Fundamentals of Nursing CH 21, 22, 27, 29, 40, 41, 42

The nurse is providing care to a client who is recovering from mild myocardial infarction. The nurse determines that the client has an internal locus of control based on which client statement?

"I've been eating healthy and taking my medication. Otherwise, it could have been a lot worse."

A new mother of twins is struggling with role performance issues related to balancing the demands of motherhood with working outside the home. What question would be most appropriate to help the client move forward with a positive self-concept?

"What new behaviors might be necessary to help modify your current roles?" Correct

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 is being treated by a naturopathic physician

A client postoperative from an appendectomy reports feeling cold and has a temperature of 96.2°F (35.7°C). Which action should the nurse perform first?

Apply warm blankets to the client.

A nurse admitting a new client to the hospital needs to determine the client's needs and current problems. What is the priority action of the nurse?

Complete an assessment.

A nurse informs the client that he has no choice and must take his bath in the morning. What type of leadership does this exemplify?

Directive leadership

A nurse is caring for a hospitalized patient who states: "I feel so sick all the time, my aura must be disturbed by all of these bad force fields." What is an appropriate NANDA diagnosis for this patient

Disturbed energy field

A nurse can improve his or her skill with time management by doing which of the following?

Evaluating success with accomplishment of goals in client care

Ayurvedic medicine has its roots in which of the following areas?

India

The nurse and unlicensed assistive personnel (UAP) are working together to admit a client newly diagnosed with diabetes to a nursing unit. Which task would be inappropriate to delegate to the UAP?

Monitoring insulin requirements

The client has been diagnosed with a disease and is seeking information about naturopathy. The nurse, explaining about naturopathy, encourages the client to do what?

Obtain adequate sleep each night.

A pediatric nurse provides education to numerous clients in her care. Which group of children benefits most from being involved in the teaching-learning process?

School-age children

When a nurse is planning for learning, who must decide who should be included in the learning sessions?

The nurse and the client

A nurse is working with a 15-year-old client with sickle cell anemia. He was started on a new pain management plan today, and the nurse is evaluating the effectiveness of the plan. Which is not appropriate to include in the nursing care?

asking only the client's parents to be present at the education session

Allopathic medicine is less effective in the care of clients with:

chronic illnesses.

Which documentation example best reflects the complexity of client teaching by the nurse?

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

In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which statement denotes the right communication for the nursing assistant?

"Dispose of the disconnected IV set."

Which of the nurse's statements most clearly expresses the philosophy of holism?

"Every system in your body is in constant interaction with the others, as well as with the environment that surrounds you."

Which statement made by a client who was recently admitted to the medical unit with a diagnosis of pneumonia, indicates a physical inability to learn?

"I am having difficulty breathing." personally i chose "May I have something to eat?" because it made the patient sound like they had dementia, "help i can't breath, but while you're here can i get an order of chicken?!"

A nurse leader is working with a client with hypertension who needs to learn about a low-sodium diet. The nurse recognizes the client is in the unfreezing stage of Lewin's Change theory with which client statement?

"I understand why I need to eat a low-sodium diet."

A client is requesting that the nurse speak with the physician regarding alternate treatment options. What comment by the nurse would be most appropriate to help the client identify and use her personal strength?

"I wonder why you want me to talk with the doctor? If you talk with them, you could hear all the treatment options firsthand. I will gladly stay with you while you talk to the doctor."

The nurse in a medical unit is collecting a client's history and asks the client about the use of complementary and alternative therapies. The client asks why the nurse needs to know about this. What is the nurse's best response?

"It's important that we list all your home care needs for the hospital."

The nurse has entered the room of a client who is postoperative day 1 and finds the client grimacing and guarding her incision. The client refuses the nurse's offer of p.r.n. analgesia and, on discussion, states that this refusal is motivated by his fear of becoming addicted to pain medications. How should the nurse respond to the client's concerns?

"Research has shown that there is very little risk of clients becoming addicted to painkillers after they have surgery."

A 56-year-old executive meets with the nurse for education about recently diagnosed atrial fibrillation. He verbalizes concerns about the time he will spend away from his work, and that he is not sure it is necessary to have blood tests every week. He feels it is a waste of time when he does not have any symptoms. Which is the best motivational statement by the nurse for this client? "The medicine and blood work for atrial fibrillation can help prevent blood clots that have the potential to cause debilitating strokes. What have you heard about warfarin therapy?"

"The medicine and blood work for atrial fibrillation can help prevent blood clots that have the potential to cause debilitating strokes. What have you heard about warfarin therapy?"

A 17-year-old client who lives with her parents wishes to have a breast reduction. Which information will the nurse provide to the client?

"Your parent or legal guardian must sign the consent form."

Which of the following addresses a person's qi by placing very thin, short, sterile needles at particular locations on the body?

Acupuncture

While assessing a client, the client tells the nurse that he is a follower of traditional Chinese medicine and the concept of qi. Based on the nurse's understanding of this concept, which treatment modality would the nurse expect the client to mention?

Acupuncture

A 2-year-old toddler just underwent a tonsillectomy and adenoidectomy surgery. The postanesthesia care unit (PACU) nurse is checking on him. What is the best course of action regarding the developmental care of this child?

Allow the parents into the PACU before the child wakes.

A client has recently immigrated to the United States without his family. The client reports that he cannot find a job and has no friends here. The client reports that without his family he doesn't know who he really is and everything around him is different. Which nursing diagnosis is most appropriate?

Altered personal identity related to the new environment and separation from family

The nurse is preparing for a client for laser procedure. Which nursing intervention is appropriate?

Apply goggles to client.

The nurse enters a postoperative client's room and finds that the client is bleeding profusely from the surgical incision. What would be the nurse's most appropriate initial response?

Apply pressure to the surgical site to decrease bleeding.

The registered nurse (RN) is preparing to delegate tasks to an unlicensed assisted personnel (UAP). Which tasks would be appropriate for the RN to delegate to the UAP?

Assessing oxygen (O2) saturation

Which nursing action should the PACU nurse take to prevent postoperative complications in clients?

Assist the client to do leg exercises to increase venous return.

A nurse can best help a client who is undergoing chemotherapy and using guided imagery with this by doing which of the following?

Assisting the client to find an appropriate imagery tape to use.

A nurse is in charge of a large group of employees on a busy surgical floor. Today's care must be completed early due to a special event involving most of the employees. Which management style would work best in this situation?

Authoritarian

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?

Autocratic

Understanding one's dosha, or basic constitution, is central to which type of whole medical system?

Ayurveda

The nurse is caring for a 60-year-old client with an improper bowel movement regimen. Which of the following is the most appropriate method the nurse should use to conduct new learning?

Begin the session with a reference to the client's actual experience.

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 education?

Blocking 30 minutes of time for skill teaching.

A nurse is providing care to a client who has undergone skin grafting to her face due to a burn injury. The client states, "I know it could have been worse, but my face will never be the same as it was. I haven't been able to look at myself in the mirror because of what I might see." The nurse interprets this statement as most likely reflecting which pattern?

Body image

A 20-year-old client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need of a balanced diet and its relationship with a quick recovery. Which domain correctly identifies the client's learning style?

Cognitive domain

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This is an example of what learning theory?

Cognitive learning theory

The nurse manager for the psychiatric unit sees that there are major conflicts between the day and night shift staff. The nurse manager suggests that each shift put aside their differences for a time and determine a common major goal. Which of the following conflict resolution styles does the nurse manager display?

Collaborating

The nurse manager in a critical care unit actively listens to his staff and engages the staff to offer decisions regarding problem solving and implementing these decisions. What type of managerial mindset does this manager exhibit?

Collaborative mindset

A nurse manager and the charge nurse have two employees who disagree with the accomplishment of client care. The manager determines a mutually agreed-upon time to discuss this situation with all the members involved. This activity is called what?

Conflict resolution

The nurse is preparing a client for a colonoscopy. The nurse is familiar with the colonoscopy procedures at the hospital and is aware that which type of anesthesia is commonly used for this procedure?

Conscious sedation

Ames is an 87-year-old man who underwent a hip replacement today. He is telling the nurse that his parents, who are deceased, are coming to visit him today. He continues to tell the nurse that he needs to cut the lawn and run errands. The last time the nurse entered the room, Ames was trying to climb over the bed rail. Which term best describes Ames' condition?

Delirium

A staff nurse works on a medical unit where staff retention is very high. There is a a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which of the following leadership styles?

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?

Democratic

Which is the most important role of the nurse in using complementary and alternative therapies?

Educating the public about safety and effectiveness

A client is undergoing surgery for an appendectomy. This would be considered what type of surgery?

Emergency surgery

The nurse is assisting an adolescent female with the identification and recognition of personal strengths. Which of the following is a technique the nurse will employ?

Encourage the client to identify strengths and ways to gain strengths she desires.

A nurse is developing a plan of care for an older adult to promote self-esteem. What intervention would be most appropriate to include?

Explain that his life experience will help to develop a plan of care.

A client has suffered an amputation of the right leg due to a motor vehicle accident. What would be an example of a maladaptive response?

Expressing they will never be a whole person again

A client with cancer has a family who is emotionally supportive of the client. Having a supportive family is which type of resource?

External resource

A nursing instructor invites a nurse who specializes in healing touch to her classroom to discuss with students the effect healing touch has on pain management. This is an example of what?

Familiarizing students with CAM modalities

Which example of nursing documentation is the most appropriate concerning a teaching session?

Family requested education on turning client. Explanation of use of draw sheet and body mechanics provided. Family coached through turning and repositioning client. Members state confidence and understanding.

As the nurse enters the room to teach the client about self-care at home, the client states, "I am glad you are here. I need some pain medicine. I can't stand it anymore." What is the best action of the nurse?

Have client rate pain level and reschedule the teaching session.

The nurse is caring for a patient whose treatment has been based on the Ayurveda medical system. Which nursing intervention incorporates this patient's beliefs into the nursing plan?

Helping the patient to balance his dosha

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

Which of the following questions would the nurse include on a self-concept assessment related to body image?

How do you feel about any physical changes you noticed recently?

Which question would provide the nurse with the information needed first when assessing self-concept?

How would you describe yourself to others?

A nurse is monitoring a client post cardiac surgery. What action would help to prevent cardiovascular complications for this client?

Implement leg exercises and turn the client in bed every 2 hours.

An older adult female client who is recovering from a stroke is scheduled to be transferred to the rehabilitation unit in the morning. She is tearful and verbalizes that she feels lonely and abandoned in the hospital unit. The nurse noticed that family visits daily and that there are flowers and cards in the room. Documentation in the chart indicates that the client's pastor has been by twice in the past week to visit. Which nursing diagnosis and outcome criteria need to be addressed immediately for this client?

Ineffective Coping; verbalizes support systems.

The nurse and unlicensed assistive personnel (UAP) are working together to admit a pediatric client to a nursing unit. Which task would be inappropriate to delegate to the UAP?

Initiating intravenous therapy

Which developmental consideration is a nurse assessing when determining that an 8-year-old boy is not equipped to understand the scientific explanation of his disease?

Intellectual development

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.

Massage therapy is being used on clients during chemotherapy treatments. How does massage therapy help these patients

It relaxes muscles to increase circulation and release tension.

A nurse is applying healing touch to a postoperative client's wound. What benefit of healing touch should the nurse emphasize to the client's family?

It will help the wound heal.

The preoperative nurse is reviewing the chart of a client whose surgery is scheduled to begin in the next 15 minutes and notices that the consent form is not signed. The nurse contacts the surgeon who states, "We have already reviewed this procedure extensively, so ask the client to sign the consent form and I will verify it in the operating room." Which action by the nurse is most appropriate?

Keep the client in the preoperative area and inform the surgeon that it is the physician's responsibility to obtain consent for surgery.

A staff nurse works on a surgical unit where the nurse leader allows the staff to make all decisions and direct themselves. The staff nurses fill out the work schedule and sometimes there are days where the unit is short staffed. The staff nurse feels the unit needs better leadership. The nurse leader is practicing which of the following leadership styles?

Laissez-Faire

Karen Wolf, RN, is the charge nurse on the orthopedic unit. She believes in giving the staff as much power as possible. The nurses are allowed, among other things, to create their own work schedules, provide dates and times for unit meetings, and create the agendas, to which Karen contributes. Karen's style of leadership can be described as which of the following?

Laissez-faire

Which style of leadership is rarely used in a hospital setting because of the difficulty of task achievement by independent nurses?

Laissez-faire

The practitioner is working with structures and systems within the human body, including the bones, muscles, joints, and circulatory system. Which one of the complementary and alternative therapy domains is being used?

Manipulative and body-based practice

When a client says, "I don't care if I get better; I have nothing to live for, anyway," which type of counseling would be appropriate?

Motivational counseling

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?

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

A nurse manager tells her staff that they need to increase response time to client requests by five minutes, beginning tomorrow. The time to begin this activity has been established by the manager and her staff. This action involves goal setting. What leadership style is noted with the implementation of goal setting?

Participative leadership

Which nursing action will best promote pain management for a client in the postoperative phase?

Performing relaxation techniques

The nurse is assessing for information about a client's self-concept. The information needed first is about which of the following?

Personal identity

When a nurse asks a patient to describe her personal characteristics and traits, the nurse is most likely assessing the patient for what self-concept factors?

Personal identity

A nurse is assessing a client who is experiencing pulmonary embolus. What would be the priority nursing intervention for this client?

Place the client in semi-Fowler's position.

A nurse caring for patients in a PACU assesses a patient who is displaying signs and symptoms of shock. What is the priority nursing intervention for this patient?

Place the patient in a flat position with legs elevated 45 degrees.

A nurse teaches deep breathing exercises to a client scheduled for surgery. In which perioperative phase would this action occur?

Preoperative

Mrs. Shields is a 46-year-old obese woman diagnosed with hypertension and type 2 diabetes. She tells the nurse that she knows she needs to lose weight. She recently visited her 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 Mrs. Shields in related to her weight loss?

Preparation

The nurse manager for a surgical unit is planning a significant change in how the unit functions. She plans to include some things that will help the staff overcome any resistance to the change. Which of the following might help overcome resistance to Megan's planned change?

Provide incentives, such as time off.

A nurse assisting a new mother in the act of breastfeeding is represented by which form of learning?

Psychomotor

Which principle does not encompass the basic goals of integrative medicine?

Reject allopathic medicine and embrace CAM practices.

A client is experiencing difficulty in adjusting to a new prosthesis despite conscientious client education by numerous members of the health care team. How should the team respond to the client's lack of learning to this point?

Revise the education plan that has guided education.

A young woman has just started a nursing program. She is trying to balance going to school full-time, a part-time job, and spending time with her family. Recently she has been feeling a lot of stress and doesn't feel as if she is able to do any of the three very well. Which role problem is this young woman experiencing from this role transition?

Role strain

The nurse works in the emergency department and feels like she is becoming somewhat jaded about her nursing practice. The nurse talks to her supervisor about this and he suggests making some goals for enhancing her self-concept as a professional nurse. Which of the following would be an important goal to establish that would build up the nursing self-concept?

Schedule time every day to meet personal needs.

The nurse is caring for a confused elderly client who requires surgery for a broken hip. Which nursing intervention regarding consent is appropriate?

Seek someone with durable power of attorney to sign the informed consent form.

A nurse is assessing a client's self-perception. Which dimension is reflected by the client's statement, "I want to use my skills to become the best artist I can be"?

Self-expectation

A child lists his favorite sports figures and tells the nurse he is going to be just like them. How does the nurse identify this human need?

Self-expectations

When asked to describe oneself, the client states, "I am a 47-year-old Hispanic male, married with two children, and I work as a finance manager." What is this client demonstrating?

Self-knowledge

A nurse manager best demonstrates effective leadership characteristic by which action?

Sharing a vision for the unit and enlisting support

A nurse may attempt to help a patient solve a situational crisis during what type of counseling session?

Short-term counseling

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

Staff nurses are developing innovative solutions to problems.

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.

Which client outcome indicates effectiveness in a plan of care to promote self-concept?

The client describes herself as a mother of two who is content with life and loves her husband.

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client?

The client describes signs and symptoms of hypoglycemia.

The nurse knows which evaluation best represents that the client has learned a new skill?

The client organizes materials needed and gives return demonstration.

During a meeting, the nursing staff was reminded that learning takes place in four progressive stages. Place the stages of learning in their order of progression.

The client reported the first symptom that appeared. A family member reminded the older adult to take pain relief medication on alternate days. The client is now eating three servings of vegetables per day. An adolescent organizes a "Safe Sex" seminar.

Which of these assessment findings indicate a positive outcome for a client after acupuncture?

The client reports a reduction in pain level to 3 out of 10.

A client asks about whether to consult a naturopathic physician for treatment. Which client factor would the nurse consider in determining the client would benefit from this consult?

The client states "I spend a lot of time watching television."

A nurse is educating a client about smoking cessation. The nurse determines that the client has high self-efficacy. Which outcome would the nurse expect to occur?

The client will be able to stop smoking.

The case manager works in a facility that supports a participative leadership style. Which of the following should the nurse recognize as an example of democratic leadership style?

The interdisciplinary health care team collectively developing plans of care for clients

The nurse recognizes that a new mother is having difficulty breastfeeding her baby. The nurse provides assistance by demonstrating various positions to hold the baby while feeding. The nurse also educates the mother on ways to ensure proper latching. The new mother attempts to breastfeed the baby again using the new techniques and is successful. Which statement illustrates Lewin's stage of refreezing?

The new mother attempts to breastfeed the baby again using the techniques recently acquired and is successful.

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 nurse practice act or facility's policy and procedures

A nurse is writing learner objectives for a client who was recently diagnosed with type 2 diabetes. Which statement best describes the proper method for writing objectives?

The nurse writes one long-term objective for each diagnosis, followed by several specific objectives.

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

The nurses decide to share the preceptor. The preceptor will precept one nurse at the beginning of the orientation and precept the other nurse at the end of the orientation.

Which of these is a situational transition?

The transition from being married to being divorced.

Why should a nurse immediately begin the health teaching of a client who has been admitted to the health care facility for a routine physical examination?

There is limited hospitalization time.

A client has arrived to the postanesthesia care unit (PACU) and is drowsy with a respiratory rate of 12 breaths per minute. What would be an accurate interpretation by the nurse?

This is an expected finding in the immediate postoperative period.

In which CAM modality are the concepts of Yin and Yang important for diagnosis?

Traditional Chinese Medicine

A nurse from the ambulatory surgical center is preparing discharge instructions for a client who has had pelvic surgery. Which criterion would the client need to demonstrate to ensure that she is ready for discharge?

Void normally

Which of the following questions would the nurse ask to assess a patient's self-identity during a focused self-concept assessment?

What are your personal strengths?

According to survey results, who are the most prevalent users of complementary or alternative therapies?

Women, ages 35-50, with college degree, former smokers

Which client would be the best candidate for a nurse to use motivational interviewing?

a 28-year-old female with elevated blood glucose for 8 months

Which client would a nurse monitor most closely for postoperative respiratory complications?

a 55-year-old client with a history of asthma who had a colon resection

A client has presented to a clinic for a preoperative consult, during which the client has expressed concern about having to fast before surgery. Current recommendations for preoperative fasting include:

allowing clear liquids up to 2 hours before surgery.

A client stated, "I understand when the nurse explains the possible complications of my illness. I am appreciative of what insulin does to my body and I can now give myself insulin." Which domains of learning does the nurse identifies for this client?

cognitive, affective, and psychomotor skills

During a health history, a client states, "Whatever happens, happens because of luck." The nurse interprets this statement as indicating:

external locus of control.

A home care nurse delivers care that incorporates a philosophy that focuses on connections and interactions between parts of the whole. Which term best describes this philosophy?

holism

The mind and body are connected in the provision of care. This statement describes:

holistic care.

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

leader

A client is undergoing conscious sedation for an endoscopy. When the client becomes overly sedated, which medication does the nurse anticipate will be required?

naloxone

Which nursing action is applicable to the psychomotor domain of learning when conducting a teaching session for breastfeeding mothers?

observing a mother expressing the breast milk

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)?

obtaining vital signs every 4 hours

The nurse has completed teaching. Which client behavior demonstrates understanding within the psychomotor domain?

provides return demonstration of use of inhaler

A nurse is caring for an infant who is postoperative following cardiac surgery. What is the most common postoperative complication found in this age group?

respiratory complications

On the advice of friends, a client on a palliative care unit has requested acupuncture. What it is the goal of this form of CAM?

restoring a healthy flow of energy along the meridians of the body

When preparing a client who has diabetes mellitus for surgery, the nurse should be aware of what surgical risk associated with this disease?

slow wound healing

A client with a diagnosis of colon cancer has required the creation of an ostomy following bowel surgery. Which factor is most likely to influence the client's adjustment to this change?

the coping mechanisms that the client possesses

Which of the following factors is most likely to present a challenge to the self-concept of a man 79 years of age?

the man's increasing level of dependence on his children

The nurse recognizes that palliative surgery is performed for what purpose?

to lessen the intensity of an illness

A nurse is discussing a surgical procedure with a client who needs to sign his informed consent. Which of these tasks is part of the nursing role?

witnessing the client signature with their consent for surgery

A nurse is reviewing the health history of a client. Which statement documented in the history would lead the nurse to suspect that the client has a negative self-concept? Select all that apply.

• "What good am I?" • "Who would want to marry me now the way I look?" • "I'm such a horrible person." • "I feel like I'm so ugly."

A nurse is assisting a client, who has recently undergone a mastectomy, in formulating goals and outcome criteria for self-evaluation. Which of these outcome criteria can be used to evaluate measurable goals? Select all that apply.

• Client speaks about her body within 2 days after surgery. • Client expresses feelings of hope and power over her life within 7 days. • Client performs self-care activities successfully within 3 days.

A nursing student asks her instructor to discuss chiropractics and how they are useful as an alternative to medicine. The nursing instructor bases her response on her knowledge that chiropractics are useful to the following. Select all that apply.

• Correcting alignment problems • Alleviating pain • Improving function • Supporting the body's natural ability to heal itself

A nurse manager helps staff nurses who are resistant to change with use of a new medication administration system by doing which of the following actions?

• Discuss potential decrease in medication errors with the new system. • Encourage feedback by the nursing staff with use of the new system. • Describe the evaluation process with use of the new system.

The nurse is educating a client on how to use herbs and supplements as part of an integrated treatment plan. Which teaching points would the nurse include? Select all that apply.

• Give the product adequate time to work. • Buy herbs and supplements that are standardized. • Be knowledgeable about the product and its therapeutic actions.

A registered nurse checks the ANA regulations prior to delegating tasks to UAPs on a burn unit. Which principles regarding the regulation, education, and use of the UAP are recommended by the American Nurses Association? (Select all that apply.)

• It is the purpose of assistive personnel to work in a supportive role to the registered nurse. • It is the role of the assistive personnel to carry out tasks to enable the professional nurse to concentrate on nursing care for the patient. • It is the registered nurse who is responsible and accountable for nursing practice.

A nurse manager of a physician's office uses the laissez-faire style of leadership with the staff. Which nursing actions exemplify this management style? (Select all that apply.)

• Manager and staff work independently, making task accomplishment difficult. • The nurse manager allows the staff to choose their own schedules. • The nurse manager allows dominant staff members to direct the group activities.

Which factors should the nurse consider when assessing patients for postsurgical risks? (Select all that apply.)

• Patients with respiratory disease may experience alterations in acid-base balance after surgery. • Kidney and liver diseases influence the patient's response to anesthesia. • Endocrine diseases increase the risk for slow surgical wound healing.

In prenatal classes, the nurse teaches pregnant clients to use meditation during labor contractions to ease the pain. What does the nurse explain to the pregnant clients are the elements of meditation? Select all that apply.

• Quiet environment • Focus of attention • Comfortable position

A nurse who has incorporated complementary and alternative medicine (CAM) into nursing practice is caring for a client in a short-term care facility. Which examples of nursing interventions are based on CAM? Select all that apply.

• The nurse encourages the client to join a yoga class. • The nurse uses guided imagery to relieve client anxiety. • The nurse investigates herbs that may stimulate the client's immune system. • The nurse teaches the client how to meditate.

A nurse is providing teaching to patients in a short-term rehabilitation facility. Which examples are common teaching mistakes made by health care professionals? (Select all that apply.)

• The nurse fails to accept that patients have the right to change their minds. • The nurse ignores the restrictions of the patient's environment. • The nurse uses medical jargon frequently when discussing the teaching plan.

A nurse manager of a physician's office uses the laissez-faire style of leadership with the staff. Which nursing actions exemplify this management style? (Select all that apply.)

• The nurse manager allows the staff to choose their own schedules. • The nurse manager allows dominant staff members to direct the group activities. • Manager and staff work independently, making task accomplishment difficult.

Which clients would the nurse schedule for surgery based on purpose? Select all that apply.

• a client undergoing a breast biopsy • a client needing a cleft palate repair • a client needing a bowel resection • A client post mastectomy who decides to have breast reconstruction

The nurse is preparing discharge teaching for a client with diabetes. Which information will the nurse include? (Select all that apply.)

• meal planning • community resources • appropriate use of glucometer • instructions to follow-up with the healthcare provider

A rehabilitation nurse is caring for Steve Branson, a 23-year-old man, who has suffered a spinal cord injury and has tetraplegia. One of the rehabilitative goals for Steve is to attain adaptive patterns of behavior related to his injury. Which of the following would indicate that he is achieving this goal? Choose all that apply.

• uses available resources • makes decisions related to his care