Fundamentals: Exam 3
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?"
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?"
A client reports to the primary health care facility reporting chest pain. After the investigations and initial treatment, the client anxiously inquires if he had a heart attack. What should be the nurse's reply?
"The physician wants to monitor you and control your pain."
A client with stage IV colon cancer reports back pain and appears to be anxious. What response should the nurse provide when asked if therapeutic touch may be beneficial?
"Therapeutic touch is a holistic practice that works to redirect energy in the body and may help with pain and anxiety."
Which statement illustrates the effect of the sociocultural dimension on health and illness?
"Why shouldn't I drink and drive? Everyone else does."
For which client might the nurse need to alter the plan of care based on the principles of the client's chosen medical system?
A client who has been treated by naturopathic healthcare provider
Which nurse would most likely be the best communicator?
A nurse who easily develops a rapport with clients
Health Belief Model
A theory of health behaviors; the model predicts that whether a person practices a particular health habit can be understood by knowing the degree to which the person perceives a personal health threat and the perception that a particular health practice will be effective in reducing that threat.
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.
Approach the client from the front of the client. Call the client by the client's preferred name. Use simple words and short sentences when talking with the client.
A nurse is caring for a client admitted for a prolonged stay on a medical-surgical unit. The client has been having difficulty sleeping and appears depressed. Applying the holistic health model, which action taken by the nurse would be most appropriate?
Ask the clients family to bring some items from home such as a blanket, pillow or pictures
Which nursing intervention is an example of tertiary preventive care?
Assisting with speech therapy a client with a traumatic brain injury
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
A new nurse is considering getting a job in either an acute care setting or a home care setting. Which statement about these care settings is most accurate?
Clients play a large role in helping themselves in the home care setting.
Which is a skill appropriate to use in therapeutic communication?
Control the tone of the voice to avoid hidden messages.
Which action must the nurse perform on discharge of a client from an acute care facility?
Coordinating future care for the client
The growth in home health care is largely attributed to which factor?
Early discharge of clients from the hospital setting
When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by the client's personal expectations in relation to health and illness. The nurse is demonstrating an understanding of which health model?
Health Belief Model
Which is the most accurate definition of health?
Health is a state of complete physical, mental, and social well-being.
A nurse is teaching a client experiencing stress about how relaxation helps to reduce the effects of stress on the body. Which underlying concept would the nurse integrate into the explanation about how relaxation works?
Helps to increase the effects of parasympathetic nervous system on the mind and body
A client wishes to integrate CAM into her treatment regimen for ovarian cancer. Which of the following modalities requires the most careful consideration by her health care team due to the potential for harm?
Herbal remedies
The nursing instructor is discussing alternative therapy with a group of students. She explains that living organisms are "continuously connecting and interacting with their environment." Furthermore, the connecting and interacting signifies that the human body is a unified dynamic whole. The instructor is describing what theory to the students?
Holism perspective
A nurse is researching a standardized herbal supplement to help a client with pain. What does the word standardized mean?
It contains a certain amount of an active ingredient.
Which nursing activity reflects secondary prevention?
Making a referral for a mammogram
An infant is born with Down syndrome, which influences the child's health-illness status. This is an example of which human dimension?
Physical
A camp nurse is educating a group of adolescent campers on the importance of regular physical exercise. Which level of preventive care does this activity represent?
Primary
Which principle does not encompass the basic goals of integrative medicine?
Reject allopathic medicine and embrace CAM practices.
A nurse is performing health promotion activities for clients at a local health care clinic. Which nursing actions exemplify the focus of secondary preventive care? Select all that apply.
Screening clients for hypertension Scheduling a mammogram for a client Referring a client to family counseling
A nurse practices holistic client care. Which of the following is a guiding principle of this practice?
The body is a unified, dynamic whole.
A client with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for the second time in 2 months with wheezing, dyspnea, and use of accessory muscles when breathing. Which type of situation does the nurse identify is occurring with this client?
The client is having an exacerbation of the COPD.
A nurse is providing an educational event to a local group of citizens with physical disabilities. What is important for the nurse to be aware of when planning this event?
The health promotion needs of the attendees listening to the nurse
The nurse is conducting discharge education on dressing change to a postoperative client and the spouse. The client's spouse appears anxious about changing the dressing correctly. Which is the best indicator that the spouse is competent to perform the dressing change?
The spouse is able to correctly demonstrate performing the procedure
The nurse is addressing primary prevention with a group of college students. Which promotional statement by the nurse would be the best example of a developmentally appropriate discussion?
Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy.
When discussing contraceptive methods, what information is least important to include?
What is the latest trend on social media
When should an emergency contraceptive method such as the morning-after pill be taken to increase effectiveness?
Within 72 hours of unprotected intercourse
contraceptive
agent that prevents conception
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:
allow the client to set the pace.
What is the definition of wellness?
an active state of being healthy
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?
cognitive
CAM
complementary and alternative medicine
Holistic
concerning the whole rather than the parts
Which form of contraception is least effective
condoms
A successful discharge includes effective planning. Identifying and meeting client needs beyond the acute care facility reduce readmissions. Which nursing role is of great importance to this success?
coordinator
ohthalm/o
eye
A client comes to the health center for a routine visit. During the visit, the client tells the nurse, "I'm motivated to do things now to make sure I'm the healthiest I can be." When planning this client's care, the nurse should focus on which area?
health promotion
Which is the acute care setting for people who are too ill to care for themselves at home, are severely injured, or require surgery?
hospitals
The client is experiencing a cold and has sinus congestion. The client is prescribed a decongestant by his primary care provider. The client has a poor response to the decongestant and seeks to include acupuncture treatment. The nurse explains the use of a decongestant and acupuncture at the same time is called what type of therapy?
integrative
A nurse is practicing imagery to relieve stress. What might accompany the imagery to even further promote relaxation?
listening to music
optometrist
one who measures vision
A nurse is giving a talk to a local community group on the importance of proper diet and regular exercise. This is an example of which type of health promotion?
primary
A nurse is immunizing children against measles. This is an example of what level of preventive care?
primary
Public health nursing is the branch of nursing that:
provides health care for the community.
Which is an example of tertiary health promotion?
rehabilitation
A nurse is a member of an interdisciplinary team providing home health care to a client who was discharged home after experiencing a stroke. The client has been receiving services to assist with swallowing. The nurse would collaborate with which member of the team to discuss the client's progress?
speech therapist
How does hormonal birth control work
stops ovulation
How does hormonal birth control work?
stops ovulation
Which condition is a risk of hormonal birth control
stroke
Sociocultural
study of how cultural and political experiences affect our life
conception
the moment at which a female becomes pregnant
A mother of two children has been diagnosed with terminal breast cancer and will be requiring assistance with her own care as well as the care of her children. When planning the client's discharge, the nurse interprets this change in role functioning as:
transition
