NURS 310 Health and Illness Exam 1

A nurse paraphrased some statements made by a client during a conversation with the patient. What is the best way to paraphrase the conversation while continuing to communicate with the patient? A. "In other words, you would like to be treated like an adult?" B. "You're too young to be treated like an adult." C. "That is no way to feel. Your daughter is trying to help you out." D. "I have experienced a similar situation and here is what I did."

A. "In other words, you would like to be treated like an adult?"

While conducting a health interview the nurse wants to make sure that the information collected is correct before moving to a new area of focus. Which statement should help the nurse summarize the content of the conversation? A. "We have discussed previous illnesses and hospitalizations. Did I miss anything?" B. "In other words, you have not had any major illnesses or hospitalizations for 5 years?" C. "I sense that you don't like hospitals. Do I understand you correctly?" D. "I am not sure that I completely understand the symptoms that you are experiencing."

A. "We have discussed previous illnesses and hospitalizations. Did I miss anything?"

A patient with a newly delivered baby asks the nurse, "How do I know if my baby can hear?" Which information should the nurse provide? A. "We will perform a hearing screening prior to discharge from the hospital." B. "When you speak to the baby, the baby will look at you." C. "The baby's hearing is not fully developed and will be tested later." D. "At your baby's 6-month pediatric visit, a hearing screening will be performed."

A. "We will perform a hearing screening prior to discharge from the hospital."

The nurse asks for feedback about their body language. Which statement should the nurse receive to be most effective? A. "When you cross your arms while speaking, I feel your apprehension." B. "When you talk and cross your arms, it bothers me." C. "When you cross your arms, I feel like you don't care." D. "When you talk to me, you cross yours arms as if to defend yourself."

A. "When you cross your arms while speaking, I feel your apprehension."

The home health nurse is talking with a parent outside the bathroom door while the toddlers are playing in the tub. Which client statement would require further safety teaching? A. "Why don't we talk in the living room? My children are fine in bathtub by themselves." B. "Let me get the children out of the tub so we can talk." C. "I don't like to leave the children alone in the bathroom." D. "I often bathe the children together and stay in the bathroom."

A. "Why don't we talk in the living room? My children are fine in bathtub by themselves."

An older adult client is very friendly and likes to talk to the staff. Which actions should the nurse take so to avoid using​ elderspeak? (Select the 3 answers that​ apply.) A. Avoid using baby talk. B. Use the word​ "you" (not "we") when asking questions. C. Always use a white board as a communication aid. D. Use the​ client's full name if this is their preference. E. Speak slowly and loudly.

A. Avoid using baby talk. B. Use the word​ "you" (not "we") when asking questions. D. Use the​ client's full name if this is their preference.

The nurse is preparing to assess cranial nerve III, the oculomotor nerve. Which assessment should the nurse use? A. Cardinal fields B. Corneal light reflex C. Enchroma D. Visual acuity

A. Cardinal fields

While completing a health history, the nurse becomes concerned that a pregnant client is at risk for having a miscarriage. Which information in the client's history is causing this concern? (Select the 3 correct answers). A. Client smokes one pack of cigarettes per day. B. Client has two other children at home. D. Client consumes black coffee and cola drinks. E. Client ingests fresh fruit and whole-grain products. F. Clients husband uses non-prescription marijuana in the home.

A. Client smokes one pack of cigarettes per day. D. Client consumes black coffee and cola drinks. F. Clients husband uses non-prescription marijuana in the home.

Which client should the nurse identify as having the greatest risk for hearing loss? A. Construction worker who typically works in urban centers. B. Adolescent who occasionally listens to loud music on headphones. C. Teacher who works at a large high school. D. Lawyer who enjoys snowmobiling once a year.

A. Construction worker who typically works in urban centers.

Which best describes the introductory phase of therapeutic communication? A. Developing trust B. Working C. Exploring D. Reflection

A. Developing trust

Which practices support promotion of health safety? (Select the 3 correct answers that apply). A. Exercise every day. B. Avoid driving when sleepy or tired. C. Vape instead of smoke cigarettes. D. Wear seat belts. E. Eliminate all foods containing fat. F. Only see a healthcare provider when sick.

A. Exercise every day. B. Avoid driving when sleepy or tired. D. Wear seat belts.

Which independent nursing intervention would support the goal of preventing sensory overload? A. Explain environmental sounds. B. Instruct the patient to take sips of water between foods. C. Encourage the use of a radio. D. Encourage the use of email.

A. Explain environmental sounds.

Individuals who experience a particular social or health problem have a better understanding of the condition than those do not have it. To which principle should the nurse recognize as supporting this belief? A. Helper-therapy B. Religious C. Twelve-step D. Modification

A. Helper-therapy

The nurse is assessing a child with a history of otitis media. The nurse observes a reddened, inflamed tympanic membrane in the right ear. Based on the child's history of recurrent otitis media, which procedure should the nurse expect to be recommended? A. Insertion of ear tubes B. Reconstruction of the tympanic membrane C. Cochlear implant D. Removal of the stapes

A. Insertion of ear tubes

The nurse is conducting a prenatal assessment on a client. Which finding indicates a risk of sensory impairment in the unborn child? A. Lack of immunity to rubella B. History of otitis media. C. Immunity to varicella. D. Brief case of moderate conjunctivitis.

A. Lack of immunity to rubella

The client and the patient are conversing verbally face to face. What communication technique is being demonstrated? A. Linguistic B. Paralinguistic C. Explicit D. Metacommunication

A. Linguistic

To determine informed consent, the nurse asks a patient, "Can you tell me what your surgery will involve?" Which method of therapeutic communication is the nurse using? A. Open-ended questioning B. Giving information C. Paraphrasing D. Seeking clarification

A. Open-ended questioning

Which diagnostic test should the nurse use to assess hearing in an infant? A. Otoacoustic emissions test. B. Weber text. C. Rinne test. D. Whisper test

A. Otoacoustic emissions test.

The nurse is providing discharge teaching for the family caring for a patient who is newly diagnosed with impaired vision. Which information should the nurse include? A. Place shades on windows. B. Avoid the use of bright colors in the environment. C. Use a flashing alarm clock. D. Keep the current living environment as is.

A. Place shades on windows.

During physical therapy, the nurse notices that an older adult client keeps tripping and bumping into things while walking. Which important safety measures should the nurse implement? (Select the 4 correct answers that apply). A. Remind the client to use assistive walking devices (walker or cane). B. Encourage staff to use a gait belt on the client when walking with them. C. Ask the physical therapist to cue the client when floor surfaces change, and unexpected objects appear in the client's path. D. Ask for a guide dog to accompany the client. E. Finding out when the client had an eye exam and prescription glasses adjustment. Refer for a vision check if needed.

A. Remind the client to use assistive walking devices (walker or cane). B. Encourage staff to use a gait belt on the client when walking with them. C. Ask the physical therapist to cue the client when floor surfaces change, and unexpected objects appear in the client's path. E. Finding out when the client had an eye exam and prescription glasses adjustment. Refer for a vision check if needed.

The nurse is participating in a large ad hoc committee to assess morale in the hospital. To which type of group should the nurse know this committee belongs? A. Secondary B. Semiformal C. Primary D. Formal

A. Secondary

The nurse is admitting a patient with visual impairment to the hospital. Which communication technique should the nurse utilize? A. Speak in a pleasant tone of voice. B. Decrease background noises. C. Touch the patient before explaining what assessment will be done. D. Use longer phrases that are easier to understand.

A. Speak in a pleasant tone of voice.

The nurse is preparing to assess cranial nerve I. Which action should the nurse perform to assess this nerve? A. Test the patient's sense of smell. B. Ask the patient to identify an object placed in a hand. C. Perform an eye exam using a Snellen chart. D. Initiate the Weber test.

A. Test the patient's sense of smell.

The nurse is caring for a patient with newly diagnosed open-angle glaucoma. The patient is prescribed a medication as part of the treatment plan. Which describes the primary purpose of the medication? A. To control intraocular pressure B. To improve the opacification of the eye C. To decrease the loss of central vision D. To decrease injury to the cornea

A. To control intraocular pressure

The nurse is preparing to teach a client who speaks limited English. Which should the nurse do to convey the information to the​ client? (Select the 3 answers that​ apply.) A. Use written illustrations in the clients first language and in English. B. Use appropriate​ layman's terminology. C. Have the client search the internet. D. Use an interpreter. E. Speak louder and use hand gestures.

A. Use written illustrations in the clients first language and in English. B. Use appropriate​ layman's terminology. D. Use an interpreter.

A pregnant patient informs the nurse about her plans to rearrange their bedroom to make room for the baby. Which safety teaching should the nurse provide? A. "Drink enough fluids." B. "Avoid moving heavy objects." C. "Eat a proper diet." D. "Take prenatal vitamins."

B. "Avoid moving heavy objects."

The nurse is conducting a program on summer safety for families of a residential community. Which participant statement indicates that the teaching has been effective? A. "Head gear while playing touch football is not necessary." B. "Children should learn how to swim." C. "A bump on the head is nothing to be concerned about." D. "Air-filled floats should be kept around the pool."

B. "Children should learn how to swim."

What is vertigo? A. Involuntary rapid eye movements. B. A feeling of rotation or imbalance. C. An infection of the vestibular nerve. D. Impaired olfaction.

B. A feeling of rotation or imbalance.

The nurse finds a​ 14-year-old client watching MTV at full blast. Which safety issue should the nurse address with the​ client? A. It is not wise for the client to argue with parents about watching MTV. B. Adolescents need to be reminded that loud music can lead to hearing loss. C. The noise is making it hard for the nurse to chart. D. It is inappropriate for the client to watch MTV.

B. Adolescents need to be reminded that loud music can lead to hearing loss.

The nurse is reviewing the chart of a patient that has smoked half a pack of cigarettes a day for the past 25 years. Which subjective assessment finding should the nurse anticipate in this patient? A. Decreased visual acuity B. Altered sense of taste C. Decreased tactile sensation D. Difficulty hearing

B. Altered sense of taste

An older patient tells the nurse, "I take the water pill and a red one every day, and after dinner I take a vitamin." Which is a nursing intervention to safely reconcile the patient's home medications with those to be given in the hospital? A. Administering the medications the hospital has prescribed B. Asking a family member to bring in a list of the patient's medications with dosages C. Contacting the patient's primary healthcare provider D. Encouraging the patient to try to remember the names of the pills

B. Asking a family member to bring in a list of the patient's medications with dosages

The nurse is caring for an older adult experiencing a loss of hearing. Which prescribed procedure should the nurse anticipate being used to evaluate the hearing loss? A. Weber test B. Audiometry C. Otoacoustic emissions D. Accommodation

B. Audiometry

While performing patient care, the nurse notes an area of skin breakdown and excoriation near the insertion site of an indwelling urinary catheter. Which is the priority nursing intervention? A. Check the acidity level of the patient's urine B. Change the catheter using one without latex C. Dust the skin with cornstarch D. Cleanse the skin with soap and water

B. Change the catheter using one without latex

When a patient reports feeling dizzy earlier in the morning, the nurse asks, "Did this occur before breakfast?" Which method of therapeutic communication is the nurse using? A. Acknowledging B. Clarifying C. Focusing D. Giving information

B. Clarifying

The nurse is selecting sensory aids for a client with deficits in hearing and sight. Which aid would address both sensory deficits? A. Adequate room lighting with night lights. B. Flashing alarm clock with large numbers. C. Amplified telephone. D. Large-print reading material.

B. Flashing alarm clock with large numbers.

The nurse is admitting a client who reports chest pains. The nurse noticed that the client is very anxious and worried. The nurse tells the client​ "not to​ worry" and that​ "it is going to be​ okay." Which barrier to communication is the nurse​ using? A. Changing topics and subjects B. Giving unwarranted reassurance C. Giving common advice D. Agreeing and disagreeing

B. Giving unwarranted reassurance

The nurse is conducting a home risk assessment for a family with a toddler and preschool-age children. Which should the nurse identify as the priority safety hazard? A. Safety plugs in electrical outlets. B. Medications on the kitchen counter. C. Lack of helmets next to bicycles. D. Child locks on the doors.

B. Medications on the kitchen counter.

The nurse is caring for a client with Down syndrome who likes to say​ "Hi" to everyone and strike up conversations. Which important safety information should the nurse teach the​ caregivers? A. Keep the client in a restrictive environment. B. Monitor the client's interactions to make sure the client is engaging with safe people. C. Make sure to tell the client to shake hands with strangers. D. Tell the client not to bother strangers.

B. Monitor the client's interactions to make sure the client is engaging with safe people.

Healthcare providers and organizations are expanding their focus to include the family. Which statement reflects the nurse's correct explanation for this approach? A. Advance directive decisions are easier to make if the primary group is already involved. B. Most individuals turn to their primary group for support when they have health problems. C. Many individuals rely on their primary group to make medical decisions for them. D. Documentation of primary group involvement is directly tied to hospital reimbursement.

B. Most individuals turn to their primary group for support when they have health problems.

The school nurse is preparing to teach high school students how to prevent accidental death and injury. Which type of injury should the nurse consider a priority? A. Suicide B. Motor vehicle crashes C. Unintentional fall D. Poisoning

B. Motor vehicle crashes

A patient says that their blood sugar testing results have been very labile. The nurse responds, "It sounds like your blood sugar has been difficult to manage. Can I please see your blood sugar log?" Which therapeutic communication skill is the nurse displaying during this interaction with the patient? A. Genuineness B. Paraphrasing C. Clarifying D. Confronting

B. Paraphrasing

A patient with a hearing impairment has been referred to an audiologist. Which type of intervention should the nurse expect will be provided? A. Surgical intervention B. Prescription for hearing aid C. Sound therapy D. Vestibular rehabilitation therapy

B. Prescription for hearing aid

Which of the following barriers to communication involves asking a client for information chiefly out of curiosity rather than with the intent to assist the client? A. Challenging B. Probing C. Testing D. Rejecting

B. Probing

A client is experiencing visual overstimulation. What can the nurse do immediately to reduce this client's visual sensory overload? A. Suggest the client wear sunglasses that block UVA rays only. B. Reduce the amount of light in the room by lowering shades and turning off overhead lights. C. Provide the client with large-print reading materials. D. Encourage the patient to employ relaxation techniques to reduce anxiety and stress.

B. Reduce the amount of light in the room by lowering shades and turning off overhead lights.

The nurse observes a mother, father, and toddler coming in to visit the clinic. The toddler had a runny nose and is sniffling. What safety concern should the nurse address before letting other family members visit the client? A. Falling B. Risk for infection C. Noise D. Overstimulation

B. Risk for infection

Which high school students should the nurse identify as having high risk for injury? A. Students with unsupervised time after school B. Students with volatile tempers and poor problem-solving skills C. Students of small size with developing bodies D. Students who cannot swim

B. Students with volatile tempers and poor problem-solving skills

The nurse is making a home visit and is wearing a scrub​ top, scrub​ pants, and a windbreaker when the outside temperature is 45°F. Which safety concern should the nurse consider regarding clothing​ choice? A. The nurse should wear business attire. B. The nurse should dress in layers in case the home is poorly heated or without heat. C. The nurse will be too warm in this outfit. D. The nurses clothing is appropriate for the weather.

B. The nurse should dress in layers in case the home is poorly heated or without heat.

A parent asks the nurse why toddlers are at high risk for accidental death and injuries. Which reason should the nurse include in the response? A. They are typically unsupervised by their parents. B. Their small size and developing bones make them vulnerable to injuries. C. They are less dependent on parents than other age groups. D. Their lack of mobility makes them vulnerable to being dropped.

B. Their small size and developing bones make them vulnerable to injuries.

The nurse recommends removing scatter rugs, installing easy grip faucets, providing adequate lighting, and installing raised toilet seats in the patient's home. Which is the rationale for these environmental safety improvements? A. They are paid for by insurance. B. These services make the patient feel safe and secure. C. Promoting patient independence takes stress off caregivers. D. All these services are paid for by Medicare.

B. These services make the patient feel safe and secure.

A nurse mentor is teaching a group of students about therapeutic touch. In which situation is it appropriate to use therapeutic touch as a means of communication? A. When a client's family member is making inappropriate comments to the nurse B. When an upset spouse is alone, and the client has just expired C. When speaking to a client with a history of physical abuse D. When a young male client asks a young student nurse for a hug

B. When an upset spouse is alone, and the client has just expired

Prior to having an intravenous catheter inserted, a child asks the nurse, "Is this going to hurt?" Which response should the nurse use to promote rapport and trust with the child? A. "It might hurt, but I am not sure." B. "No. As long as you hold still, it shouldn't hurt." C. "It is going to hurt, but once I am done, it shouldn't hurt anymore." D. "Yes, it is going to hurt. Hold really still or it will hurt much worse."

C. "It is going to hurt, but once I am done, it shouldn't hurt anymore."

A student nurse is working with a client who is admitted to a medical-surgical unit. The student nurse is establishing a therapeutic relationship with the client by conveying empathy. Which statement by the student nurse best exemplifies empathy? A. "I wouldn't be afraid if I were you." B. "You shouldn't have done it that way." C. "You seem to be frightened by the procedure. Tell me how you are feeling." D. "I know just how you feel, because my mother has the same illness."

C. "You seem to be frightened by the procedure. Tell me how you are feeling."

The nurse is caring for several patients. Which patient should the nurse identify as having special safety needs? A. 2-year-old recovering from a choking accident B. 14-year-old who has mononucleosis C. 27-year-old who has autism and is recovering from a broken arm D. 29-year-old who fractured his tibia in a bicycle accident

C. 27-year-old who has autism and is recovering from a broken arm

The nurse should understand that which personnel are responsible for ensuring that patients will not experience injury, harm, or death in a hospital setting? A. Patient family B. Primary healthcare provider C. All hospital employees D. Patient

C. All hospital employees

The nurse is planning care for an older adult client diagnosed with early-to-intermediate age-related macular degeneration (AMD) that is nonexudative. Which initial therapies should the nurse anticipate for this client? Select 2 that apply. A. Laser surgery B. Eye patches C. Antioxidants D. Eye drops E. Zinc

C. Antioxidants E. Zinc

The nurse is preparing to assess kinesthesia in a patient. Which technique should the nurse use? A. Write a number on the patient's hand and ask the patient to identify it. B. Ask the patient to differentiate the touch on both sides of the body with a sharp and dull object. C. Ask the patient to move their finger up or down and describe the movement. D. Ask the patient to identify an object in their hand with the eyes closed.

C. Ask the patient to move their finger up or down and describe the movement.

During a staff meeting, the manager asks staff members to identify ways to reduce unnecessary waste of supplies when providing patient care. Which decision-making technique should the nurse know the manager is using? A. Monopolizing B. Groupthink C. Brainstorming D. Delphi technique

C. Brainstorming

The nurse is caring for an older adult patient who is experiencing visual loss resulting from cataracts. The nurse should understand that which factor contributes to the development of cataracts? A. Increase in intraocular pressure B. Damage to the structure of the eye C. Breakdown of the proteins in the lens D. Retinal damage

C. Breakdown of the proteins in the lens

The nurse should understand that which work-related group is the most common type? A. Task force B. Teaching group C. Committee D. Safety group

C. Committee

The nurse who is physically, mentally, and emotionally depleted states, "I just want to retire. I don't care anymore." Which condition is the nurse experiencing? A. Cynicism B. Poor attitude C. Compassion fatigue D. Frustration

C. Compassion fatigue

What is conductive hearing loss? A. Degeneration of the hair cells of the cochlea. B. Damage to the hair cells of the organ of Corti. C. Disruption of the transmission of sound from the external auditory meatus to the inner ear. D. Decrease or distortion in the ability of the inner ear to receive and interpret auditory stimuli

C. Disruption of the transmission of sound from the external auditory meatus to the inner ear.

The nurse is caring for an adolescent who has aggressive behavior and an adolescent recovering from an attempted suicide. The nurse should recognize that the patients most likely share which root cause for their behavior? A. Drugs and alcohol B. Family fighting C. Emotional turmoil D. Peer pressure

C. Emotional turmoil

The nurse should identify which intervention as one that will reduce the risk of falls in the healthcare environment? A. Keeping patients in a wheelchair whenever possible B. Installing video cameras in every room C. Encouraging the use of the call button D. Using restraints

C. Encouraging the use of the call button

The nurse smells fumes when one of the housekeeping staff spills a bottle of concentrated cleaner onto the floor. Which action should the nurse perform? A. Get a towel and place it over the spill so no one is at risk of slipping B. Get a pail of water and dilute the concentrate with water so it is safe to remove C. Find out how to safely dispose of the liquid D. Tell the housekeeper to clean it up immediately and completely

C. Find out how to safely dispose of the liquid

The nurse is caring for an older adult patient who walks with a cane and needs help with household chores. Which type of decline represents the patient's current status? A. Cognitive B. Motivational C. Functional D. Behavioral

C. Functional

The home health nurse brings supplies into the patient's room and lays them down on the carpet before beginning to assess the patient. Which safety risk does this pose? A. The patient could trip over the supplies. B. The heavy bag of supplies could harm the carpet fibers. C. It may result in infection transmission. D. The nurse might kick over the bag.

C. It may result in infection transmission.

The nurse is caring for an older adult client in a long-term care facility. Which behavior by the nurse best conveys physical attending when communicating with this client? A. Facilitating and taking action when needed. B. Maintaining a distance of 25 feet separation when speaking with the client. C. Leaning toward the client during conversation. D. Being concrete and inflexible about actions that need to be taken during client care.

C. Leaning toward the client during conversation.

The nurse has observed that a patient has abnormal results for a kinesthesia test. Which causative factor is most likely associated with the abnormal finding? A. Injury to the posterior column of the sensory cortex B. Lesions of higher pathways to the spinal cord C. Lesion on the posterior column of the spinal cord D. Bilateral sensory loss due to polyneuropathy

C. Lesion on the posterior column of the spinal cord

The nurse is concluding a visual assessment for a patient and determines the patient is unable to read the 20/20 line on the Snellen chart. Which is the appropriate interpretation of this clinical finding? A. Accommodation B. Hyperopia C. Myopia D. Presbyopia

C. Myopia

The nurse caring for a patient who has a chronic staph infection on their legs performs a home environmental assessment. Which finding may be the cause of the infection? A. Empty cupboards in the kitchen B. Poor lighting in the kitchen C. Old upholstery with years of accumulated dirt D. Throw rugs in the walkways

C. Old upholstery with years of accumulated dirt

Before meeting a patient, the nurse reviews the patient's demographics, including the patient's name, address, age, medical history, and social history. Which phase of the therapeutic relationship is reflected by this action? A. Termination B. Working C. Pre-interaction D. Introductory

C. Pre-interaction

The nurse makes keeping the floor clear of obstacles in a patient's room a priority of care for a patient with a visual deficit. Which goal does this support? A. Preventing sensory overload B. Facilitating communication C. Preventing injury D. Promoting effective coping

C. Preventing injury

When the patient tells the nurse, "I can't tell my family that I have cancer," the nurse replies, "What do you think would be best?" Which method of therapeutic communication is the nurse using with this patient? A. Focusing B. Acknowledging C. Reflecting D. Presenting reality

C. Reflecting

Which approach by the nurse is NOT appropriate to use to communicate with pediatric​ clients? A. Story telling B. Drawing pictures C. Reminiscing D Using word games

C. Reminiscing

Although there is a difference in opinion between two nurses, they are able to express their ideas in a direct and nonconfrontational manner to each other. The nurse should recognize that which characteristic is the basis of this therapeutic relationship? A. Reflecting B. Assuming C. Respecting D. Identifying

C. Respecting

The nurse is performing an eye exam on a newborn and observes strabismus. Which statement describes the nurse's interpretation of the assessment finding? A. Strabismus occurs due to a genetic defect. B. Strabismus will result in visual impairment. C. Strabismus in a newborn is a normal finding. D. Strabismus will require surgery.

C. Strabismus in a newborn is a normal finding.

An accrediting agency is scheduled to visit the hospital. Which group should the nurse anticipate will be brought together to discuss the preparation and plan the course of action? A. Welcoming committee B. Teaching group C. Task force D. Nursing support group

C. Task force

The nurse should understand that which statement reflects the difference between a task force and an ad hoc committee? A. The type of work B. Where the work takes place C. The duration of work D. The number of people required for the work

C. The duration of work

The nurse is teaching a class about drowning risks. Which age group should the nurse explain as having the highest risk of drowning in a pool? A. Ages 7-9 years B. Infants C. Toddlers D. Ages 5-7 years

C. Toddlers

A patient states she is "feeling dizzy and having trouble with balance." The nurse should recognize that the patient is experiencing which alteration in sensory perception? A. Perception B. Kinesthesia C. Vertigo D. Nystagmus

C. Vertigo

A healthcare provider refuses to prescribe opioids to a patient. The patient returns to the office and fatally shoots the healthcare provider. This example of a fatality falls into which category? A. An occupational hazard B. A preventable death C. Workplace violence D. An unfortunate occurrence

C. Workplace violence

The nurse is providing discharge teaching for a patient who has absent tactile sensation below the umbilical area. Which patient statement indicates that further teaching is needed? A. "I will adjust the temperature on the water heater." B. "I will check if my skin clean and dry." C. "I will make sure I change positions frequently." D. "I will avoid taking baths."

D. "I will avoid taking baths."

The nurse is providing teaching about communication for the family of a patient who is hearing impaired. Which statement by the family member indicates further teaching is needed? A. "I will not over articulate my words when I am communicating." B. "I will make sure that my presence is known before I begin speaking." C. "I will make sure the room is well lit when I am speaking." D. "I will speak in short sentences."

D. "I will speak in short sentences."

The nurse is performing a hearing assessment using the Weber test for a patient experiencing hearing loss. The patient asks the nurse, "What is the reason for this test?" Which information should the nurse include in the response? A. "To diagnose your conductive hearing loss" B. "To diagnose your sensorineural hearing loss" C. "To diagnose an ear infection" D. "To assist in determining the type of hearing loss you may have"

D. "To assist in determining the type of hearing loss you may have"

A sentinel event refers to which situation? A. An event that could have harmed a patient, but serious harm did not occur because of chance. B. An event that harms a patient as a result of underlying disease C. An event that harms a patient by omission or commission, not an underlying disease or condition. D. An unexpected occurrence involving death or serious physical or psychological injury.

D. An unexpected occurrence involving death or serious physical or psychological injury.

While removing a trash bag from the room of a patient in protective isolation, the nurse sustains a needlestick. Which educational topic is a priority for nurses on the unit to discuss during the next staff meeting? A. Actions to take when exposed to contaminated sharps B. Technique to remove biohazard trash from isolation rooms C. Personal protective equipment to wear when disposing of trash D. Appropriate disposal of used sharps

D. Appropriate disposal of used sharps

The nurse is preparing the patient for ear wax removal due to impacted cerumen. The nurse should recognize that this patient has which type of hearing impairment? A. Conductive hearing deficit B. Sensorineural hearing loss C. Tinnitus D. Conductive hearing loss

D. Conductive hearing loss

The nurse is caring for an 18-month-old child diagnosed with amblyopia. The mother asks the nurse what will be done to straighten the child's eye. Which information should the nurse include in the response to the parent? A. Using corrective lenses and an eye patch over the affected eye to strengthen it B. Treating with surgical procedures as the only corrective option C. Covering the affected eye to decrease stimulation and allow it to strengthen on its own D. Covering the healthy eye to encourage the affected eye to process images and strengthen the eye

D. Covering the healthy eye to encourage the affected eye to process images and strengthen the eye

The nurse is providing teaching on the recommended hearing tests for older adults. Which information should be included this teaching? A. Schedule an annual hearing test until the age of 50 and then have a test every 6 months. B. Annual screenings are recommended for adults with diabetes. C. For individuals without comorbidities, hearing exams should be repeated every 1-3 years for ages 55-64, and every 1-2 years for ages 65 and above. D. Have a hearing test every 10 years until age 50 and then every 3 years.

D. Have a hearing test every 10 years until age 50 and then every 3 years.

Which healthcare-associated infection should the nurse know is prevented by immunizations? Bordetella A. HIV or AIDS B. Methicillin-resistant C. Staphylococcus aureus (MRSA) D. Hepatitis B

D. Hepatitis B

During a recent community survey on local swimming pools, the public health nurse becomes concerned about the risk of water-related injuries for community members. Which survey result has led to this concern? A. Life preservers available at each pool side B. School-age children swimming with several adults in attendance C. Lifeguard classes occurring at the community pool D. Home swimming pools lacking four-sided barriers

D. Home swimming pools lacking four-sided barriers

The nurse assessing the cardinal fields of vision of a patient observes an oscillation of the eyes. Which diagnosis is characterized by the nurse's finding? A. Strabismus B. Presbyopia C. Anisocoria D. Nystagmus

D. Nystagmus

The nurse asks a family member of an older adult patient to bring in the patient's medicines that they take at home. What is the nurse's primary purpose for this request? A. Saving the patient the cost of hospital medications B. Providing the patient medications until the hospital can supply C. Checking the expiration dates of the patient's medications D. Performing medication reconciliation

D. Performing medication reconciliation

What are the two components of the sensory process? A. Stimulus and receptor. B. Kinesthesia and stereognosis. C. Visual and auditory. D. Reception and perception.

D. Reception and perception

The nurse is dividing a group into teams to brainstorm alternate evacuation plans for patients in case of an emergency. Which decision-making technique is the nurse using? A. Trial and error B. Pilot project C. Worst-case scenario D. Scenario planning

D. Scenario planning

The nurse is teaching a pregnant patient about measures to prevent injury to herself as well as the fetus. Which recommendation should the nurse include? A. Gaining 50 lb B. Drinking alcohol C. Maintaining prepregnancy weight D. Smoking cessation

D. Smoking cessation

The nurse observes an energetic coworker take narcotics from the dispensing system. The nurse also observes the coworker fail to administer medication to patients in pain and be short-tempered. Which should the nurse suspect about the coworker? A. The coworker is conducting patient care appropriately. B. The coworker has the flu. C. The coworker is tired. D. The coworker is impaired and unable to work safely.

D. The coworker is impaired and unable to work safely.

Which rationale should the nurse understand is a patient-centered advantage of chemical restraints versus seclusion? A. It is easier on the staff to use drugs than to sit in a seclusion room and monitor the patient. B. There are no side effects with chemical restraints. C. Staff can subdue a patient more quickly and easily using a chemical restraint. D. The patient treated with a chemical restraint maintains freedom of movement.

D. The patient treated with a chemical restraint maintains freedom of movement.

The nurse instructs parents not to allow a 6-year-old patient to race their younger sibling down the hospital halls. Which is the primary reason behind this action? A. To keep the children from disrupting other nurses B. To prevent the patient from overexertion C. To prevent disruption on the unit D. To prevent injury to the patient and others

D. To prevent injury to the patient and others

Which action should the nurse identify as a component of standard precautions? A. Wearing a respirator, gloves, and gown to treat a patient with a contagious disease B. Wearing gloves, gown, and a mask to treat a patient with a respiratory disease C. Scrubbing for 2 minutes and changing clothing before entering the hospital unit D. Washing hands and donning gloves before administering an injection

D. Washing hands and donning gloves before administering an injection