RNSG1126 Module 2 Pre-Module Quiz

A nurse is caring for a client who is undergoing a lumbar puncture. Which of the following is the priority action for the nurse take to maintain privacy for the client? a) Close the door to the client's room. b) Ask family members to leave the room. c) Pull the curtains around the client's bed. d) Use sterile drapes to cover the client.

c

A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene? a) Checks the provider's orders and confirmed dosage in a medication reference guide. b) Scans the bar code on the medication administration record and the client's arm band. c) Documents medication administration prior to administering it. d) Verifies the medication against the prescription and medica

c

A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns. The nurse sets a goal of care that incorporates the patient's desire to make treatment decisions. This is an example of the nurse engaged in which phase of the nurse-patient relationship? a) Reinteraction phase b) Orientation phase c) Working phase d) Termination phase

c

A patient who is Spanish speaking does not appear to understand the nurse's information on wound care. Which action should the nurse take? a) Request the Spanish-speaking family member to translate the information b) Use a professional interpreter to provide wound care education in Spanish c) Arrange for a Spanish-speaking social worker to explain the procedure d) Ask the patient to write down questions that he or she has for the nurse

b

Which of the following communication terms can be applied to this statement: How messages are received and interpreted would include personal states such as mood disturbance, environmental stimuli related to the setting of the communication, and contextual variables? a) Therapeutic communication b) Metacommunication c) Internal noise d) Vigor communication

b

A nurse enters the room of a patient who becomes verbally abusive. Which of the following actions should the nurse take? a) Speak slowly in a low, calming voice b) Inform patient of consequences c) Forbid the patient from speaking in an abusive manner d) Remain a distance of 1 foot away from patient

a

A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance? a) Encourage open communication and feedback. b) Let the staff know that the change is mandated. c) Implement change rapidly and all at once. d) Tell the staff that if they don't like it, they can quit.

a

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says, "I am really concerned about my husband." Which of the following is a therapeutic nursing response? a) "Tell me what's concerning you." b) "Did your husband something to upset you?" c) "Your husband is making really good progress." d) "Crying helps us let things out and we feel better."

a

As the nurse enters a patient's room, the nurse notices that the patient is anxious. The patient quickly states, "I don't know what's going on; I can't get an explanation from my doctor about my test results. I want something done about this." Which of the following is the most appropriate way for the nurse to document this observation of the patient? a) The patient stated feelings of frustration from the lack of information received regarding test results. b) The patient is demanding and is co

a

The nurse is caring for a group of clients on a psychiatric unit. One client has become highly agitated and is threatening other clients and some of the staff. The nurse escorts the client to the isolation room, leaving the door open. Which statement by the nurse is most appropriate? a) "I'm going to stay here with you in case you want to talk about what happened." b) "I can't believe you behaved in this manner and upset everyone else." c) "If you do not calm down, I will sedate you for your

a

The nurse is receiving a client in the operating room for a right leg amputation. Which steps will the nurse follow during the timeout procedure? Select all that apply. a) Review the surgical site marking of the right leg. b) Note preparation for the removal of the limb disposal. c) Assess the completed surgical consent. d) Confirm the client's name band. e) Identify past medical history.

a, b, c, d

A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.) a) Bathe a client who had an amputation 2 days ago. b) Feed a client who had a stroke 3 months ago. c) Review a low-sodium diet for a client who has hypertension. d) Explain oral hygiene to a client receiving chemotherapy. e) Assist a client to ambulate using a gait belt.

a, b, e

When working with an older adult who is hearing-impaired, the use of which techniques would improve communication? Select all that apply. a) Keep communication short and to the point. b) Communicate only through written information c) Exaggerate lip movements to help the patient lip read d) Give the patient time to respond to questions e) Check for needed adaptive equipment

a, b, e

A nurse is caring for a patient who is not cooperating with his care and demonstrates defiant behavior. The nurse chooses to confront this client. Which of the following approaches should the nurse use when using confrontation? a) Change the subject when the patient behaves defiantly b) Point out inconsistencies in the client's behavior c) Use and aggressive tone of voice d) Wait to discuss behavior in the presence of others

b

A patient states that everything has been going great; however, the nurse observes the patient biting his nails and fidgeting. What type of communication does the nurse recognize from the patient's actions and statements? a) Inadequate b) Paralinguistic c) Explicit d) Linguistic

b

Which of the following documentation entries is most accurate? a) Patient walked up and down hallway with assistance, tolerated well. b) Patient up, out of bed, walked down hallway and back to room, tolerated well. c) Patient walked 50 feet and back down hallway with assistance from nurse; HR 88 and regular before exercise, HR 94 and regular following exercise. d) Patient up, walked 50 feet and back down hallway with assistance from nurse. Spouse also accompanied patient during the walk.

c

A patient states, "I would like to see what is written in my medical record." What is the nurse's best response? a) Only health care workers have access to patient records. b) Patients are not allowed to read their records. c) Only your family can read your medical record. d) You have the right to read your record.

d

The nurse is following the Joint Commission's national patient safety goals when giving medications. Based on these goals, how can the nurse improve the accuracy of patient identification? a) Use two patient identifiers (one may be the room number) b) Check the patient's armband three times. c) Say to the patient "Are you Mrs. Jones?" d) Use two patient identifiers (one may be the personal telephone number)

d

When a nurse attempts to make sure the health care provider obtained informed consent for a thyroidectomy, the nurse realizes the client doesn't fully understand the surgery. The nurse approaches the health care provider, who curtly says, "I've told this client all about it. Just get the consent." The nurse should: a) tell the health care provider: "You didn't give the client enough information." b) explain the procedure more fully to the client and obtain the client's signature. c) ask the c

d