

1. Chamomile

A client is learning how to manage his asthma. In providing teaching, the nurse stresses the importance of using the peak flow meter every morning to help determine changes in respiratory status. The nurse is stressing which health promotion behavior? 1. Competing preferences 2. Competing demands 3. Situational influences 4. Interpersonal influences

1. Competing preferences

The nurse is practicing the concept of holism with a client. Which action is the nurse most likely making? 1. Considering how the loss of a clients job will affect the regulation of the clients diabetes 2. Making sure to do complete teaching regarding pharmacological interventions 3. Following physician treatments on schedule 4. Prioritizing the needs of the client assigned according to Maslows hierarchy

1. Considering how the loss of a clients job will affect the regulation of the clients diabetes

The nurse is completing an assessment to determine an older patients development of moral reasoning. Which observation indicates that the client has developed moral reasoning as anticipated? 1. Considers relationships as well as justice in moral decisions 2. Approaches moral decisions based upon the consequences to self 3. Follows societys rules of conduct in response to the expectations of others 4. Bases moral judgments on connectedness to others and the value of relationships

1. Considers relationships as well as justice in moral decisions

A client with diabetes asks the nurse why his blood glucose level is higher on days when he sleeps less. What should the nurse explain to the client? 1. During sleep, the hormone cortisol is inhibited. If sleep is interrupted, cortisol levels will remain elevated, impacting blood glucose. 2. Because the client is awake more, it is likely the client is eating more, which is impacting the blood glucose level. 3. There is no relationship between sleep and blood glucose levels. 4. The body needs cortisol for the extra energy created by the lack of sleep.

1. During sleep, the hormone cortisol is inhibited. If sleep is interrupted, cortisol levels will remain elevated, impacting blood glucose.

A client reports feelings of spiritual anguish and depression as a result of experiencing numerous somatic complaints that make the client feel like everything is out of order. Which nursing diagnosis should the nurse identify for this client? 1. Energy-field disturbance 2. Powerlessness 3. Hopelessness 4. Anxiety

1. Energy-field disturbance

The nurse is caring for an 8-month-old infant. What is the best tool the nurse should use for evaluating pain in this infant? 1. FLACC scale 2. Wong-Baker FACES 3. Visual analog scale 4. Numeric rating scale

1. FLACC scale

The client has been prescribed zolpidem (Ambien) for the short-term management of insomnia. What information should the nurse include when teaching the client about this medication? 1. For best results, take the medication just prior to bedtime. 2. Take the medication at dinnertime to avoid gastric upset. 3. Do not take the medication with any liquid that contains calcium. 4. Drink an entire glass of water with the dose to avoid kidney stones.

1. For best results, take the medication just prior to bedtime.

The nurse is preparing to discharge a client home with a prescription for ibuprofen (Motrin). What should the nurse instruct as a common side effect of this medication? 1. Gastrointestinal (GI) distress 2. Shakiness 3. Tremors 4. Rash

1. Gastrointestinal (GI) distress

The client reports difficulty sleeping and awakening several times during the night. What intervention should the nurse recommend for the client when unable to sleep? 1. Get out of bed, go into another room, and pursue some relaxing activity until drowsy. 2. Get out of bed, go into another room, and exercise until tired before trying to go back to sleep. 3. Sit in bed and watch the bedroom television until drowsy. 4. Stay in bed with eyes closed and do some mental arithmetic until sleepy.

1. Get out of bed, go into another room, and pursue some relaxing activity until drowsy.

During a clinic appointment, a client prescribed medication for glaucoma reports vision problems. When taking a medication history, which herbal preparation should the nurse identify as being problematic for this client? 1. Ginseng 2. Echinacea 3. Valerian 4. St. Johns wort

1. Ginseng

A client complains of not being able to stay awake during the day even after sleeping throughout the night. What should the nurse suggestion to this client? 1. Go to your physician for a physical examination. 2. Go to a mental health professional for evaluation of possible depression. 3. Purchase an over-the-counter sleep aid to deepen nighttime sleep. 4. Drink more caffeinated beverages in the daytime to stay awake.

1. Go to your physician for a physical examination.

A client has been diagnosed with post-traumatic stress syndrome and has difficulty sleeping because of recurrent nightmares. In working with this client to overcome the problem, what should the nurse implement as part of therapy? 1. Guided imagery 2. Hypnotherapy 3. Yoga 4. Meditation

1. Guided imagery

A child is starting school and is being screened for certain developmental milestones. What is the nurse assessing when determining how the child interacts with other children? 1. Temperament 2. Physical characteristics 3. Environment 4. Culture

1. Temperament

A nurse is preparing an education program on safety concerns for elderly adults living in their own homes. To address the sensory changes in this age group, what should the nurse recommend to this group? 1. Have carbon monoxide detectors that are checked on a scheduled basis. 2. Place a list of emergency numbers near the phone. 3. Install telephones that use a blinking light instead of a ringer. 4. Ask someone to do their cooking for them.

1. Have carbon monoxide detectors that are checked on a scheduled basis.

A client reports the need to urinate during the night and then not being able to fall back asleep. The nurse should document this assessment finding as which factor that influences sleep? 1. Illness 2. Stimulant 3. Diet 4. Lifestyle

1. Illness

A client has received a high score on the Life-Change Index. For which part of the clients assessment should the nurse use this information? 1. Life stress review 2. Social support systems review 3. Lifestyle assessment 4. Health beliefs review

1. Life stress review

The nurse is planning interventions for a client who has difficulty falling asleep. Which intervention regarding sleep times would be most helpful? 1. Maintain a regular bedtime and wake-up time for all days of the week. 2. If bedtime is delayed on one night, go to bed that much earlier the next night. 3. If daytime drowsiness occurs, go to bed earlier that night. 4. Sleep at least 1 hour later on mornings you dont have to go to work.

1. Maintain a regular bedtime and wake-up time for all days of the week.

A client undergoing chemotherapy becomes very anxious and stressed just before the treatments. Which would be an appropriate therapy for this person to learn? 1. Meditation 2. Aromatherapy 3. Homeopathy 4. Yoga

1. Meditation

The nurse is caring for a client who is using morphine through patient-controlled analgesia (PCA). What medication should the nurse have readily available? 1. Naloxone hydrochloride (Narcan) 2. Acetaminophen (Tylenol) 3. Diphenhydramine hydrochloride (Benadryl) 4. Normal saline

1. Naloxone hydrochloride (Narcan)

The nurse is admitting a critically ill client to the intensive care unit. What question should the nurse ask regarding this clients sleep history? 1. No questions should be asked. 2. When do you usually go to sleep? 3. Do you have any problems with sleeping? 4. What are your bedtime rituals?

1. No questions should be asked.

The nurse is an advocate for health promotion activities. Which nursing actions demonstrate this nurses advocacy? Standard Text: Select all that apply. 1. Participating in a community-focused 5-mile run. 2. Attending the local high schools football games. 3. Providing an educational program to senior citizens on blood pressurecontrol strategies. 4. Attending a community meeting that is promoting the creating of a walking path in the city park. 5. Encouraging an anxious client to practice relaxation techniques.

1. Participating in a community-focused 5-mile run 3. Providing an educational program to senior citizens on blood pressurecontrol strategies. 4. Attending a community meeting that is promoting the creating of a walking path in the city park. 5. Encouraging an anxious client to practice relaxation techniques.

A client recovering from a left below-the-knee amputation is experiencing left foot pain. The nurse realizes the client is experiencing which type of pain? 1. Phantom limb pain 2. Acute pain 3. Chronic pain 4. Narcotic-induced pain

1. Phantom limb pain

A group of middle-aged clients is inquiring about nutritionrelated health problems inherent in their age group. In order to best address these concerns of this specific age group, the nurse should take which action? 1. Provide information, including a website, regardingage specific diet plans. 2. Give all clients a handout on diets recommended by the ADA. 3. Tell the clients to check with their physician before dieting. 4. Have them write to the U.S. Department of Agriculture for more information.

1. Provide information, including a website, regardingage specific diet plans.

A nurse is presenting an educational session regarding psychosocial development to a group of middle-aged adults. According to Eriksons theory, what activity should the nurse select to best meet the needs of this stage? 1. Providing opportunities to mentor school-age children 2. Giving the group handouts regarding peer socialization 3. Helping the members of this group find appropriate civic responsibility 4. Assisting the group members to look at their life accomplishments

1. Providing opportunities to mentor school-age children

A college-age client shares that he is struggling with feelings of both independence and dependence regarding his family. The nurse recognizes this as which stage of development, according to Roger Gould? 1. Stage 2 2. Stage 3 3. Stage 4 4. Stage 5

1. Stage 2

The nurse concludes that a young adult client is completing developmental tasks within Havighursts early adulthood age period. What did the nurse assess to come to this conclusion? Standard Text: Select all that apply. 1. Taking on civic responsibility 2. Developing adult leisure-time activities 3. Getting started in an occupation 4. Relating oneself to ones spouse as a person 5. Managing a home

1. Taking on civic responsibility 3. Getting started in an occupation

New parents ask if their 8-month-old baby is performing activities that are expected at this age. What should the nurse suggest to screen this baby's developmental level? 1. The Denver Developmental Screening Test (DDST-II) 2. Growth and development charts from the Centers for Disease Control and Prevention (CDC) 3. Assessment tools utilized by the state education department 4. The Apgar scoring system

1. The Denver Developmental Screening Test (DDST-II)

A client experiencing pain after surgery says Something must be wrong because the pain is so severe. What is the best response for the nurse to make to the client? 1. The amount of tissue disrupted from the surgery is not related to the degree of pain you feel. 2. That could be so. 3. Taking pain medication for many years has made the medication ineffective now. 4. Are you sure the pain is as bad as you are saying it is?

1. The amount of tissue disrupted from the surgery is not related to the degree of pain you feel.

A parent brings her baby in for a well-child checkup. Which action of the child should the nurse identify as an indicator of positive resolution of the central task of this age? 1. The child does not cry when the parent allows the nurse to hold the child. 2. The child shows mistrust when strangers approach. 3. The child becomes willful when disciplined. 4. The child does not play with other children.

1. The child does not cry when the parent allows the nurse to hold the child.

The nurse is reviewing information collected while providing client care. Which findings should the nurse identify as being a homeostatic mechanism? Standard Text: Select all that apply. 1. The clients heart rate increases when walking up a flight of stairs. 2. The client shivers when core body temperature drops. 3. A childs bone growth occurs in spurts. 4. Decreased secretion of insulin occurs when food is not ingested. 5. Lactation occurs in a pregnant woman.

1. The clients heart rate increases when walking up a flight of stairs. 2. The client shivers when core body temperature drops. 4. Decreased secretion of insulin occurs when food is not ingested.

A kindergarten class is being screened by a group of nursing students using a Snellen E chart. Few of the children have 20/20 vision. Most have 20/30, and some have 20/40. What should the nursing students report to the instructor about these childrens vision? 1. These children have normal vision abilities. 2. We should check into the health of these children. Maybe their diets are lacking in essential vitamins because they all have poor eyesight. 3. These kids will all be wearing glasses when we come back next year. 4. We should use a different eye chart. Maybe the kids would understand it better.

1. These children have normal vision abilities.

The nurse is reviewing the characteristics of homeostatic mechanisms prior to assessing a client. Which characteristics should the nurse keep in mind during this assessment? Standard Text: Select all that apply. 1. They are self-regulating. 2. They are compensatory. 3. They are regulated by negative feedback systems. 4. They can require several feedback mechanisms to correct only one physiologic imbalance. 5. They are related to a closed system.

1. They are self-regulating. 2. They are compensatory. 3. They are regulated by negative feedback systems. 4. They can require several feedback mechanisms to correct only one physiologic imbalance.

A community health nurse wants to provide health promotion classes through the local hospital. Which topics should the nurse include in this endeavor? Standard Text: Select all that apply. 1. Time management 2. Healthy eating habits 3. Exercise after stroke 4. Bicycle safety for children 5. Performing self-examination of the breasts

1. Time management 2. Healthy eating habits 4. Bicycle safety for children

A client is diagnosed with chronic low back pain syndrome. The nurse realizes that which analgesic delivery route might be beneficial for this client? 1. Topical 2. Rectal 3. Transmucosal 4. Transdermal

1. Topical

During an interview assessment, the client states a belief in nutritional lifestyle counseling and that the bodys vital energy circulates through the body, which can be manipulated through specific anatomical points. Which type of healing practice should the nurse identify that this patient is following? 1. Traditional Chinese medicine 2. Native American healing 3. Ayurveda 4. Curanderismo

1. Traditional Chinese medicine

A client experiencing pain has been prescribed aspirin. The nurse realizes that this medication will affect which pain process? 1. Transduction 2. Transmission 3. Perception 4. Modulation

1. Transduction

A client watching a comedy on television is laughing. When asked about the amount of pain on a scale from 0 to 10, the client reports a level that is 2 below the previous assessment. The nurse realizes the clients pain was influenced by which type of distraction? 1. Visual 2. Tactile 3. Intellectual 4. Behavioral

1. Visual

A school health nurse is working on education programs for high school students. As part of the plan, the nurse wants to address health concern topics besides the dangers of unprotected sex or drug and alcohol abuse. Which class topic should the nurse present to these students? 1. Warning signs of depression for peers to identify among their classmates 2. Injury prevention 3. Early signs of cancer and heart disease 4. Normal physiological changes of this age group

1. Warning signs of depression for peers to identify among their classmates

The client scheduled to undergo minor surgery states, The physician will not give me pain medication after surgery because my surgery is only minor. What is the best response by the nurse? 1. You can experience pain after minor surgery, so you can have pain medication. 2. You are correct. The physician will not order any pain medication. 3. You are correct. I will need to teach you nonpharmacologic pain relief measures. 4. You can only have about half the dose because your surgery is minor.

1. You can experience pain after minor surgery, so you can have pain medication.

A nurse is working with a school-age client who is learning how to use a peak flow meter to monitor his asthma. The child has been frustrated at first, but now is able to give the reason to use the meter on a daily basis. Remembering the growth and development characteristics of the adolescent, how should the nurse respond to this client? 1. You should feel very proud for understanding and using your meter. 2. Think of using the meter as one of your daily chores. 3. Maybe you could make a game out of the daily use of your meter. 4. Its too bad if you dont want to use the meter, its just something youll have to do.

1. You should feel very proud for understanding and using your meter.

An elderly client comes to the clinic for follow-up after a long hospitalization. When the client asks about increasing strength and endurance, what should the nurse respond? 1. Your muscles can be strengthened, which might help you function better. 2. It wont matter if you exercise. At your age, theres little room for improvement. 3. Once muscle mass is decreased, theres nothing that can be done for strength improvement. 4. Maybe you should think about going to a nursing home. At least the people there will be able to help with your needs.

1. Your muscles can be strengthened, which might help you function better.

In planning any health program for elderly adults, the nurse will implement Eriksons theory of task development. The nurse realizes that in this stage of life, the successful completion of the task allows the person to 1. have a feeling of satisfaction from past accomplishments. 2. make connections with the younger generation. 3. wish he or she could live life over again. 4. live out his or her last years in physical health.

1. have a feeling of satisfaction from past accomplishments.

A nurse is working in a community of factory workers and is planning an educational session for wellness, targeting the young adult group. In order to address one of the health problems of this group, the nurse plans to: 1. help the group become more aware of marketing efforts by tobacco companies. 2. tell this group that smoking is unacceptable. 3. make sure the group is aware of the increased risk of liver disease and cancer of the esophagus. 4. counsel the group regarding addiction.

1. help the group become more aware of marketing efforts by tobacco companies.

A client who is on postoperative day 1 after abdominal surgery is requesting a back rub. The nurse realizes this care should be provided by 1. the registered nurse. 2. unlicensed assistive personnel. 3. no one, because the client cannot assume the prone position. 4. the physician.

1. the registered nurse.

A baby was born with flaccid muscle tone, regular respirations with crying, a heart rate of 85, and blue extremities. What would the Apgar score be? 1. 6 2. 7 3. 5 4. 8

1: Flaccid muscle tone = 0. Regular respirations = 2. Crying = 2. Heart rate of 85 = 1. Blue extremities = 1. Total = 6.

The nurse provides an oral opiate to a client with pain. In how many hours should the nurse expect the client to need another dose of the medication? 1. 2 hours 2. 4 hours 3. 6 hours 4. 8 hours

2. 4 hours

A client tells the nurse that because of work and life responsibilities, sleep has become optional. What is the best response the nurse should make to this client? 1. Be sure to get extra sleep when you can. 2. A lack of sleep can affect hormone levels and bodily functions. 3. Everyone has different needs for sleep to in order to function. 4. You must be very productive.

2. A lack of sleep can affect hormone levels and bodily functions.

A nurse is working with clients in an assisted living facility. In the past month, there have been several deaths among the residents and their spouses. In helping the remaining residents deal with these deaths, the nurse understands that adjustment may be easier for which resident? 1. A resident who spent most of her days attending to her partner who is now deceased 2. A resident who had a wide circle of friends, besides her spouse 3. A resident who was not inclined to participate in any activities offered at the facility 4. A resident who started to become more dependent on the nursing staff at the facility

2. A resident who had a wide circle of friends, besides her spouse

A client experiencing chronic pain is not getting relief with pain medication. What should the nurse do to help this client? 1. Ask the physician to change the prescribed pain medication. 2. Reassess the pain and consider another pain relief measure. 3. Limit interaction with the client. 4. Stop using alternative pain relief measures, if not effective.

2. Reassess the pain and consider another pain relief measure.

A client recovering from hip surgery is reluctant to ambulate because of the amount of pain that occurred with walking prior to the surgery. What can the nurse do to help this client with pain control? 1. Provide pain medication before every ambulation session. 2. Address the clients fear of pain with walking. 3. Tell the client that the pain is now gone. 4. Explain that the client is confusing postoperative pain with the pain before the surgery.

2. Address the clients fear of pain with walking.

A nurse in charge of an assisted living complex that includes independent living apartments understands the unique needs of individuals of this age group. When planning health promotion strategies, what factor should the nurse take into consideration? 1. Rest and exercise 2. Adjusting to physiologic changes and limitations 3. High obesity percentages 4. Safety promotion and injury prevention

2. Adjusting to physiologic changes and limitations

An occupational health nurse is providing a hypertension screening at a local manufacturing plant. Among the employees, the nurse should focus on which population? 1. Males and females, equally 2. African American males 3. Asian American females 4. White females

2. African American males

A nurse is working with the residents of an assisted living complex. When planning care for the old-old stage, the nurse realizes that what action will be important? 1. Provide as much care to the residents as possible. 2. Allow as much independence for the residents as possible. 3. Make sure to provide safety measures as needed. 4. Make sure the residents maintain peer interactions and social groups.

2. Allow as much independence for the residents as possible.

A client is hospitalized with numerous acute health problems. According to Maslows basic needs model, which nursing diagnosis should the nurse identify as being the highest priority for this client? 1. Risk for Injury related to unsteady gait 2. Altered Nutrition, Less Than Body Requirements related to inability to absorb nutrients 3. Self-Care Deficit related to weakness and debilitation 4. Powerlessness related to chronic disease state

2. Altered Nutrition, Less Than Body Requirements related to inability to absorb nutrients

Some nursing students are doing their first clinical rotation in a long-term care facility. What should the nurse educator remind the students to do to meet the needs of this particular client group? 1. Do all care for the clients, as theyre unable to do it independently. 2. Always remember that the clients self-respect must be maintained in all interactions of the students. 3. Make sure the clients care is done in a timely manner, and sometimes that means doing things for the client. 4. Treat this group of clients with a greater level of respect than younger clients.

2. Always remember that the clients self-respect must be maintained in all interactions of the students.

A client living in a long-term care center has been withdrawn and subdued, and does not eat in the dining room because of embarrassment about her physical decline. What might the nurse suggest that provides opportunities for unconditional love, achievement of trust, responsibility, and empathy toward others? 1. Chelation therapy 2. Animal-assisted therapy 3. Meditation 4. Pilates

2. Animal-assisted therapy

A client questions why a medication that is used to treat Parkinsons disease has been prescribed for the diagnosis of periodic limb movement disorder (PLMD). What should the nurse do? 1. Contact the physician. 2. Assure the client that medications used to treat Parkinsons disease are also used to treat PLMD. 3. Tell the client not to take the medication because there is most likely an error. 4. Check with the pharmacy to make sure the correct medication has been provided to the client

2. Assure the client that medications used to treat Parkinsons disease are also used to treat PLMD.

The nurse is developing a plan of care for a client diagnosed with narcolepsy. Which intervention should the nurse include in this plan of care? 1. Encourage the client to take an over-the-counter medication to improve nighttime sleep. 2. Be certain the client has the prescription for modafinil (Provigil) filled. 3. Have the client purchase sodium oxybate (Xyrem) over the counter to prevent daytime drowsiness. 4. Be certain the client obtains antihistamines to control nasal stuffiness.

2. Be certain the client has the prescription for modafinil (Provigil) filled.

An adolescent comes to the school nurses office seeking advice about his friends and feeling pressure to participate in activities with which he isnt comfortable, such as drinking parties and sexual explorations. What should the nurse do? 1. Tell the adolescent to stay away from friends like that. 2. Be open to the concerns and provide accurate information about any questions. 3. Encourage the adolescent to accept psychosocial counseling. 4. Give the adolescent pamphlets on sexually transmitted diseases.

2. Be open to the concerns and provide accurate information about any questions.

A parent brings a 16-month-old child to the clinic for a well-child checkup. During the assessment, the nurse finds that the child cannot stand next to furniture and does not try to pull himself up from a sitting position. In which process should the nurse identify that this child is lagging? 1. Growth 2. Development 3. Height 4. Behavior

2. Development

The nurse is providing discharge instructions to a client prescribed an opioid medication. What should the nurse suggest to decrease the risk of constipation with this medication? 1. Take an antihistamine three times per day. 2. Drink 6 to 8 glasses of water per day. 3. Assess respiratory rate before taking medication. 4. Assess heart rate before taking medication.

2. Drink 6 to 8 glasses of water per day.

A client who has a terminal diagnosis has been using her time to help family members deal with her impending death. Among her activities, she collected pictures for a scrapbook and wrote a journal of favorite memories for family members to read after the client dies. According to Peck, the nurse realizes that this client is working through which developmental task? 1. Body transcendence versus body preoccupation 2. Ego transcendence versus ego preoccupation 3. Ego differentiation versus work-role preoccupation 4. Integrity versus despair

2. Ego transcendence versus ego preoccupation

The parents of a baby born prematurely during the sixth month of pregnancy question the nurse about the hair all over their baby. What is the nurses best response? 1. All babies are hairy. It is more noticeable on preemies. 2. Fine downy hair helps keep the baby insulated in utero. 3. You should be more concerned with the babys respiratory function. 4. Dont worry about how the baby looks. All preemies look funny.

2. Fine downy hair helps keep the baby insulated in utero.

A client comes to the clinic seeking information regarding smoking cessation classes and ways to improve respiratory function. This client is modeling which behavior? 1. Health promotion 2. Health protection 3. Tertiary prevention 4. Primary prevention

2. Health protection

During an auditory screening of third graders, the school nurse identifies a hearing deficit for one of the students. When the parents ask the nurse about the findings, how should the nurse respond? 1. Hearing acuity is not fully developed in your child. Lets recheck next year. 2. Id like to recheck at the clinic. Then we may need to have your child be seen by an auditory specialist. 3. It was too noisy when we were testing, so I wouldnt be concerned if I were you. 4. Your child will probably need a hearing aid.

2. Id like to recheck at the clinic. Then we may need to have your child be seen by an auditory specialist.

An elderly client comes to the clinic after checking his blood pressure several times in the local discount store. The nurse checks the blood pressure and finds that it is 146/80. What should the nurse say to this client? 1. Having blood pressure a little high is normal at your age. Yours is fine. 2. Ill recheck this in a while, but your systolic pressure is too high. 3. Well wait and see what the doctor says, but I doubt he will be concerned. 4. You should be on medicine for high blood pressure.

2. Ill recheck this in a while, but your systolic pressure is too high.

A teenage girl spends most of her free time with friends. In sharing their concerns about this behavior with the school nurse, the parents are worried about their child seeming to draw away from them. What should the nurse respond to the parents? 1. You should really keep better track of your child. Its hard to tell what kinds of trouble she may be getting into. 2. Independence is really important for this age group. Try to be extra attentive when your child does spend time at home. 3. Use stricter guidelines for curfew and punishment if curfew is broken. 4. Is it possible that your child might be taking drugs?

2. Independence is really important for this age group. Try to be extra attentive when your child does spend time at home.

The health nurse of a busy university campus is implementing a health promotion activity by placing posters about proper hand washing in all of the public restrooms on campus. Which type of health promotion program is the nurse implementing? 1. Environmental control 2. Information dissemination 3. Health risk appraisal and wellness assessment 4. Lifestyle and behavior change

2. Information dissemination

A parent tells the nurse that his child is quite creative and learning how to pretend with almost anything in the house. According to Piaget, the nurse realizes this child is demonstrating which stage/phase? 1. Tertiary circular reaction: stage 5 2. Inventions of new means: stage 6 3. Preconceptual phase 4. Concrete operations phase

2. Inventions of new means: stage 6

A toilettrained 4-year-old hospitalized for several days with an acute illness has been wetting the bed at night and is having incontinent accidents during the day. How should the nurse address the parents concern about this behavior? 1. Maybe your child should be seen by a specialist, just to make sure there are no physical problems. 2. It is normal for some children to go through a stage of regression after separation from their family or after an acute illness. Try not to be too discouraged. 3. Youll have to be very strict with discipline, so your child knows this behavior is not acceptable. 4. Id be upset too. It must be hard to go back to using diapers.

2. It is normal for some children to go through a stage of regression after separation from their family or after an acute illness. Try not to be too discouraged.

The parent of a preschool-age child asks the nurse what can be done to reduce the number of nightmares the child experiences. What should the nurse suggest to this parent? 1. Provide hot chocolate prior to bedtime. 2. Limit or eliminate television. 3. Engage in a physical activity before bedtime. 4. Play a computer game before bedtime.

2. Limit or eliminate television.

During an educational session regarding physical changes of the middle-aged adult, a participant asks about typical weight changes. How should the nurse respond? 1. Weight loss is no different during this time than at any other time of your life. 2. Metabolism slows during middle age, which may result in weight gain. 3. As long as you exercise appropriately, weight loss will be ensured. 4. Weight loss is always a good idea, regardless of your age.

2. Metabolism slows during middle age, which may result in weight gain.

A client has joined a fitness club and is working with the nurse to design a program for weight reduction and increased muscle tone. The client has tried exercise in the past with success, but has not been participating in a program for some time. In order to assess the potential for success with this client, the nurse should evaluate which of the behavior-specific cognitions? 1. Interpersonal influences 2. Perceived benefits of action 3. Situational influences 4. Perceived self-efficacy

2. Perceived benefits of action

The nurse is observing a group of young adults engaged in a discussion regarding work schedules over the holidays. What should the nurse realize that these adults will use to balance the emotional as well as logical side of the discussion? 1. Formal operational stage 2. Postformal thought process 3. Kohlbergs theory of moral development 4. Fowlers spiritual development theory

2. Postformal thought process

A parent reports to the nurse that his child is learning new words faster than he can write them in the baby book. According to Piaget, the nurse realizes that this child is in which phase? 1. Intuitive thought phase 2. Preconceptual phase 3. Concrete operations phase 4. Formal operations phase

2. Preconceptual phase

A client has had Alzheimers dementia for a period of time and continues to live at home with his spouse. What would be one of the gerontological nurses responsibilities? 1. Make sure the client is being prescribed appropriate medication. 2. Provide support for the spouse. 3. Assess the client early to ensure proper care. 4. Find a suitable long-term care facility for the client.

2. Provide support for the spouse.

A client is surprised to learn of the diagnosis of a heart attack when there was no chest pain experienced but only some left shoulder pain. The nurse should explain that the client experienced which type of pain? 1. Phantom pain 2. Referred pain 3. Visceral pain 4. Chronic pain

2. Referred pain

The nurse is caring for a postpartum client receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician? 1. Pulse rate: 80 2. Respiratory rate: 8 3. Blood pressure: 120/80 4. Pain rating of 4 on scale of 1 to 10

2. Respiratory rate: 8

A client with a long leg cast is complaining of knee discomfort. Which nonpharmacologic intervention can the nurse use to help this client? 1. Apply ice to the knee over the cast. 2. Rub the knee of the non-casted leg. 3. Apply heat to the knee over the cast. 4. Rub the foot of the casted extremity.

2. Rub the knee of the non-casted leg.

A client has had a severe brain injury and has been in a rehabilitation hospital for several months. Recently, the client developed pneumonia and is currently on intravenous antibiotic therapy. Which level of prevention should the nurse use to address the health problem of pneumonia? 1. Primary 2. Secondary 3. Tertiary 4. Acute

2. Secondary

The nurse educator provides developmental testing for kindergarten through third-grade students. Which level of prevention is the nurse performing? 1. Primary 2. Secondary 3. Tertiary 4. Community

2. Secondary

A group of elderly women come to the community center for exercise classes taught by the community health nurse. This activity will help lead to which outcome for these clients? 1. Reverse the effects of aging and cure pain. 2. Slow bone density loss and decrease muscle atrophy. 3. Eliminate the risk for osteoporosis. 4. Prevent pathologic fractures.

2. Slow bone density loss and decrease muscle atrophy.

A client who smokes cigarettes tells the nurse that sleep is light, and that he awakens easily. What should the nurse suggest to help this client with sleep? 1. Smoke no cigarettes 1 hour before sleep. 2. Smoke no cigarettes after the evening meal. 3. Limit the number of cigarettes smoked during the day. 4. Adjust to the lack of sleep, because those who smoke do not get sufficient sleep.

2. Smoke no cigarettes after the evening meal.

The nurse is completing a health history with a client who is 10 weeks pregnant. Which factor should the nurse identify as increasing this clients risk for a spontaneous abortion? 1. Having taken a medication that is a known teratogen 2. Smoking 3. Having low levels of folic acid 4. Genetic history

2. Smoking

The nurse notes that a 20-month-old child is lagging in stage 6 of Piagets phases of cognitive development. Which activity did the nurse observe that indicates that this child is struggling at this stage? 1. The child wants the same toy to sleep with during naptime and bedtime. 2. The child merely watches as the other children pretend-play. 3. The child cries when the parents leave the unit. 4. The child does not cooperate with some of the treatments.

2. The child merely watches as the other children pretend-play.

A community health nurse is doing a screening for cervical cancer at a womens health fair. Which client should the nurse identify as having the highest risk factor for cervical cancer? 1. The client who had a difficult vaginal delivery 2 years ago 2. The client who has a history of genital herpes 3. The client who was married at age 27 4. The client who has a sister with breast cancer

2. The client who has a history of genital herpes

A client comes to the clinic with a chief complaint of feeling dirty inside and asks the nurse how colonics would work to improve the clients overall well-being. What should the nurse respond to this client? 1. Colonics is a dangerous and not useful technique that no one should try. 2. There is much controversy about colonics. What do you know about it? 3. This is a good way to get rid of toxins in your system. 4. You'd better ask your doctor about this.

2. There is much controversy about colonics. What do you know about it?

The mother of a newborn tells the nurse, I am concerned about my baby. When she first goes to sleep, her eyes dart around under her eyelids, she doesnt breathe regularly, and she sometimes twitches. What advice should the nurse give this mother? 1. Please bring your baby in immediately for a checkup. 2. These are common behaviors in newborns and are normal. 3. You should ask the physician about these symptoms at your next checkup. 4. If your baby does this again, take her to the emergency department.

2. These are common behaviors in newborns and are normal.

A client is complaining of having the same type of pain that he experienced prior to being diagnosed with cancer. The nurse realizes that which process will influence this clients perception of pain? 1. Transmission 2. Modulation 3. Perception 4. Transduction

3. Perception

A client with an acute, serious illness has been hospitalized. Upon entering the room, the nurse observes the client praying. The client states to the nurse: I dont know how people manage to get through difficult times without their faith. Its where I get my strength. With which theorist should the nurse associate this clients belief? 1. Fowler 2. Westerhoff 3. Gilligan 4. Kohlberg

2. Westerhoff

The nurse can identify movement into Kohlberg's post-conventional level when the client, after being asked about work, makes which statement? 1. Oh, the work isnt so bad anymore. Im getting close to retirement. 2. Work is fine, but my family and friends are so much more important to me. 3. Ive done a good job for the company. Im proud of my years there. 4. I dont like to talk about work when Im not there.

2. Work is fine, but my family and friends are so much more important to me.

Parents of a newborn ask the nurse why their newborns head seems lopsided and not round, as they thought it should be. How should the nurse respond to these parents? 1. I dont think it looks unusual; actually the head is beautifully shaped. 2. Your babys head had to shape itself to the birth canal. It will look round in a few days. 3. Youre right. Well make sure your doctor checks this out. 4. Babies heads always look funny. Once his hair grows out, youll hardly notice it.

2. Your babys head had to shape itself to the birth canal. It will look round in a few days.

A client has been taking medication for back pain for several months, and has seen several different health care providers in efforts to receive pain medication. The nurse is concerned that the client is exhibiting 1. tolerance. 2. addiction. 3. physical dependence. 4. pseudoaddiction.

2. addiction.

A hospitalized older client is recovering from an acute illness. As the client nears the end of his hospitalization, he questions the nurse about medications and care after discharge. The gerontological nurse should 1. inform the physician that the client needs to go to a nursing home. 2. assess the clients independence and ability to function in his own home before discharge. 3. tell the client not to worry about going home. 4. invite the clients family to come to the hospital so the nurse can explain the clients care to them.

2. assess the clients independence and ability to function in his own home before discharge.

The nurse is working with a client who, during her interview, expresses feelings of groundedness. The nurse interprets this to mean that the client 1. is full of energy. 2. feels connected to her reality. 3. is focused on her center of energy. 4. feels down in the dumps.

2. feels connected to her reality.

A nurse who works in a long-term care facility has noticed that one of the residents has been showing signs of impaired cognitive and selfcare abilities over the last 2 weeks. The nurse should 1. remember that memory loss is a normal, age-related change. 2. investigate for possible physiologic problems. 3. instruct the staff to be extra attentive, as this person needs more assistance. 4. inform the residents family that the resident probably has some form of dementia.

2. investigate for possible physiologic problems.

When consulting Eriksons developmental theory, the nurse determines that which older adult will have the least difficulty being successful with the task of this stage? 1. A client who felt success through her childrens accomplishments 2. A client who held his job and work status as the defining feature of his life 3. A client who maintained a balance between work and home 4. A client who planned to really enjoy life once she retired

3. A client who maintained a balance between work and home

The client has complained of stiffness and muscle tension in his back. The nurse suggests a back rub, but the client declines the offer. What action should the nurse take? 1. Encourage the client to accept the back rub, saying how much it will relax the back muscles. 2. Document that the client is noncompliant with the nursing plan of care. 3. Accept the declination but tell the client to call if he changes his mind. 4. Instruct the UAP to rub the clients back while assisting him to change into a clean gown.

3. Accept the declination but tell the client to call if he changes his mind.

After receiving medication for mild pain, the client states that the pain is getting worse. What should the nurse plan to do for this client? 1. Administer another dose of a nonopioid medication. 2. Administer an opioid for severe pain. 3. Administer an opioid for moderate pain. 4. Administer two doses of an opioid for moderate pain.

3. Administer an opioid for moderate pain.

The client asks whether herbal medicines are a good idea. What should the nurse respond? 1. Things found in nature are always healthy. 2. If your doctor didnt prescribe it, dont take it. 3. Are there specific ones youre wondering about?

3. Are there specific ones youre wondering about?

The nurse is admitting a client to the emergency department with complaints of severe abdominal pain. What is the nurses first action? 1. Administer IV pain medication as ordered. 2. Start an IV line of lactated Ringers. 3. Assess pain using a scale of 1 to 10. 4. Place a Foley catheter to bedside drainage.

3. Assess pain using a scale of 1 to 10.

The nurse is preparing to assess a group of assigned clients with chronic illnesses who use essential oils. For which health problem should the nurse particularly assess the clients? 1. Hypertension 2. Cardiac problems 3. Asthma 4. Cancer

3. Asthma

The hospitalized client requests a bedtime snack. Which food should the nurse offer this client? 1. Hot chocolate 2. Tea and crackers 3. Cereal with milk 4. Chips and salsa

3. Cereal with milk

The nurse suspects that an adolescent is working through the stages of spiritual development. What observations did the nurse make to come to this conclusion? Standard Text: Select all that apply. 1. Imitated behavior demonstrated by parents 2. Conceptualized angels and devils with the use of imagination 3. Compartmentalized differences between spiritual beliefs with friends 4. Determined differences between spiritual beliefs as being right or wrong 5. Met with the church priest to talk about the differences in spiritual beliefs

3. Compartmentalized differences between spiritual beliefs with friends 4. Determined differences between spiritual beliefs as being right or wrong 5. Met with the church priest to talk about the differences in spiritual beliefs

Several nursing students have been discussing the benefits of joining a study group. They realize the importance of applying nursing knowledge to the clinical area and determine that together they may be more effective in retaining this information than if they continued in their individual settings. Which stage of behavior change are they exemplifying? 1. Termination stage 2. Preparation stage 3. Contemplation stage 4. Action stage

3. Contemplation stage

The nurse is explaining the difference between dementia and delirium to the spouse of a client with Alzheimers disease. What should the nurse say to make this distinction? 1. Delirium is easily distinguished from dementia. 2. Dementia is reversible and treatable. 3. Delirium is an acute and reversible syndrome. 4. Dementia is the only condition that is characterized by changes in memory, judgment, language, mathematic calculation, abstract reasoning, and problem-solving ability.

3. Delirium is an acute and reversible syndrome.

A client has been diagnosed with dementia. The family wants to know how to plan for the future. What is the best response by the nurse? 1. Your family members symptoms will get worse, but there are medications to stop the progress. 2. You should plan right now on which long-term care facility you will want to utilize when the time comes. 3. Dementia is a progressive deterioration. Its important for you to clearly understand what to look for in symptoms. 4. Dementia can be treated once the cause is known.

3. Dementia is a progressive deterioration. Its important for you to clearly understand what to look for in symptoms.

The client is taking meperidine (Demerol) and experiencing pruritus. Which medication should the nurse expect the physician to order? 1. Naloxone hydrochloride (Narcan) 2. Acetaminophen (Tylenol) 3. Diphenhydramine hydrochloride (Benadryl) 4. Normal saline

3. Diphenhydramine hydrochloride (Benadryl)

The 70-year-old client tells the nurse, I can go to sleep without a problem, but then I wake up in a couple of hours and cant go back to sleep. What nursing action would help promote rest and sleep in this client? 1. Have the client develop a bedtime ritual of quiet music and a glass of wine. 2. Encourage the client to avoid taking pain medication prior to sleep. 3. Evaluate if the client perceives sleeplessness to be a serious problem. 4. Have the client perform moderate exercises before bedtime.

3. Evaluate if the client perceives sleeplessness to be a serious problem.

While the nurse is teaching a group of parents and their teenage sons about puberty and sexual growth, a parent asks if fertility coincides with ejaculation. What should the nurse respond to this question? 1. Yes, if your son is ejaculating, he also possesses fertility. 2. Sexual maturity does not occur until age 18, so dont worry about anything until then. 3. Fertility follows several months after the first ejaculation. 4. Youll have to ask your physician about this because it is a sensitive subject.

3. Fertility follows several months after the first ejaculation.

A young adult has never lived away from his parents and feels unable to make decisions on his own. According to Freuds theory of development, the nurse should suspect that this person would be fixated at which stage of development? 1. Phallic 2. Latency 3. Genital 4. Anal

3. Genital

The nurse is plotting the height and weight of children during a school assessment clinic. Which aspect of the childrens health is the nurse assessing? 1. Development 2. Health 3. Growth 4. Bone size

3. Growth

A 5-year-old client has recurrent night terrors. What nursing intervention should the nurse use to help alleviate this problem? 1. Have the child walk around in the room when night terrors occur. 2. The next morning, ask the child to describe the event. 3. Have the child empty the bladder prior to going to bed. 4. Use an additional pillow behind the childs head at night.

3. Have the child empty the bladder prior to going to bed.

A client comes to the clinic with a history of pain in his testicle. During the interview assessment, what information should be of concern to the nurse? 1. The client works as an auto-detailer. 2. He smokes half a pack of cigarettes per week. 3. He has not had a yearly exam for 5 years. 4. He does not perform testicular self-exams.

3. He has not had a yearly exam for 5 years.

A client who resides in a long-term care facility has no family or visitors. Her only social contacts are with the staff. The client is confined to bed and is not able to communicate verbally. As part of the clients care plan, the nurses provide massage therapy three times a week. What is the main benefit of this intervention for this client? 1. Stretch and loosen the muscles 2. Speed the removal of metabolic waste products 3. Help satisfy the need for caring and nurturing touch 4. Relieve pain

3. Help satisfy the need for caring and nurturing touch

A client has been undergoing therapy as a victim of severe emotional abuse. The goal of the clients therapy is to gain self-control of the situation, improve self-esteem, and become self-sufficient. Which application should the nurse suggest become a part of the clients therapy sessions? 1. Yoga 2. Meditation 3. Hypnotherapy 4. Guided imagery

3. Hypnotherapy

The client who has obstructive sleep apnea is being treated with a nasal continuous positive airway pressure (CPAP) device, but has just been prescribed modafinil (Provigil). What client statement indicates that teaching about these therapies has been effective? 1. I am so glad that I wont have to sleep in this machine anymore. 2. Once I get regulated on the Provigil, I will wean myself off the CPAP. 3. I will continue using my CPAP machine at night. 4. I can turn down the pressure on my CPAP machine in about 1 week.

3. I will continue using my CPAP machine at night.

A client recovering from back surgery is refusing pain medication for fear of becoming addicted. What should the nurse say to the client? 1. I understand. 2. There are ways to treat addictions to pain medications. 3. If the medication is taken to treat pain, you will not become addicted to it. 4. All pain medication causes addiction. There is nothing that can be done to prevent it.

3. If the medication is taken to treat pain, you will not become addicted to it.

A hospitalized client is being woken up every hour during the night for care and procedures. The nurse realizes that the lack of NREM sleep can have which physiological effect? 1. Decrease urine output 2. Increase thirst 3. Increase susceptibility to infection 4. Decrease heart rate

3. Increase susceptibility to infection

A nurse is delivering a workshop regarding health promotion to a group of elderly clients. In describing Healthy People 2010, which goal should the nurse emphasize for this group? 1. Eliminating health disparities 2. Believing that individual health is closely related to community health 3. Increasing quality and years of life 4. Developing partnerships between individual and community health

3. Increasing quality and years of life

A young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview. In order to best assess the client, what should the nurse ask the client? 1. Can you tell me whats been going on in your life lately? 2. What kind of problems are you having? 3. Is someone hurting you? 4. Can you explain what your family life is like?

3. Is someone hurting you?

A nurse is presenting a health education program to a group of older adults at a senior citizens center. Considering the physiological changes of this age group, how should the nurse set the temperature of the room? 1. It should be set at a temperature that is comfortable for the nurse. 2. It should be set cooler than what is comfortable for the nurse. 3. It should be set warmer than the nurses preference. 4. The temperature of the room is not one of the nurses concerns.

3. It should be set warmer than the nurses preference.

The nurse is exploring the behavior of children and how they interpret right from wrong or bad from good. Which theorist should the nurse study to learn this information? 1. Vygotsky 2. Skinner 3. Kohlberg 4. Piaget

3. Kohlberg

A toddler shows fear and begins to cry when her parent leaves her at day care. According to Havighurst, which developmental task should the nurse recognize this child is exhibiting? 1. Building wholesome attitudes toward oneself 2. Learning to get along with age-mates 3. Learning to relate emotionally 4. Achieving personal independence

3. Learning to relate emotionally

A nurse is teaching a class to new parents on how to handle some of the behaviors that could be demonstrated by toddlers. One of the parents asks what to do when her child throws a temper tantrum. How should the nurse respond to this parent? 1. Try to be more attentive to the behaviors that lead into a tantrum. Then you can avoid them. 2. Put the child in a room alone and ignore the tantrum. 3. Make sure the child is safe, then walk away. 4. Hold the child tightly until he stops crying.

3. Make sure the child is safe, then walk away.

A gerontological nurse is helping a potential home health client acquire the supplies that will be needed once the client is discharged from acute care. When considering these supplies, what should the nurse recall? 1. Medicare will cover supplies, but only with a physicians written order. 2. Between insurance supplements and Medicare, the older client shouldnt have any difficulty with coverage. 3. Most clients in this age group live on a fixed income, and supplies used should be as economical as possible. 4. Clients have to be responsible for their own supplies.

3. Most clients in this age group live on a fixed income, and supplies used should be as economical as possible.

The parents of a toddler are concerned that their child is so messy during eating, so they feed him instead of allowing him to feed himself. What should the nurse respond to the parents? 1. Thats probably best. Im sure it makes your mealtime more pleasant. 2. At least youre sharing meals as a family. Thats the most important. 3. Motor skills keep improving with age. Try not to get frustrated with the mess. 4. Your child will never learn if you dont let him experience.

3. Motor skills keep improving with age. Try not to get frustrated with the mess.

The parents of a newborn ask what their baby can see. What should the nurse respond to these parents? 1. Babies arent able to see until they are around 4 months old. 2. Babies wont track moving objects until about 5 months. 3. Newborns blink in response to bright lights and sound and will follow large objects. 4. Newborns arent able to focus, so everything looks blurry to them.

3. Newborns blink in response to bright lights and sound and will follow large objects.

The nurse is preparing to instruct a client about nutritional needs before and during pregnancy. What should the nurse encourage the patient to consume in order to meet the requirements for folic acid? 1. Meats, fish, and poultry 2. A mix of vegetables and fiber 3. Oranges and green leafy vegetables 4. Lowfat and highprotein foods

3. Oranges and green leafy vegetables

The nurse is providing assistance at a community health fair for middle-aged clients. Which information should the nurse use when working with this group of clients? 1. The middle-aged person has decreased intellectual and cognitive abilities as a result of the normal aging process. 2. Adults make the transition into this stage easily and without problems. 3. Physical capabilities and functions decrease with age, but mental and social capacities tend to increase in the latter part of life. 4. Cognitive and intellectual abilities are somewhat decreased due to slower reaction time, loss of memory, and changes in perception and problem solving.

3. Physical capabilities and functions decrease with age, but mental

The nurse is providing care within the total care context. What should the nurse consider when using this care approach? 1. The individualism of the client 2. Principles applicable to the client at this moment 3. Principles general to all clients of the same age and condition 4. The persons self-identity

3. Principles general to all clients of the same age and condition

The client reports difficulty sleeping. Which environmental intervention should the nurse recommend? 1. Play soft music throughout the night. 2. Keep a television on in the bedroom. 3. Provide white noise with a fan. 4. Play a talk radio station.

3. Provide white noise with a fan.

A nurse who works in a busy neonatal intensive care unit has been having difficulty with concentration after a long days work. Which therapy should the nurse consider doing to help with this problem? 1. Guided imagery 2. Hypnotherapy 3. Qigong 4. Aromatherapy

3. Qigong

The client is a high school student who is also a single parent. She is attending parenting classes while studying full time and living in an apartment with her child. The student also meets twice a week with a teen peer group and participates in a nutrition program through the county. Which is the most appropriate diagnosis for this client? 1. Risk for Situational Low Self-Esteem 2. High Risk for Caregiver Role Strain 3. Readiness for Enhanced Coping 4. Readiness for Enhanced Nutrition

3. Readiness for Enhanced Coping

The nurse is to administer acetaminophen (Tylenol) prn to a client for a headache; however, the client has been vomiting all day. Which route should the nurse use to administer the medication? 1. Oral 2. Vaginal 3. Rectal 4. Intravenous

3. Rectal

Which of the following objective assessment data will the nurse obtain before administering a prescribed opioid medication to a client? 1. Pain level as stated by client 2. Any nausea the client may be feeling 3. Respiratory rate 4. Color of skin

3. Respiratory rate

A client rates pain as being 7 on a scale from 0 to 10. What should the nurse document as this clients pain intensity? 1. Mild pain 2. Moderate pain 3. Severe pain 4. Physiological pain

3. Severe pain

A client tells the nurse that at home, the dog helps distract the client from chronic hip pain. The nurse realizes that the client is utilizing which form of nonpharmacologic pain control? 1. Body 2. Mind 3. Social interactions 4. Spirit

3. Social interactions

A client is experiencing pain after spraining an ankle. The nurse realizes that the client is most likely experiencing which type of pain? 1. Mild pain 2. Severe pain 3. Somatic pain 4. Visceral pain

3. Somatic pain

A nurse educator believes that teaching students without caring about them is an exercise in futility. This educator also believes that in meeting the students needs, educators must also work to take care of themselves and care for their own needs. From which stage of Gilligans theory is the educator approaching the teaching of students? 1. Stage 1 2. Stage 2 3. Stage 3 4. Stage 4

3. Stage 3

A nurse is teaching a wellness class for older adults. In order to address the sensory loss that accompanies the aging process, the nurse should recommend that these clients take which action? 1. Use hearing aids and glasses. 2. Wear shaded glasses indoors to reduce glare. 3. Switch to brighter lighting in their home. 4. Exercise more and increase calcium intake.

3. Switch to brighter lighting in their home.

The nurse is preparing information packets for incoming college students regarding sexually transmitted disease, drug and alcohol abuse, and the use of stimulants among this age group. In this situation, the nurse has assumed which role? 1. Facilitator 2. Advocate 3. Teacher 4. Coordinator of services

3. Teacher

A 30-year-old client who plans to travel extensively within the United States asks the nurse about appropriate immunizations. What should the nurse recommend to this client? 1. The client should have a tetanus booster if the client has not had one within the last 5 years. 2. The client should have the hepatitis B immunization series. 3. The client should receive a meningococcal vaccine if the client did not receive one as a teen. 4. The client should not worry about immunizations, as they are not recommended for this age group.

3. The client should receive a meningococcal vaccine if the client did not receive one as a teen.

The nurse is working with a client to develop an expected outcome for the nursing diagnosis Disturbed Sleep Pattern, difficulty staying asleep related to anxiety secondary to multiple life stressors. Which expected outcome would be most applicable to this clients situation? 1. The client will sleep at least 8 hours each night. 2. The client will list three positive coping mechanisms for anxiety relief. 3. The client will report getting sufficient sleep to provide energy for daily activities. 4. The client will manifest less anxiety after taking prescribed medications.

3. The client will report getting sufficient sleep to provide energy for daily activities.

The elderly client comes to the clinic reporting gastrointestinal problems, including frequent constipation and indigestion, but denies any recent weight loss. The nurse initially recognizes that these symptoms 1. indicate a concern and could be caused by cancer. 2. indicate the need for an upper and lower GI x-ray series. 3. could be related to normal changes in muscle tone and activity. 4. are probably indicative of a gastric ulcer or colitis.

3. could be related to normal changes in muscle tone and activity.

A client repeatedly asks the nurse How much longer until I can get more pain medication? Once the medication is provided, the client stops asking for it. The nurse identifies the clients behavior as being 1. addiction. 2. tolerance. 3. pseudoaddiction. 4. physical dependence.

3. pseudoaddiction.

At birth a baby weighed 8 lb. What should the nurse expect this baby to weight at the age of 1? 1. 32 lb 2. 16 lb 3. 20 lb 4. 24 lb

4. 24 lb

Psychologic homeostasis is maintained by a variety of mechanisms. Which client should the nurse identify as being the most likely candidate to obtain psychologic homeostasis? 1. A child who is used to getting ready for school alone 2. A teenager whose circle of friends includes single parents of the same age 3. An elderly person who has just moved to a long-term care facility 4. A young adult who is in a long-term relationship

4. A young adult who is in a long-term relationship

A client with diabetes wants to have better control over her blood sugar levels. She has set a goal that she will have laboratory values that reflect this, and she has been monitoring her blood sugar twice a day for the past month. Along with regular checks, she has kept all appointments with her nutritionist. This client is modeling which stage of health behavior change? 1. Termination stage 2. Maintenance stage 3. Contemplation stage 4. Action stage

4. Action stage

A client states that a cramping pain started 2 hours ago and is not accompanied by any nausea or vomiting. Which type of pain is this client most likely experiencing? 1. Chronic pain 2. Phantom pain 3. Visceral pain 4. Acute pain

4. Acute pain

A nurse is working with various cultures while implementing health promotion activities for the community center. Bringing the minister of the church into the planning stage of these activities would be sensitive to which cultural groups? 1. Latino American 2. Asian American 3. Native American 4. African American

4. African American

After having a difficult time saying no when asked to work yet another overtime shift, the nurse begins to feel overwhelmed and irritable. As a method to most effectively promote self-healing, what should this nurse do? 1. Clarify values and beliefs. 2. Set realistic goals. 3. Learn to manage stress. 4. Challenge the belief that others always come first.

4. Challenge the belief that others always come first.

A school nurse is implementing a program to promote psychosocial development among adolescent teens at a high school. Which activity should the nurse include? 1. Career planning 2. Establishing peer groups 3. Playing musical instruments 4. Determining a value system

4. Determining a value system

A client comes to the womens clinic, stating she has had a positive home pregnancy test. The client states that her last menstrual cycle was 2 months ago. According to this time frame, the nurse determines that the client is in which stage of pregnancy? 1. Fetal phase 2. Second trimester 3. Third trimester 4. Embryonic phase

4. Embryonic phase

A client diagnosed with hypertension has had well-controlled follow-up of her blood pressure for the past 6 months. At todays clinic appointment, the clients blood pressure is 98/58. The client insists she has been taking her prescribed antihypertensive medication as prescribed, but also added an herbal tablet because she heard it was supposed to be good for her. Which is most likely interfering with the clients antihypertensive? 1. Valerian 2. Milk thistle 3. Ginseng 4. Garlic

4. Garlic

A community health nurse is planning adult health education classes. According to Eriksons stages of development, the nurse should address which task with this age group? 1. Industry versus inferiority 2. Identity versus role confusion 3. Intimacy versus isolation 4. Generativity versus stagnation

4. Generativity versus stagnation

A school nurse is working with teachers in helping them address the developmental needs of grade school students, according to Eriksons theory of industry versus inferiority. Which activities should the nurse suggest? 1. Providing time for running and playing sports, such as basketball, to increase gross motor skills 2. Allowing pretend time during their classes, such as for dress-up or role-playing activities 3. Presenting diversity in culture and practices as part of classroom study 4. Helping them develop skills needed in the adult world, such as allowance budgeting

4. Helping them develop skills needed in the adult world, such as allowance budgeting

A colleague is telling the community health nurse that his adult child has just moved back in with him and his wife. They are finding this situation somewhat difficult to adjust to. The nurse offers support and listens, while understanding that which factor is least likely contributing to this particular trend? 1. Maladaptive behavior 2. High unemployment rate 3. High housing costs 4. High incidence of chronic disease

4. High incidence of chronic disease

The nurse, seeing a client asleep, turns off the television in the room. The client opens her eyes and says I was watching that. I wasnt sleeping. The nurse realizes that the client was demonstrating which stage of NREM sleep? 1. IV 2. III 3. II 4. I

4. I

A client is being seen in the mental health clinic for antisocial behavior. According to Eriksons stages of development, the nurse realizes that this client is dealing with which task of development? 1. Initiative versus guilt 2. Industry versus inferiority 3. Intimacy versus isolation 4. Identity versus role confusion

4. Identity versus role confusion

A nurse educator is working with students and assisting them in addressing their clients spiritual needs. The educator understands that most traditional, second-year college students are aware of their own spiritual development or working to develop their own system of spirituality. The educator realizes that the students are in which stage of Fowlers developmental theory? 1. Mythic-lyrical 2. Intuitive-projective 3. Universalizing 4. Individuating-reflexive

4. Individuating-reflexive

The nurse is preparing information for a community health education seminar. Which statement should the nurse include regarding disease for the middle-aged adult? 1. Cancer is the leading cause of death in the age group from 25 to 64 years. 2. Coronary heart disease is the leading cause of death. 3. Leading causes of death include suicide and motor vehicle crashes. 4. Injuries and chronic disease are the leading causes of death in this age group.

4. Injuries and chronic disease are the leading causes of death in this age group.

A client has been working hard in rehabilitation following a traumatic brain injury. She has a weak support system in that her family lives a far distance away and her coworkers are not involved. On which behavior-specific cognitions should the nurse focus to assist this client with success in the rehabilitation program? 1. Situational influences 2. Perceived benefits of action 3. Perceived barriers to action 4. Interpersonal influences

4. Interpersonal influences

An older male client comes to the clinic and states to the nurse that he hasnt been interested in sexual intercourse lately. He states: I guess this is part of getting old, too. What should the nurse explain about decreased sexual interest in older clients? 1. It does decrease and gradually disappears. 2. It should not be taken as seriously as it would be if the client were a younger person. 3. It is caused by decreased hormone activity and there is little that can be done about it. 4. It decreases but does not disappear.

4. It decreases but does not disappear.

In the review of an elderly clients chart, the nurse reads that the client has sarcopenia. What should the nurse expect the client to report? 1. Weight loss and nausea 2. Hair loss and thin skin 3. Bleeding and bruising tendencies 4. Lack of strength and tiring easily

4. Lack of strength and tiring easily

A client is working two jobs, caring for aged parents, and maintaining a household for the family. The nurse realizes that this emotional stress will have what impact on the clients sleep? 1. More REM sleep 2. Less Stage 1 and Stage II NREM sleep 3. More NREM sleep 4. Less deep sleep and more awakenings during the night

4. Less deep sleep and more awakenings during the night

A parent is concerned that her child is unable to sit alone. The nurse explains that development is based on in-born timetables and the child will be most likely able to meet this milestone at a specific time. Upon which theory did the nurse base the response to the client? 1. Havighursts theory 2. Task theory 3. Psychosocial theory 4. Maturational theory

4. Maturational theory

A client comes to the family planning clinic for follow-up and is currently taking an oral contraceptive. During the interview assessment, the client states she has been using some natural medicines. Which herbal preparation should alert the nurse to a possible interaction with oral contraceptives? 1. Valerian 2. Echinacea 3. Garlic 4. Milk thistle

4. Milk thistle

The parents of a newborn male ask the nurse about pain during circumcision. What should the nurse respond to these parents? 1. Newborns cant feel pain, so dont worry about it. 2. Well make sure to bring your baby to you right after the procedure, so you can comfort him. 3. Ill have the pediatrician speak to you about it. 4. Newborns pain experience is real. Well use some medication to help your baby feel more comfortable.

4. Newborns pain experience is real. Well use some medication to help your baby feel more comfortable.

A clients pain level is assessed as being severe. Which intervention would be the most applicable for the client at this time? 1. Provide NSAID medication as prescribed. 2. Coach the client with guided imagery. 3. Suggest the client read or watch television until the pain subsides. 4. Provide opioid analgesic as prescribed.

4. Provide opioid analgesic as prescribed.

A client who has a long-standing history of depression has been on a prescribed antidepressant for several months and states that he has also been trying St. Johns wort. Which vital sign should the nurse assess for possible adverse effects? 1. Temperature 2. Respiratory rate 3. Oxygen saturation 4. Pulse rate

4. Pulse rate

The client who has sleep apnea reports falling asleep while driving, almost being involved in an accident, and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this client? 1. Disturbed Sleep Pattern related to difficulty staying asleep 2. Risk for Impaired Gas Exchange related to sleep apnea 3. Disturbed Thought Processes related to chronic insomnia 4. Risk for Injury related to somnambulism

4. Risk for Injury related to somnambulism

A client is having difficulty with feelings of self-loathing and disgust after being attacked and raped. According to Maslows human needs theory, at which level should the nurse recognize that the client is struggling? 1. Physiological 2. Safety and security 3. Love and belonging 4. Self-esteem

4. Self-esteem

A school nurse is bringing a group of students to a nursing home for a social exchange project. Before the students arrive, the nurse reminds them to do what when speaking to the residents? 1. Speak as loud as they can. 2. Speak into the residents ears. 3. Write out what they want to say on a piece of paper. 4. Speak distinctly, while facing the residents.

4. Speak distinctly, while facing the residents.

A home health nurse is working with a client who has had to quit his job after a serious injury and whose future employability is uncertain. The client states that his life has no meaning or purpose anymore and that he feels lonely and abandoned. What is an appropriate nursing diagnosis for this client? 1. Body Image Disturbance 2. Health-Seeking Behavior 3. Altered Family Processes 4. Spiritual Distress

4. Spiritual Distress

The nurse suggests that a client make a list of past experiences that have brought joy, peace, and hope into the clients life. What action is the nurse assisting the client to complete? 1. Lifestyle assessment 2. Social support systems review 3. Health beliefs review 4. Spiritual health assessment

4. Spiritual health assessment

The client is being treated with a nasal continuous positive airway pressure device (CPAP) for sleep apnea. What finding indicates that this treatment has been helpful to the client? 1. The client has lost 7 pounds since treatment began. 2. The client sleeps so soundly that he snores. 3. The clients diabetes is now under control. 4. The client reports a decrease in morning headache.

4. The client reports a decrease in morning headache.

An older adult client comes to the clinic with reports of not being able to hold her urine, stating: I feel so terrible. This shouldnt happen at my age. How should the nurse respond? 1. You shouldnt feel badly. Lots of people have this trouble. 2. Youll probably have to start wearing incontinence briefs. Then you wont be worried about accidents. 3. Getting old isnt much fun, is it? 4. There could be a number of causes for this. I need to ask you some more questions about it.

4. There could be a number of causes for this. I need to ask you some more questions about it.

A middle-aged client is struggling with life changes, including menopause. What is the best response by the nurse to this client? 1. Dont worrymenopause cant last forever. 2. There are some very good antidepressants you can take. 3. What did your mother do to get through menopause? 4. There is a menopause support group that meets every 2 weeks.

4. There is a menopause support group that meets every 2 weeks.

A parent is concerned that her 5-year-old is beginning to masturbate. How should the nurse, familiar with Freuds stages of development, respond? 1. All children are curious, but make sure the child knows that this behavior might be offensive to others. 2. You should probably consult a child psychologist if youre this concerned. 3. Lets make sure to ask your physician at the next appointment. 4. This behavior is a normal part of your childs development.

4. This behavior is a normal part of your childs development

The nurse is providing education regarding early detection of breast cancer to a group of women between the ages of 30 and 40. According to recommendations from the American Cancer Society, the nurse should explain that it is important for these women to 1. do monthly breast self-exams. 2. have a yearly mammogram. 3. see a physician if there is a strong family history of breast cancer. 4. have an annual breast exam performed by a health care provider.

4. have an annual breast exam performed by a health care provider.

A client tells the nurse that an ice pack works well to reduce the intensity of back pain. The nurse realizes that the client is implementing 1. a placebo. 2. distraction. 3. guided imagery. 4. the gate control theory of pain.

4. the gate control theory of pain.

A client asks the nurse about chiropractic medicine. What should the nurse explain as being among the goals of this type of health intervention? Standard Text: Select all that apply. 1. Improvement of blood and lymph flow through the body 2. Stimulation of specific points to help with pain relief, cures certain illnesses, and promote wellness 3. Reduce or eliminate pain 4. Correct spinal dysfunction 5. Preventive maintenance

Correct Answer: 3. Reduce or eliminate pain 4. Correct spinal dysfunction 5. Preventive maintenance

A client was in a motor vehicle crash where he sustained injury to his spinal cord that has resulted in difficulty with balance and holding his posture. Which should the nurse suggest the client consider? 1. Animal-assisted therapy 2. Hypnotherapy 3. Chelation therapy 4. Detoxification

Correct Answer: 1 Animal-assisted therapy

A client reports pain as being a 2 on a scale from 0 to 10. Which pain medications should the nurse consider for the client at this time? Standard Text: Select all that apply. 1. Acetaminophen (Tylenol) 2. Ibuprofen (Motrin) 3. Naproxen (Naprosyn) 4. Hydrocodone (Vicodin) 5. Methadone (Dolophine)

Correct Answer: 1, 2, 3 1. Acetaminophen (Tylenol) 2. Ibuprofen (Motrin) 3. Naproxen (Naprosyn)

The nurse is assessing a childs growth and development. What questions should the nurse ask the parents that demonstrate an understanding of the factors that affect growth and development processes? Standard Text: Select all that apply. 1. How tall the parents are 2. Whether noises seem to bother their child 3. How many ounces of formula their child drinks daily 4. What their yearly income is 5. Whether their child will receive daycare services

Correct Answer: 1, 2, 3 1. How tall the parents are 2. Whether noises seem to bother their child 3. How many ounces of formula their child drinks daily

The nurse is completing the admission assessment on a client who has obstructive sleep apnea. Which findings should the nurse expect when assessing this client? Standard Text: Select all that apply. 1. Reddened uvula 2. Large soft palate 3. Obesity 4. Short neck 5. Deviated septum

Correct Answer: 1, 2, 3 1. Reddened uvula 2. Large soft palate 3. Obesity

A client has not had uninterrupted sleep for several nights, and is irritable. What other assessment findings should the nurse associate with the clients lack of REM sleep? Standard Text: Select all that apply. 1. Depression 2. Confusion 3. Disorientation 4. Impaired memory 5. Muscle weakness

Correct Answer: 1, 2, 3, 4 1. Depression 2. Confusion 3. Disorientation 4. Impaired memory

The nurse is preparing to conduct a pain assessment. What should the nurse include in this assessment? Standard Text: Select all that apply. 1. Duration 2. Location 3. Intensity 4. Etiology 5. Neurology

Correct Answer: 1, 2, 3, 4 1. Duration 2. Location 3. Intensity 4. Etiology

The nurse is caring for an adolescent client who is experiencing postoperative pain. What interventions should the nurse use to help this client? Standard Text: Select all that apply. 1. Talk with the client about pain. 2. Provide privacy. 3. Present choices for dealing with pain. 4. Encourage distraction with music or television. 5. Allay fears and anxiety.

Correct Answer: 1, 2, 3, 4 1. Talk with the client about pain. 2. Provide privacy. 3. Present choices for dealing with pain. 4. Encourage distraction with music or television.

The nurse working in a community health office that is often frequented by young adults is assessing clients for suicide. Which factors should the nurse identify as indicating a problem in this area? 1. Decreased interest in work 2. Weight loss 3. Depression 4. Brain dysfunction, including tumors 5. Sleep disturbances

Correct Answer: 1, 2, 3, 5 1. Decreased interest in work 2. Weight loss 3. Depression 5. Sleep disturbances

The nurse suspects that an adult is not getting an adequate amount of nightly sleep. What information caused the nurse to have this suspicion? Standard Text: Select all that apply. 1. Enrolled in online classes 2. Raising two children ages 4 and 8 3. Experiences chronic pain from sciatica 4. Attends religious services every Sunday and Wednesday 5. Works one job steady night turn and another part-time late afternoon

Correct Answer: 1, 2, 3, 5 1. Enrolled in online classes 2. Raising two children ages 4 and 8 3. Experiences chronic pain from sciatica 5. Works one job steady night turn and another part-time late afternoon

A client tells the nurse about having problems falling and staying asleep. What should the nurse ask the client to gain more information about this client problem? Standard Text: Select all that apply. 1. How often does this happen? 2. How much coffee do you drink each day? 3. How do you feel when you wake up in the morning? 4. When do you eat your evening meal? 5. What have you done to deal with this sleeping problem?

Correct Answer: 1, 2, 3, 5 1. How often does this happen? 2. How much coffee do you drink each day? 3. How do you feel when you wake up in the morning? 5. What have you done to deal with this sleeping problem?

The school nurse determines that a 14yearold student has reached an expected level of cognitive development. What did the nurse assess to come to this conclusion? Standard Text: Select all that apply. 1. Thinks logically 2. Thinks about the future 3. Makes rational statements 4. Uses a trialanderror process 5. States things as they could be

Correct Answer: 1, 2, 3, 5 1. Thinks logically 2. Thinks about the future 3. Makes rational statements 5. States things as they could be

The nurse is confident that a client has met the developmental guidelines for a preschooler. What did the nurse assess to make this clinical decision? Standard Text: Select all that apply. 1. Can print her own name. 2. Proudly announces, I put my own toys away. 3. Shares that, I know I shouldnt hit, even when Im mad. 4. Effectively brushes her own teeth. 5. Washes her hands after toileting without prompting.

Correct Answer: 1, 2, 4 1. Can print her own name. 2. Proudly announces, I put my own toys away. 4. Effectively brushes her own teeth.

The nurse is confident that a young adult has successfully achieved psychosocial development. What observations about the client did the nurse make to come to this conclusion? Standard Text: Select all that apply. 1. Discusses plans to expand his exercise routine to include running 2. Is optimistic about finding a new job 3. Volunteers weekly at the local senior center 4. Recognizes that professional sports may be enjoyed but does not aspire to participating 5. May be too bald to play Santa Claus

Correct Answer: 1, 2, 4 1. Discusses plans to expand his exercise routine to include running 2. Is optimistic about finding a new job 4. Recognizes that professional sports may be enjoyed but does not aspire to participating

The nurse is preparing a teaching session for pregnant clients that reviews the fetal growth and development that occurs in the first 3 weeks post-conception. What should the nurse include in this teaching? Standard Text: Select all that apply. 1. How the embryo has attached to the wall of the uterus 2. Development of the fetal membranes and the amniotic sac 3. How the embryo will be covered with a protective substance called vernix caseosa 4. How development of the fetal placenta has begun 5. How the embryo is covered with a soft, downy hair

Correct Answer: 1, 2, 4 1. How the embryo has attached to the wall of the uterus 2. Development of the fetal membranes and the amniotic sac 4. How development of the fetal placenta has begun

The nurse is working with young adults in the community. What should the nurse realize as being the psychosocial developmental tasks of this population? Standard Text: Select all that apply. 1. Selecting a mate 2. Rearing children 3. Achieving civic responsibility 4. Finding a congenial social group 5. Developing adult leisure-time activities

Correct Answer: 1, 2, 4 1. Selecting a mate 2. Rearing children 4. Finding a congenial social group

After an assessment, the nurse is concerned that an older client is experiencing changes in sleep. What findings did the nurse use to make this clinical decision? Standard Text: Select all that apply. 1. Is wide awake around 3 am 2. Takes a nap after lunch every day 3. Returns to sleep after using the bathroom 4. Goes to sleep before 9 pm most evenings 5. Wakes up and looks at the clock every hour

Correct Answer: 1, 2, 4, 5 1. Is wide awake around 3 am 2. Takes a nap after lunch every day 4. Goes to sleep before 9 pm most evenings 5. Wakes up and looks at the clock every hour

The nurse is preparing to instruct a client on nonpharmacologic interventions that target the body for pain control. What should the nurse include in these instructions? Standard Text: Select all that apply. 1. Massage 2. Acupressure 3. Self-hypnosis 4. Exercise 5. Nutritional supplements

Correct Answer: 1, 2, 4, 5 1. Massage 2. Acupressure 4. Exercise 5. Nutritional supplements

A client approaching middle age asks for information to keep mentally sharp. What should the nurse explain about the cognitive abilities of the middle-aged client? Standard Text: Select all that apply. 1. Reaction time stays much the same. 2. Memory is maintained during this time. 3. Learning declines and cannot be completed. 4. Problem-solving ability is maintained during this time. 5. Cognitive and intellectual abilities change very little at this time.

Correct Answer: 1, 2, 4, 5 1. Reaction time stays much the same. 2. Memory is maintained during this time. 4. Problem-solving ability is maintained during this time. 5. Cognitive and intellectual abilities change very little at this time.

The nurse is preparing a teaching session for a group of parents with newborn children. What should the nurse include about Bowlbys attachment theory during this presentation? Standard Text: Select all that apply. 1. Use the attachment figure as security 2. Desire to be near the attachment figure 3. Plan to separate from the attachment figure 4. Return to the attachment figure when threatened 5. Express anxiety when the attachment figure is absent

Correct Answer: 1, 2, 4, 5 1. Use the attachment figure as security 2. Desire to be near the attachment figure 4. Return to the attachment figure when threatened 5. Express anxiety when the attachment figure is absent

A group of older clients is interested in living options available in the community when they may need some assistance with their daily needs. What should the nurse suggest as possibilities to meet these needs? 1. Adult foster care 2. Group homes 3. Retirement villages 4. Long-term care facilities 5. Adult day-care centers

Correct Answer: 1, 2, 5 1. Adult foster care 2. Group homes 5. Adult day-care centers

A client experiencing pain has been prescribed a coanalgesic. The nurse should prepare to administer what medications to the client? Standard Text: Select all that apply. 1. Nortriptyline 2. Amitriptyline 3. Tramadol 4. Meloxicam 5. Gabapentin

Correct Answer: 1, 2, 5 1. Nortriptyline 2. Amitriptyline 5. Gabapentin

The nurse is completing a spiritual assessment with a middle-aged client. What should the nurse recognize as expected characteristics of moral development in this client? Standard Text: Select all that apply. 1. Uses religion for comfort 2. Seeks religious explanations for death 3. Compares characteristics of various religions 4. Questions the purpose of religion in ones life 5. Relies upon spiritual beliefs to help with illness

Correct Answer: 1, 2, 5 1. Uses religion for comfort 2. Seeks religious explanations for death 5. Relies upon spiritual beliefs to help with illness

After analyzing behavior, the nurse determines that a client is demonstrating defense mechanisms. According to Freud, what should the nurse realize as being the cause of this behavior? Standard Text: Select all that apply. 1. Anxiety created by conflicts 2. Activation of the conscience 3. Conflict between the ids impulses 4. Immediate pleasure and gratification 5. Underlying motivation for development

Correct Answer: 1, 3 1. Anxiety created by conflicts 3. Conflict between the ids impulses

The nurse is planning care for an older adult client. On what should the nurse focus if following the Functional Consequences Theory on aging?1. Promote safety. Standard Text: Select all that apply. 1. Promote safety. 2. Promote mental health. 3. Improve quality of life. 4. Promote spiritual health. 5. Promote growth and development.

Correct Answer: 1, 3 1. Promote safety. 3. Improve quality of life.

The health care provider is writing medication orders for a client recovering from spinal fusion surgery. When the client reports pain as a 9 on a scale from 0 to 10, which medications should the nurse consider providing to the client? Standard Text: Select all that apply. 1. Oxymorphone (Opana) 2. Hydrocodone (Vicodin) 3. Oxycodone (OxyContin) 4. Morphine sulfate (morphine) 5. Hydromorphone hydrochloride (Dilaudid)

Correct Answer: 1, 3, 4, 5 1. Oxymorphone (Opana) 3. Oxycodone (OxyContin) 4. Morphine sulfate (morphine) 5. Hydromorphone hydrochloride (Dilaudid)

The nurse is discussing human growth and development with the parents of a newborn. What should the nurse include in this discussion? Standard Text: Select all that apply. 1. Growth involves physical change and increase in size. 2. Skills and function increase with growth. 3. Most humans experience a similar pattern of growth. 4. Being able to adapt to ones environment is an indicator of growth. 5. Childrens growth is monitored by height, weight, bone size, and dentition.

Correct Answer: 1, 3, 5 1. Growth involves physical change and increase in size. 3. Most humans experience a similar pattern of growth. 5. Childrens growth is monitored by height, weight, bone size, and dentition.

An expectant parent asks the nurse about health problems of newborns. On what should the nurse provide information to this client? Standard Text: Select all that apply. 1. Infant colic 2. Respiratory tract infections 3. Failure to thrive 4. Injuries 5. SIDS

Correct Answer: 1, 3, 5 1. Infant colic 3. Failure to thrive 5. SIDS

The nurse wants to assign back rubs to unlicensed assistive personnel (UAP). Before doing so, the nurse should first determine whether Standard Text: Select all that apply. 1. unlicensed assistive personnel know how to perform a back rub. 2. there any clients who have intravenous fluids infusing. 3. there any clients who should not have a back rub performed. 4. there any clients who are prescribed to take nothing by mouth. 5. there any clients who do not want a back rub done by unlicensed assistive personnel.

Correct Answer: 1, 3, 5 1. unlicensed assistive personnel know how to perform a back rub 3. there any clients who should not have a back rub performed. 5. there any clients who do not want a back rub done by unlicensed assistive personnel.

The parents of a schoolage child are concerned about the child learning right from wrong. In which order should the nurse instruct the parents of a school-age child that moral development will develop in their child? Standard Text: Click and drag the options below to move them up or down. Choice 1. Punishment and obedience Choice 2. Law-and-order orientation Choice 3. Instrumental-relativist orientation Choice 4. Good boynice girl stage

Correct Answer: 1, 4, 2, 3 Choice 1. Punishment and obedience Choice 4. Good boy nice girl stage Choice 2. Law-and-order orientation Choice 3. Instrumental-relativist orientation

A nurse working on an Alzheimers unit notes that just before the supper hour, many of the residents become more anxious and confusedexhibiting typical sundowners syndromemaking the evening meal an unpleasant ordeal. As a method to try to decrease their turmoil during this time, which therapy should the nurse introduce into the daily routine? 1. Biofeedback 2. Music therapy 3. Pilates 4. Spiritual therapy

Correct Answer: 2

The nurse is providing pre-employment physicals to a group of adults, aged 30 to 40. In which generation should the nurse categorize these adults? 1. Baby Boomers 2. Generation X 3. Generation Y 4. Millennials

Correct Answer: 2 Generation X Rationale 1: The Baby Boomers were born in the years 1945 to 1964. Rationale 2: Generation X includes individuals born in the years 1965 to 1978. Rationale 3: Generation Y includes individuals born between the years 1979 and 2000. Rationale 4: Millennials were born between the years 1979 and 2000.

The nurse is working on a hospital committee tasked with reducing environmental distractions to sleep within the hospital. Which recommendations by the committee would be helpful? Standard Text: Select all that apply. 1. Turn off all overhead lights on the unit and use night-lights and flashlights. 2. Establish a time at which radios and televisions should be turned off or down. 3. Discontinue use of the paging system after 2100. 4. Conduct nursing reports in the hallway. 5. Open curtains between beds in semiprivate rooms.

Correct Answer: 2, 3 2. Establish a time at which radios and televisions should be turned off or down. 3. Discontinue use of the paging system after 2100.

The nurse is identifying health promotion needs for an older adult client. What should the nurse consider for this client? Standard Text: Select all that apply. 1. Offering to arrange a pneumococcal vaccine for a client turning 60 years old 2. Assessing the 62-year-old client for situational depression. 3. Discussing smoking cessation classes with a 64-year-old 4. Asking a 78-year-old client whether he had his cholesterol tested within the last 3 years 5. Measuring the 79-year-old clients height and weight

Correct Answer: 2, 3, 5 2. Assessing the 62-year-old client for situational depression. 3. Discussing smoking cessation classes with a 64-year-old 5. Measuring the 79-year-old clients height and weight

An older client who refuses medication for pain is irritable and unable to sleep. What should the nurse explain to the client to encourage the use of pain medication? Standard Text: Select all that apply. 1. There are high-dose medications that will eradicate the pain. 2. The lack of pain control is causing the inability to sleep. 3. The lack of pain control is causing irritability. 4. The risks of taking pain medication are low in the older population. 5. The lack of pain control will affect mobility and activity tolerance.

Correct Answer: 2, 3, 5 2. The lack of pain control is causing the inability to sleep. 3. The lack of pain control is causing irritability. 5. The lack of pain control will affect mobility and activity tolerance.

The nurse is caring for a client receiving pain medication through an epidural catheter. What should the nurse include to ensure safety when caring for this client? Standard Text: Select all that apply. 1. Secure all tubing connections with gauze. 2. Apply tape over all injection ports on the tubing. 3. Cleanse the insertion site with alcohol swabs once a day. 4. Label the tubing, infusion bag, and pump with the word epidural. 5. Post a sign above the clients bed indicating that an epidural is being used.

Correct Answer: 2, 4, 5 2. Apply tape over all injection ports on the tubing. 4. Label the tubing, infusion bag, and pump with the word epidural. 5. Post a sign above the clients bed indicating that an epidural is being used.

The nurse has completed a back massage for a client. What should the nurse document about this procedure? Standard Text: Select all that apply. 1. Effectiveness of pain medication using a rating scale from 0 to 10 2. Position to perform the massage 3. Content of communication that occurred during the back massage 4. Amount of lotion used during the back massage 5. Client response

Correct Answer: 2, 5 2. Position to perform the massage 5. Client response

The nurse is preparing to massage a clients back. Place in order the steps the nurse will follow, after conducting hand hygiene and preparing the client, to perform the back massage. Standard Text: Click and drag the options below to move them up or down. Choice 1. Move the hands down the sides of the back. Choice 2. Pour lotion into the palms of the hands to warm the lotion. Choice 3. Massage the areas over the right and left iliac crests. Choice 4. Move the hands up the center of the back. Choice 5. With the palms, massage the sacral area with smooth, circular strokes. Choice 6. Move the hands to the scapulae and massage this region using circular strokes.

Correct Answer: 2, 5, 4, 6,1, 3 2. Pour lotion into the palms of the hands to warm the lotion 5. With the palms, massage the sacral area with smooth, circular strokes. 4. Move the hands up the center of the back. 6. Move the hands to the scapulae and massage this region using circular strokes. 1. Move the hands down the sides of the back. 3. Massage the areas over the right and left iliac crests.

A nurse is working with a group of clients in a community center, all over the age of 85. How should the nurse classify this group of clients? 1. Young-old 2. Middle-old 3. Old-old 4. Elite-old

Correct Answer: 3 Rationale 1: Those of age 65 to 74 years are referred to as the young-old. Rationale 2: Those of age 75 to 84 are the middle-old. Rationale 3: Those of age 85 to 100 are the old-old. Rationale 4: Individuals over 100 are considered the elite-old.

A client is prescribed a medication that is a blend of an opioid analgesic with an NSAID. The nurse realizes that this medication will have which effects on the client? Standard Text: Select all that apply. 1. Encourage the development of tolerance. 2. Encourage the development of addiction. 3. Maximize pain control while minimizing toxicity. 4. Maximize pain control while minimizing side effects. 5. Reduce the onset of pseudoaddiction.

Correct Answer: 3, 4 3. Maximize pain control while minimizing toxicity. 4. Maximize pain control while minimizing side effects.

From an assessment, the nurse learns that the client is having difficulty sleeping because of pain in the hips and knees due to arthritis. The client is weak and fatigued. Which diagnoses would be applicable to the client at this time? Standard Text: Select all that apply. 1. Anxiety 2. Hopelessness 3. Ineffective Health Maintenance 4. Insomnia 5. Impaired Physical Mobility

Correct Answer: 3, 4, 5 3. Ineffective Health Maintenance 4. Insomnia 5. Impaired Physical Mobility

The nurse is reviewing the four stages of development in Westerhoffs spiritual theory. In which order should the nurse review these stages to match the life cycle? Standard Text: Click and drag the options below to move them up or down. Choice 1. Owned faith Choice 2. Affiliative faith Choice 3. Experienced faith Choice 4. Searching faith

Correct Answer: 4, 2, 1, 3 Choice 4. Searching faith Choice 2. Affiliative faith Choice 1. Owned faith Choice 3. Experienced faith

Before helping a client with smoking cessation, the nurse reviews the steps of the change process. In which order should the nurse expect the client to progress through the stages of health change behavior? Arrange the following stages in the correct order: Standard Text: Click and drag the options below to move them up or down. Choice 1. Preparation stage Choice 2. Contemplation stage Choice 3. Maintenance stage Choice 4. Precontemplation stage Choice 5. Termination stage Choice 6. Action Stage

Correct Answer: 4, 2, 1, 6, 3, 5 Choice 4. Precontemplation stage Choice 2. Contemplation stage Choice 1. Preparation stage Choice 6. Action Stage Choice 3. Maintenance stage Choice 5. Termination stage

The nurse is assessing a client in the intensive care unit who is asleep. What physiological changes will the nurse observe in this client? Standard Text: Select all that apply. 1. Lower respiratory rate 2. Increased muscle tension 3. Increased lower extremity edema 4. Lower blood pressure 5. Lower heart rate

Correct Answer: 4, 5 4. Lower blood pressure 5. Lower heart rate

The nurse is preparing a client for a back massage. Which positions would be the best for the client to receive this massage? Standard Text: Select all that apply. 1. Supine 2. Fowlers 3. Trendelenburg 4. Prone 5. Side-lying

Correct Answer: 4, 5 4. Prone 5. Side-lying