HESI

Which psychophysiological factors influence communication between the nurse and a client? Select all that apply. One, some, or all responses may be correct.

2 Emotional status 5 Growth and development

Which description of family-centered care is correct?

A collaborative plan of care is developed to achieve optimal health.

Which statement is true for attachment in the newborn?

Attachment is the interaction between parent and child.

The advanced practice registered nurse (APRN) is caring for a pregnant woman ready to deliver. Which type of APRN would care for this client?

CNM certified nursing midewife

The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the analgesic properties of cold therapy?

Causing local vasoconstriction, preventing edema and muscle spasms

The nurse is measuring the body temperature of four clients in a clinical setting. Which client is in need of rewarming through cardiopulmonary bypass?

Client B Hypothermia is classified as mild hypothermia (body temperature of 34°C-36°C [93.2°F-96.8°F]), moderate hypothermia (body temperature of 30°C-34°C [86°F-93°F]), and severe hypothermia (body temperature below 30°C [86°F]). Client B, with a body temperature of 29.6°C (85.3°F) is in need of rewarming through cardiopulmonary bypass because his or her body temperature is less than 30°C (86°F). Clients A, C, and D do not have a temperature less than 30°C (86°F); therefore they may not need rewarming through cardiopulmonary bypass.

A client with chronic renal failure stops responding to the treatment. On examination, the primary health care provider determines that the client is terminally ill. Which is the correct nursing intervention in this situation?

Encourage the family members to provide palliative care to the client.

A new mother says to the nurse, "I would like to care for my baby independently rather than depending on the baby's grandparents." From this information, which culture would the nurse infer that the new mother belongs to?

North American culture

Two nurses are planning to help a client with one-sided weakness move up in bed. Which principle of body mechanics would the nurses observe?

Position the nurses on either side of the bed with their feet apart, gather the pull sheet close to the client, turn toward the head of the bed, and then move the client.

Refusing to follow the prescribed treatment regimen, a client plans to leave the hospital against medical advice. Which is it important for the nurse to inform the client of?

The client must accept full responsibility for possible undesirable outcomes

Which is the role of a case manager in a health care organization?

To follow up with the client after discharge

Which nursing action would be considered a part of self-regulation in the decision-making process?

on ones owns experiences

The nurse is caring for a client who had a hip replacement 2 days prior. Which nursing intervention would the nurse perform next?

provide perineal care

Arrange the stages of life in Erikson's theory of psychosocial development in the correct order.

trust , autonomy, initiative, industry, identity, intimacy, generativity and ego integrity

The nurse has provided discharge instructions to a client who received a prescription for a walker. The nurse determines that the teaching has been effective when the client does which?

Moves the walker no more than 12 inches (30.5 cm) during use

Why would the nurse establish "moderately hard" client-centered goals? Select all that apply. One, some, or all responses may be correct.

To prevent the client from quitting before the goal is achieved To prevent the client from losing motivation toward achieving the goal

The nurse changed a dressing on a client's wound with vancomycin-resistant enterococci (VRE). Which step would the nurse take to ensure proper disposal of the soiled dressing?

bio hazard bag

Which factor(s) increase(s) the risk of nurses making medication errors in the health care setting? Select all that apply. One, some, or all responses may be correct.

fatigue, stress, and overwork

Arrange in order the items of personal protection equipment (PPE) removed after seeing a client in droplet precautions.

glove, face shield, gown, mask

A client with cystic fibrosis asks why the percussion procedure is being performed. Which rationale would the nurse give to the client?

loosens pulmonary secretions.

Which action of the nurse would be most important to convey interest in starting a conversation with a client who has hearing loss?

make eye contact