Module 4 (fundamentals 2) quiz

A nurse touches a client's hand to indicate caring and support. What channel of communication is the nurse using? A. Kinesthetic B. Visual C. Olfactory D. Auditory

A. Kinesthetic

client expresses worry about upcoming surgery. Which response by the nurse is a cliché? A. "Do you want to cancel your surgery?" B. "Do not worry, everything will be fine." C. "Have you spoken to your family about your concerns?" D. "Tell me what you are worried about."

B. "Do not worry, everything will be fine."

The nurse enters a client's room and observes that the client is hunched over and appears to be breathing rapidly. What type of question should the nurse first ask the client in this interaction? A. An open-ended question B. A yes or no question C. A directing question D. A reflective question

B. A yes or no question

In what phase of the general adaptation syndrome (GAS) is a client who is using all of the physiologic adaptive mechanisms for dealing with stress leaving no defense against the distress? A. fight-or-flight stage B. stage of exhaustion C. stage of resistance D. alarm reaction stage

B. stage of exhaustion

Which group of terms best describes anxiety? A. known source, prolonged, solely physical B. unknown cause, emotional, apprehensive C. cognitive, known threat, depression D. cognitive, visible threat, anger

B. unknown cause, emotional, apprehensive

What might a nurse ask during a health history to assess personal identity? A. "Tell me how your illness has affected you in your job." B. "How do you believe others see you? Why do you believe that?" C. "How would you describe yourself to others?" D. "Tell me what you do for fun and what you do for work."

C. "How would you describe yourself to others?"

Which action should the nurse first consider when attempting to become culturally competent? A. Treat the client with respect and dignity. B. Avoid labeling any clients. C. Assess own personal cultural beliefs and prejudices. D. Listen and understand the client's response.

C. Assess own personal cultural beliefs and prejudices.

The spouse of a client reports daily migraine headaches since the client's colon cancer diagnosis. Which action by the nurse is helpful in addressing the spouse's issue? A. Reassuring the spouse the migraines are a normal physiologic response to stress. B. Providing the contact for a neurologist for a migraine medication prescription. C. Suggesting a massage for muscle tension related to fight-or-flight response. D. Telling the spouse he or she probably is not eating enough and has low blood sugar.

C. Suggesting a massage for muscle tension related to fight-or-flight response.

A client has noticed bright red blood in their bowel movements for over a month. The client says to themselves, "Oh, it is just my hemorrhoids." What defense mechanism is the client using? A. repression B. compensation C. denial D. rationalization

C. denial

While interviewing 45-year-old client who gambles impulsively, the nurse observes that the client blames the loss of job, estrangement from spouse, and lack of friends on destiny. The nurse interprets this information as indicative of which aspect of altered self-concept? A. behavioral changes B. self-care deficit C. self-destructive behavior D. anxiety and depression

C. self-destructive behavior

The nurse teaches a client about the use of yoga as a stress management intervention. Which client statement indicates to the nurse that learning has taken place? A. "It uses the mind to visualize calming, pleasurable, and positive experiences." B. "It alters a negative physiologic response through the power of suggestion." C. "It eases tense muscles by clearing the mind of stressful thoughts." D. "It reduces physical and emotional tension through postural changes and focused concentration."

D. "It reduces physical and emotional tension through postural changes and focused concentration."

A nurse drafts an SBAR communication before contacting the primary care provider of a client whose condition has worsened suddenly. How should the nurse best conclude this communication? A. Ask whether the care provider is familiar with this client. B. Provide the most likely diagnosis of the problem. C. Provide the client's most recent vital signs. D. Ask the care provider to come and assess the client.

D. Ask the care provider to come and assess the client.

Which term describes a nurse who is sensitive to the client's feelings, but remains objective enough to help the client achieve positive outcomes? A. Competent B. Honest C. Caring D. Empathic

D. Empathic

Which action by the nurse demonstrates respect for the client as an individual? A. The nurse asks the aide to provide a bath for "the motor vehicle accident (MVA) client." B. The nurse is providing care to an older adult client and calls the client "Mom." C. The nurse is giving report to another nurse about "the gallbladder client." D. The nurse is administering medication to a client the nurse addressed as "Ms. Taylor."

D. The nurse is administering medication to a client the nurse addressed as "Ms. Taylor."

A nurse teaches a client deep-breathing exercises to help control anxiety. This is considered what type of stress management technique? A. guided imagery B. mediation C. anticipatory guidance D. relaxation

D. relaxation