NMNC 1110 EAQ 11: Professional Identity, Communication, Health Care Law

The nurse is caring for a couple during their initial visit to a fertility clinic after being unable to conceive for 2 years. Which assessment questions would be appropriate to determine an alternate cause of infertility?

"Do you use any lubrication during intercourse?"

Which situation may occur if monocular strabismus is not corrected early?

Amblyopia will progress in the weaker eye.

How would the nurse document this rhythm for a client who has just arrived in the emergency department?

Atrial flutter

Which strategy would the nurse determine is the best method for teaching a 4-year-old child about deep breathing before surgery?

Make up a game that involves using an incentive spirometer

After 3 months of rehabilitation after a craniotomy, a client still is having motor speech difficulty. Which would the nurse do to promote the client's use of speech?

Respond to the client's efforts of speaking.

When the nurse is caring for several clients on a medical/surgical floor, which task is appropriate to delegate to the unlicensed assistive personnel (UAP)?

Turn a bed-bound client to prevent pressure injuries.

The registered nurse is teaching the nursing student the qualities that a leader would possess for effectively managing conflicts. Which statement by the nursing student indicates the need for further teaching?

"I will immediately resume efforts to resolve the conflict if initial efforts fail."

The nurse who is working on a medical-surgical unit receives a phone call requesting information about a client who has undergone surgery. Which is the best response by the nurse?

"It is against the hospital's policy to provide you with any information."

A 4-year-old child weighing 33 lb (15 kg) has a prescription to receive 100 mL/kg per 24 hours for the first 10 kg and then 50 mL/kg per 24 hours for the next 10 kg. Which parental statement would the nurse recognize as correctly reflecting the child's recommended daily fluid intake?

"Ten 4-oz (120-mL) servings is required.

A client comes in for a pregnancy test. She tells the nurse that pregnancy may have occurred because she missed her contraceptive pills for 1 week when she had the flu. Which response by the nurse is appropriate?

"You may be correct. The effect of contraceptive pills depends on them being taken on a regular schedule."

A new mother with three young children at home comments she will have to prop the bottle for feedings at home because she will have so much to do. Which is the nurse's most appropriate response?

"You seem concerned about managing your time. Let's talk about it."

During a routine visit to the child health clinic the parent of a 3-year-old child reports, "My child is still sucking the thumb." Which is the nurse's best response?

"Your child will stop when ready."

The father of a child who is dying of cancer asks the nurse whether he should tell his 7-year-old son that his sister is dying. What is the most appropriate response by the nurse?

"Your son probably doesn't understand death as we do but fears it just the same. He should be told the truth to let him prepare for his sister's death."

Which basic concept associated with rehabilitation would the nurse consider when formulating discharge plans for clients?

Immediate or potential rehabilitation needs are exhibited by clients with health problems

A client tells the nurse that her mother died of endometrial cancer 1 year ago and that she is afraid she will also develop this same cancer. Which risk factor stated by the client after an education session on risk factors indicates that further teaching is needed?

Late-onset menarche

A 15-year-old adolescent with type 1 diabetes arrives at the diabetic outpatient clinic with a parent. The adolescent sits back in the chair with arms folded, frowns, and displays a withdrawn attitude. The adolescent and parent argue in front of the nurse. Which is the best approach for the nurse to use?

Speaking separately with each of them, encouraging them to recognize and vent their anger

Which nursing action best prepares a client for termination of the therapeutic relationship?

Telling the client during the first meeting how long the therapeutic relationship will last

According to the nursing process, which would the nurse do after administering pain medication to a postoperative client?

Determine whether the pain medicine relieved the client's pain.

Which foods should be avoided by children with celiac disease who recently started on a gluten-free diet?

Grilled frankfurter

Which nursing actions best promote communication when obtaining a nursing history? Select all that apply. One, some, or all responses may be correct.

- Establishing eye contact - Paraphrasing the client's message - Using broad, open-ended statements

The nurse is reviewing discharge instructions for a mother whose lactose intolerant school-aged child was recently found to have celiac disease. Which statements by the mother demonstrate understanding of the child's nutritional needs? Select all that apply. One, some, or all responses may be correct.

- "I'll try to provide meals that are lower in fats and higher in carbohydrates." - "She loves raw carrots for snacking, so I'll have to avoid those when the disease is worse." - "I'll be sure to look at the labels more closely from now on—we need to avoid hydrolyzed vegetable protein."

Which statements would the nurse include when providing education regarding menopausal hormone therapy? Select all that apply. One, some, or all responses may be correct.

- "Taking conjugated estrogens is associated with an increased risk of gallbladder disease." - "If the treatment is used for 1 to 3 years in a client with no risk factors for heart disease, the benefits may outweigh the risk."

Which types of hepatitis develop into a chronic form of the disease? Select all that apply. One, some, or all responses may be correct.

- Hepatitis B - Hepatitis C - Hepatitis D

Which intervention(s) will the nurse include in a care plan for a client with Alzheimer disease? Select all that apply. One, some, or all responses may be correct.

- Limit choices. - Toilet every two hours - Encourage participation in self-care

Which are the best ways for the nurse to be protected legally? Select all that apply. One, some, or all responses may be correct.

- Provide care within the parameters of the standards for nursing practice set by the state or province. - Document consistently and objectively. - Clearly document a client's nonadherence to the medical regimen.

Which actions illustrate Kotter's 8-step change model? Select all that apply. One, some, or all responses may be correct.

- Removing the obstacles to support the change effectively - Creating a vision for change and communicating it within the team - Reporting the difference that the change is making in the organization

Which is the nurse's priority when evaluating a child with sickle cell anemia whose spleen autoinfarcted 2 years prior?

Determining parental knowledge about infection

A client has newly diagnosed, rapid-cycling bipolar disorder. Which classification of medication is used to manage this condition?

Anticonvulsant medication

The nurse observes the practices of the parents of several pediatric clients who have been admitted. Which client's parents require an intervention for medication adherence?

Client 2 (uses a bottle cap or soup spoon to dose liquid drug formulations)

Which client in the emergency department would the nurse assess first?

Client with chest pressure and ST segment elevation on the electrocardiogram