Prof Role 1 Midterm

A nurse is caring for a toddler who appears frightened by the nurse. To make the child more at​ ease, the nurse gives the toddler a disposable tape measure to play with. Which critical thinking concept is the nurse​ using? 1. Independence 2. Creativity 3. Concreteness 4. Confidence

2

A nurse working on a telemetry unit is caring for a client with sick sinus syndrome. The client tells the​ nurse, open double quote"I felt dizzy earlier this morning.close double quote" The nurse responds by asking the​ client, open double quote"Did this occur after ​breakfast?close double quote" Which method of therapeutic communication is the nurse using with this​ client? 1. Acknowledging 2. Clarifying time 3. Giving information 4. Focusing

2

During a staff​ meeting, the manager asks staff members to identify any and all ways to reduce unnecessary waste of supplies when providing client care. Which type of​ decision-making technique is the manager using with the​ staff? 1. Monopolizing 2. Brainstorming 3. Groupthink 4. Delphi technique

2

Prior to performing an​ assessment, a nurse states to the​ client, open double quote"This weather we are having is​ crazy, isn​'t ​it?close double quote" Which phase of the therapeutic relationship is the nurse​ displaying? 1. Working 2. Introductory 3. Termination 4. Preinteraction

2

The manager appoints a staff nurse to serve as a member of a​ semi-formal group. What should the nurse expect as a group​ member? 1. The leader will be replaced if she makes a mistake. 2. Structured activities will take up a large part of the group​'s meeting time. 3. Interactions with group members will be limited. 4. Members function under a strict code of ethics.

2

The novice nurse asks the nurse preceptor to explain the relationship between the business of health care and the provision of client care. Which response by the nurse preceptor is the most​ appropriate? 1. "The business of health care is the same thing as the provision of client care." 2. "The Institute of Medicine compels nurses to preserve a caring model within health care​'s business model." 3. "Nurses are morally responsible for recognizing the business of health care as the main priority." 4. "When nursing standards conflict with organizational​ standards, the nurse must maintain commitment to the organization​'s standards.

2

The nurse educator asks the nursing students to describe the stage of commitment development during which the student discovers negative aspects of a chosen profession. Which student​'s response is​ accurate? 1. The passionate stage. 2. The testing stage. 3. The integrated stage. 4. The ​quiet-and-bored stage.

2

The nurse is caring for a client with schizophrenia. The client is at risk for disturbed thought processes. What is the priority focus for interventions when caring for this​ client? 1. Discussing expectations 2. Providing reality testing 3. Being an active listener 4. Providing anxiety medication

2

The nurse is caring for a​ neonate, Sally, who requires nasogastric tube feedings due to prematurity.​ Sally's nasogastric tube frequently slips out of position and the nurse tries different approaches to prevent this from happening. Which critical thinking skill is the nurse​ demonstrating? 1. Reflection 2. Inquiry 3. Intellect 4. Reasoning

2

The nurse is evaluating the current plan of care for a client who is receiving care in a​ long-term healthcare facility. The evaluation indicates that the client is not meeting goals related to mobility. What is the appropriate nursing action at this​ time? 1. Asking the client to try harder 2. Revising the plan of care 3. Determining the client does not have any risk factors 4. Concluding that the problem is resolved

2

The nurse manager is interviewing a candidate for a staff nurse position. During the​ interview, the nurse manager evaluates the candidate​'s professional commitment to nursing. Which statement by the staff nurse best reflects commitment to the nursing​ profession? 1. "Whenever ​possible, the nurse should try to abide by the professional code of ethics for nurses." 2. "I​'m a member of two national nursing​ organizations, and I belong to one specialty nursing group." 3. "I believe the nurse​'s choices outside of the workplace are unrelated to the nurse​'s professional role." 4. "The values and goals of nursing are​ honorable, but they are unrealistic and difficult to achieve."

2

The nurse manager is preparing an annual performance appraisal for​ Alisha, a staff nurse who has worked on a​ medical-surgical care area for two years. The manager determines that​ Alisha's level of proficiency is competent. What did the manager observe Alisha perform to make this​ decision? 1. Referred to the procedure manual to change an intravenous site dressing 2. Focused on a specific client problem when planning care 3. Determined how a new medication would impact a​ client's other health problems 4. Waited for direction from charge nurse before providing care

2

The primary nurse is caring for a client with chronic obstructive pulmonary disease​ (COPD). The nurse arrives at the client​'s room to complete the morning assessment and finds the client is upset. The client​ states, open double quote"My nurse overnight referred to me to the assistant as the COPDer.close double quote" The primary nurse tells the client that she will address the issue with the nurse. Which basis of the therapeutic relationship is the nurse displaying by addressing this client issue with the other​ nurse? 1. Reflecting 2. Respecting 3. Assuming 4. Identifying

2

The staff development trainer provides a program on assertive communication for the staff of a care area. At the end of the​ program, the trainer​ states, "I​ can't believe I had to waste my time on​ this." Which response made by a nurse who attended the training indicates effective teaching has​ occurred? 1. ​"I'm sorry you had to spend so much time with us​ today." ​2. "I needed this​ training, and it​ wasn't a waste of time for​ me." ​3. "Maybe you should read your own​ notes." ​4. "It's your job. You want to do mine​ instead?"

2

What is the purpose of reflecting within Tanner​'s clinical decision making​ model? 1. Sense what is happening in a situation 2. Learn from actions to make adjustments 3. Gain understanding about a situation 4. Analyze a situation to choose action

2

When does a nurse make a scheduling​ decision? 1. When deciding what can be completed by a nursing assistant 2. When deciding what needs to be done before a client attends therapy 3. When deciding when to change a dressing 4. When deciding what information to share with other healthcare providers

2

Which attribute of critical thinking is explained as making neutral judgments without​ bias? 1. Open-mindedness 2. Fair-mindedness 3. Perseverance 4. Integrity

2

Which clinical situation best exemplifies a nurse who is choosing between alternatives when making a clinical​ decision? 1. The nurse has a​ "gut reaction" to the​ client's pain and calls the​ client's physician. 2. The nurse administers an IV narcotic instead of an oral narcotic. 3. The nurse determines the​ client's nursing diagnosis is acute pain. 4. The nurse changes the​ client's position numerous times until the client appears in less pain.

2

Which​ short-term goal does the nurse view as appropriate for a client newly diagnosed with diabetes​ mellitus? 1. The client will learn the correct way to inject IV insulin. 2. The client will demonstrate how to​ self-inject insulin by end of hospital stay. 3. The client will demonstrate how to wrap left leg wound. 4. The client will be able to identify and prepare meals approved by the ADA within 3 weeks.

2

The nursing student is participating in revising the plan of care for a client diagnosed with myasthenia gravis who did not meet care goals. Which will the nurse consider when revising the plan of​ care? ​(Select all that​ apply.) 1. What nurses were assigned to the​ client? 2. Were the interventions that were selected​ appropriate? 3. Did the client have access to planned​ interventions? 4. Were the goals realistic and​ attainable? 5. Were interventions implemented as​ planned?

2, 3, 4, 5

The nursing student is writing a care plan for a client who was recently cared for during a clinical rotation. What should the student nurse do when planning nursing interventions for the​ client? ​(Select all that​ apply.) 1. Be general and brief 2. Ensure relevancy to situation 3. Be specific and concise 4. Be realistic 5. Include priorities of care

2, 3, 4, 5

A client tells the​ nurse, "My blood sugars have been all over the place​ lately." 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 skills is the nurse displaying during this interaction with the​ client? ​(Select all that​ apply.) 1. Genuineness 2. Confronting 3. Concreteness 4. Clarifying 5. Paraphrasing

2, 5

The nurse is a member of a nursing journal club. What interpersonal perspectives would be demonstrated by the group​ members? ​(Select all that​ apply.) 1. Provides source of collegiality and support 2. Promotes a feeling of goodwill among members 3. Provides a context for setting priorities 4. Empowers group members to promote change 5. Provides socialization toward growth and development

2,3,5

Which behavior indicates a nurse is an aggressive​ communicator? ​(Select all that​ apply.) 1. Denying feelings of anger 2. Blaming others for errors 3. Expressing feelings using​ "I" language 4. Telling a staff member to move out of the way 5. Stating that a nursing assistant is​ "worthless"

2,4,5

A nurse is participating in a group in which all members are voicing ideas to address an issue. Their ideas will be analyzed later. Which kind of​ decision-making method is the group​ using? 1. Consensus 2. Brainstorming 3. Quantitative analysis 4. Nominal group

2.

Jasmine Riddle is a novice nurse in the telemetry unit of a large hospital. While assessing her​ client, 72-year-old Albert​ Griswald, Jasmine notes that his pulse feels irregular. When she calls the telemetry monitoring​ station, the monitoring​ technician, Miguel, tells Jasmine that Mr. Griswald just developed atrial fibrillation. The technician praises Jasmine for catching the change in Mr.​ Griswald's cardiac rhythm so quicklylong dash—even before the telemetry technician recognized it. In her​ response, which action would reflect​ Jasmine's nursing​ integrity? 1. Advising the telemetry technician to focus on his job and monitor​ clients' heart rhythms more closely 2. Thanking the telemetry technician for praising her and for being part of the​ client's care team 3. Notifying the telemetry​ technician's supervisor of his failure to recognize the change in cardiac rhythm 4. Telling the telemetry technician that noticing the​ client's change in cardiac rhythm was​ "pure luck"

2.

Mitchell​ Asplund, a clinical nursing​ instructor, is assigned to serve as a student faculty advisor.​ Mitchell's responsibilities include determining which stage of commitment to nursing his students are experiencing. He is evaluating nursing student Don​ Rowlands, who is a junior in nursing school. During his​ evaluation, Don​ states, "I want to join the National Student Nurses Association.​ I'm also volunteering to participate in the student health fair. I know​ I'm really​ busy, but my schedule will be crazy when​ I'm working as a​ nurse, too.​ It's worth it to​ me." Mitchell recognizes that Don is in which stage of making a professional commitment to​ nursing? 1. Exploratory 2. Passionate 3. Integrated 4. Testing

2.

The nursing instructor assigns​ Carol, a senior nursing​ student, to create a concept map for a client recently assigned during clinical. The concept map is going to be showcased during the School of​ Nursing's scheduled open house for nursing student candidates in a week. What should be a priority for Carol when preparing this concept​ map? 1. Include the rationales for each nursing intervention 2. Follow the sequence of the nursing process 3. Highlight medical treatments provided by other providers 4. Individualize the care by using checklists and blank lines

2.

What would be an appropriate goal when caring for a client with impaired​ communication? 1. The client will review discharge instructions at home. 2. The client will effectively communicate needs. 3. The client will call for help before getting out of bed. 4. The client will state ways to reduce communication deficits.

2.

A novice nurse is working independently on a​ maternal-newborn unit after 12 weeks of orientation with a preceptor. The nurse is assigned several newborns to care for during the shift. Based on the clinical pathway for a mother and baby of a vaginal​ birth, which intervention by the nurse is​ appropriate? 1. Administering vitamin K to the mother within 24 hours of delivery 2. Ensuring the newborn is breastfed 6 times per day at 48 hours of life 3. Scheduling bottle feedings for the newborn of 15 to 30 mL every 4 hours at 24 hours of life 4. Administering erythromycin ointment to the newborn​'s eyes at 48 hours of life

3

A nurse is caring for a client who is scheduled to have a chest​ x-ray at 0900 and will be off the unit. The client is also due to have medication at 0900. Which action by the nurse is most​ appropriate? 1. Administer the medication after the client returns from​ x-ray 2. Administer the client​'s medication at the start of shift 3. Administer the client​'s medication at 0845 4. Wait to administer the medication at the next dosage time

3

A nurse is caring for a pediatric client who is recovering from a recent open appendectomy surgery. The nurse states to the​ client, open double quote"I saw that you walked up and down the hallway twice today already. Good ​job!close double quote" Which therapeutic communication technique is the nurse using to establish rapport with the​ client? 1. Listening actively 2. Validating perceptions 3. Giving recognition 4. Offering self

3

A nurse is interviewing for a staff position on a​ medical-surgical unit. Which portion of the hiring process best represents the hospital​'s efforts to evaluate the nurse​'s commitment to the​ profession? 1. Offering the candidate the option of completing a​ four-week unit orientation and preceptorship 2. Requiring the candidate to provide official copies of college transcripts 3. Exploring the candidate​'s desire to maintain membership in the profession 4. Inviting current staff nurses to serve as members of the candidate​'s interview committee

3

A nurse working in the ICU has decided to attend a professional critical care conference. What critical thinking attitude is exemplified by this nurse​'s ​actions? 1. Independence 2. Integrity 3. Awareness of​ self-limits 4. Confidence

3

An adolescent client is sitting in a chair waiting for the nurse to complete a health history. After entering the​ room, where should the nurse sit to conduct the history with the​ client? 1. Against the wall near the door 2. About 4 to 12 feet from the client 3. Between 1​ ½ to 4 feet from the client 4. One foot away from the client

3

TThe nurse is providing care to several clients in the emergency​ department: A client who arrived by ambulance with stroke​ symptoms; a client with a fractured​ femur; a client complaining of​ sharp, continuous pain radiating from the kidney​ area; and a young child with a possible fractured arm whose mother is with him. Using the urgency​ factor, which client will the nurse prioritize for​ care? 1. The young child with the possible arm fracture 2. The client with​ sharp, continuous pain radiating from the kidney area 3. The client with stroke symptoms 4. The client with a fractured femur

3

The charge nurse is reviewing​ e-mails and sees a message from the laboratory containing results for a client​'s blood work. What is the priority action by the nurse regarding this​ information? 1. Delete the message 2. Forward the message to the client 3. Print the message and place it in the client​'s medical record 4. Phone the healthcare provider and verbally provide the results

3

The clinical nursing instructor is evaluating the student​'s developmental stage of professional commitment. The student has settled into the nursing program​'s routine and reports experiencing decreased performance anxiety. Which stage of professional commitment is most appropriate for the clinical nursing instructor to use when describing the student​'s current level of​ development? 1. The testing stage 2. The integrated stage 3. The​ quiet-and-bored stage 4. The exploratory stage

3

The nurse is formulating a plan of care for a client who is pregnant. Which goal is appropriate for the nursing diagnosis dealing with a knowledge deficit related to​ pregnancy? 1. Client will attend medication management classes within four weeks. 2. Nurse will facilitate learning readiness. 3. Client will attend prenatal classes through the course of the pregnancy. 4. Nurse will teach client about prescribed exercise regimen for pregnancy at next appointment.

3

The nurse is providing care to a​ 1-year-old pediatric client who is admitted to the emergency department with​ SaO2% of​ 93% on room​ air, respiratory rate of 50 breaths per​ minute, with moderate wheezing. Based on the pediatric clinical pathway for​ asthma, what intervention does the nurse anticipate for this​ client? 1. Systemic magnesium sulfate 2. Continuous anticholinergic medication administration 3. Nebulizer treatment of albuterol 4. IV corticosteroids

3

The nurse unit manager is giving an​ in-service about sexual harassment in the workplace. When discussing what constitutes sexual​ harassment, which statement is most appropriate for the nurse unit manager to include in the​ in-service? 1. Behaviors must include unwelcome advances of a sexual nature that are demonstrated through the perpetrator​'s physical conduct. 2. Submitting to requests for sexual behaviors must be explicitly considered a condition of an individual​'s employment. 3. Sexual harassment must be considered both a form of discrimination and a violation of an individual​'s rights.. 4. The sexual behaviors must interfere with the victim​'s work performance and prevent fulfillment of work functions.

3

The nursing student is experiencing the integrated stage of commitment development. When developing professional​ commitment, which behavior would the nursing student be most likely to demonstrate during the integrated​ stage? 1. Considering switching to a major other than nursing 2. Learning about positive aspects of the nursing profession 3. Being eager to take the ​NCLEX-RN​® examination 4. Becoming involved in a student nursing association

3

While transferring a client back into bed after a​ procedure, the client says that it​ wasn't very nice for the nurse to say that the​ "cow" was coming down the hall. Which response by the nurse is most appropriate in this​ situation? 1. ​"You must have misunderstood what I​ said." ​2. "I didn't mean to call someone a​ cow!" ​3. "The term​ 'cow' is used for computer on​ wheels." ​4. "I was just joking with that​ person!"

3

The manager schedules a nursing assistant to attend a basic communication program after observing the assistant provide client care. Which actions would result in this type of​ referral? ​(Select all that​ apply.) 1. Talking with a newly admitted client about his grandchildren 2. Referring to a​ 75-year-old male client as​ "Mr. Dan" 3. Asking a​ 65-year-old client,​ "Are we ready to get out of​ bed?" 4. Calling an​ 80-year-old client​ "Sweetie" 5. Referring to a​ 70-year-old client's abdominal wound as a​ "boo-boo"

3, 4, 5

A healthcare provider yells at a novice nurse for not knowing a​ client's latest laboratory values. Which responses by the novice nurse would demonstrate assertive​ communication? ​(Select all that​ apply.) 1. ​"You can look them up on the​ computer." ​2. "I'm sorry.​ I'll see where those results​ are." ​3. "I will locate the values and get them to​ you." ​4. "I can't do anything right for​ you." ​5. "The lab has not phoned in the results​ yet."

3, 5

A healthcare organization is adopting the use of a​ three-column nursing care plan. What information will be documented in these​ columns? ​(Select all that​ apply.) 1. Assessment 2. Evaluation ​3. Goals/desired outcomes 4. Nursing interventions 5. Nursing diagnoses

3,4,5

Which are characteristics of a primary​ group? ​(Select all that​ apply.) 1. Impersonal communication 2. Task oriented 3. Spontaneity ​4. Face-to-face communication 5. Unity

3,4,5

Esther​ Wulfman, an​ 83-year-old client with a hearing​ deficit, is admitted for exacerbation of heart failure. What should​ Marta, the​ nurse, do to support​ Esther's communication needs during the assessment​ process? 1. Shout into the​ client's good ear when talking 2. Ask if a family member is available to complete the assessment 3. Close the door to the room when conducting the assessment 4. Sit beside the client during the assessment

3.

Gordon​ Sullivan, a​ 58-year-old client with acute pain and bleeding from prostate​ cancer, rates his pelvic pain as an 8 on a pain rating scale from 1 to 10. He is considering surgery to remove the prostate before beginning chemotherapy and radiation. When writing a​ three-part nursing diagnosis for​ Gordon, what should the nurse use as the​ etiology? 1. Surgery 2. Acute Pain 3. Prostate cancer 4. Bleeding

3.

The leader of a group of staff nurses is encouraging all members to work towards achievement of a common goal. Which behavior is the leader​ demonstrating? 1. Monopolizing 2. Commitment 3. Power 4. Brainstorming

3.

The nurse is providing care to several clients on a​ medical-surgical unit. The nurse needs to prioritize care for the assigned clients. Which action is a common pitfall when prioritizing client​ care? 1. Being cognizant of time when completing tasks 2. Involving the client during the care plan process 3. Administering medications based on vital signs at admission 4. Completing tasks based on level of difficulty

3.

A nurse educator chooses to implement​ scenario-based simulations for educating a group of student nurses regarding clinical judgment. Which approach is the educator​ using? 1. Benner​'s skill acquisition model 2. Tanner​'s clinical judgment model 3. Maslow​'s hierarchy of needs 4. Lasater​'s assessment rubric

4

A nurse is caring for a client who has been diagnosed with liver cancer but has not shared this diagnosis with family members. The client tells the​ nurse, open double quote"I can​'t tell my family that I have cancer.close double quote" The nurse​ replies, open double quote"What do you think would be ​best?close double quote" Which method of therapeutic communication is the nurse using with this​ client? 1. Presenting reality 2. Focusing 3. Acknowledging 4. Reflecting

4

A nurse is caring for a client who will undergo a cholecystectomy surgery in two hours. To assess that the client has informed​ consent, the nurse asks the​ client, open double quote"Can you tell me what your surgery will ​involve?close double quote" Which method of therapeutic communication is the nurse using with this​ client? 1. Giving information 2. Seeking clarification 3. Paraphrasing ​4. Open-ended questioning

4

A nurse is caring for a client with a history of a heart dysrhythmia. The nurse notifies the client​'s healthcare provider after noticing a decreasing trend in the client​'s serum potassium​ level, client muscle​ spasms, and changes in ECG pattern. Which critical thinking concept is the nurse​ using? 1. Seeking new knowledge 2. Approaching situations objectively 3. Differentiating fact from fiction 4. Recognizing salient cues

4

A nurse is caring for a pediatric client with possible pneumonia who is about to go for an​ X-ray. The nurse​ states, open double quote"The doctor needs to​ X-ray your chest so she can get a picture of what​'s happening in your lungs. Let me tell you what​'s going to happen.close double quote" Which therapeutic communication technique is the nurse using to develop a therapeutic relationship with the​ client? 1. Clarifying time 2. Acknowledging 3. Focusing 4. Giving information

4

A nurse is caring for a​ client, with a right femur​ fracture, who complains of pain in the right leg. The nurse asks the​ client, open double quote"Please tell me how you would rate your pain on a scale of zero to ten.close double quote" Which method of therapeutic communication is the nurse using with this​ client? 1. Seeking clarification 2. Giving information 3. Providing general leads 4. Being specific

4

A nursing assistant is overheard telling a​ client, open double quote"I don​'t have all day. Let me put those shoes on you.close double quote" What type of communication style is the assistant​ demonstrating? 1. Assertive 2. Passive ​3. Passive-aggressive 4. Aggressive

4

A staff nurse is overhead counseling a newly hired nurse about limiting suggestions to improve the functioning of the unit because the manager open double quote"does not like suggestionsclose double quote" and will open double quote"put you down.close double quote" Which characteristic of an ineffective group is the manager​ influencing? 1. Goal setting 2. Cohesion 3. Problem solving 4. Creativity

4

During a health history​ interview, the client denies having any health problems but then crosses her arms and looks away. What does this behavior indicate to the​ nurse? 1. The nurse is taking too​ long, and the client is uncomfortable sitting in a chair. 2. The client is bored with the nurse asking too many questions. 3. The nurse is rushing the client to complete the health history. 4. The client​'s verbal communication and nonverbal communication are not congruent.

4

During a meeting to discuss the implementation of a new computerized documentation​ system, one staff nurse asks about the ease of​ use, preloaded​ templates, and online nursing resources. What behavior is the staff nurse​ demonstrating? 1. Opinion giver 2. Information giver 3. Opinion seeker 4. Information seeker

4

In an annual​ evaluation, the nurse unit leader describes the staff nurse as "skilled at analyzing a complex situation and able to pick out the most important aspects of a clinical scenario." According to Patricia Benner​'s model of nursing​ development, which developmental stage best matches the nurse unit leader​'s evaluation of the staff​ nurse? 1. Expert 2. Novice 3. Competent 4. Proficient

4

Several nurse managers are having lunch after attending a shared governance committee meeting. Which manager statement indicates that the committee is​ ineffective? 1. "Who knew we had such a nice conference ​room!" 2. "I think the goals are tough but appropriate in the circumstances." 3. "I could have prepared better before today​'s meeting." 4. "I am not sure why the chairperson made all of the decisions."

4

The manager is concerned that a novice nurse is being made a scapegoat for an event that occurred on the care area. Which observation supports this manager​'s ​concern? 1. The novice nurse volunteers to work with other staff on a quality improvement study. 2. The charge nurse meets with the oncoming shift to review clients who could be discharged later in the day. 3. Nursing assistants are discussing work assignments and suggesting ways to help each other. 4. Staff nurses suggest that the novice nurse is responsible for missing narcotics during a shift when the nurse was not at work.

4

The nurse educator is explaining the significance of punctuality and attendance in the nursing profession to a class of nursing students. Which statement is most appropriate for the nurse educator to include in the​ discussion? 1. "Nurses must be flexible about helping colleagues who routinely need to miss work." 2. "During a nursing​ shortage, hospital attendance requirements usually are less strict." 3. "The most severe consequence of excessive tardiness for the professional nurse is suspension." 4. "Chronic tardiness and frequent absenteeism among nurses can compromise client care."

4

The nurse educator is teaching a class about professional development in nursing. When describing an area of nursing​ competence, which component is most appropriate for the nurse educator to include in the​ teaching? 1. Recognizing the nurse​'s responsibility to remain strictly in a​ client-centered role 2. Understanding that client populations tend to demonstrate the same personal needs 3. Knowing and demonstrating adherence to the ethics of primary care providers 4. Understanding the culture of the client population and the healthcare institution

4

The nurse has been determining a method of communicating with a client recovering from a stroke. Which client observation indicates that an effective communication method has been​ established? 1. Slapping the nurse​'s hand to refuse an action 2. Groaning to get the nurse​'s attention 3. Holding a pen to write on paper 4. Spelling words on a bedside table using tiled letters

4

The nurse is a member of a work group in which the members like and trust each other and provide each other with support. Which characteristic is this group​ demonstrating? 1. Atmosphere 2. Creativity 3. Power 4. Cohesion

4

The nurse is assessing Julia​ McMichael, an​ 82-year-old client with pneumonia. Mrs. McMichael is experiencing​ dyspnea, has a pulse oximeter reading of​ 90, and lung assessment reveals rales. Which nursing intervention is the most appropriate for Mrs. McMichael at this​ time? 1. Keep the head of Mrs.​ McMichael's bed flat 2. Use a face mask for oxygen even though a request for nasal cannula was made 3. Empty fluid from the oxygen humidifier 4. Explain that the oxygen will help Mrs. McMichael breath better

4

The nurse is assessing an​ 8-year-old client whose parent brought him to the​ walk-in clinic. The parent reports that the child is tired and has been coughing for 2 days. Which assessment findings may be clustered as significant cues suggesting that the child has​ influenza? 1. The​ child's oxygen saturation is​ 98%. 2. The​ child's lungs are clear on auscultation. 3. The​ child's vital signs are BP​ 95/62 mmHg, RR​ 23, P​ 90, T 98.8degrees°F 4. The​ child's vital signs are BP​ 90/60 mmHg, RR​ 22, P​ 80, T 101.5degrees°F.

4

The nurse is caring for a client who is recovering from abdominal surgery. During the morning​ assessment, the client complains of pain and rates the pain at 7 out of 10. The nurse tells the client that she will prepare pain medication and return in 10 minutes to administer it. Which characteristic of verbal communication is the nurse​ using? 1. Pace 2. Humor 3. Intonation 4. Credibility

4

The nurse is caring for an adolescent client who is alert but intubated following a​ C7-T1 spinal cord injury. Which communication strategy is the most developmentally appropriate for the nurse to use with this intubated​ client? 1. Hand signals 2. Grease pencil and white board 3. Flash cards 4. Text messages

4

The nurse is preparing to discharge a client after a hospital stay. What should the nurse take into consideration when evaluating the client​'s health status at​ discharge? 1. Modification of implemented interventions 2. Impact of the evaluation 3. Opportunities to correct intervention deficiencies 4. Identification of the client​'s ​self-care abilities

4

The nurse is preparing to explain the insertion of an intravenous catheter into the arm of a client who has never been hospitalized. Which explanation by the nurse is the most appropriate for this​ procedure? 1. ​"An angiocath is inserted in a vein and fluids are​ administered." ​2. "An intracath is placed in a​ vein, and the IV is set to administer 100 ccs an​ hour." ​3. "A needle is inserted in a vein so that this bag of fluid is pushed into your​ body." ​4. "A small tube is put in a blood​ vessel, and liquid is dripped into your​ body."

4

The nurse leader is evaluating the charge nurse​'s type of commitment to the nursing profession. Which behavior by the charge nurse is most reflective of affective commitment to​ nursing? 1. Expressing a sense of obligation to remain in the nursing profession 2. Choosing to stay in nursing due to personal experiences with illness 3. Remaining in the nursing profession to avoid loss of income 4. Joining professional nursing organizations and engaging in nursing service activities

4

The nurse leader is preparing a webinar about how to prevent burnout in nursing. To accurately describe strategies for preventing​ burnout, which activity should the nurse educator include in the​ webinar? 1. Develop acceptance and recognize that the limitations of any situation can be changed 2. Study assertiveness and learn to take on added responsibilities even when feeling overwhelmed 3. Learn to depend on oneself and to avoid expressions of emotions toward colleagues 4. Actively engage in efforts to produce constructive change if organizational policies create stress

4

The nurse prioritizing care for a client with diabetes mellitus utilizes Maslow​'s hierarchy of needs. Which need is priority for this​ client? 1. The nurse teaches the client proper home safety techniques to prevent diabetic wounds. 2. The client attends classes to deal with body image after amputation of right leg. 3. The client joins the local American Diabetes Association support group. 4. The nurse teaches the client how to properly change dressings on right leg amputation site.

4

The nurses on a care area are uncharacteristically quiet. There is no friendly​ chatter, and nurses are staying in clients​' rooms to document until the end of the shift. Which incident might cause the nurses to demonstrate this​ behavior? 1. The director is identifying staff for promotion. 2. The nurse manager is working on the annual budget. 3. The medical director is making client rounds. 4. The charge nurse called everyone incompetent during report.

4

The nursing student is designing a poster that describes how to recognize burnout among nurses. Which recommendation for identifying manifestations of burnout should be included on the​ poster? 1. Understand that emotional depletion is a natural response to the demands of employment 2. Recognize that outbursts of anger are normal signs of professional frustration 3. Acknowledge feelings of helplessness as signs of inexperience or professional inadequacy 4. Interpret that smoking and an increase in coffee consumption may be potential warning signs

4

Which evaluation statement by the nurse is appropriate and indicates a goal has been met for a client diagnosed with a​ stroke? 1. 04/03/2015, 1830: Goal partially​ met: Client demonstrates use of home oxygen machine. ​2. 1750: Goal​ met: Client voices understanding of treatment therapy. ​3. 04/03/2015: Goal not​ met: Client does not demonstrate use of incentive spirometer. ​4. 04/03/2015, 1800: Goal​ met: Client demonstrates​ self-injection of Lovenox prior to discharge.

4

​Dena, the nurse at a local​ clinic, is determining the best way to communicate test results to a client who has requested all communication go to his​ e-mail address. The test results showed some abnormalities. Which is the best option for Dena in this​ situation? 1. ​E-mail the test results directly to the client 2. Ask the healthcare provider to​ e-mail the test results to the client 3. Send the test results by regular mail 4. ​E-mail the client with a request to call the office

4

A nurse educator asks the student nurse to describe chronic obstructive pulmonary disease​ (COPD) and nursing interventions used to treat the condition. The student nurse​ states, "COPD is a chronic pulmonary​ disease, and the nurse should place the client in high Fowler​ position." Which clinical reasoning concepts is the student nurse using in this statement ​(Select all that​ apply.) 1. Judgment 2. Inference 3. Inquiry 4. Fact 5. Opinion

4, 5

A nurse working in the emergency department uses a clinical decision tree to determine the best course of action for a client who presents with signs and symptoms of a myocardial infarction​ (MI). Which statements are true regarding this clinical decision​ tool? ​(Select all that​ apply.) 1. It cannot be implemented by all nurses. 2. It requires​ higher-level decision making. 3. It requires no decision making. 4. It can assist in decision making. 5. It requires standardization of care.

4, 5

When communicating discharge instructions to a​ client, the nurse states exactly what needs to be done using the fewest number of words. Which characteristics of verbal communication is the nurse​ using? ​(Select all that​ apply.) 1. Intonation 2. Pace 3. Simplicity 4. Brevity 5. Clarity

4,5

During hospital​ orientation, the human resources specialist is defining and explaining sexual harassment. Which statement should be included in the human resource specialist​'s discussion of sexual​ harassment? 1. "Physical contact is required for a behavior to be considered sexual harassment." 2. "Discrimination is one type of sexual harassment." 3. "Sexual harassment requires the victim and violator to be of different genders." 4. "Sexual harassment interferes with performance in the workplace."

4.

Linda is a member of a nursing journal club that meets every 2 weeks. Linda does not agree with most of the group​ members' opinions about proposed changes that would expand the membership of the​ group, but she does not speak up. Which behavior is Linda demonstrating at this​ time? 1. Monopolizing 2. Scapegoating 3. Apathy 4. Groupthink

4.

William is a nurse working on the pediatric cancer unit at a large urban hospital. One of his​ clients, Angela, is a​ 16-year-old who is recovering from surgery. Her​ mother, Carlotta, has been by her side almost​ constantly, but​ Angela's father has not been to visit since she was transferred to the unit. Angela is frequently rude to​ William, and it often takes him several attempts to get her to participate in interventions when William is on duty. The nurse from the night​ shift, who is​ female, shared that she does not have any difficulty with Angela. William recognizes that​ Angela's hostility toward him is most likely due to which​ factor? 1. Apathy 2. Countertransference 3. Scapegoating 4. Transference

4.

​Rosario, the manager of a​ 20-bed unit, is evaluating the success of assertiveness training classes that staff nurses attended to improve communicating with physicians. Which behavior by​ Yvonne, a staff​ nurse, indicates she needs more​ training? 1. Focusing on the situation before speaking and requesting help 2. Using a neutral voice when discussing a​ client's abnormal laboratory values 3. Stating​ "I would like some​ help" when planning care with other team members 4. Apologizing to the neurosurgeon for​ "bothering him" with a question 5. Identifying an area where both the nurse and client agree

4.

A nurse auscultates a client​'s breath sounds after the client receives an albuterol nebulizer treatment secondary to wheezing. The nurse finds that the client is still wheezing despite the therapy. Which aspect of the Tanner clinical judgment model is the nurse​ displaying? 1. Noticing 2. Responding 3. Reflecting 4. Interpreting

1

A nurse caring for clients across the life span must consider the​ age, development​ level, and functional status of clients when helping them in clinical decision making. Which action by the nurse indicates support for a ​preschooler's decision making​ ability? 1. Asking the client if she would like to have her snack before or after going for an​ x-ray 2. Showing the client the materials that will be used to stich up the wound in her knee 3. Inviting the client to the interdisciplinary meeting 4. Soothing the client by rocking her until she calms down

1

A nurse is caring for a client with a history of diabetes mellitus. The nurse notices an upward trend to the client​'s daily fasting serum blood glucose and notifies the client​'s healthcare provider. Which level best describes this nurse according to Benner​'s skill acquisition​ model? 1. Proficient 2. Novice 3. Competent 4. Advanced beginner

1

A nurse is caring for a pediatric client who requires IV antibiotic therapy. Prior to inserting the IV​ catheter, the client asks the​ nurse, open double quote"Is this going to hurt ​me?close double quote" Which response by the nurse best promotes rapport and trust with the​ client? 1. "It is going to​ hurt, but once I am done it shouldn​'t hurt​ anymore." 2. "It might​ hurt, but I am not​ sure." 3. "​Yes, it is going to hurt. Hold really still or it will hurt much​ worse." 4. "No. As long as you hold still it shouldn​'t ​hurt."

1

As part of hospital orientation for a group of​ nurses, the human resources representative is discussing intimidation. Which information is most appropriate for the human resources representative to include in the​ discussion? 1. Intimidation may include unintentional nursing behaviors and statements made to clients. 2. Overt forms of intimidation may include standing too close to someone. 3. Intimidation may include repeatedly asking another individual for favors. 4. Covert forms of intimidation may include making verbal threats.

1

During a home​ visit, the nurse observes a client perform wound care that is different from the verbal instructions. The written instructions are crumpled and located at the bottom of a stack of papers. Which action by the nurse is the most​ appropriate? 1. Verbally review the wound care process with the client again 2. Place the instructions on the top of the stack for the client to use 3. Tell the client that a new set of instructions will be brought at the next visit 4. Explain that the client is at risk for a wound infection

1

Mike Kellerton is a​ 64-year-old client admitted for dehydration. During morning​ care, Mr. Kellerton became irate when the breakfast tray featured items that he does not eat. Later in the​ day, Mr. Kellerton told a family member that he is not important and everyone is​ "trying to kill​ him." What should the nurse do to improve the care that Mr. Kellerton is​ receiving? 1. Plan to talk with the client about his care​ needs, priorities, and preferences 2. Explain to the client that his care issues are not life threatening and can be delayed 3. Identify the easiest task to complete for the client and do this first 4. Discuss the importance of other​ clients' treatments being of greater priority

1

Prior to meeting a​ client, the mental health nurse reviews the client​'s ​demographics, including the client​'s ​name, address,​ age, medical​ history, and social history. Which phase of the therapeutic relationship is reflected by this​ action? 1. Preinteraction 2. Working 3. Introductory 4. Termination

1

The nurse is caring for a client diagnosed with pulmonary hypertension. Which intervention can be considered a​ direct, dependent​ intervention? 1. Assisting with the prescribed cardiac catheterization 2. Monitoring pulse oximetry for a client receiving oxygen by nasal cannula 3. Teaching the client about a prescribed medication 4. Calling the primary care provider and suggesting a physical therapy evaluation

1

The nurse is caring for several clients during a shift. Which observation made during a nursing assessment would be​ priority? 1. The client who complains of shortness of breath when walking from room to room 2. A client with a BP of​ 96/54 mmHg, HR of 70​ bpm, RR of 20 breaths per​ minute, and T 97.6​°F 3. A client who begins coughing after 6 minutes of walking 4. A client with an oxygen saturation of​ 94%

1

The nurse is implementing care for clients in an acute care facility. Which guidelines should the nurse use when choosing interventions for goal​ achievement? 1. They are consistent with clients​'​ values, beliefs, and culture. 2. They are identified with specific laws and regulations. 3. They can be performed with limited resources. 4. They are interchangeable among clients for optimal applicability.

1

The nurse is providing care to a client recently diagnosed with chronic obstructive pulmonary disease​ (COPD). Which nursing action supports​ collaboration, which is essential to planning​ care? 1. Discussing appropriate smoking cessation programs with the​ client, upon request 2. Facilitating a home health consult when the client is discharged 3. Adjusting the head of the client​'s bed to ease breathing effort 4. Administering a breathing treatment to the​ client, as ordered

1

The nurse is working with an adult client who has a diagnosis of posttraumatic stress disorder​ (PTSD). The client shares that he has begun exercising daily at a local​ gym, and states that this lowers his daily stress level. Which type of nursing diagnosis would best capture the client​'s exercise​ behavior? 1. Wellness diagnosis 2. Health promotion diagnosis 3. Syndrome diagnosis 4. Risk diagnosis

1

The nurse leader is planning an​ in-service about integrity in nursing practice. Which statement regarding integrity in nursing is most appropriate for the nurse leader to include in the​ in-service? 1. "Nurses with integrity adhere to a strict moral or ethical code." 2. "Integrity means internalizing professional practices that the nurse prefers to follow." 3. "Integrity means understanding that negative feedback from peers has little value." 4. "Nurses with integrity provide excellent care and do not make errors."

1

The nurse preceptor is designing a nursing orientation program that addresses abuse of power in the workplace. Which information should the nurse preceptor include in the​ program? 1. Bullying behaviors and incivility are among the leading causes of sentinel client events. 2. The Joint Commission has not taken an official stand on addressing workplace intimidation. 3. Nursing research finds limited evidence of bullying and lateral violence among nursing professionals. 4. Improper use of authority in the workplace is a form of sexual harassment.

1

The psychiatric nurse practitioner is giving a webinar about prevention of burnout in nursing. Which items should the psychiatric nurse practitioner include when describing tips related to having​ compassion? ​(Select all that​ apply.) 1. Acknowledging that most individuals do the best they can do 2. Perceiving errors and failures as opportunities for constructive learning 3. Recognizing the limitations associated with any given situation 4. Joining nursing associations that promote constructive discussion of work issues 5. Learning to ask for help from colleagues or confidantes when needed

1

The staff nurse is caring for a client who has recently undergone surgical repair of an inguinal hernia. Despite administration of pain medications as​ ordered, the client continues to complain of excruciating pain. When the staff nurse offers to reposition the​ client, the client​ states, "You don​'t have any idea what you​'re doing. I need more medication. I need a nurse who can help ​me!" Which behavior best illustrates demonstration of compassion by the staff​ nurse? 1. Notifying the primary care provider about the client​'s complaints of pain despite receiving medication 2. Seeking out a nursing colleague to privately vent about the client​'s rudeness and inconsideration 3. Explaining that inguinal hernia repairs usually require significantly less medication for adequate pain relief 4. Collaborating with the charge nurse and requesting that another nurse assume the client​'s care

1

What is the first action that should be made when prioritizing​ care? 1. Assess client situations 2. Assign staff to clients 3. Ascertain interventions 4. Analyze collected data

1

What is used as the framework for identifying nursing​ interventions? 1. Etiology of the problem 2. Signs and symptoms 3. Healthcare provider​'s orders 4. Previous health history

1

While providing care in the emergency​ department, the nurse asks the victim of a pedestrian accident "why did you cross the street in the middle of the ​block?" Which communication barrier is this nurse​ demonstrating? 1. Probing 2. Being defensive 3. Challenging 4. Testing

1

While talking with a nursing​ colleague, the staff nurse​ states, "I don​'t drink​ alcohol, but I smoke marijuana." Which response by the nursing colleague best reflects correct understanding of professional​ behaviors? 1. "Even in your personal​ life, the same rules of professionalism still apply to your behavior." 2. "Even though you​'re a​ nurse, what you do in your personal life is your business." 3. "If your client care is negatively​ affected, then you should stop smoking marijuana." 4. "If you​'re arrested for smoking​ marijuana, your professional credibility will be negatively affected."

1

Following the collection of assessment​ data, what does the nurse do​ next? ​(Select all that​ apply.) 1. Clusters cues to generate tentative hypotheses 2. Measures the data against standards to identify significant cues 3. Analyzes the data for gaps and inconsistencies 4. Compares the data with suspected medical problems 5. Identifies strengths and resources

1, 2, 3

Which skills are used when implementing client​ care? ​(Select all that​ apply.) 1. Interpersonal 2. Psychomotor 3. Cognitive 4. Assessment 5. Physical examination

1, 2, 3

Which statements are true of nursing​ diagnoses? ​(Select all that​ apply.) 1. Nursing diagnoses describe responses to a health problem. 2. Nursing diagnoses are flexible and change based upon client responses. 3. A nursing diagnosis is a judgment statement. 4. Nursing diagnoses are uniform between clients. 5. A nursing diagnosis is a condition that nurses are licensed to treat.

1, 2, 3 ,5

During​ post-clinical conference, a student nurse expresses a desire to work on the same unit where clinical is being held because of the nursing staff. What did the student likely observe to form this​ opinion? ​(Select all that​ apply.) 1. Staff members laugh with each other. 2. Staff members help each other complete assignments. 3. Staff nurses compliment each other for a job well done. 4. Staff members focus on their individual assignments. 5. Staff nurses ask about each other​'s families.

1, 2, 3, 5

The nurse is caring for a client with chronic obstructive pulmonary disease​ (COPD) who is having difficulty breathing. Which will the nurse include in formulating nursing​ diagnoses? ​(Select all that​ apply.) 1. Evidence of cyanosis in the client​'s mouth and nail beds 2. The client​'s pulse oximetry reading of​ 92% 3. The client​'s expressed desire to quit smoking 4. The client​'s twice daily meditation practice 5. The client​'s report of having difficulty walking in from the parking lot

1, 2, 3, 5

The nurse is preparing to assess an older client with a hearing deficit who has just been admitted to the care unit. Which actions should the nurse take to communicate with this​ client? ​(Select all that​ apply.) 1. Turn down the volume on the television set 2. Close the door to the room 3. Face the client when speaking 4. Ask the family to wait in the hall 5. Ask about the client​'s meal preferences

1, 2, 3, 5

The nurse leader is presenting an​ in-service about competence in nursing. Which examples should the nurse leader include in the​ in-service as examples of nursing​ competence? ​(Select all that​ apply.) 1. Completion of documentation in an​ accurate, timely manner 2. Acknowledgement of the client​'s need for individualized care 3. Awareness of factors that positively affect client care 4. Elimination of factors that negatively influence client care 5. Knowledge about the culture of the healthcare institution

1, 2, 3, 5

When formulating a nursing diagnosis for a client diagnosed with diabetes​ mellitus, which information should be taken into consideration to mobilize health and the recovery process for this​ diagnosis? ​(Select all that​ apply.) 1. The client joins the ADA support group. 2. The client demonstrates the ability to monitor blood glucose. 3. The client independently administers insulin. 4. The client requests information on how to control blood pressure. 5. The client tells the nurse that he adheres to his 1800 calorie ADA diet.

1, 2, 3, 5

What are the components of a nursing​ diagnosis? ​(Select all that​ apply.) 1. Defining characteristics 2. Etiology 3. Data clusters 4. Variations 5. Diagnostic label

1, 2, 5

A nurse educator is teaching a group of student nurses about the development of professional decision making and the types of approaches related to clinical judgment. Which statements made by the student nurse reflect understanding of Benner​'s skill acquisition​ model? ​(Select all that​ apply). 1. New graduates are typically considered advanced beginners. 2. An advanced beginner is intentional in planning care. 3. A competent nurse usually has​ 2-3 years of experience. 4. Proficient nurses can see the whole picture. 5. A novice acts by following rules.

1, 3, 4, 5

The nurse preceptor is discussing integrity with the novice nurse. Which examples should the nurse preceptor use to illustrate integrity in​ nursing? ​(Select all that​ apply.) 1. Maintaining accountability for personal actions 2. Delivering​ error-free nursing care 3. Accepting negative feedback from clients 4. Accepting positive feedback from peers 5. Working within the scope of practice

1, 3, 4, 5

How does intellect help nurses with critical​ thinking? ​(Select all that​ apply.) 1. Differentiate fact from opinion 2. Evaluate performance 3. Approach situations objectively 4. Clarify concepts 5. Think outside the box

1, 3, 5

The director of nursing is reviewing a status report provided by the policy and procedure committee. Which information indicates to the director that the committee has been​ effective? ​(Select all that​ apply.) 1. Committee members have attended all scheduled meetings. 2. Committee member vacancies for two areas remain unfilled. 3. Committee members reviewed all policies prior to the scheduled accreditation survey. 4. The committee chair resigned due to the volume of work. 5. Subcommittee members provided recommendations as expected.

1, 3, 5

A pediatric client is alone in the room after the​ client's mother leaves to make a phone call. The client is crying and tells the​ nurse, "I want my mommy to come​ back." The nurse responds by​ stating, "It's okay to cry when you miss your mommy. I will sit with you until she comes back if you​ want." Which therapeutic communication techniques is the nurse using to establish rapport with the​ client? ​(Select all that​ apply.) 1. Accepting 2. Exploring 3. Broad openings 4. Offering self 5. Clarifying

1, 4

The nurse is caring for a client diagnosed with cancer. When formulating the plan of care for this​ client, what should the nurse consider related to client​ goals? ​(Select all that​ apply.) 1. Goals should be attainable. 2. Goals may address multiple actions. 3. Goals should indicate whether treatment is successful. 4. Goals should be measurable. 5. Goals should center on the client.

1, 4, 5

Which are characteristics of an advanced beginner within Benner​'s Skill Acquisition Model of clinical​ judgment? ​(Select all that​ apply.) 1. Begins to recognize cues 2. Is able to intentionally plan care 3. Follows rules when acting 4. Can see the whole picture 5. Is a new graduate

1, 5

What techniques are associated with assertive​ communication? ​(Select all that​ apply.) 1. Fogging 2. Negative assertion 3. Avoidance 4. Name calling 5. Submission

1,2

Which actions can the nurse use to establish rapport with a pediatric​ client? ​(Select all that​ apply.) 1. Listening to the child talk about a favorite teacher 2. Sitting on the bed with the child 3. Telling the child that she has pretty hair 4. Asking the child to choose between milk or juice to drink 5. Coming into the room to hang an IV medication and leaving

1,2,3,4

The nurse is planning to assess a​ client's communication approach. What client characteristics should the nurse consider when conducting this​ assessment? ​(Select all that​ apply.) 1. Developmental level 2. Primary health problem 3. Culture 4. Age 5. Employment status

1,3,4

Which actions are appropriate when the nurse is communicating with a client whose primarily language is not​ English? ​(Select all that​ apply.) 1. Avoid using slang 2. Speak slowly 3. Avoid using medical jargon 4. Use an interpreter 5. Emphasize words with gestures

1,3,4

During a classroom​ discussion, the nurse educator asks the nursing students to describe intimidation. Which​ students' statements most accurately describe​ intimidation? ​(Select all that​ apply.) 1. "Intimidation can include threatening someone with consequences for disobedience." 2. "Nurses always realize when their behaviors toward clients are forms of intimidation." 3. "Intimidation includes experienced nurses who bully new nurses." 4. "Intimidation includes having negative thoughts about nursing peers or colleagues." 5. "Covert and overt behaviors may qualify as being intimidation."

1,3,5

What behaviors will the nurse demonstrate as a member of a group that is highly​ committed? ​(Select all that​ apply.) 1. Members value each other​'s opinions. 2. Members strive to place blame on one person. 3. Members give priority to the opinions of the leader. 4. Members enjoy working with each other. 5. Members support each other with difficulties.

1,4,5

Jiao​ Liu, a​ 64-year-old client, is receiving chemotherapy for breast cancer. After morning​ report, the nurse finds Ms. Liu​ nauseated, vomiting light green​ emesis, and crying because her hair is falling out in clumps. Her pulse is 110 beats per minute and​ thready, and her blood pressure is​ 96/50 mmHg. Which intervention should the nurse make a priority for Ms.​ Liu? 1. Begin intravenous fluids at 100​ mL/hr 2. Premedicate for nausea before next chemotherapy dose 3. Teach Ms. Liu some deep breathing exercises to help her calm down 4. Cleanse skin and apply a clean hospital gown

1.

Planning is underway to transfer Agnes​ Watson, a​ 76-year-old client, to a​ long-term care facility. Agnes wants to live near her​ family; however, the facility that would best meet her needs is a few miles further away. What should the nurse do when helping Agnes make the choice of​ facility? 1. Discuss with Agnes the advantages of the facility that is a bit further away 2. Tell Agnes that the facility that is closer to family is not accepting admissions 3. List other facilities so that Agnes can make a better decision 4. Tell Agnes that being near family is not always a good idea

1.

Scott​ Nitroskey, a home health​ nurse, is caring for​ 67-year-old Martha​ Miriste, a female client who is diagnosed with diabetes. Scott is completing Mrs.​ Mireste's client teaching. During the teaching​ session, which statement might Mrs. Mireste interpret as being​ Scott's attempt to intimidate​ her? 1. ​"If you​ don't stop eating so much​ candy, your diabetes is going to get much​ worse." ​2. "Regular exercise can help with the management of your​ diabetes." ​3. "If you cut back on your sugar​ intake, you might see some improvement in your​ diabetes." ​4. "Increased sugar in your diet can cause your blood sugar to go up and impact your​ diabetes."

1.

When discussing a painful procedure with a​ child, how will the nurse answer the child​'s ​questions? 1. With​ honesty, while being sure to end the conversation on a positive note 2. By explaining the procedure to the parents first and having the parents tell the child 3. By giving handouts with more information about the procedure 4. By redirecting the child​'s attention to something else

1.

What should be done first before implementing a nursing​ intervention? 1. Ensure the client​'s privacy 2. Reassess the client 3. Find someone to help 4. Review nursing diagnoses

2

Colleen is assessing​ Janie, a​ 6-year-old girl who was hit by a car while riding her bicycle. When Colleen sits down to look in​ Janie's eyes, she​ says, "Promise you​ won't do anything that​ hurts." Janie's mother looks at Colleen with pleading eyes. Which response by Colleen is the most​ appropriate? 1. "Nothing can feel worse than how you hurt right​ now." ​2. "There's no way that I can make that promise to​ you." 3. "I promise that I​ won't let anyone hurt​ you." ​4. "Sometimes things hurt just for a second so that you can get better​ faster."

​4.