exam 2

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

leader. 214

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 28-year-old female who works nights, is willing to try, and asks about insurance coverage of the appointment 210

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

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

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?" "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?"

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

Which attributes should be characteristic of a nurse mentor? Select all that apply. You Selected: Is resourceful Is an experienced, licensed professional Is supportive Demonstrates leadership abilities

228

A staff nurse who has been working as a clinical manager is demonstrating strong leadership qualities on the unit. Which behaviors and competencies by the nurse would be recognized by senior management as indicators of strong leadership during evaluation? Select all that apply.

Correct response: When delegating tasks to unlicensed assistive personnel, the nurse supervises, guides care, and evaluates outcomes. The nurse has achieved certification in the field of professional practice and belongs to that professional practice. The nurse has recognized an error in practice and performance and is managing a task force to change policy. 216

Which topics would the nurse be most likely to explore with a client with the aim of restoring health? Select all that apply. Education of a client about living with a suprapubic catheter Informing the client regarding community resources Orientation to treatment center and staff The medical and nursing regimens and how the client can participate in care Postoperative teaching for the client after prostate surgery Instruction to a group of clients about performance of CPR

Education of a client about living with a suprapubic catheter Postoperative teaching for the client after prostate surgery Orientation to treatment center and staff The medical and nursing regimens and how the client can participate in care

A 46-year-old obese client has been diagnosed with hypertension and type 2 diabetes. The client acknowledges the need to lose weight. The client recently visited a local fitness club, obtained a membership, and has signed up for their next water aerobics class. According to the Transtheoretical Model of Change, what stage of change is this client in related to her weight loss? Maintenance Precontemplation Contemplation Preparation

Preparation 186

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?

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

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 evaluates what the client has learned. The nurse negotiates goals with the client. The nurse ignores the restrictions of the client's environment. The nurse uses medical jargon frequently when discussing the teaching plan. 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 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.

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?

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

wo new nurses are requesting the same preceptor for unit orientation. Both new nurses have been very vocal about being unhappy if they do not receive their choice of preceptor. Which illustrates the nurses using a compromise approach to conflict resolution?

The nurses agree to have the preceptor precept one nurse at the beginning of the orientation and the other at the end. 222

The nurse is discharging several clients from an acute surgical unit on the same day. The nurse will prioritize discharge teaching based on how much time is required for each client. Place the clients in order, from the client requiring the longest teaching time to the shortest teaching time. Use all options. client who is being discharged to a long-term care facility client who is being transferred to another unit in the hospital client who is learning to draw up and inject insulin for the first time client who indicates the live-in partner is a registered nurse

client who is learning to draw up and inject insulin for the first time client who indicates the live-in partner is a registered nurse client who is being discharged to a long-term care facility client who is being transferred to another unit in the hospital