NURS 250 midterm

Know the client's cultural personal space preferences.

Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?

Primary

The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. Which level of health promotion is this an example of?

The disease is present, but symptoms are not experienced.

A child, age 4 years, has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness?

Unfreezing

Following a myocardial infarction (heart attack), a client begins to recognize the need to increase exercise, eat a low-fat diet, and implement relaxation techniques. According to Lewin, this client is in which stage of the change process?

A) Telling a client one's blood pressure B) Discussing laboratory values with a client

What is the best example(s) of the role of the nurse as a communicator? Select all that apply.

Psychomotor

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?

Assess who is the dominant member of the family and then address that person.

A 12-year-old black client has experienced significant blood loss and may require a blood transfusion. The client's mother, father, and sisters are currently present at the bedside in the emergency department. How should the nurse direct questions and education about the client's condition and treatment?

"There is nothing that can be done anyway; chronic diseases cannot be prevented."

A 48-year-old client was just diagnosed with type 2 diabetes mellitus. The client has a body mass index of 35 and leads a sedentary lifestyle. The nurse informs the client of risk factors for the diagnosis and the need to change diet and exercise behavior. Which client statement indicates a need for further teaching?

Befitting

A client makes a decision to quit smoking and joins a smoking cessation class. This is an example of which of Dunn's processes that helps one know who and what one is?

The nurse should request the help of a family member if available, if not care should be administered that is in the best interest of the client.

A client who does not speak the dominant language has been admitted to the health care facility reporting chest pain. Because the assigned nurse does not know the client's language, what would be the most appropriate solution for communication until a professional interpreter can be obtained?

Culture guides what is acceptable behavior for people in a specific group. Cultural practices and beliefs mainly remain constant as long as they satisfy a group's needs. Culture influences the way people of a group view themselves, have expectations, and behave.

A nurse caring for clients in a culturally diverse neighborhood knows that culture affects the nurse's interactions with the client. Which are characteristics of culture? Select all that apply.

Transformational

A nurse leader is described as charismatic, motivational, and passionate. Communications are open and honest, and the nurse is willing to take risks. What type of leadership is the nurse practicing?

Explain the change using simple, concise language.

A nurse manager is planning to introduce to the staff a new procedure for documenting supplies used for clients on a medical-surgical unit. Several of the staff members say to the nurse manager, "Why do we have to change the procedure? The one we're using is working just fine." Which action would be important for the nurse manager to take first?

In-service education

A nurse manager is teaching staff how to use a new piece of hospital equipment. Which educational setting would be most appropriate for this process?

Obtaining an admission weight for the client utilizing the client's bed scale

A nurse on a telemetry unit is admitting a client and has an unlicensed assistive person (UAP) helping with the admission process. Which task can the nurse delegate to the UAP?

The need for change is recognized.

In Lewin's classic theory of change, what happens during unfreezing?

Dorothea Dix

The Nurse Corps of the United States Army was established by whom?

"What are your expectations about being in the hospital?"

The nurse cares for a client who is a member of a different culture from the nurse's. Which question is most important for the nurse to ask to assess the client's beliefs about treatment?

A) The nurse should assess the clients for risk factors for infection when planning nursing care. B) The nurse should consider the client's family history and age when assessing risk factors for infection. C) The nurse should examine environmental stressors in clients' lives to see how these stressors might affect their recovery and ability to ward off infection.

The nurse is using Leavell and Clark's Agent-Host-Environment Health Model to help plan nursing interventions for clients in a hospital setting. Which examples of nursing actions to prevent hospital-acquired infections (HAIs) best illustrate the principles of this model? Select all that apply.

a strong service orientation

Which is a criterion that defines nursing as a profession?

The nurse asks the client about health goals.

Which is the best example of a client-centered approach to care?

The health promotion model

Which model of health promotion and illness prevention was developed to illustrate how people interact with their environment as they pursue health?

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

Which strategy should the nurse use when providing education to the older adult client?

Culturally sensitive

Which term is most appropriate for describing a healthcare practitioner who is respectful of the healthcare traditions of other cultures?

The nurse and client relationship is based on mutual sharing and negotiation.

While applying dressings to a client's wound, the nurse teaches the client about wound care. To promote the most effective teaching-learning relationship with this client, what would be mostimportant for the nurse to keep in mind?