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Question: A client with mild dementia who lives in a board-and-care-home is getting worse and needs more care. Which of the following would be the next level of housing appropriate for this client? a) Supervised group home b) Congregate housing c) Senior apartment complex d) Hospice care

Correct Answer: A

Question: An elderly client wants to move into a congregate housing facility. What information should the nurse provide regarding congregate housing? a) Personnel from the facility will check on each client daily. b) Clients at this facility are supervised in all activities. c) Clients spend only part of their day in this facility. d) Only clients with disabilities can use this facility.

Correct Answer: A

Question: The nurse is explaining the services provided in a long-term care (LTC) facility to the family of an elderly client being transferred there. Which of the following would the nurse state as a requirement in LTC facilities? a) Recreation program b) Chaplain c) Swimming pool/whirlpool d) Full healthcare clinic

Correct Answer: A

Question: The nurse is preparing a rehabilitation plan for a client who has had a major stroke. Which of the following members of the team would help to improve the client's aphasia? a) Speech therapist b) Occupational therapist c) Physical therapist d) Nutritionist

Correct Answer: A

Unit Test Question: A nurse is considering a career in rehabilitation. Which of the following is the rehabilitation nurse's most important skill? a) Interpersonal b) Cognitive c) Decision making d) Technical

Correct Answer: A

Question: A client with a hemiplegia prays for God to help him recover and states that he will go to church every day if he just recovers. What state of the grief reaction is this client experiencing? a) Defense, shock, and denial b) Anger c) Bargaining d) Depression

Correct Answer: C

Question: The nurse is performing discharge planning for a client transferred to an extended care facility. The nurse knows that it is important for healthcare personnel to communicate clearly with each other using the SBAR process. Which of the following are key components of the SBAR acronym? Select all that apply. 1. Situation 2. Background 3. Analysis 4. Assessment 5. Recommendations 6. Referrals a) 1, 2, 4, 6 b) 1, 2, 3, 4 c) 1, 2, 4, 5 d) 2, 4, 6

Correct Answer: C

Question: Which of the following clients would benefit from the use of an exoskeleton? a) A client who has hemiplegia b) A client who is wheel-chair bound c) A client who has quadriplegia d) A client who is ambulatory

Correct Answer: C

Question: A nurse is caring for a client who has been admitted to the hospital. Which of the following services is a priority for a nurse in the acute hospital setting? a) Helping clients with rehabilitation after a stroke b) Working closely with the client's caregivers c) Helping clients to achieve maximum level of functioning d) Working to stabilize the client during the acute phase of illness

Correct Answer: D

Question: A nurse is caring for a female client with chronic obstructive pulmonary disease (COPD). Which of the following nursing care measures should be included in the rehabilitation care plan of the client? a) Provide the client with body wraps. b) Provide the client with compression appliances. c) Encourage the client to perform vigorous physical exercise. d) Assist the client in doing spirometry exercises.

Correct Answer: D

Question: A nurse is informing a client at a long-term care (LTC) facility regarding Centers of Excellence (COE) programs. What information should the nurse provide the client regarding the COE programs? a) Imparts care only to clients with mental illness b) Offers financial support for clients at the LTC facility c) Assists in improving the quality of care at the LTC facility d) Provides care for clients with specific disorders

Correct Answer: D

Question: A nurse is preparing a rehabilitation care plan for a client who was admitted to the healthcare facility with lower back pain. Which of the following is the goal of rehabilitation? a) Prevention of such pain in the future b) Evaluation of the cause of the condition c) Correction of the client's disability d) Restoring the client's physical abilities as much as possible

Correct Answer: D

Question: Every client in a long-term care facility has a case manager. Which of the following are functions of this position? Select all that apply. 1. Act as the client's payee 2. Act as a client advocate 3. Provide direct nursing care for the client 4. Oversee the client's care 5. Disperse funds from the client's monthly check 6. Evaluate the client's money skills a) 1, 2, 4 b) 1, 2, 4, 5 c) 4, 5, 6 d) 1, 2, 4, 5, 6

Correct Answer: D

Question: The nurse is caring for a client who is recovering from severe burns over two-thirds of his body. The client is stable, but needs specialized wound care. In which of the following facilities would this client most likely be placed? a) Subacute-care facility b) Short-term rehabilitation unit c) Long-term care facility d) Medically complex care unit

Correct Answer: D

Question: Which of the following clients would be most likely to have a neurogenic bladder or bowel? a) A client who uses a walker b) A client who is on bed rest c) A client who has a prosthetic leg d) A client who is paralyzed

Correct Answer: D

Question: A nurse caring for an older adult client who is admitted to the hospital and has lost 4.5kg (9.9 lbs)since his last admission 6 months ago. Which of the following assessment questions should the nurse ask to investigate the source of his weight loss? Select all that apply. 1. a) "Do you eat alone or with someone else?" 2. b) "Do you watch television while eating your meals? 3. c) "Have you started any new medications in the past 6 months?" 4. d) "What foods have you eaten within the past 24 hours?" 5. e) "Are you on a fixed income?" a) a, c, d, e b) c, d, e c) b, c, d, e d) b, c, d

Correct Answer: a

Question: A nurse is assigned to care for an older client. To reduce the risk of aspiration during meals, the nurse positions the client: a) Upright in a chair. b) On the left side of the bed. c) On the right side of the bed. d) In a low Fowler's position, with the legs elevated.

Correct Answer: a

Question: A nurse is caring for an older female client whose husband died 6 months ago. Which behavior by the client indicates ineffective coping? a) Neglecting her personal grooming. b) Looking at old snapshots of her family. c) Participating in a senior citizens' program. d) Visiting her husband's grave once a month.

Correct Answer: a

Question: A nurse is working with older clients in a long-term care facility. Which of the following activities performed by the nurse fosters reminiscence among these clients? a) Having storytelling hours. b) Setting up a pet therapy class. c) Displaying calanders and clocks. d) Encouraging client participation in a pottery class.

Correct Answer: a

Question: The nurse is preparing to communicate with an older client who is hearing impaired. The appropriate initial nursing action is to a) Stand in front of the client. b) Exaggerate the lip movements. c) Obtain a sign-language interpreter. d) Pantomime and write the client notes.

Correct Answer: a

Question: The nurse provides medication instructions to an older hypertensive client who is taking 20 mg of lisinopril (Prinivil, Zestril) orally daily. Which statement, if made by the client, indicates that further teaching is necessary? a) "I can skip a dose once a week." b) "I need to change my position slowly." c) "I take the pill after breakfast each day." d) "If I get a bad headache, I should call my doctor immediately."

Correct Answer: a

Question: When an elderly male client states he has pain, the nurse recognizes that a) The client probably has significant pain, because many elderly understate and under-report pain. b) The loss of pain receptors that occurs with aging means that the elderly have diminished capacity to experience pain. c) Pain is the most frequent reason the elderly visit a healthcare provider. d) Pain probably is being exaggerated, because many lonely elderly clients use pain to get more attention from their families.

Correct Answer: a

Question: Which of the following recommendations should a nurse give to a client to promote sleep and rest? Select all that apply. 1. a) Avoid all caffeinated beverages. 2. b) Participate in regular exercises each morning. 3. c) Take an afternoon nap. 4. d) Practice relaxation exercises before bedtime. 5. e) Limit fluid intake at least 2 hours before bedtime. a) a, b, d, e b) a, b, c, e c) b, d, e d) b, c, d, e

Correct Answer: a

Question: An older adult client who has diabetes mellitus must now use a wheelchair after a CVA 2 years ago that affected her right side. She does not repond to pain on the right side of her body. Her fluid intake is good, but she needs help with eating. Which of thw following risk factors for developing pressure ulcers does this client have? a) Dehydration b) Limited mobility c) Nutritional impairment d) Incontinence

Correct Answer: b

Question: The nurse in a retirement home has noticed that Mr. A. amd Ms. C. have been holding hands frequently. One day,the nurse enters Mr. A's room and finds Mr. A. and Ms. C. having sexual intercourse. Both residents are alert and oriented. What is the most appropriate action for the nurse to take? a) Interrupt the couple and send Ms. C. to her room. b) Leave the room and close the door. c) Notify the relatives of both residents. d) Ask Ms. C. if she is all right.

Correct Answer: b

Question: A nurse is caring for an older adult client who has been bathing in the morning following the facility's routine. However, at home, she always takes a warm bath just before bedtime. Now she is having difficulty sleeping at night. Which of the following interventions should the nurse take first? a) Rub her back for 15 minutes before bedtime. b) Offer her warm milk and crackers at 2100. c) Allow her to take a bath in the evening. d) Ask her provider for a sleeping medication.

Correct Answer: c

Question: The nurse is assigned to care for an older client with hearing loss. The nurse plans care, knowing that older clients a) Are often distracted b) Have middle ear changes c) Respond to low-pitched tones d) Develop moist cerumen production

Correct Answer: c

Question: The nurse is caring for an older client who is on bedrest. The nurse plans which intervention to prevent respiratory complications? a) Decreasing oral fluid intake. b) Monitoring the vital signs every shift. c) Changing the client's position every 2 hours. d) Instructing the client to bear down every hour and to hold his or her breath.

Correct Answer: c

Question: A nurse is providing teaching to an older client to promote adherence with medication administration. Which of the following instructions should be included? Select all that apply. 1. a) Only take medication when not feeling well. 2. b) Place pills in daily pill holders. 3. c) Contact the provider if side effects occur. 4. d) Ask a relative to assist periodically. 5. e) Refill prescriptions when the current supply is completed. a) c, d, e b) a, b, c, e c) b, c, d, e d) b, c, d

Correct Answer: d

Question: The nurse is providing medication instructions to an older client who is taking digoxin (Lanoxin) on a daily basis. The nurse bears in mind that which age-related body changes could place the client at risk for digitalis toxicity? a) Decreased cough efficiency and vital capacity. b) Decreased salivation and gastrointestinal motility. c) Decreased muscle strength and loss of bone density. d) Decreased lean body mass and glomerular filtration rate.

Correct Answer: d

Question: The nurse observes that an older male client is confined by his daughter-in-law to his room. When the nurse suggests that he walk to the den and join the family, he says,"I'm in everyones way, and my son needs me to stay here." The most important action for the nurse to take is to: a) Say to the son, "Confining your father is inhumane." b) Say nothing; it is best for the nurse remain neutral and to wait to be asked for help. c) Suggest to the client and daughter-in-law that they concider a nursing home for the client. d) Suggest appropriate resources to the client and daughter-in-law, such as respite care and a senior citizens' center.

Correct Answer: d

Question: Which of the following can a nurse do to prevent skin breakdown? a) Massage the client's bony prominences frequently. b) Keep the client in high fowler's position while in bed. c) Have the client sit on a donut-shaped cushion. d) Encourage repositioning every 15 minutes while the client is in the wheel chair.

Correct Answer: d