Unit 4 Exam

Hypothalamus

A nurse notes that a client admitted to a long-term care facility sleeps for an abnormally long time. After researching sleep disorders, the nurse learns that which area of this client's brain may have suffered damage?

The client's eyes dart back and forth quickly

A nurse on the night shift checks on a client and suspects that the client is in REM sleep. Which client cue is indicative of this stage of sleep?

Peers

What is likely to have the greatest influence on an adolescent's formation of values in this developmental stage?

rapid growth

Which factor necessitates the need for more sleep in the adolescent population?

Staff nurses are developing innovative solutions to problems.

Which of these statements reflects the expected functioning at a hospital that has achieved Magnet status?

Allowing a child to decide not to have an intravenous line inserted

Which scenario is an example of the laissez-faire approach to value transmission?

Integrity

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating?

Assist in decision making based on the client's best interests.

A nurse volunteers to serve on the hospital ethics committee. Which action should the nurse expect to take as a member of the ethics committee?

"Am I able to provide safe and efficient care to my clients?" "Am I willing to take this risk to help protect my fellow nurses?" "Will less experienced nurses on the unit learn from my actions?"

A nurse who has worked on a unit for 8 years is conflicted about asking to meet with the charge nurse about staffing ratios. Which question(s) reflect the professional value of altruism in this decision? Select all that apply.

failure to model one's own values.

A parent teaches a child not to drink and drive; however, the parent does drink and drive. This action results in:

Assess whether the desired results have occurred

After a nurse manager implements a solution to the problem of delays in obtaining supplies, the first task for the manager is to

Most sedative hypnotics lose their effect after 1 or 2 two weeks of administration.

For the last 3 weeks, a nurse in a long-term care facility has administered a sedative hypnotic to a client who complains of insomnia. The client does not seem to be responding to the drug and is now lying awake at night. What is the most likely explanation?

pulse rate is slow

In Stage 4 sleep, the:

"This is normal development for children in this age group."

Parents tell the nurse that their 5-year-old is only sleeping 10 hours now and is refusing to take an afternoon nap. The nurse should teach the parents:

A 50-year-old woman who is reporting increased irritability for the past 2 months. She states that she goes to bed at 10 p.m. every night and tries to sleep in but, no matter what she does, she always wakes up around 4 a.m.

Which client could be diagnosed with insomnia?

Autocratic

The nurse has recently been promoted to nurse manager on an oncology unit and has decided to be the sole decision maker regarding issues that concern the unit. Which type of leadership style is the nurse embodying?

Democratic

The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and physicians is exhibiting what style of leadership?

inform parents that daytime napping decreases during the preschool period, and, by the age of 5 years, most children no longer nap.

The pediatric nurse teaches parents about normal sleep patterns in their children. Which education point should the nurse include?

The nurse practice act or facility's policy and procedures

The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate?

The child should limit fluids after supper.

The student nurse is providing an education program for preschool parents. The nursing student should include which intervention to improve the child's sleep?

Allocation of scarce nursing resources

A nurse has completed 4 hours of an 8-hour shift on a medical-surgical unit when the nursing supervisor calls. The nursing supervisor directs the nurse to give a report to the other two nurses on the medical-surgical unit and immediately report to the telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that the nurse has been busy with client assignments and feels this will overwhelm the nurses on the medical-surgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit. This is an example of which type of ethical problem?

Sleep Deprivation

A nurse is caring for a client with restless leg syndrome who complains of sleeplessness. Which nursing diagnosis is most appropriate for this client?

Newborns sleep 16 to 17 hours per day.

The nurse is caring for new parents. During her education session, the nurse instructs the parents on a newborn's sleep patterns. Which statement is accurate about a newborn's sleep patterns?

Sleep Pattern Disturbance related to acute pain.

The nurse is completing an admission assessment for a client scheduled for back surgery after a construction accident. The nurse notes the client is having slowed speech and focus, irritability, yawning, and that he reports severe lumbar and right leg pain. The nurse suspects a nursing diagnosis of:

Sit within 3 ft (1 m) of the light for approximately 2 hours soon after awakening.

The nurse is teaching a client with seasonal affective disorder about proper use of a full-spectrum light. Which teaching will the nurse include?

Leader

A nurse is successful in promoting change on his nursing division. This nurse would be considered a

Autocratic

A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check patients' blood glucose levels. The nurse manager informs the group this was a new policy on the unit, and discussions will not change the enforcement of this policy. What type of leadership style is the nurse manager demonstrating?

Modeling

A charge nurse is always careful to listen carefully to clients and to be respectful of their privacy and care needs. The nurse says, "I want the staff on this unit to see me interacting with clients in the manner I would like for them to interact with clients." The nurse is using which technique to guide value development of the staff?

The charge nurse is providing support for the staff nurse in new responsibilities.

A charge nurse on a medical-surgical unit is asked by the nurse manager to serve as a mentor to another staff nurse who is less experienced. Which of these would best describe this role?

Autonomy

A client diagnosed with cancer has met with the oncologist and is now weighing whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in making this decision?

"Sleep helps your blood flow to the brain." "Sleep helps you to learn easier and remember more." "Sleep helps your immune system to fight off infections."

A client reports to the nurse, "Sleep really isn't necessary." Which teaching by the nurse is appropriate? Select all that apply.

sleeping in a room with curtains that block the light eating breakfast before going to sleep

A client who works night shift is struggling with sleeping during the day after working all night. What actions can the nurse suggest to help promote sleep? Select all that apply.

Supine position

A maternity nurse is instructing new parents on the proper sleeping position for their newborn child. In what position does the nurse instruct the parents to place the infant?

14 to 20 hours each day

A new mother calls the pediatric nurse to talk about her baby, who sleeps "all day long." The nurse informs the new mother that an infant requires how many hours of sleep?

insomnia

A nurse at the health care facility is caring for an older adult client who complains of sleeplessness. Which condition is a manifestation of depression in an older client?

obtaining vital signs every 4 hours

A nurse is caring for a client with pneumonia. Which task is most appropriate for the nurse to delegate to an experienced unlicensed assistive personnel (UAP)?

Enlist volunteers to help develop a community outreach project that will educate teenagers on methods to prevent pregnancy.

The nurse manager is concerned about the large number of teenage mothers being seen in the obstetrics clinic. How can the nurse manager use the transformational leadership style to address the concern?

stays with a client during death as promised.

What would be an example of the nurse practicing fidelity? The nurse:

Eat some crackers with peanut butter at bedtime.

Which activity would be appropriate to suggest to the client who reports having difficulty falling asleep every evening?