NUR 310 prep U quizzes

When caring for a diabetic client, the nurse notes that the client learns better when practicing the self-administration of the insulin injection alone. In which learning domain does this client's learning style fall? Cognitive Psychomotor Affective Interpersonal

Psychomotor

It is important for the nurse to empathize with the client to develop a positive, therapeutic relationship. What is a characteristic of empathy? Conveying genuine care to the client Experiencing feelings similar to those of the client Identifying with the client's feelings Caring for the client without negative judgment

Identifying with the client's feelings

The nurse administers pain medication to a postoperative client. Which nursing intervention will assist with the client's unrelieved pain? Administering extra pain medication Administering a placebo Repositioning the client Documenting opioid dependence

Repositioning the client

A nurse identifies the following: "The client will report a pain rating of 4 or less within 30 to 45 minutes of receiving prescribed analgesic." The nurse has identified: outcome. intervention. nursing diagnosis. objective data.

outcome

The nurse needs to understand the teaching-learning process when administering health care provider-initiated interventions. educational interventions. technical interventions. psychosocial interventions.

educational interventions.

A client, eager to go home from an acute care facility, calls out to have discharge education completed. The nurse is not able to get to the client's room until an hour later, and finds the client asleep. The client's significant other states, "She will be out for a couple hours after that pain medication." Which of the following best describes what must happen with the education session? The nurse cannot determine the subject matter to teach if the client is asleep. The client is not demonstrating readiness to learn due to the effects of medication. The client can be awakened when she falls asleep during the session. The significant other can be taught now, and then teach the client later on.

The client is not demonstrating readiness to learn due to the effects of medication.

A client presents to the urgent care clinic with ear pain. The client reports a medical history of trigeminal neuralgia. The nurse is not familiar with trigeminal neuralgia. When the client asks whether the two conditions could be related, which response by the nurse is best? "That is a good question. You should ask the health care provider if the two conditions could be related." "I am not sure. I am not familiar with trigeminal neuralgia and it could be that the trigeminal neuralgia is causing the ear pain." "I honestly do not remember specific details regarding trigeminal neuralgia; let me research it." "When you were diagnosed with trigeminal neuralgia, did you have ear pain?"

"I honestly do not remember specific details regarding trigeminal neuralgia; let me research it."

A nurse is reviewing the teaching plan about heart failure with a client. The nurse determines that learning in the affective domain has been achieved based on which client statement? "I understand why I need to take a water pill." "I realize now just how important it is to watch how much salt I use." "I know to call my provider if my ankles swell." "I can identify the signs or symptoms of heart failure."

"I realize now just how important it is to watch how much salt I use."

The client is talking to the nurse about recent health problems of immediate family members and the strain the client has been under trying to care for them. The client begins to cry. What response by the nurse demonstrates the most empathy? "Just take your time. I am listening." "It's okay to cry. Sometimes that helps us to feel better." "It is difficult when family members are ill. It helps if you take some time for yourself." "I know how you feel. I was the primary caregiver for my father when he was dying."

"Just take your time. I am listening."

The nurse is communicating with a client following a routine physical examination. Which statement best demonstrates summarization of the appointment? "I think all went well with your physical, don't you? "Will we see you in 6 months to see how your diet has progressed?" "We reviewed your plans for your new diet and medications. Do you have any other questions?" "Do you have any questions about all that was discussed during the exam?"

"We reviewed your plans for your new diet and medications. Do you have any other questions?"

The nurse is teaching an 80-year-old client how to instill eye drops for glaucoma. The client's daughter asks, "How do you know that my mother understands what to do?" What is the appropriate nursing response? "I will have you bring your mother back next week to see how things are going." "When 15 minutes have passed, I will ask your mother to show me how to instill the drops." "After I demonstrate it once, your mother will be able to do it." "We can never be completely sure that your mother understands instructions."

"When 15 minutes have passed, I will ask your mother to show me how to instill the drops."

The nurse is visiting a client who was released from inpatient rehabilitation 6 weeks ago after a 5-month recovery from a motor vehicle accident that left the client immobile. As the nurse enters the home, the client braces hands on the arms of a chair to rise and uses crutches to walk across the room. What is the best response by the nurse? "Let me document that you can walk." "Are you supposed to be out of the wheelchair?" "You have made an amazing recovery." "Those physical therapists work wonders.

"You have made an amazing recovery."

Which guideline is most important for the nurse to keep in mind when planning to teach an exercise class to a group of older adults? Allow for long-term memory loss. Provide information in a structured format. Allow ample time for psychomotor skills. Keep the session at 2 to 3 hours.

Allow ample time for psychomotor skills.

The nurse is caring for a client who is a victim of sexual assault. Which action would the nurse take to develop a trusting rapport with the client? Use strategic pauses to allow the client to provide information that will be used to help officials in their investigation. Exhibit a professional demeanor while examining the client and obtaining specimens, asking questions that are not intrusive. Approach the client with empathy and understanding and allow the client to share feelings without being judged. Practice active listening by allowing the client to express fears and concerns then restating in the nurse's own words to demonstrate understanding.

Approach the client with empathy and understanding and allow the client to share feelings without being judged.

The nurse is planning to provide teaching to a client who is recovering from abdominal surgery. When is the most appropriate time to teach the client? At the time of pain medication administration When the meal tray arrives As the client is sitting quietly, reading a book Immediately before discharge to home

As the client is sitting quietly, reading a book

A client reports to a primary health care provider with aggravated chest pain. The health care provider prescribes a stress test. The client tells the nurse about not wanting to take the test and wanting to continue taking medication for now. Understanding that the client is anxious, which action should the nurse take first to provide education needed for this client? Provide the client with an educational booklet about stress tests. Ask the client "What has your health care provider shared with you about stress tests?" Instruct the client to find information about the test online. Tell the client about the stress test procedure.

Ask the client "What has your health care provider shared with you about stress tests?"

A client reports to a primary health care provider with aggravated chest pain. The health care provider prescribes a stress test. The client tells the nurse about not wanting to take the test and wanting to continue taking medication for now. Understanding that the client is anxious, which action should the nurse take first to provide education needed for this client? Tell the client about the stress test procedure. Instruct the client to find information about the test online. Provide the client with an educational booklet about stress tests. Ask the client "What has your health care provider shared with you about stress tests?"

Ask the client "What has your health care provider shared with you about stress tests?"

A nurse is working with a 15-year-old client with sickle cell anemia. The client was started on a new pain management plan today, and the nurse is evaluating the effectiveness of the plan. Which is not appropriate to include in the nursing care? Assuring the client that the conversation is confidential except under extreme circumstances Including a note about who was taught this new information in the client's chart Answering questions openly and honestly Asking only the client's parents to be present at the education session

Asking only the client's parents to be present at the education session

A client informs the nurse about being committed to quitting smoking to improve health. During discussion, the nurse asks the client "on a scale of 0 to 10, how likely are you to attend a support group?" Which strategy of motivational interviewing is the nurse using with the client? Elicit-provide-elicit Evoking change talk Assessing importance Prioritizing

Assessing importance

The nurse is caring for a 60-year-old client with an improper bowel movement regimen. Which is the most appropriate method for the nurse to use in teaching this client? Begin the session with a reference to the client's actual experience. Have the client join a small group of other clients with the same problem and facilitate group discussions. Refer the client to internet resources on proper bowel health. Talk to the client's relatives and get a detailed account of the client's history.

Begin the session with a reference to the client's actual experience.

A nurse is educating a 4-year-old client about cast care following a tibia-fibula fracture. Which action is not developmentally appropriate to include in the nurse's teaching? Blocking 30 minutes of time for skill teaching Ensuring the client's parents are present Giving stickers as a reward for task completion Using dolls to demonstrate psychomotor skills

Blocking 30 minutes of time for skill teaching

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This type of teaching best illustrates which learning theory? Adaptive learning theory Developmental learning theory Behavioral learning theory Cognitive learning theory

Cognitive learning theory

The nurse is preparing to teach a client from Generation X about hypertension. Which teaching approach should the nurse plan to implement? Ask a family member to do meal planning to alleviate the burden for the client. Have the client repetitively choose appropriate foods from various menus. Provide brochures about low-sodium foods. Demonstrate the MyFoodPyramid phone app, to show the best food choices on a lunch tray.

Demonstrate the MyFoodPyramid phone app, to show the best food choices on a lunch tray.

A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides emotional support to the family and counsels them to cope with their loss. Which quality should the nurse use in this situation? Indifference Pity Sympathy Empathy

Empathy

A nurse is teaching a 5-year-old boy who was recently diagnosed with type 1 diabetes. The client's mother, who is the primary caregiver, informs the nurse of having a fear of needles. What actions are appropriate for the nurse to take to ensure a successful education session? Select all that apply. Ensuring 20 minutes of uninterrupted teaching time Providing the client's mother with an informational pamphlet about insulin injection Asking the client's mother to leave the room to avoid distractions Using a doll to demonstrate giving an insulin injection

Ensuring 20 minutes of uninterrupted teaching time Providing the client's mother with an informational pamphlet about insulin injection Using a doll to demonstrate giving an insulin injection

A nurse who is preparing to administer an injection to the client states, "This injection will not be painful." The nurse has used which communication technique? Seeking clarification Giving false reassurance Encouraging elaboration Giving information

Giving false reassurance

The nurse is preparing discharge teaching for a client with diabetes. Which information should the nurse include? Select all that apply. Ways to pay for hospitalization and outpatient care charges Instructions to follow up with the health care provider Community resources Appropriate use of a glucometer Meal planning

Instructions to follow up with the health care provider Community resources Appropriate use of a glucometer Meal planning

A client is admitted to the hospital with an abscess on the leg that will not heal after multiple treatment options as an outpatient. The nurse knows from past experiences that the appearance of this type of wound in clients heavily suggests a resistant bacterial infection and the need for contact isolation and intravenous antibiotics. The nurse begins to prepare for this admission. What type of problem solving does this exhibit? Trial-and-error Intuitive Scientific Experiential

Intuitive

Which is a characteristic of person-centered care? It involves general care for all clients. It is a framework for providing care. It can be used in hospital settings. It is independent of other disciplines.

It is a framework for providing care.

When a client says, "I don't care if I get better; I have nothing to live for, anyway," which type of counseling would be appropriate? Professional counseling Long-term counseling Short-term counseling Motivational counseling

Motivational counseling

Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for breastfeeding mothers? Advising the mothers to drink plenty of water Showing charts to the mothers that illustrate the types of breast milk Telling the mothers to avoid taking over-the-counter drugs while breastfeeding Observing a mother expressing the breast milk

Observing a mother expressing the breast milk

A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established? Termination phase Working phase Evaluation phase Orientation phase

Orientation phase

When caring for a psychiatric client, a nurse would make a formal contract with the client during which phase of the nurse-client relationship? Intimate phase Orientation phase Working phase Termination phase

Orientation phase

A school nurse is discussing bike and outdoor safety measures with a group of Boy Scouts. What type of health education and counseling is the nurse providing to this group of children? Facilitating coping Preventing illness Promoting health Restoring health

Preventing illness

The nurse completed education with a client. Which documentation entry represents the most complete teaching plan? Start warfarin therapy initiated as prescribed; instructed to return to clinic for testing in 2 weeks. Written and oral instructions given. Return demonstration performed accurately. Printed and verbal information provided on gluten-free diet. Questions answered. Verbalizes understanding. Follow-up scheduled. Discussed "Therapeutic Lifestyle Changes," printed materials reviewed, follow-up scheduled.

Printed and verbal information provided on gluten-free diet. Questions answered. Verbalizes understanding. Follow-up scheduled.

A nurse has developed a plan of care for an adult client. What nursing function is important when using the identified nursing concerns to guide the care of this client? Prioritize the nursing concerns. Do not allow the client to review the nursing concerns identified for them. Add a new nursing concern in the nurse's own words to individualize the plan of care. Keep resolved nursing concerns as part of the plan of care in case the related problems return.

Prioritize the nursing concerns

The nurse is caring for an obese client who needs to be turned every 2 hours. Which action by this nurse is an example of reflection-for-action? After turning the client alone, the nurse realizes that the nurse should have insisted on having help. During the first attempt to turn the client, the nurse realizes the need for assistance and calls the front desk for help. Reflecting on prior experience and best practice, the nurse includes assistance with turning in the client's plan of care. The nurse decides to turn the client every 4 hours because everyone is too busy to help.

Reflecting on prior experience and best practice, the nurse includes assistance with turning in the client's plan of care

The nurse is using the nursing process to care for a client and is in the process of making a nursing diagnosis. Which condition best reflects a nursing diagnosis? Risk for falls Pneumonia Congestive heart failure Hypertension

Risk for falls

The nurse employs interpersonal skills of communication when caring for and interacting with clients. Which is the best example of establishing a therapeutic nurse-client relationship? Show respect for the client, and engage in open communication in getting to know the client. Introduce yourself, and then accomplish nursing care activities efficiently to allow the client to rest. Approach the client as part of the job, and complete nursing care quickly to promote comfort. Recognize how the approach affects client care, and describe why you have to do things your way.

Show respect for the client, and engage in open communication in getting to know the client.

A nurse needs to complete an assessment and vital signs on a client who has Alzheimer disease. How should the nurse approach this client to gain cooperation? Select all that apply. Smile and maintain eye contact. Speak loudly and clearly. Use the client's name. Focus on the nursing tasks. Approach the client from the front.

Smile and maintain eye contact Use the client's name Approach the client from the front

When teaching a client, the nurse notices the client tends to lose focus easily. The nurse would adapt client teaching in which way? Request family members to serve as translators. Talk with animation and vocal inflection to stimulate the client aurally. Provide less health teaching because of the language barrier. Elongate the teaching session to be sure the client understands.

Talk with animation and vocal inflection to stimulate the client aurally.

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client? The client prepares the skin for the administration of an insulin injection. The client demonstrates proper technique for injecting insulin. The client describes signs and symptoms of hypoglycemia. The client expresses a desire to improve nutritional intake and lose weight.

The client describes signs and symptoms of hypoglycemia.

A nurse has been caring for a client who had a myocardial infarction 2 days ago. During the morning assessment, the nurse asks the client how the client feels. Which scenario warrants further investigation? The client is sitting in a chair and states, "I feel a lot better than I did yesterday. The client looks at the nurse and states, "I am still not feeling my best." The client stares at the floor and states, "I feel fine." The client smiles at the nurse and states, "I cannot wait to go home."

The client stares at the floor and states, "I feel fine."

A nurse and client are in the working phase of the helping relationship. What outcome statement developed by the nurse and client correlates with this phase? The client will identify the goals that have been accomplished during the relationship. The client and nurse will establish goals of the relationship. The client will express feelings and concerns to the nurse. The nurse and client will determine where and when they will meet.

The client will express feelings and concerns to the nurse.

A client in a mental health unit discusses personal thoughts and feelings with the nurse. The nurse can maintain the circle of confidentiality when reporting this information to which individuals? Select all that apply. The client's family The client's health care provider The client's closest friend The nurse from the oncoming shift The unit's mental health technicians

The client's health care provider The nurse from the oncoming shift The unit's mental health technicians

When a nurse is planning for learning, who must decide who should be included in the learning sessions? The health care team The nurse and the client The doctor and nurse The client and the client's family

The nurse and the client

A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which as a characteristic of an adult learner? Their readiness to learn is often related to a developmental task or social role. Previous experiences have little impact on learning. The material presented should focus on future application. Peer group acceptance is a critical issue for this age group.

Their readiness to learn is often related to a developmental task or social role.

Carl Rogers (1961) studied the process of therapeutic communication. Through his research, the elements of a "helpful" person were described. They include all of the following except which choice? comfortable sense of self positive regard empathy analysis

analysis

The nurse communicates with a newly admitted client. Which nonverbal behavior will the nurse note? client's religious practices client's gestures client's ethnicity client's accent

client's gestures

A client shares with the nurse how much the client appreciates understanding the physiology of breastfeeding. The client states, "I felt very comfortable with what you explained to me, and I feel I will be successful at breastfeeding." In affective learning, this represents the nurse: creating an atmosphere for discussion of feelings. creating an educational opportunity for the future. creating an opportunity for rational thought and learning. creating specific learning sessions for new information.

creating an atmosphere for discussion of feelings.

An experienced nurse is educating a client about the client's disease and how best to promote optimal health. The nurse is focusing the education on the cognitive domain of learning. Given this focus, the nurse would incorporate the client's: muscular movements. emotions or feelings. critical thinking. physical demonstration.

critical thinking.

The following is a conversation between the nurse and the client. Client: "I know this house is too much for me to manage. I know I am having difficulty." Nurse: "Have you thought about moving to Tennessee to be near your son? Client: "No, I am not going to move to Tennessee." Nurse: "Another option is to have someone help you for a few hours every day. Is this acceptable to you?" Client: "Yes, I would like that. I am lonely being by myself. I would have someone to talk to and help me with the house." What is the technique used by the nurse in this exchange? open-ended questioning giving advice confrontation direct questioning

direct questioning

A nurse is caring for a client admitted to the hospital for dehydration. Which physical findings should the nurse acknowledge as nonverbal communication concerning this diagnosis? cold intolerance and brittle nails. pallor and diaphoresis. easy wrinkling of the skin and sunken eyes. slow heart rate and prolonged capillary refill.

easy wrinkling of the skin and sunken eyes.

The nurse is assisting with the creation of a plan of care for a client with newly diagnosed diabetes mellitus. When creating the plan of care, what is the priority action for the nurse? ensuring the client is informed after decisions are made with care delivery involving the client with all the steps of the process in care development requiring the client to evaluate the plan of care after implementation implementing the standard plan of care for all clients with diabetes mellitus

involving the client with all the steps of the process in care development

A nurse is preparing to enter a client's room to perform wound care. The shift report revealed that this client has a tunneling wound in the sacral area that cannot be staged. The wound was also documented as having a foul odor. The nurse is nervous because the nurse has not often performed wound care on a complex wound. Using effective intrapersonal communication, this nurse should: tell the unlicensed assistive personnel (UAP) to gather supplies and to prepare to cleanse and dress the wound. tell oneself to "remain calm" and remember that the nurse was trained to perform this skill. inform the client that several nurses will be needed to care for this wound. ask the charge nurse to change the assignment.

tell oneself to "remain calm" and remember that the nurse was trained to perform this skill.

A client has just been given a diagnosis of cirrhosis of the liver. Which statements by the nurse should be avoided because they could impede communication? Select all that apply. "Cheer up. Tomorrow is another day." "Your doctor knows best." "Don't worry. You will be just fine in another day or two." "Everything will be all right." "That's a lot of information to take in. Would you like to talk about it?"

"Cheer up. Tomorrow is another day." "Your doctor knows best." "Dont worry. You will be just fine in another day or two." "Everything will be all right."

The nurse is caring for a 70-year-old client with a fractured wrist. Which is the best method to determine whether the client has retained the information taught? Observe the change in client's behavior for a month. Test the client on the health education and information imparted. Ask the client to recall after approximately 15 minutes. Ask the client to administer the doses of drug himself.

Ask the client to recall after approximately 15 minutes.

Which learning domain is the focus for instruction when the nurse educates a new mother about the breast and its role in milk production for feeding the newborn? Behavioral Affective Psychomotor Cognitive

Cognitive

During the health education session at the health care facility, the nurse notes that a client is able to recognize, describe to others, and explain the information learned. What is the final learning stage of the client in this case? Recall of the information being taught Repetition of information for memorization Involvement in the education in an active way Independent use of new learning

Independent use of new learning

the therapeutic communication technique is known as ___ is the skill of identifying with the way another person feels

empathy

Factors influencing communication include developmental level; roles and responsibilities; space and territoriality; physical, mental, and emotional state; environment; and ___ differences.

sociocultural

Incivility is rude, disruptive, intimidating, and undesirable behavior directed at another person. T or F

true

communication is influenced by the way people value themselves, one another, and the purpose of any human interaction. T or F

true

when verbal and nonverbal communications do not match, it is often the nonverbal communication that more accurately conveys the speaker's meaning.

true

Select the best description of how the nurse applies the nursing process in caring for clients. The nurse: employs communication to meet the client's needs. uses scientific problem solving to meet client problems. applies intuition and routine care for clients. uses critical thinking to direct care for the individual client.

uses critical thinking to direct care for the individual client

A nurse is discussing cataract treatment with a client. Which statement by the nurse would be most therapeutic? "Have you ever thought of laser surgery?" "Why don't you try laser surgery?" "You should try laser surgery." "My grandfather also benefited from laser surgery."

"Have you ever thought of laser surgery?"

The nurse has provided education to a client about home care for an open surgical wound on the lower left extremity. When evaluating learning through the cognitive domain, what statement by the nurse would be appropriate? "Tell me about what signs of infection you will report to the health care provider." "I notice that you do not have the dressing secured. Place a piece of tape on the wrap." "I would like you to demonstrate how to change the dressing on your leg." "Let's see how you irrigate the wound with saline."

"Tell me about what signs of infection you will report to the health care provider."

A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with a quick recovery. In which domain is the client demonstrating successful learning? Psychomotor Affective Cognitive Interpersonal

Cognitive

What is the most appropriate teaching strategy for the nurse to use for a 1-hour presentation on the prevention of osteoporosis to a group of 30 college-age women? Test taking Demonstration Lecture/ discussion Role play

Lecture/ discussion

A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established? Orientation phase Termination phase Working phase Evaluation phase

Orientation phase

The nurse makes a contract with the client during which phase of the nurse-client relationship? Termination phase Orientation phase Working phase Intimate phase

Orientation phase

A client in a mental health unit discusses personal thoughts and feelings with the nurse. The nurse can maintain the circle of confidentiality when reporting this information to which individuals? Select all that apply. The client's closest friend The client's family The unit's mental health technicians The client's health care provider The nurse from the oncoming shift

The unit's mental health technicians The client's health care provider The nurse from the oncoming shift

A nurse states the following to another nurse who is constantly forgetting to wash hands between clients: "It looks like you keep forgetting to wash your hands between clients. It's really not safe for your clients. Let's think of some type of reminder we can use to help you remember." This communication is an example of what type of speech? Assertive Therapeutic Aggressive Nonassertive

assertive

An example of an open-ended question is: "What medicines have you been taking at home?" T or F

false

the use of technology to delivery nursing care and conduct nursing practice remotely is called ___

telehealth

A nurse is asking a colleague about a situation. Which response best demonstrates assertive communication? "You always act like this." "Why are you treating me this way?" "What is your problem with me?" "I think there is a better way to handle this."

"I think there is a better way to handle this."

The nurse is collecting health data and avoids using closed-ended questions. Which are examples of closed-ended questions? Select all that apply. "Is there any chance you might be pregnant?" "Does it hurt when I touch you here?" "Do you smoke cigarettes?" "What sorts of things do you do for fun?" "Are you ready to get out of bed?" "What plans do you have after you are discharged?"

"Is there any chance you might be pregnant?" "Does it hurt when I touch you here?" "Do you smoke cigarettes?" "Are you ready to get out of bed?"

The client is talking to the nurse about recent health problems of immediate family members and the strain the client has been under trying to care for them. The client begins to cry. What response by the nurse demonstrates the most empathy? "It is difficult when family members are ill. It helps if you take some time for yourself." "I know how you feel. I was the primary caregiver for my father when he was dying." "It's okay to cry. Sometimes that helps us to feel better." "Just take your time. I am listening."

"Just take your time. I am listening."

A 56-year-old client meets with the nurse for education about a recently diagnosed atrial fibrillation. The client verbalizes concerns about being away from work too long and doubts about the necessity of having blood tests every week, as the client has no symptoms. Which is the best motivational statement by the nurse for this client? "Atrial fibrillation is when your upper heart beats ineffectively and blood clots can go to your brain. Would you like some printed information about this?" "You have to take your warfarin and go to the clinic every week for a blood draw. It's not the most convenient way to live, but you have to do it." "Your doctor wants you to take your warfarin every day, go to the clinic every week to have blood drawn, and then wait for any dosage change. Do you understand?" "The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?"

"The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?"

During an admission intake assessment, a nurse uses open-ended questions to gather information. An example of an open-ended question is: "Are you allergic to any medications?" "What did your health care provider tell you about your need to be admitted?" "Can you tell me the medications you take on a daily basis?" "Do you have an advanced directive or a living will?"

"What did your health care provider tell you about your need to be admitted?"

The nurse is assisting a client 55 years of age to understand the anatomy and physiology of the heart following a heart attack. What type of learning is taking place? Psychomotor Andragogy Pedagogy Affective

Andragogy

A nurse is planning care for an adult client with severe hearing impairment who uses sign language and lip reading for communication and who has a new diagnosis of cancer. Which nursing action is most appropriate when establishing the plan of care for this client? Arrange for a sign language interpreter when discussing treatment. Talk with the client's children to determine needs. Use a text-telephone device (TTD) for daily communication. Consult the oncology nurse specialist.

Arrange for a sign language interpreter when discussing treatment.

When caring for a client at the health care facility, the nurse observes that the client is having difficulty understanding the health education. Which action is most appropriate? Boost the morale of the client. Assess for cultural differences. Delegate the health education to a colleague. Replace one-on-one teaching with written materials.

Assess for cultural differences.

Which activity is the clearest example of the evaluation step in the nursing process? Taking a client's blood pressure on both arms at the beginning of a shift Giving the client an as-needed dose of captopril in light of an abnormal blood pressure reading Recognizing that the client's blood pressure of 172/101 is an abnormal finding Checking the client's blood pressure 30 minutes after administering captopril

Checking the client's blood pressure 30 minutes after administering captopril

A nurse is working with an older adult client, educating the client on how to ambulate with the aid of a walker. The nurse notes that the client appears to lack the motivation to learn how to use the device. The client states, "I'm just too old to learn." What would be most appropriate for the nurse to do to motivate this client? Fully discuss the rationale for using the walker. Explain how the walker supports the client's lower extremities. Tell the client how to move the walker as the client ambulates. Describe how the walker can improve the client's quality of life.

Describe how the walker can improve the client's quality of life.

When assessing a client's nonverbal communication, the nurse should assess which aspect as being the most expressive? Eye contact Hand gestures Posture Facial expressions

Facial expressions

A nurse is caring for an older adult client with arthritis. Which action is the priority for the nurse when conducting the health education for the client? Identify how long the education session will last. Find out what the client wants to know. Divide information into manageable amounts. Provide an environment that promotes learning.

Find out what the client wants to know.

The nurse and the physical therapist discuss the therapy schedule and goals for a client on a rehabilitation unit. What type of communication is occurring between the nurse and the therapist? Organizational Interpersonal Small-group Intrapersonal

Interpersonal

During an annual performance review with an employee, the nurse manager does not maintain eye contact and seems concerned about the time and the next appointment. What type of communication is the manager exhibiting? Clarifying Verbal Nonverbal Consistent

Nonverbal

The registered nurse (RN) is receiving a shift report from another RN about a client admitted for dehydration. In the report, the departing RN indicates that the client has been prescribed intravenous fluids and an antibiotic. The oncoming RN asks why the antibiotic has been prescribed. This is an example of which consideration involved in the process of critical thinking? Problem solving Helpful resources Potential problems Purpose of thinking

Purpose of thinking

The community health nurse is preparing a campaign to educate the public about heart health. Which form(s) of verbal communication would be effective to use in this campaign? Select all that apply. Radio A public speech Eye contact Television Color-coded signs

Radio A public speech Television

The nurse is conducting a community health promotion class and has developed scenarios that will involve active participation by the class attendees. What type of education strategy is the nurse incorporating into this class? Role modeling Panel discussion Programmed instruction Role-playing

Role-playing

The nurse is educating a client regarding a new skill. When evaluating the client's knowledge about the topic covered, which best represents that the client has learned a new skill? The client organizes materials needed and gives return demonstration. The client verbalizes items needed and how to perform the skill. The client nods when asked about process and assists with cleanup. The client states understanding and passes a written test.

The client organizes materials needed and gives return demonstration.

A nurse is developing a contractual agreement with a client. Which statement is true of a contractual agreement? The contract is a formal agreement. The contract serves to meet the client's learning outcomes. The contract is legally binding. The contract serves to meet nursing goals.

The contract serves to meet the client's learning outcomes.

Care provided to a client following surgery and until discharge represents which phase of the nurse-client relationship? Evaluation phase Termination phase Orientation phase Working phase

Working phase

Carl Rogers (1961) studied the process of therapeutic communication. Through his research, the elements of a "helpful" person were described. They include all of the following except which choice? positive regard empathy comfortable sense of self analysis

analysis

A nurse is on lunch break in the hospital cafeteria and sits at a table near a group of health care providers eating their lunch. One of the health care providers, who is in charge of the nurse's clients, points at the nurse and states, "That guy needs to get fired." The best response by the nurse would be to: call the nursing supervisor to address the situation at hand. write a written account of what transpired and contact an attorney. ask to speak to the health care provider in private and address the disrespectful remark. return to the nurse's home unit and ask to meet with the charge nurse.

ask to speak to the health care provider in private and address the disrespectful remark.

A client has had major abdominal surgery and just returned to the unit from the operating room. The nursing priority is to: evaluate the abdominal dressing for drainage. expect the client to be drowsy, and let the client rest. administer pain medication. complete the postoperative assessment.

complete the postoperative assessment

A client has cancer, but the significant other does not want the client to know the diagnosis. The nurse demonstrates sensitivity to the significant other and works with the couple to achieve desired outcomes. What kind of behavior is the nurse exhibiting? Curiosity Sympathy Empathy Humility

empathy

The nurse is beginning an assessment on a nonverbal client. The nurse must first: establish eye contact prior to assessing, touching, and interacting with the client. verbalize all steps of the nursing assessment when interacting with the client. use various forms of communication when interacting with the client. speak loudly when interacting with the client.

establish eye contact prior to assessing, touching, and interacting with the client.

private social media account activities by nurses are protected from regulatory authority oversight. T or F

false

Which is the most appropriate example of the assessment phase of the nursing process? including a nursing concern of acute pain in the client's plan of care documenting the administration of a medication provided for pain evaluating the temperature of a client given medication for a fever palpating a mass in the right lower quadrant of the abdomen

palpating a mass in the right lower quadrant of the abdomen

When preparing client teaching materials, how does the nurse best assess a client's preferred learning style? Provide teaching that works for the broadest base of clients. Observe the client's behaviors. Determine client learning needs based on age and ability to hear effectively. Ask the client, "Do you learn best by observing, valuing, or doing?"

Ask the client, "Do you learn best by observing, valuing, or doing?"

Which is a skill appropriate to use in therapeutic communication? Be precise and inflexible regarding the intent of the conversation. Use cliches to enhance a client's understanding of information. Avoid the use of periods of silence. Control the tone of the voice to avoid hidden messages.

Control the tone of the voice to avoid hidden messages

Which quality in a nurse helps the nurse to become effective in providing for a client's needs while remaining compassionately detached? Kindness Sympathy Commiseration Empathy

Empathy

The nurse makes a contract with the client during which phase of the nurse-client relationship? Working phase Orientation phase Intimate phase Termination phase

Orientation phase

The nurse should consider which client aspect as nonverbal communication? The client's values and beliefs The client's religious practices The client's tone of voice The client's accent

The client's tone of voice

When communicating with a client, the nurse uses reflection for which purpose? To keep the client on the topic of concern To determine the sequence of events in the conversation To investigate the situation to help problem solve To have the client elaborate on thoughts and feelings

To have the client elaborate on thoughts and feelings

A nurse is caring for a client admitted to the hospital for dehydration. Which physical findings should the nurse acknowledge as nonverbal communication concerning this diagnosis? pallor and diaphoresis. easy wrinkling of the skin and sunken eyes. cold intolerance and brittle nails. slow heart rate and prolonged capillary refill.

easy wrinkling of the skin and sunken eyes

Once the nurse has administered pain medication, it is the nurse's responsibility to determine its effect and any other results. When accomplishing this follow-up with the client, the nurse is in which step of the nursing process? Evaluation Assessment Planning Implementation

Evaluation

When establishing a teaching-learning relationship with a client, it is most important for the nurse to remember that effective learning can best be achieved through which concept? The nurse is the expert in the teaching-learning environment. Assimilation and application of psychomotor concepts is essential. The client and the nurse are equal participants. The nurse must be able to handle criticism during the process.

The client and the nurse are equal participants.

The nursing process is based upon the process of problem solving. The nurse attempts to obtain a blood pressure on the client's right arm, then on the left arm, then on the left leg, and finally on the right leg, where the blood pressure is obtained. What type of problem solving did the nurse use? Trial-and-error problem solving Critical thinking Intuitive thinking Scientific problem solving

Trial-and-error problem solving

A nurse may attempt to help a client solve a situational crisis during what type of counseling session? Long-term counseling Short-term counseling Motivational counseling Professional counseling

Short-term counseling

The nurse is providing care to an older adult client who has visual and hearing deficits. What action by the nurse is appropriate to help with communication? Remove the COVID protection face mask while speaking with the client. Speak in a loud voice over the volume of the television set. Obtain the client's attention by calling out the client's first name. Identify oneself by name and title with each entry into the client's room.

Identify oneself by name and title with each entry into the client's room.

To provide effective nursing care, the nurse should engage in what type of communication with the client and significant others? Purposive communication Metacommunication Therapeutic communication Intrapersonal communication

Therapeutic communication

When communicating with a client, the nurse uses reflection for which purpose? To investigate the situation to help problem solve To determine the sequence of events in the conversation To have the client elaborate on thoughts and feelings To keep the client on the topic of concern

To have the client elaborate on thoughts and feelings

The nurse is caring for a client who demonstrates a health literacy concern. The nurse adjusts client teaching in which way? uses videos, diagrams, and pictures rather than focusing on verbal teaching uses medical terminology to help the client feel smarter gives instructions in multiple ways so the client will understand provides general teaching instead of specificity regarding diagnosis

uses videos, diagrams, and pictures rather than focusing on verbal teaching

A nurse finds that a client has infiltration around the IV line that needs to be removed. What explanation should the nurse give to reduce the client's anxiety? "I know that you are anxious, but the IV location needs to be changed." "This must have been caused from you moving your arm around." "It will be a painless procedure and there is nothing to worry about; many clients experience this." "Just be very still; the procedure is very minimal and will be over soon."

"I know that you are anxious, but the IV location needs to be changed."

A nurse is caring for a client experiencing biliary colic from uncomplicated cholelithiasis. The client asks, "My doctor says I should have surgery to remove my gallbladder. Do you think it is really necessary?" What is the nurse's best response? "Share with me the advantages and disadvantages of your options as you see them." "When you see the health care provider this morning, request more information about the surgery." "You should follow your health care provider's recommendation and have the surgery." "It is a minimally invasive surgery with rapid recovery time, so you will do fine."

"Share with me the advantages and disadvantages of your options as you see them."

A client is scheduled for thoracentesis. The nurse assesses that the client appears anxious about the procedure and needs honest support and reassurance. What is the most appropriate response by the nurse to this client? "The needle causes discomfort or pain when it goes in, but I will be by your side throughout and will help you hold your position." "The procedure may take only 2 minutes, so you might get through it by mentally counting up to 120." "You may feel very uncomfortable when the needle goes in, but you should breathe rhythmically." "I will be by your side throughout the procedure; the procedure will be painless if you don't move."

"The needle causes discomfort or pain when it goes in, but I will be by your side throughout and will help you hold your position."

A nurse is assessing vital signs on a pregnant client during a routine prenatal visit. The client states, "I know labor will be so painful, it sounds awful. I am sure I will not be able to stand the pain; I really dread going into labor." What is the best response from the nurse?

"You're worried about how you will tolerate the pain associated with labor"

The nurse is caring for a client who is a victim of sexual assault. Which action would the nurse take to develop a trusting rapport with the client? Exhibit a professional demeanor while examining the client and obtaining specimens, asking questions that are not intrusive. Practice active listening by allowing the client to express fears and concerns then restating in the nurse's own words to demonstrate understanding. Approach the client with empathy and understanding and allow the client to share feelings without being judged. Use strategic pauses to allow the client to provide information that will be used to help officials in their investigation.

Approach the client with empathy and understanding and allow the client to share feelings without being judged.

The nurse is visiting a hospice client in the client's home. The client is explaining difficulties with a home infusion pump. By making statements such as "I see" and "go on" during the conversation, the nurse is using which therapeutic nurse-client communication technique? Encouraging elaboration Reflection Restating Clarification

Encouraging elaboration

In a helping relationship, the nurse would most likely perform what action? Establish goals for the client that are not set in a specific time frame. Set up a reciprocal relationship in which both the client and nurse are giving and receiving help. Establish communication that is continuous and reciprocal. Encourage the client to independently explore goals that allow the client's human needs to be satisfied.

Establish communication that is continuous and reciprocal.

The nurse and the physical therapist discuss the therapy schedule and goals for a client on a rehabilitation unit. What type of communication is occurring between the nurse and the therapist?

Interpersonal

The nurse is communicating with a client who begins to cry. The nurse places a hand on the client's arm and sits quietly at the client's beside. What mode of communication is the nurse using to offer caring and comfort for the client? Verbal Visual Kinesthetic Body language

Kinesthetic

Which activities take place during the working phase of the nurse-client relationship? Select all that apply. The client participates actively in the relationship. The client describes the role that the nurse plays in the relationship. The client and nurse identify goals of the relationship. The client identifies the goals accomplished in the relationship. The client genuinely expresses concerns to the nurse.

The client participates actively in the relationship The client genuinely expresses concerns to the nurse

A nurse during orientation notices that the preceptor gives all subcutaneous injections on a 45-degree angle. When the new nurse asks the preceptor the rationale for the practice the preceptors states, "This is how I do it, and this is how you will do it." The new nurse recognizes this behavior to be: nurturing. aggressive. passive. assertive.

aggressive

A nurse is attempting to complete an admission database. While taking the history, the nurse notices the client appears uncomfortable and slightly tachypneic. The nurse should: ask questions as quickly as possible. allow the client to set the pace. use only open-ended questions. tell the client to rest and allow a family member to answer.

allow the client to set the pace

when communicating effectively with patients, the nurse may use auditory, visual, or kinesthetic ___.

channels

A nurse is providing care to a 3-year-old child admitted with a diagnosis of infectious diarrhea. The nurse needs to insert an intravenous catheter in order to administer prescribed intravenous fluids. In an attempt to foster communication, the nurse should: ask the child's parents to leave the room while the nurse and child talk. provide both verbal and written information to the child. show the child the intravenous catheter and explain how it works. involve the child's stuffed animal in the educational session.

involve the child's stuffed animal in the educational session.

A nurse is caring for a client who presents with a skin infection. While obtaining the client's medical history, it is determined that the client is an intravenous drug user. To foster effective communication, the nurse should: consult with the social worker regarding inpatient drug rehabilitation. remain honest, open, and frank. ask the client for a urine specimen for urine drug use screening. ask if the client realizes the infection is a direct result of the drug use.

remain honest, open, and frank.

A nurse is attempting to calm an infant in the nursery. The nurse responds to the highest developed sense by: offering the neonate infant formula. staring into the neonate's eyes and smiling. swaddling the child and gently stroking its head. softly humming a song near the neonate.

swaddling the child and gently stroking it's head

Which documentation example best reflects the complexity of client teaching by the nurse? "Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal." "Client return demonstrated how to use glucometer." "Taught client about peak flows; client verbalized understanding." "Told client to take antibiotic as ordered."

"Client and spouse taught how to use phone app to count carbohydrates; client return demonstrated carb counting for a hypothetical meal."

The nurse is readmitting a client who was discharged 1 week ago with complications from diabetes mellitus. The client states, "I really did not understand what I was supposed to do to care for myself from those papers that I was sent home with." What question will the nurse ask to promote the client's self-esteem? "Do you have a problem with reading?" "How do you learn best and what can we do to provide you with that information?" "You understand that if you are not able to care for yourself, will you'll continue to be admitted?" "What was so difficult about the discharge instructions?"

"How do you learn best and what can we do to provide you with that information?"

A nurse is caring for a client with a diagnosis of metastatic lung cancer. The nurse finds the client sitting in a chair while staring out the window. What statement by the nurse communicates concern and caring about the client? "I think you should talk to your friends and family, getting their help and support will make you feel better." "I can imagine you have many concerns about your health. Tell me what is on your mind." "You are going to be okay. Your doctor is one of the best cancer specialists and knows the best way to treat your cancer." "Don't worry. There are all kinds of cancer treatments available. You will be just fine."

"I can imagine you have many concerns about your health. Tell me what is on your mind."

A client was recently diagnosed with metastatic lung cancer. The nurse finds the client crying in the room. Which statement made by the nurse best demonstrates the use of empathy? "Don't worry, I have seen lots of people with cancer do fine." "I see you have been crying. Do you want me to call someone for you?" "I am sorry to hear you have cancer. I would be upset too, is there anything I can do?" "I see you are upset. Would you like to talk?"

"I see you are upset. Would you like to talk?"

The nurse is discussing the use of the client-controlled analgesia pump with the postoperative client. Which statement by the client indicates a need for additional education? "I should not press the button more often than every 3 to 4 hours." "The dose is set so I cannot overdose myself." "The medicine will help me control my pain." "I am able to push the button when I am in pain."

"I should not press the button more often than every 3 to 4 hours."

A client comes into the urgent care center to have sutures removed on an arm. The nurse finds significant crusting along the suture line. The client states not having time to get the sutures removed a week prior, as directed. The nurse soaks the crust and attempts to remove the sutures. As the nurse attempts the suture removal, the client frequently pulls the arm away and tells the nurse, "You are taking too long and it is hurting a little bit. Just pull them out and get it over with." Which statement is an example of appropriate therapeutic response? "It will not hurt if you relax and stop pulling your arm away." "I am sorry it is taking so long and I am hurting you; next time do not wait too long to get sutures removed or the same thing will happen" "It is taking longer for me to remove the sutures because the delay allowed the crust to form and adhere to the sutures, making it harder and sometimes painful to remove them." "I am sorry it is taking so long. Tell me how you hurt your arm?"

"It is taking longer for me to remove the sutures because the delay allowed the crust to form and adhere to the sutures, making it harder and sometimes painful to remove them."

While the nurse is caring for a hearing impaired client, and a family member of the client states, "What do you think is the best way to communicate?" What is the best response by the nurse? "Use flash cards and writing pads." "Use words that begin with 'f,' 's,' 'k,' and 'sh' to communicate." "Limit communication to avoid frustration." "Encourage family members to increase their vocal pitch."

"Use flash cards and writing pads."

The nurse is communicating with a client following a routine physical examination. Which statement best demonstrates summarization of the appointment? "Do you have any questions about all that was discussed during the exam?" "Will we see you in 6 months to see how your diet has progressed?" "We reviewed your plans for your new diet and medications. Do you have any other questions?" "I think all went well with your physical, don't you?

"We reviewed your plans for your new diet and medications. Do you have any other questions?"

A nurse is completing a health history with a client being admitted for a mastectomy. During the interview the client states, "I do not know what to do. I am not sure if I really need this surgery." Which response by the nurse demonstrates active listening? "You seem unsure. Tell me your concerns about your surgery." "I understand your confused, what do you think you should do?" "You seem unsure, please let me know if you decide to postpone the surgery until you are no longer unsure." "I understand you are not sure about having the surgery. Why do you think you really do not need the surgery?"

"You seem unsure. Tell me your concerns about your surgery."

In which situation would the SBAR technique of communication be most appropriate? A nurse is facilitating a family meeting to coordinate a client's discharge planning. A nurse is teaching a client about the benefits of smoking cessation and the risks of continuing to smoke. A nurse is explaining the process of bone marrow biopsy to a client who is scheduled for the procedure. A nurse is calling a health care provider to report a client's new onset of chest pain.

A nurse is calling a health care provider to report a client's new onset of chest pain.

A nurse is completing a health history on a client who has a hearing impairment. Which action should the nurse take first to enhance communication? Contact a person skilled in sign language Provide paper and pencil for written communication Use facial and hand gestures Assess how the client would like to communicate

Assess how the client would like to communicate

The nurse is performing an assessment on a client who reports having a rash on the back that is red and raised. What would be the next nursing action? Document the rash in the client's chart. Report the rash to the health care provider. Assess the client's back visually. Establish a nursing concern of altered skin integrity.

Assess the client's back visually

During an assessment of a newly admitted client the nurse asks the client many questions. The nurse begins the assessment by asking, "Have you been hospitalized this year for your back pain?" This is an example of which type of question? Reflective question Sequencing question Closed question Open-ended question

Closed question

A client diagnosed with type 2 diabetes has been prescribed insulin therapy in conjunction with an oral agent because the client has been experiencing difficulty controlling blood sugar levels with an oral agent alone. The nurse is preparing a teaching plan for this client. Which intervention would the nurse include in the teaching plan to address the psychomotor domain? Describing the signs and symptoms of low blood sugar Explaining what to do if hypoglycemia occurs Demonstrating the technique for insulin self-injection Reviewing with the client appropriate foods to eat

Demonstrating the technique for insulin self-injection

A nurse administers intravenous fluids to a client diagnosed with dehydration. After the fluids are completed, the client's blood pressure is increased and pulse is decreased. During the final phase of the nursing process, what should the nurse do? Determine whether the prescribed treatment was effective. Check the client's skin turgor. Formulate a plan of care based on risk for dehydration. Administer an additional liter of intravenous fluids.

Determine whether the prescribed treatment was effective

The health care provider notified the client and the spouse that the client's condition was terminal. The spouse has been crying since the interaction with the health care provider. The nurse is going to talk with the spouse about the spouse's feelings. What action(s) would the nurse do to promote a positive impression with the spouse? Select all that apply. Maintain eye contact more than half of the time. Tilt the head to the side. Hold the spouse's hands during the interaction. Lean forward slightly. Sit at eye level with the spouse.

Hold the spouse's hands during the interaction. Lean forward slightly. Sit at eye level with the spouse. Maintain eye contact more than half of the time.

The nurse is caring for a client with an identified nursing concern of fluid volume deficiency. The nurse has implemented the plan of care and on evaluation finds that the client continues to exhibit symptoms of fluid volume deficiency. What should the nurse do next? Reassess the client for more symptoms of fluid volume deficiency. Change the nursing concern, because the client's problem was falsely identified. Modify the plan of care and interventions to meet the client's needs. Develop an additional nursing concern to meet the client's health needs.

Modify the plan of care and interventions to meet the client's needs.

A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce the client's risk for cancer, improve respiratory status, and enhance the quality of life. The nurse also shares a personal story of smoking cessation, provides information on other individuals who have successfully quit, and encourages the client to attend a support group for smoking cessation. The client discusses feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client? Developmental Long-term Motivational Situational

Motivational

A nurse is reading a journal article about providing individualized care. Which aspect would the nurse most likely read about as the almost universally accepted method for providing nursing care? Nursing process Clinical reasoning Reflection Experience

Nursing process

An active, otherwise healthy, older adult client presents to the clinic with severe osteoarthritis in both knees. The nurse knows this client does not want to be a burden on the family, and the client remains stoic despite reporting the pain as severe. The client avoids the topic of surgery and attends church weekly. The client's family is supportive of any decisions the client makes regarding health. Which of the assessment data is most important to forming an individualized education plan for this client concerning treatment for osteoarthritis? Orthopedic surgical history Formal religious beliefs Floor plan of the client's dwelling Personal perception of health and aging

Personal perception of health and aging

A nurse is attempting to communicate with a client who speaks a different language and is not fluent in the nurse's language. Which nursing action would best facilitate the communication process? Repeat the message multiple times until understood. Use nonverbal communication methods such as facial expressions and pointing. Speak slowly and distinctly, but not loudly. Maintain direct eye contact to keep the focus on the client.

Speak slowly and distinctly, but not loudly

Which observation during the nursing assessment of a client supports the documentation of low health literacy? The client avoids health care screenings and seeks care in the local emergency department. The client is provides a coherent health history. The client's health forms are complete. The client complies with the medication regimen despite financial difficulties.

The client avoids health care screenings and seeks care in the local emergency department.

The nurse conducts a teaching session for a group of middle-aged women. Which exercise information will the nurse share with this group? Select all that apply. How to exercise through exercise-induced pain The importance of regular exercise to maintain health The use of ambulation devices to improve exercise The use of exercise to improve quality of life How to perform deep breathing exercises

The importance of regular exercise to maintain health The use of ambulation devices to improve exercise The use of exercise to improve quality of life How to perform deep breathing exercises

The nurse is using nonverbal communication when caring for a group of clients. Which situation(s) reflects nonverbal communication? Select all that apply. The nurse assess a client is in pain from a grimace. The nurse gives a brochure to a client upon discharge. The nurse has a smile when being thanked for caring for a family member. The nurse is maintaining eye contact when changing a client's dressing. The nurse documents on the SBAR form and sends it to the transferring unit.

The nurse assess a client is in pain from a grimace. The nurse has a smile when being thanked for caring for a family member. The nurse is maintaining eye contact when changing a client's dressing.

A nurse is providing teaching to clients in a short-term rehabilitation facility. Which examples are common teaching mistakes made by health care professionals? Select all that apply. The nurse uses medical jargon frequently when discussing the teaching plan. The nurse evaluates what the client has learned. The nurse fails to accept that clients have the right to change their minds. The nurse reviews educational media when planning learner objectives. The nurse negotiates goals with the client. The nurse ignores the restrictions of the client's environment.

The nurse fails to accept that clients have the right to change their minds. The nurse uses medical jargon frequently when discussing the teaching plan. The nurse ignores the restrictions of the client's environment.

The nurse cares for a client who is sharing a personal health story. Which behavior(s) demonstrates active listening? Select all that apply. The nurse paraphrases what the client has stated before generating a response. The nurse observes the nonverbal behavior of the client as the client speaks. The nurse offers multiple solutions while the client is sharing a personal story. The nurse makes eye contact while the client is sharing a personal story. The nurse shares a personal story about experiences with hospitalization.

The nurse paraphrases what the client has stated before generating a response. The nurse observes the nonverbal behavior of the client as the client speaks. The nurse makes eye contact while the client is sharing a personal story.

To provide effective nursing care, the nurse should engage in what type of communication with the client and significant others? Therapeutic communication Purposive communication Intrapersonal communication Metacommunication

Therapeutic communication

Care provided to a client following surgery and until discharge represents which phase of the nurse-client relationship? Termination phase Orientation phase Evaluation phase Working phase

Working phase

A nurse has completed a client assessment and is preparing to identify appropriate nursing concerns. Which area(s) will the nurse likely address in the nursing concern? Select all that apply. pneumonia altered nutrition ineffective coping altered mobility heart failure

altered mobility altered nutrition ineffective coping

The nurse will be caring for a client with a new diagnosis of hypertension. The client will be arriving for laboratory testing. When should the nurse begin client teaching? after testing is completed immediately prior to discharge when results are available during the admission process

during the admission process

factors that distort the quality of the message, known as ___, can interfere with communication at any point in the process.

noise

The client has Alzheimer disease and is a new admission to the nursing home. The client was transferred from the hospital. When first meeting the client, what technique(s) will the nurse use to facilitate communication with this client? Select all that apply. Correct the client when the client communicates erroneous information. Fill in information when the client has difficulty answering questions. Approach the client from the front of the client. Use simple words and short sentences when talking with the client. Call the client by the client's preferred name.

Approach the client from the front of the client. Use simple words and short sentences when talking with the client. Call the client by the client's preferred name.

The parents of a school-age child are meeting with the nurse for health promotional education for their child. The child has the following assessment data: a 7-year-old male with diabetes mellitus type 1 with a hemoglobin A1C level of 8.3%, a body mass index (BMI) of 31.7, and a BMI percentile of 99. What are the most appropriate learning diagnoses for this first session? Deficient Knowledge: Risk for imbalanced nutrition: more than body requirements, and sedentary lifestyle. Deficient Knowledge: Imbalanced nutrition: more than body requirements, and ineffective health maintenance. Deficient Knowledge: Readiness for enhanced nutrition, and risk for disturbed body image. Deficient Knowledge: Risk for chronic low self esteem, and risk for unstable blood glucose level.

Deficient Knowledge: Imbalanced nutrition: more than body requirements, and ineffective health maintenance.

Which statement regarding critical thinking in nursing is true?

It is a systematic way of thinking.

A nurse is showing an older adult client with severe diabetes the correct method of self-administering an insulin injection. What comment(s) is acceptable if the client continues making mistakes when learning how to self-administer an insulin injection? Select all that apply. "Try to angle the syringe a little more this way." "Why are you repeatedly holding the injection at the wrong angle?" "You have just about figured out how to give yourself an injection." "It will be better if you ask someone responsible to administer the injection." "First-time learners often have this same concern."

"First-time learners often have this same concern." "Try to angle the syringe a little more this way." "You have just about figured out how to give yourself an injection."

A nurse is caring for a client who is newly diagnosed with terminal cancer. The nurse enters the client's room and finds the client sitting in the dark crying. Which statement conveys empathy by the nurse? "I know this is hard for you. Is there any way I can help?" "Sitting in the dark is not going to cure your cancer. Let's open the curtains." "I am so sorry you are going through this. Can we talk?" "Can you please tell me why you are crying?"

"I know this is hard for you. Is there any way that I can help?"

The client reports to the clinic as ordered by the primary care provider for counseling on weight loss to improve overall health. The client received printed information in the mail to review before the session, and reports having read through it before the appointment. Which client statement alerts the nurse to a need for clarification and further education? "I can lower my blood pressure by losing weight." "Osteoarthritis in my knees may be because of my weight." "I can monitor my caloric intake by measuring portions." "I will be doing well if I lose 5 to 10 lb per week"

"I will be doing well if I lose 5 to 10 lb per week"

A client comes into the urgent care center to have sutures removed on an arm. The nurse finds significant crusting along the suture line. The client states not having time to get the sutures removed a week prior, as directed. The nurse soaks the crust and attempts to remove the sutures. As the nurse attempts the suture removal, the client frequently pulls the arm away and tells the nurse, "You are taking too long and it is hurting a little bit. Just pull them out and get it over with." Which statement is an example of appropriate therapeutic response? "It will not hurt if you relax and stop pulling your arm away." "I am sorry it is taking so long. Tell me how you hurt your arm?" "It is taking longer for me to remove the sutures because the delay allowed the crust to form and adhere to the sutures, making it harder and sometimes painful to remove them." "I am sorry it is taking so long and I am hurting you; next time do not wait too long to get sutures removed or the same thing will happen" SUBMIT ANSWER

"It is taking longer for me to remove the sutures because the delay allowed the crust to form and adhere to the sutures, making it harder and sometimes painful to remove them."

The nurse is caring for a client at the end stage of life. The client is crying and states to the nurse, "I just cannot believe I am going to be leaving my children without a parent. I am not ready to go." What response by the nurse demonstrates the expression of empathy to the client? "This is so sad and I feel so bad that you are in this situation." "This just is not fair at all and I do not understand why this is happening to you." "It sounds as though you are most concerned about how your children will feel." "I am so sorry that I am crying with you when you need my support the most."

"It sounds as though you are most concerned about how your children will feel."

A nurse is calling a health care provider to communicate a change in the client's condition. According to the ISBARR format for handoff communication among health care personnel, which is the most appropriate way to begin the conversation? "My name is Sue, and I am calling about Mrs. Jones, a client of yours at Jefferson Hospital." "Good morning, I am calling about Mrs. Jones, who is a client of yours." "I have a client of yours at Jefferson Hospital who is experiencing a change in condition and needs to be seen immediately!" "My name is Sue Smith, RN, and I am calling regarding Mrs. Jones in room 356 at Jefferson Hospital."

"My name is Sue Smith, RN, and I am calling regarding Mrs. Jones in room 356 at Jefferson Hospital."

A 70-year-old client had a cholecystectomy 4 days ago. The client's daughter tells the nurse, "My mother seems confused today." Which question would be best for the nurse to ask to assess the client's orientation? "What is your name?" "Is today the first day of the month?" "Is your name Evelyn?" "Are you in a hospital?"

"What is your name?"

Which is an open-ended question? "Do you take this medication daily?" "How many tablets do you take at one time?" "When was the last time you had your prescription refilled?" "Why did the health care provider prescribe this medication for you?"

"Why did the health care provider prescribe this medication for you?"

A nurse is counseling several clients for depression. Four of them do not seem to be improving, which leads the nurse to suggest a referral to a psychiatric nurse practitioner. Which of these clients would be most likely to attend the scheduled appointment? A 51-year-old male who walks to most places because of a lack of transportation, has a low income, and works days A 36-year-old male who uses public transportation, is unable to read, and wants to confer with a pastor A 45-year-old female who is unsure of the benefit of psychiatric care, on a fixed income, and has good family support A 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the appointment

A 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the appointment

Which statement describes the person who is likely the most motivated to learn? A 25-year-old female who just completed a course of physical therapy A 70-year-old female who is the client's spouse and is learning the care so the client can come home A 29-year-old male whose significant other is insisting on the client receiving the education A 52-year-old male who has been hired to drive the client home from the clinic

A 70-year-old female who is the client's spouse and is learning the care so the client can come home

A nurse has permission from the homebound client to educate any of the family members about providing care for the client. Which family member is the most appropriate choice? A daughter who is a registered nurse and lives in a different state A son who works full time and is trying to save time off for emergencies A sister who lives next door to the client and telephones for updates frequently A brother who visits daily, does laundry, and cooks all meals for the client

A brother who visits daily, does laundry, and cooks all meals for the client

What nursing care behavior by the nurse engenders a client's trust in the nurse? A nurse tells the client, "My shift will be over in 45 minutes, I will let the oncoming nurse know you have questions about tomorrow's test." A nurse answers the client's questions about an upcoming test in a calm gentle voice while making eye contact with the client. A nurse tells the client, "Do not worry about the test, I have never cared for anyone that had problems with it." A nurse answers the client's questions about an upcoming test while completing documentation in the EHR.

A nurse answers the client's questions about an upcoming test in a calm gentle voice while making eye contact with the client.

Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. Which is an example of the proper use of social media by a nurse? A nurse describes a client on Twitter by giving the room number rather than the name of the client. A nurse describes a client on Twitter by giving the client's diagnosis rather than the client's name. A nurse posts pictures of a client who accomplished a goal of losing 100 lb and later deletes the photo. A nurse uses a disclaimer to verify that any views the nurse expresses on Facebook are the nurse's alone and not the employer's.

A nurse uses a disclaimer to verify that any views the nurse expresses on Facebook are the nurse's alone and not the employer's.

When developing a nursing plan of care and associated client outcomes, what should the nurse recognize? Select all that apply. A plan of care should be comprehensive and ongoing, covering and being updated during all phases of care. All plans of care are the same for clients with certain medical diagnoses. Only the client is involved in outcome setting, not the family. Outcomes can be short- and long-term. Outcome setting allows for individualization of the plan of care

A plan of care should be comprehensive and ongoing, covering and being updated during all phases of care. Outcomes can be short- and long-term. Outcome setting allows for individualization of the plan of care

The nurse is caring for an underweight female client diagnosed with a new food allergy to wheat, rye, and oats and with the nurse identifies the nursing concern of altered nutrition that is less the required. What is the most appropriate intervention for this client? Administer a daily multivitamin. Weigh client as needed. Administer a high-calorie diet, excluding wheat, rye, and oats. Monitor for allergies.

Administer a high-calorie diet, excluding wheat, rye, and oats.

The nurse is caring for a client who presents with polydipsia, polyphagia, and polyuria. The client's laboratory test results reveal an increased HgbA1C level, which could indicate increased blood glucose levels. What is the next step for the nurse to take based on the nursing process? Follow up with the client later to determine whether the client's laboratory test results improve. Administer a prescribed medication to decrease the client's blood glucose level. Analyze the data and create an individualized nursing concern for care planning. Identify outcomes for the client with the client's input.

Analyze the data and create an individualized nursing concern for care planning

The nurse must instruct a 35-year-old client with Down syndrome about the use of an albuterol rescue inhaler. Which documentation demonstrates appropriate individualization of the education plan for this client? Taught lesson at an adult developmental level (age 35) using short sentences and assessed motor skills Taught lesson at a school-age developmental level in an authoritarian style while the client was at meal time Assessed the client's understanding of health and answered questions on an age-appropriate level while the television was on in the room Assessed the client's understanding of illness; assessed motor skills and developmental stage; provided clarification

Assessed the client's understanding of illness; assessed motor skills and developmental stage; provided clarification

A nurse is completing a health history with a newly admitted client. During the interview, the client presents with an angry affect and states, "If my doctor did a good job, I would not be here right now!" What is the nurse's best response? Be silent and allow the client to continue speaking when ready. Smile and say, "Don't worry, I am sure the health care provider is doing a good job." Stand and say, "I can see this interview is making you uncomfortable, so we can continue later." Nod and say, "I agree. If I were you, I would get a new doctor."

Be silent and allow the client to continue speaking when ready

A nurse and an older adult client with chronic back pain are beginning to communicate. What activity should the nurse focus on at this point? Explaining in detail all of the pain management options available Reassuring the client that back surgery will likely alleviate the pain completely Sharing the nurse's own family and personal history of back pain Being sensitive to the client's emotional barriers

Being sensitive to the client's emotional barriers

A client is diagnosed with diabetes. The client's adult child offers to serve as an interpreter, because the client does not speak the dominant language. Which is the best action for the nurse to take? Involve a friend who speaks both the dominant and the client's languages. Ask a fellow nurse who knows some words in the client's language to help. Contact a professional interpreter. Allow the client's child to interpret.

Contact a professional interpreter.

The nurse is completing documentation after an education session with a client. Which statement best demonstrates detailed documentation of an effective teaching plan? Lecture provided about infection, and client stated understanding what infection is. Demonstrated cord care to mother, who stated understanding and performed return demonstration using correct technique. Discussed wet-to-dry dressing changes, and client stated understanding. Spouse taught to flush feeding tube before and after medication. Denied further instruction needed.

Demonstrated cord care to mother, who stated understanding and performed return demonstration using correct technique.

A client reports hearing voices in the head that tell the client to do bad things. When the nurse enters the client's room, the client is talking out loud to someone but there is nobody in the room. How should the nurse record this assessment? Do not document this assessment because the client could be using a wireless device to talk to family. Document this assessment based on the client's behaviors. Document that the client is talking back to the voices in the client's head. Do not document this assessment because it is subjective.

Document this assessment based on the client's behaviors.

Research has demonstrated that a common source of hospital-acquired infections in clients with intravenous (IV) infusions is the hub on the IV tubing. Which nursing practice competency is displayed when health care institutions recommend that health care providers always wash hands and wear gloves when accessing the hubs of IV tubing? Informatics Evidence-based practice Person-centered care Teamwork and collaboration

Evidence-based practice

As the nurse enters the room to teach the client about self-care at home, the client states, "I am glad you are here. I need some pain medicine. I can't stand it anymore." What is the best action of the nurse? Assess the client's understanding of self-care and administer medication. Redirect the client to learning about self-care and begin education. Give written materials to the client and administer pain medication. Have the client rate pain level, and reschedule the teaching session.

Have the client rate pain level, and reschedule the teaching session.

The spouse of a client who has recently been diagnosed with early-stage Alzheimer's disease asks the nurse to recommend websites that may supplement the spouse's learning about this diagnosis. How should the nurse respond to the spouse's request? Identify and recommend some credible websites appropriate to the spouse's learning needs. Encourage the spouse to avoid online resources due to the unregulated nature of the Internet. Provide the spouse with print-based materials that are clearly referenced and reflect the spouse's learning style. Direct the spouse to online databases such as the Cumulative Index to Nursing and Allied Health Literature.

Identify and recommend some credible websites appropriate to the spouse's learning needs.

The nurse is communicating with a client who begins to cry. The nurse places a hand on the client's arm and sits quietly at the client's beside. What mode of communication is the nurse using to offer caring and comfort for the client? Verbal Kinesthetic Body language Visual

Kinesthetic

A nurse is preparing to teach a client about the importance of contraception and safe-sex practices. Which factors can most affect the nurse's teaching strategies for this client? Select all that apply. Literacy level Available resources Size of family Learning style preferences The client's job

Literacy level Available resources Learning style preferences

A home health nurse states to her client, "I am very proud of you. You gave your first insulin injection without a problem. You have done wonderfully and are learning fast." What technique is the nurse using to compliment the client's progress? Health promotion Motivation Reinforcement Positive feedback

Positive feedback

The nurse has completed teaching. Which client behaviors demonstrate understanding within the cognitive domain? Select all that apply. Expresses a belief system in a higher power Provides return demonstration of use of an inhaler States, "I feel comfortable using my walker" Provides a description of what appropriate wound healing should look like Verbalizes key points of a brochure about diabetes that was read

Provides a description of what appropriate wound healing should look like Verbalizes key points of a brochure about diabetes that was read

What is the most beneficial use of the nursing process in addressing the needs of the client? Targets desired outcomes for particular illnesses, procedures, or conditions Allows the nurse to determine a medical diagnosis for the client Provides a universally applicable framework for nursing activities Allows student nurses to work on assignments

Provides a universally applicable framework for nursing activities

The nurse is reporting to an oncoming nurse about the care of a client using the SBAR format. The nurse informs the oncoming nurse that the client should continue to have neurological checks every 2 hours and the nurse should report any alterations to the health care provider. In which section should this information be relayed? Assessment Background Recommendation Situation

Recommendation

The nurse is reporting to an oncoming nurse about the care of a client using the SBAR format. The nurse informs the oncoming nurse that the client should continue to have neurological checks every 2 hours and the nurse should report any alterations to the health care provider. In which section should this information be relayed? Background Assessment Recommendation Situation

Recommendation

Which strategy should the nurse use when providing education to the older adult client? Teach in a monotone voice in a quiet environment. Avoid the use of colorful materials and keep the session short. Teach from books only and remain calm. Remain calm and conduct the teaching session in a quiet environment.

Remain calm and conduct the teaching session in a quiet environment.

A nurse who has been caring for a client for the past few days is preparing the client for discharge and termination of the nurse-client relationship. Which activity would the nurse be carrying out during this phase of the relationship? Developing solutions that will be enacted Attending to physical health care needs Establishing trust and rapport Reviewing health changes

Reviewing health changes

Which statement is true of the nursing process? Trial-and-error problem solving is an efficient use of the nurse's time. Scientific problem solving can occur within the nursing process. It is more appropriate in medical surgical settings than community health care. It is a valid alternative to using intuition to respond to nursing situations.

Scientific problem solving can occur within the nursing process.

A pregnant client presents to the emergency department with vaginal bleeding. A transvaginal ultrasound is performed, and the health care provider informs the client that there are normal fetal heart tones noted. The client begins to tear-up and has a worried appearance. To facilitate therapeutic communication, what statement would the nurse make after observing the client's nonverbal communication? "Close your eyes and take a deep breath. I know you were frightened, but the infant is healthy and everything is going to be okay." "I can help you, please talk to me so that I know how I can help you." "Take your time and tell me how you are feeling. I have plenty of time to answer your questions and discuss any thoughts or feelings with you." "This is great news. You don't have anything to worry about and the infant is doing well."

Take your time and tell me how you are feeling. I have plenty of time to answer your questions and discuss any thoughts or feelings with you."

The nurse is preparing a care plan for a client with altered gas exchange in the lower airways. What short-term outcome is best for this client's care plan? The client will maintain a respiratory rate between 12 and 20 breaths/min. The client will maintain a pulse oximeter reading of greater than 94% (0.94). The client will have decreased work of breathing. The client will have clear breath sounds.

The client will maintain a pulse oximeter reading of greater than 94% (0.94).

A nurse is communicating the plan of care to a client who is cognitively impaired. Which nursing actions facilitate this process? Select all that apply. If there is no response, the nurse does not repeat what is said and takes a break. The nurse gives lengthy explanations of the care that will be given. The nurse communicates in a busy environment to hold the client's attention. The nurse maintains eye contact with the client. The nurse shows patience with the client and gives the client time to respond. The nurse keeps communication simple and concrete.

The nurse maintains eye contact with the client. The nurse shows patience with the client and gives the client time to respond. The nurse keeps communication simple and concrete.

When teaching an adult client how to control stress through relaxation techniques, the nurse should proceed on the basis of which assumption concerning adult learners? As an adult matures, self-concept becomes more dependent; therefore, this client must be made aware of the importance of reducing stress. The adult learner is not as concerned with the immediate usefulness of the material being taught as with the quality of the material. The nurse should be able to draw from the previous experience of the client to emphasize the importance of stress reduction. As clients, adults are the least likely to resist learning because of preconceived ideas about the teaching-learning process.

The nurse should be able to draw from the previous experience of the client to emphasize the importance of stress reduction.

A nurse is writing learner objectives for a client who was recently diagnosed with type 2 diabetes. Which statement best describes the proper method for writing objectives? The nurse writes one or two broad objectives rather than several specific objectives. The nurse writes general statements for learner objectives that could be accomplished in any amount of time. The nurse writes one long-term objective for each diagnosis, followed by several specific objectives. The nurse plans learner objectives with another nurse before obtaining input from the client and family.

The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.

A dialysis nurse is educating a client on caring for the dialysis access that was inserted into the client's right arm. The nurse assesses the client's fears and concerns related to dialysis, the dialysis access, and care of the access. This information is taught over several sessions during the course of the client's hospitalization. Which phase of the working relationship is best described in this scenario? The introduction phase The orientation phase The termination phase The working phase

The working phase

A unit-based infection control task force was developed in an attempt to reduce catheter-acquired infections. The group consists of 10 team members. During the past three meetings, one person dominated the meeting and did not allow other members ample time to speak. The best way to address the team dysfunction is to: pick a team leader who is not the dominant member. have group members confront the dominant member to promote the needed team work. have group members issue a written warning to the dominant member. plan a meeting where the dominant person cannot attend. SUBMIT ANSWER

have group members confront the dominant member to promote the needed team work.

A nurse is forming an education plan for a client who is being discharged from the nursing unit after cardiac catheterization. Which nursing concern and intervention are most appropriate for this client's care plan? knowledge deficiency due to altered urinary output related to catheterization knowledge deficiency due to altered mobility related to lying flat for 8 hours knowledge deficiency due to the risk for altered perfusion secondary to re-occlusion knowledge deficiency due to the risk for an unproductive breathing pattern related to incisional pain

knowledge deficiency due to the risk for altered perfusion secondary to re-occlusion

A modern approach to the development of clinical decisions and clinical judgments is the use of human client simulators in simulation laboratories on campus. Human client simulators are best described as: small, doll-like devices used for measuring vital signs. life-sized mannequins with a sophisticated computer interface. life-saving equipment that resuscitates clients in cardiac arrest. health care equipment that has practice modes.

life-sized mannequins with a sophisticated computer interface.

An experienced nurse has been working with a client with heart failure. The client's lungs were clear to auscultation during the morning assessment; however, the afternoon assessment revealed bibasilar crackles and tachypnea. The nurse calls to give SBAR report to the covering health care provider. In the final step of the report the nurse should: discuss the client's situation and request a chest x-ray to assess lung function. recommend 40 mg of furosemide be administered because the client had improvement with past administration. provide detailed findings of the head-to-toe assessment. detail the client's past medical history and active medication orders.

recommend 40 mg of furosemide be administered because the client had improvement with past administration.

A client presents to the urgent care clinic with ear pain. The client reports a medical history of trigeminal neuralgia. The nurse is not familiar with trigeminal neuralgia. When the client asks whether the two conditions could be related, which response by the nurse is best? "When you were diagnosed with trigeminal neuralgia, did you have ear pain?" "I honestly do not remember specific details regarding trigeminal neuralgia; let me research it." "I am not sure. I am not familiar with trigeminal neuralgia and it could be that the trigeminal neuralgia is causing the ear pain." "That is a good question. You should ask the health care provider if the two conditions could be related."

"I honestly do not remember specific details regrading trigeminal neuralgia; let me research it."

Which response from the client enables the nurse to determine the effectiveness of a recent medication teaching session for an older adult client who is diagnosed with tuberculosis (TB)? "I can't remember when I have to take my medications, so I have my son come and give me my pills." "I will be taking the TB medication for at least 6 months, because it takes a long time to kill the TB germs." "If I stop coughing after 3 months, I can stop taking my TB medication because that means I no longer have the germ in my system." "It is okay to skip some doses if I don't feel well or sick to my stomach."

"I will be taking the TB medication for at least 6 months, because it takes a long time to kill the TB germs."

The client is being discharged, and the nurse observes the client crying. What is the nurse's most appropriate response? "What is your pain level at this time?" "Let's discuss your discharge plan." "Are you scared because you are going home?" "Would you like to talk about anything before you go home?"

"Would you like to talk about anything before you go home?"

The nurse completes the admission process of a client to an acute care facility. Which statement by the nurse demonstrates the communication technique of focusing? "You are unsure of what helps or prevents your fatigue." "You are frustrated because you are too tired to perform normal activities." "You have been having a great deal of fatigue for the last 3 months." "You are hoping to figure out the cause of your extreme fatigue during this hospital stay."

"You are hoping to figure out the cause of your extreme fatigue during this hospital stay."

The nurse completes the admission process of a client to an acute care facility. Which statement by the nurse demonstrates the communication technique of focusing? "You have been having a great deal of fatigue for the last 3 months." "You are hoping to figure out the cause of your extreme fatigue during this hospital stay." "You are unsure of what helps or prevents your fatigue." "You are frustrated because you are too tired to perform normal activities."

"You are hoping to figure out the cause of your extreme fatigue during this hospital stay."

The nurse is communicating with a client who has been newly diagnosed with cancer. Which statement(s) by the nurse is nontherapeutic? Select all that apply. "You will be OK. Your health care provider is an excellent surgeon." "Why did you not seek help when you first noticed a problem?" "This is upsetting news for you. Let's talk about it." "Keep your chin up. People survive this type of cancer all the time." "What are your thoughts about what your health care provider has recommended?"

"You will be OK. Your health care provider is an excellent surgeon." "Why did you not seek help when you first noticed a problem?" "Keep your chin up. People survive this type of cancer all the time."

Which statement best conveys the role of intuition in nurses' problem solving? Intuition can be a clinically useful adjunct to logical problem solving. In experienced nurses, intuition can be a valid replacement for scientific problem solving. Intuition is an unreliable mode of thinking that should be avoided. Intuition is reliable when those nurses implementing it have a special "gift."

Intuition can be a clinically useful adjunct to logical problem solving.

The nurse has measured from the tip of the client's nose to the earlobe and then down to the xiphoid process before inserting a nasogastric (NG) tube and attaching it to low suction. Which components of the nursing process has the nurse demonstrated? Diagnosing; implementing Assessing; diagnosing Implementing; evaluation Planning; implementing

Planning; implementing

The nurse is caring for a client who had a stroke with residual affective aphasia. What is an effective method(s) for the nurse to communicate with the client? Select all that apply. finish the sentence for the client when the client is unable to express a word provide the client with a tablet or whiteboard to attempt communication have the client point to common phrases or spell with alphabet letters on a laminated form patiently await the client's responses after asking question speak loudly and clearly to the client.

provide the client with a tablet or whiteboard to attempt communication have the client point to common phrases or spell with alphabet letters on a laminated form patiently await the client's responses after asking question

A nurse is trying to encourage a client with paraplegia who is depressed and not adhering to the treatment program to join a support group. Which statement by the nurse is most appropriate? "I am sure you would feel better if you joined a support group." "Support groups are for people like you who are depressed." "I am going to sign you up for a support group." "What do you know about support groups?"

"What do you know about support groups?"

A client is meeting with the nurse to discuss options for smoking cessation. Which statement by the nurse is most appropriate for this client? "Some people find that reducing cigarette consumption slowly over time is an effective option." "There are many options available. Which options have you previously tried?" "Most clients are successful when they use over-the-counter nicotine patches or gum." "What do you see as your biggest hurdle to stopping?"

"What do you see as your biggest hurdle to stopping?"