Fundy Quiz 5

a nurse is preparing a blood transfusion for a client who has type A blood. The nurse should know that the client can safely receive blood from blood group O because? A. type O blood contains no A antigens. B. type A blood contains O antibodies. C. type O blood contains no A antibodies. D. type A blood contains O antigens.

A. type O blood contains no A antigens.

Which website contains teach back module?

AHRQ

A nurse is caring for a client who was recently diagnosed with chronic kidney disease. The client asks the nurse, Why me? This is not fair. The nurse should identify the client's statement as an expression of which of the following stages of grief? A. Denial B. Depression C. Bargaining D. Anger

D. anger

A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles? A. fidelity B. autonomy C. justice D. beneficence

D. beneficence

A nurse is assessing a client who is getting divorced and reports feelings of loss associated with no longer being in the role of a spouse. The nurse should identify that the loss of a previously held role is which of the following types of losses? A. loss of autonomy B. loss of dreams and expectations C. loss of safety D. loss of identity

D. loss of identity

A nurse questions a medication prescription as too extreme in light of the clients advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles? A. fidelity B. autonomy C. justice D. non-maleficence

D. non-maleficence

A nurse truthfully answers a client's questions about their laboratory results.The nurse is demonstrating which of the following ethical principles? A. justice B. non-maleficence C. fidelity D. veracity

D. veracity

The average American has a health literacy level of?

4th grade education

Terminally Ill patient can stay in a professional care facility for how many days?

5

Place the Kubler-Ross stages of grieving in original order

1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance

a nurse is discussing the dual process model of grief with a newly licensed nurse. Which of the following statements should the nurse make? A. "A client's grief will oscillate between loss-oriented grief and restoration-oriented grief." B. "During restoration-oriented grief, a client experiences intense feelings of guilt and sadness about the loved one's death. C. "A client is coping with secondary losses such as loss of income or housing during loss-oriented grief D. "During loss-oriented grief, a client focuses on rebuilding their future without their loved one

A. "A client's grief will oscillate between loss-oriented grief and restoration-oriented grief."

a nurse is teaching a group of newly licensed nurses about professional values. Which of the following statements by a newly licensed nurse demonstrate an understanding of social justice? A. "Health care should be a right for everyone." B. "All clients should have a private room in a health care facility." C. "I plan to volunteer at the local homeless shelter on my days off. D. "I will respect a client's right to refuse a procedure."

A. "Health care should be a right for everyone."

A nurse is teaching a client about hospice care. Which of the following information should the nurse include? (SATA) A. "You must have a terminal illness." B. "You are eligible for hospice care if you are expected to live for 12 months." C. "You can continue treatment to cure your illness." D. You accept palliative care for comfort." E. "The health care provider must officially state that you are terminally ill."

A. "You must have a terminal illness." D. You accept palliative care for comfort." E. "The health care provider must officially state that you are terminally ill."

A palliative care nurse is preparing an in service for newly hired staff members about common grief reactions. Which of the following information should the nurse include? A. A client who is grieving often experiences a wide range of emotions. B. The anniversary date of a loss should not trigger feelings of sadness after a client has fully accepted the loss. C. A client may feel a sense of relief if the death of a loved one was expected. D. A client may experience difficulty concentrating and hallucinations as a psychological response to loss. E. Behavioral responses to grief can include the refusal to eat or participate in social activities.

A. A client who is grieving often experiences a wide range of emotions. C. A client may feel a sense of relief if the death of a loved one was expected. D. A client may experience difficulty concentrating and hallucinations as a psychological response to loss. E. Behavioral responses to grief can include the refusal to eat or participate in social activities.

A nurse is reviewing standards of care with a group of newly hired nurses. The nurse should include which of the following incidents as an example of a breach of standards of care? A. A nurse did not read back a verbal medication prescription to a provider. B. A nurse did not return to a client's room with a promised blanket. C. A nurse documents client care as soon as it is completed. D. A nurse forgot to call a client's family after performing a procedure.

A. A nurse did not read back a verbal medication prescription to a provider.

a nurse is providing teaching about performing blood glucose checks to a client who has a new diagnosis of diabetes mellitus. Which of the following actions indicates the nurse is using the affective domain of learning? A. Ask the client how they feel about checking their blood glucose levels. B. Ask the client to demonstrate how to check their blood glucose level. C. Ask the client to verbalize the steps of checking their blood glucose level. D. Ask the client if they understand the importance of monitoring their blood glucose level.

A. Ask the client how they feel about checking their blood glucose levels.

a nurse is preparing for a teaching session with a client. Which of the following actions should the nurse take to provide the client with unbiased care? (SATA) A. Avoid assumptions about the client. B. Compare the client to a former client. C. Ask coworkers to share their past experiences with similar clients. D. Control personal thoughts about the client. E. Collaborate with another nurse to develop teaching strategies.

A. Avoid assumptions about the client. D. Control personal thoughts about the client. E. Collaborate with another nurse to develop teaching strategies.

a nurse is participating in a question and answer session with a client. Which of the following domains of learning uses this type of client education? A. Cognitive domain B. Affective domain C. Psychomotor domain D.Adaptation domain

A. Cognitive domain

a nurse is preparing to initiate the transfusion of a unit of packed RBCs to a client. After the unit of blood has arrived, which of the following procedures will help the nurse protect the client against the possibility of a blood group incompatibility? A. Comparing the ID numbers on the blood unit with those on the order form and the client's wristband B. Obtaining a blood sample from the client for typing and crossmatching C. Giving a prescribed pre-medication 30 min prior to starting the transfusion D. Observing the client for 15 to 30 min after the transfusion is initiated

A. Comparing the ID numbers on the blood unit with those on the order form and the client's wristband

a nurse is evaluating a clients plan of care. The desired outcome of having the client on the side of the bed by the end of the shift was not met. Which of the following actions should the nurse take? A. Determine if different nursing interventions are required. B. Formulate a new analysis. C. Notify the health care provider. D. Notify physical therapy to assist getting the client out of bed to meet goals.

A. Determine if different nursing interventions are required.

a nurse is caring for a client who has terminal illness and states that they want to experience a good death. Which of the following actions should the nurse take? A. Determine the client's definition of a "good death." B. Inform the client that culture is irrelevant to an individual's perception of a "good death." C. Inform the client that a "good death" is not possible. D. Communicate with the client that caregivers are prevented from providing a "good death" for the client.

A. Determine the client's definition of a "good death."

a nurse is preparing to administer a PRN pain medication to a client but withholds the medication because the client is sleeping. Which of the following actions should the nurse take to provide the expected standard of care? A. Document that the medication was not administered. B. Document that the client is not experiencing pain. C. Contact the provider to change the PRN prescription. D. Fill out an incident report about the situation

A. Document that the medication was not administered.

A nurse is providing postmortem care for a client. Which of the following actions should the nurse take? (SATA) A. Document where the body is being moved. B. Include the name of anyone notified in the medical record. C. Document the date and time of death. D. Ensure the client's belongings are accounted for E. Place an identification tag on a minimum of one area of the client's body.

A. Document where the body is being moved. B. Include the name of anyone notified in the medical record. C. Document the date and time of death. D. Ensure the client's belongings are accounted for

a nurse is reviewing about client education with a newly licensed nurse. Which of the following information should the nurse include as the focus of client education? A. Empowering clients to be accountable for self-care B. Providing the client with disease-orientated education C. Providing education only to the client to protect confidentiality D. Encouraging clients to let go of previous experiences

A. Empowering clients to be accountable for self-care

a nurse is discussing culturally competent care with another nurse. Which of the following information should the nurse include? A. It is culturally insensitive to talk about impending death in some cultures. B. Most cultures agree with the use of opioids to treat pain. C. A client's cultural information should be obtained from a coworker. D. Culture is irrelevant when a client is making a health care decision.

A. It is culturally insensitive to talk about impending death in some cultures.

a nurse is preparing a low stimulus environment for an educational session on smoking cessation. Which of the following should the nurse implement? A. Set the thermostat to a comfortable temperature B. Dim the lights in the room. C. Leave the door open during the educational session. D. Play relaxing music.

A. Set the thermostat to a comfortable temperature

a nurse in an emergency department overhears a provider say they will not accept any more clients who do not have health insurance. Which of the following is the provider violating? A. The Emergency Medical Treatment and Labor Act (EMTALA) B. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) C. Tort law D. Good Samaritan laws

A. The Emergency Medical Treatment and Labor Act (EMTALA)

A nurse is caring for a client who is actively dying. The client's caregiver asks the nurse about the client's noisy respirations. Which of the following information should the nurse include? A. They can be an indication of approaching death. B. Deep suctioning is effective in removing trapped secretions. C. Turning the client's head to the side can assist with drainage. D. Medications can be administered to help dry up the secretions. E. The client is unable to clear the secretions themselves.

A. They can be an indication of approaching death. C. Turning the client's head to the side can assist with drainage. D. Medications can be administered to help dry up the secretions. E. The client is unable to clear the secretions themselves.

a nurse is caring for a client who is nearing the end of life. Which of the following responses by the nurse supports the clients dignity? (SATA) A. What would you like to know about your medications?" B. "I expect you will feel much better in a few days." C. "What can I do to help you feel more independent?" D. "I think you should allow your family to make your health care decisions." E. "You must be getting tired of lying in bed."

A. What would you like to know about your medications?" C. "What can I do to help you feel more independent?"

a nurse in a provider's office is collecting data from the caregiver of a 12-month old infant who asks if the child is old enough for toilet training. Following an educational session with the nurse, the client agrees to postpone toilet training until the child is older. Learning has occurred in which of the following domains? A. cognitive B. affective C. psychomotor D. kinesthetic

A. affective

A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP committing? A. assault B. battery C. false imprisonment D. invasion of privacy

A. assualt

a nurse is providing privacy for a client who has incontinence. The nurse is demonstrating which of the following professional values? A. human dignity B. altruism C. social justice D. autonomy

A. human dignity

A nurse notifies their supervisor they accidentally administered the wrong medication to a client. The nurse is demonstrating which of the following professional values? A. integrity B. human dignity C. altruism D. social justice

A. integrity

a client is anticipating total hip replacement is considering autologous transfusion. When teaching this client about autologous transfusion, it is important to emphasize that? A. it reduces the risk of mismatched blood. B. a hemoglobin level above 9.5 mg/dL is required to receive this transfusion. C. there is no need to test the blood for infectious diseases. D. donations can be made every other day.

A. it reduces the risk of mismatched blood

a nurse is assessing a client who is experiencing disenfranchised grief. Which of the following findings should the nurse expect? A. social isolation B. Verbalization of acceptance of the loss C. Shares feelings of grief with others D. hyper-somnia

A. social isolation

True or False: Including family members in client education is a HIPPA violation

False

A nurse is caring for a client who is about to receive a unit of packed RBC's and states, "this is my 3rd unit of blood today. I don't want to get some disease from all this blood. Which of the following responses should the nurse make? A. "It is impossible for you to get an infection from donor blood." B. "Donated blood is carefully screened for infectious diseases." C. "The U.S. blood supply is among the safest in the world." D. "Why not ask your doctor about other treatment options?"

B. "Donated blood is carefully screened for infectious diseases."

a charge nurse is discussing worden's four tasks of mourning with a newly licensed nurse. Which of the following statements should the charge nurse include? A. Accepting the reality of the loss is the third task." B. "The pain of grief is experienced during the second task." C. The client rearranges their life to live without their loved one during the fourth task." D. "During the third task, a client focuses on remaining connected to their loved one through positive memories."

B. "The pain of grief is experienced during the second task."

A nurse in an emergency department is caring for 4 clients. Which of the following clients requires mandatory reporting? A. An adolescent client who has a fractured tibia following a football game B. A young adult client who is positive for tuberculosis C. An older adult client who has dementia, a history of falls, and bruising on their knees D. A preschooler who has frequent enuresis

B. A young adult client who is positive for tuberculosis

A nurse is caring for a client who is scheduled for surgery. Before the client has signed the informed consent form, the client states, " I did not really understand what that doctor said". Which of the following actions should the nurse take? A. Explain the procedure in detail to the client. B. Ask the provider to discuss the procedure with the client. C. Encourage the client to reread the consent form before signing. D. Tell the client that the surgeon will explain it to them in the operating room.

B. Ask the provider to discuss the procedure with the client.

A nurse is caring for a client who has a terminal illness and reports feeling isolated from family and friends. Which of the following actions should the nurse take? A. Limit visitors to one to two people. B. Assist in scheduling friends and family to visit. C. Discourage face-to-face visits for the client. D. Instruct the client to limit their use of online support groups.

B. Assist in scheduling friends and family to visit.

A charge nurse is reviewing Kubler-Ross five stages of grief with a newly licensed nurse. Which of the following statements should the nurse make? (SATA) A. The five stages occur in a specific order for every client. B. Clients might not go through all five stages of grief. C. Clients can return to a stage of grief after moving into one of the other stages D. Client who are grieving might attempt to bargain with a higher power. E. The stages of grief are only experienced by clients who have a terminal diagnosis.

B. Clients might not go through all five stages of grief. C. Clients can return to a stage of grief after moving into one of the other stages D. Client who are grieving might attempt to bargain with a higher power.

A nurse is caring for a client whose spouse recently died. The client is from a different culture than the nurse. Which of the following information should the nurse consider when caring for the client? (SATA) A. Rituals used to cope with loss are universal across every culture. B. Cultural-based rituals can assist clients in handling the death of a loved one. C. Culture may determine how a client expresses their grief. D. Cultural practices do not dictate the expected length of mourning. E. Rituals regarding death direct what procedures are performed on the body after death.

B. Cultural-based rituals can assist clients in handling the death of a loved one. C. Culture may determine how a client expresses their grief. E. Rituals regarding death direct what procedures are performed on the body after death.

a hospice nurse is caring for a client who is hallucinating and talking to someone who is not there. Which of the following actions should the nurse take? A. Tell the client that there is no one there. B. Ensure client safety and prevent injury. C. Decrease verbal interactions with the client. D. Reorient the client to reality.

B. Ensure client safety and prevent injury.

A nurse stops at the side of the road to provide care to a person involved in a motor vehicle crash. Which of the following protects the nurse from liability when administering care at the scene of an incident? A. Whistleblower protection B. Good Samaritan laws C. torts D. Emergency Medical Treatment and Labor Act (EMTALA)

B. Good Samaritan laws

A nurse is caring for an adult who is mourning the death of sibling. Which of the following information should the nurse consider when caring for the client? A. Older adult clients tend to experience fewer losses of loved ones B. Grief differs for adults due to their full understanding of death and memories of the deceased. C. Adults usually do not report physical manifestations associated with experiencing grief. D. Experiencing bereavement is not as common in adults when compared to clients in other age groups

B. Grief differs for adults due to their full understanding of death and memories of the deceased.

A nurse is caring for a client who is actively dying. The client's caregivers state they are interested in donating the client's organs. Which of the following actions should the nurse take? A. Discuss the process of organ donation with the caregiver. B. Make a referral to an organ procurement organization. C. Inform the caregiver that only the client can give authorization for organ donation. C. Notify the health care provider since they are responsible for discussing organ donation with the family member.

B. Make a referral to an organ procurement organization.

A nurse is discussing palliative care with a client who has colon cancer. Which of the following information should the nurse include? A. Palliative care is limited to a specific time frame. B. Palliative care uses a holistic approach. C. Palliative care is provided after the client has stopped curative treatment methods. D. Palliative care is offered to clients who have non-life-threatening illnesses.

B. Palliative care uses a holistic approach.

A nurse learns that a coworker has died unexpectedly. Which of the following actions should the nurse take? A. Keep personal feelings of grief to themselves. B. Recognize their feelings of grief. C. Attempt to ignore physical manifestations of grief. D. Avoid family and friends when feeling deep sadness.

B. Recognize their feelings of grief.

A charge nurse is preparing an in-service for staff members about spiritual influences on grief. Which of the following information should the nurse include? A. Many religions reject the idea of reincarnation after death. B. Religion can provide comfort during the grieving process. C. Sensitivity to religious beliefs is not a priority in the delivery of client-centered care D. Spirituality and religious beliefs can hinder post-bereavement outcomes.

B. Religion can provide comfort during the grieving process.

a nurse is providing teaching to a client who speaks a different language than the nurse. Which of the following actions should the nurse take? A. Ask the client's family member to translate. B. Request a medical interpreter to be present. C. Ask another nurse on the unit to translate. D. Provide the client with only written materials.

B. Request a medical interpreter to be present.

A nurse is caring for a client who is receiving a blood transfusion and reports itching. The nurse observes areas of urticaria on the clients skin. Which of the following actions should the nurse take? A. Administer prescribed antipyretic. B. Stop the blood transfusion. C. Reevaluate the client in 15 min. D. Apply a warm compress to the affected areas.

B. Stop the blood transfusion.

A nurse is caring for a client who decides not to have surgey despite significant blockages to the coronary arteries. The nurse understands that this clients choice is an example of which of the following ethical principles? A. fidelity B. autonomy C. justice D. non-maleficence

B. autonomy

a nurse is caring for a client who is alone and has just received a serious diagnosis. The client asks the nurse if they can pray together, and the nurse agrees. The nurse is demonstrating which fo the following ethical principles? A. autonomy B. beneficence C. non-maleficence D. justice

B. beneficence

A nurse at the end of their shift realized they forgot to give a client their scheduled vitamins. The nurse decides to document that the vitamins were administered. Which of the following describes the nurses action? A. HIPPA violation B. falsification of records C. assault D. defamation

B. falsification of records

A platelet transfusion is indicated for a patient who A. has a systemic infection. B. has thrombocytopenia. C. is in hypovolemic shock. D. has hemolytic anemia.

B. has thrombocytopenia.

When administering a transfusion of packed red blood cells, it is important to? A. allow the blood to warm to room temperature for 1 hr. B. make sure the entire unit is transfused within 4 hr. C. begin the blood transfusion at a rate of 10 mL/hr. D. change the blood tubing after every unit infused.

B. make sure the entire unit is transfused within 4 hr.

a nurse is observing a client drawing up mixing insulin. Which of the following findings should the nurse identify as an indication that psychomotor learning has taken place? A. the client is able to discuss the appropriate technique B. the client is able to demonstrate the appropriate technique C. the client states an understanding of the process D. the client is able to write the steps on a piece of paper

B. the client is able to demonstrate the appropriate technique

a nurse is reviewing a clients plan of care. The client will ambulate 20 feet using a walker is the desired outcome. Which of the following aspects of the SMART goal should the nurse identify as missing from the outcome? A. specific B. timed C. measurable D. achievable

B. timed

a nurse is orienting a newly licensed nurse to the unit. Which of the following statements by the newly licensed nurse indicates an understanding of the importance of documentation of client education? A. "Client documentation can decrease hospital reimbursement." B. "Client documentation can decrease the need to re-evaluate the client's educational needs." C. "Client documentation can increase staffing and services." D. "Client documentation can increase liability."

C. "Client documentation can increase staffing and services."

A nurse is teaching a client about advance directives. Which of the following client statements indicates an understanding of the teaching? A. "I need to choose a family member as my health care surrogate." B. "Once I sign my advance directives, I cannot change my decisions." C. "My health care surrogate will make health care decisions for me if I am unable D. "I need to have an attorney present to complete my advance directive

C. "My health care surrogate will make health care decisions for me if I am unable

a nurse is preparing for an initial visit with a client who is experiencing grief. Which of the following tasks should the nurse plan to complete first? A. Provide information to the client about the stages of grief. B. Encourage the client to share thoughts about their loss. C. Develop a relationship with the client. D. Ask the client if they are experiencing physical manifestations of grief.

C. Develop a relationship with the client.

A nurse is caring for a client who is actively dying. Which of following actions the nurse take for alterations in breathing pattern? A. Withhold opioids because they can hasten the client's death. B. Report changes in the respiratory pattern to the health care provider as they occur. C. Educate the family about the expected respiratory changes. D. Inform the family that oxygen therapy has no benefit.

C. Educate the family about the expected respiratory changes.

Which of the following actions should a nurse take prior to starting a blood transfusion? A. Establish intravenous access with a 22-gauge needle. B. Prime an infusion set with lactated Ringer's solution. C. Ensure that informed consent has been obtained from the client. D. Suggest that the client consider autologous transfusion.

C. Ensure that informed consent has been obtained from the client.

A nurse is reviewing hospice care services with a group of newly hired nurses. Which of the following information should the nurse include? A. Hospice services are terminated with the death of the client. B. Hospice services are limited to serving the client. C. Hospice care is an interdisciplinary team effort. D. Hospice care volunteer services are limited to direct client care.

C. Hospice care is an interdisciplinary team effort.

a nurse who has been working 12 hour shifts on a busy unit is experiencing fatigue. Which of the following effects can result from nurse fatigue? A. Increase in communication skills B. Increase in effective clinical judgment C. Increase in medication errors D. Increase in productivity

C. Increase in medication errors

A nurse is grieving following the death of a client who had a terminal illness and is having difficulty sleeping and concentrating. Which of the following actions should the nurse take? A. Avoid talking with more experienced nurses about coping with the death of a client. B. Refrain from attending the client's funeral. C. Participate in an exercise program. D. Distance themselves from the client's family.

C. Participate in an exercise program.

a nurse is assessing a school age child whose friend recently died. Which of the following findings should the nurse expect? A. The child believes that their friend's death is temporary. B. The child clings to people. C. The child holds back their feelings. D. The child thinks they are to blame for their friend's death

C. The child holds back their feelings.

A nurse is preparing to educate a client about the proper procedure for a dressing change. Which of the following indicates an understanding of Knowle's fundamental principles of client readiness? A. The client states, "I will do it myself." B. The client has been awake all night. C. The client is engaged and alert. D. The client used to help change their partner's dressings.

C. The client is engaged and alert.

a nurse is preparing for a teaching session with a client who has pernicious anemia. Which of the following should the nurse identify as part of the implementation step of the teaching process? A. Determine the client's health literacy. B. Develop a teaching plan that meets the client's needs. C. Use demonstration to teach the client about vitamin B12 injections. D. Determine if the client has met the goals.

C. Use demonstration to teach the client about vitamin B12 injections.

A nurse is planning care for a client who is terminally ill and speaks a different language than the nurse. Which of the following actions should the nurse take? A. Use a family member as a translator. B. Allow an assistive personnel (AP) to translate for the client. C. Use the health care facility's interpreter services. D. Download a smartphone application from the internet.

C. Use the health care facility's interpreter services.

a nurse is caring for a client who asks why they chose the nursing profession. The nurse states that it was because they wanted to help others. The nurse is referring to which of the following professional values? A. integtity B. human dignity C. altruism D. social justice

C. altruism

A nurse is teaching a newly licensed nurse about the ethical principles. The nurse should include that a client who has chosen to sign a blood product refusal form is an example of which of the following ethical principles? A. veracity B. beneficence C. autonomy D. fidelity

C. autonomy

a nurse is providing equal care to a group of clients who have varying economic statuses. Which of the following ethical principles is the nurse demonstrating? A. fidelity B. autonomy C. justice D. veracity

C. justice

A nurse is caring for a client whose partner recently died. In which step of the nursing process should the nurse and client identify the goals for the client's care? A. implementation B. evaluation C. planning D. analysis

C. planning

a nurse is admitting a client for surgery. Which of the following questions should the nurse ask to determine the clients health literacy level and learning needs? A. "Who will be your support person while you are in the hospital?" B. "Can you tell me what surgical procedure you are scheduled for?" C. "How do you plan to care for yourself when you go home after surgery?" D. "How comfortable are you with filling out medical forms by yourself?"

D. "How comfortable are you with filling out medical forms by yourself?"

a nurse is using the NURSE mnemonic while speaking with a client who is experiencing grief. Which of the following responses by the nurse demonstrates the concept represented by the U in the NURSE mnemonic? A. "What is the most challenging aspect for you at this time?" B. "I am going to be here for you all night." C. "It sounds like you may be feeling overwhelmed." D. "There is a lot going on right now, how can I be of help to you?"

D. "There is a lot going on right now, how can I be of help to you?"

A nurse is providing teaching about a client who has prescription for a blood transfusion. Which of the following statements should the nurse include in the teaching? A. I will check your vital signs every 15 minutes throughout the blood transfusion." B. "I might have a nursing assistant check on you periodically during the transfusion." C. "If you have no adverse effects in the first 15 to 30 minutes, you will not have any adverse effects later." D. "You must immediately report any symptoms like chills, nausea, or itching."

D. "You must immediately report any symptoms like chills, nausea, or itching."

a nurse is caring for a client who is actively dying and discussing pain management with the client's caregiver. Which of the following information should the nurse include? A. Pain control begins with the use of opioids. B. The use of non-pharmacological interventions is contraindicated. C. The use of pain medications can prolong the client's death. D. A combination of approaches is suggested to manage pain symptoms.

D. A combination of approaches is suggested to manage pain symptoms.

A nurse is teaching a newly licensed nurse about the ethical principles. The nurse should include that which of the following situations is an example of fidelity? A. A nurse involves a client in making decisions about their care. B. A nurse implements fall precautions for a client who is at risk for falling. C. A nurse tells the truth about forgetting to perform a procedure for a client. D. A nurse keeps a promise to a client not to tell their family about their diagnosis.

D. A nurse keeps a promise to a client not to tell their family about their diagnosis.

a nurse is teaching a newly licensed nurse about professional values. The nurse should include that which of the following is an example of autonomy? A. A nurse provides the same quality care for every client. B. A nurse maintains client confidentiality. C. A nurse admits they forgot to change a client's dressing. D. A nurse respects a client's wish to discontinue a treatment.

D. A nurse respects a client's wish to discontinue a treatment.

A nurse is discussing types of grief with a group of clients who have a serious illness. Which of the following information should the nurse include? A. Prolonged grief is defined as the loss of a relationship that is considered socially unacceptable. B. Disenfranchised grief occurs when a client is unable to accept the death of a loved one. C. Normal grief lasts no more than 4 months after a loss has occurred. D. Anticipatory grief occurs prior to the actual loss of someone or something.

D. Anticipatory grief occurs prior to the actual loss of someone or something.

a nurse is teaching a group of newly licensed nurse about client education. Which of the following information should the nurse include in the teaching? A. Documentation of client education is not required for Joint Commission accreditation. B. Client education does not change a client's values. C. Client education does not influence the client's pain level. D. Client education can improve self-care at home.

D. Client education can improve self-care at home.

A nurse started a transfusion of packed RBCs for a client 1 hour ago. The client has suddenly developed shaking chills, muscle stiffness, and a temperature of 30.6 C (101.5 F). The client appears flushed and reports a headache and "nervousness". The nurse should identify that the client has most likely developed which of the following types of transfusion reaction? A. Septic B. Acute hemolytic C. Allergic D. Febrile nonhemolytic

D. Febrile nonhemolytic

a nurse is teaching a client about how to perform daily blood pressure readings at home. Which of the following statements by the client is an example of the teach-back method of learning A. "Show me again how to position the blood pressure cuff on my arm." B. "I have an electronic blood pressure machine at home that I will use." C. "I believe I can take my blood pressure successfully after talking through the steps." D. Let me show you how I take my blood pressure at home each day

D. Let me show you how I take my blood pressure at home each day

A nurse is caring for a client who is actively dying and notes the clients feet are purple and marbled. Which of the following findings should the nurse expect? A. The client's feet are warm to the touch. B. The client feels pain in the affected extremity. C. The client has a fever. D. Mottling is visible on the client's legs.

D. Mottling is visible on the client's legs.

a nurse is discussing the benefits of palliative care with a newly licensed nurse. Which of the following information should the nurse include? A. Palliative care is offered to clients whose cancer has been in remission for 5 years. B. Palliative care will increase the client's time spent in the health care facility. C. Palliative care reduces client satisfaction. D. Palliative care improves the client's quality of life

D. Palliative care improves the client's quality of life

a nurse is discussing the concept of spiritually with a newly licensed nurse. Which of the following information should the nurse include? A. Spirituality can be easily defined. B. Spirituality is similar for all clients. C. Religion and spirituality are interchangeable. D. Spirituality focuses on the significance and purpose of life.

D. Spirituality focuses on the significance and purpose of life.

a nurse suspects their coworker might be under the influence of a chemical substance. Which of the following actions should the nurse take? A. Counsel the coworker about substance use. B. Report the coworker to the ethics committee at the facility. C. Ask the coworker how long they have been using substances D. Tell the charge nurse that the coworker might be impaired.

D. Tell the charge nurse that the coworker might be impaired

A nurse is assessing a 16 year old client whose parent recently died. Which of the following findings should the nurse expect? A. The client is still developing an understanding of death. B. The client feels that "everyone understands me." C. The client can easily express their emotions. D. The client displays high-risk behaviors.

D. The client displays high-risk behaviors.

A nurse is caring for a client who recently lost their job. Which of the following actions should the nurse take during the assessment step of the nursing process? (SATA) A. Provide education about the grief process to the client. B.Ask the client about their support system. C. Check the client for physical manifestations of grief. D. Avoid discussing the client's recent job to prevent upsetting the client. E. Identify whether the client is experiencing feelings of grief.

E. Identify whether the client is experiencing feelings of grief. C. Check the client for physical manifestations of grief. B.Ask the client about their support system.

Which of the following is not a characteristic of adult learners?

Motivation to learn is irrelevant

NURSE mnemonic

Name Identify what the person said a moment ago—identify the emotion expressed Understand Nurse demonstrates understanding by recognizing the clients feelings and providing an opportunity for the client to discuss those feelings Respect Voice your respect for the client under these circumstances Support Inform the client that you are available to them Explore Ask open ended questions that will extend the conversation and provide a more detailed expression

Which of the following is a barrier to learning?

Physical discomfort

Which is an example of cognitive learning?

Teaching the signs and symptoms of hypoglycemia

the first step in client education is?

establish rapport

Which of the following concepts is part of the planning phase of the nursing process?

identifying mutual agreeable outcomes