Health Assessment Exam 1 Review Questions and Quiz Questions

According to Erikson, the middle adult's developmental stage is generativity vs stagnation. The following tasks would be expected of a person at this stage except: A) Establishing a career & vocation B) Accepting & adjusting to physical changes C) Coping with an empty nest D) Developing hobby & leisure activities

A) Establishing a career & vocation

A client tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she must perform which movement? A) flexion B) abduction C) adduction D) extension

A) Flexion

The nurse is checking the range of motion in a client's knee and knows that the knee is capable of which movements? A) Flexion and extension B) Supination and pronation C) Inversion and Eversion D) Circumduction

A) Flexion and extension

A nurse is performing an assessment on a client admitted for alcohol abuse using the CAGE questionnaire. She correctly notes that all of the following are true about the CAGE questionnaire except: A) It takes 30 minutes to complete B) It has 4 straightforward yes/no questions C) It tests for lifetime alcohol abuse D) It stands for: Cut down, Annoyed, Guilty and Eye-opener

A) It takes 30 minutes to complete

You are discussing the characteristics of culture with a colleague. You correctly note that culture is which of the following? Select all that apply. A) Shared B) Apparent C) Autonomous D) Learned

A) Shared D) Learned

A client is admitted with complaints of lower back pain. The nurse understands that the most reliable indicator of the client's pain is: A) The client's self report B) The pain assessment tool: PQRST C) Nonverbal Cues D) The nurse's assessment

A) The client's self report

To perform an accurate assessment of respirations, the examiner should: A) count for 30 seconds and multiply by two B) count for 15 seconds while keeping fingers on the pulse and then multiply by four. C) assess respirations for a full 2 minutes if an abnormality is suspected. D) inform the person of the procedure and count for 1 minute.

A) count for 30 seconds and multiply by two

When documenting intimate partner violence and elder abuse, the nurse should include: A) photographic documentation of injuries. B) a summary of the abused patient's statements. C) verbatim documentation of every statement made. D) a general description of injuries in the progress notes.

A) photographic documentation of injuries.

Which of the following are components of the complete health history? (Select all that apply) A. Biographical Data B. Reason for seeking care C. Family history D. Review of systems E. Past history or history of present illness F. Functional assessment or ability to perform activities of daily living (ADLs)

A. Biographical Data B. Reason for seeking care C. Family history D. Review of systems E. Past history or history of present illness F. Functional assessment or ability to perform activities of daily living (ADLs)

What is the definition of Holistic Health? A. Body, mind and spirit part of a whole within the environment. B. Body, mind and spirit assessed as separate parts C. Absence of Disease D. Disease Prevention

A. Body, mind and spirit part of a whole within the environment

A client is admitted with a new skin lesion. Using the ABCDEF method, the nurse knows that one of the signs of melanoma would be: A. Border irregularity B. Symmetry C. Border regularity D. Diameter less than 6 mm

A. Border irregularity

The nurse works at a clinic where routine, universal screening for intimate partner violence is done. How often should the nurse screen the women coming into the office? A. Every health care encounter B. Once a year C. Only if the nurse is suspicious there may be abuse occurring D. Twice a year

A. Every health care encounter

Under the requirements of HIPAA (The Health Insurance Portability and Accountability Act), client information may be shared among health care providers: A. If the team member is directly involved in the client's care B. If the team member is a family member of the client C. Without the client consent D. If the team members work on the same unit

A. If the team member is directly involved in the client's care

The 8 critical characteristics of a symptom includes: A. Location, character, severity, and timing B. Setting, aggravating factors, and reliability of the informant C. Associated factors, client perception, and gender D. Location, setting, associated factors and family history

A. Location, character, severity, and timing

Which of the following are health effects of violence experienced by older adults that have been abused or neglected? (Select all that apply) A. STIs (Sexually transmitted infections) B. Fluctuations in blood pressure and pulse C. Infections progressing to sepsis D. Cardiac complications due to stress E. The ability to perform ADL's independently

A. STIs (Sexually transmitted infections) B. Fluctuations in blood pressure and pulse C. Infections progressing to sepsis D. Cardiac complications due to stress

The interview is considered a contract between you and your client. The terms of the contract include: (Select all that apply) A. Time and place of the interview B. Self introduction and explanation of role C. Purpose of interview D. Estimated time for the interview E. Participation expectations

A. Time and place of the interview B. Self introduction and explanation of role C. Purpose of interview D. Estimated time for the interview E. Participation expectations

The definition of critical thinking is the process of purposeful thinking and reflective reasoning where practitioners examine ideas, assumptions, principles, conclusions, beliefs, and actions in the context of nursing practice. A. True B. False

A. True

You are caring for an 80 year old client. His daughter expresses concerns about him as his wife recently passed away. You are reviewing developmental tasks appropriate for his age according to Erikson. A correct assessment is that the client should be: A: Adjusting to the death of spouse, family members & friends B: Setting up & managing a household C: Learning to cooperate in a marriage of lifelong relationship D: Making friends & establishing a social group

A: Adjusting to the death of spouse, family members & friends

Which of the following is a component of the general survey relating to physical appearance? A:Age B: Gait C: Mood D: Speech

A: Age

A Muslim woman has been hospitalized. To provide culturally sensitive care, when making staff assignments the nurse should: (Select All That Apply). A: Assign a female care assistant. B: Assign a male care assistant C: Not be concerned about who should be assigned to provide care to this woman. D: Inform the care assistant of the client's need to wear her veil when other visitors enter the room.

A: Assign a female care assistant. D: Inform the care assistant of the client's need to wear her veil when other visitors enter the room.

You are caring for a 38 year old Hispanic client. In order to demonstrate understanding of step two of cultural competence, you should: A: Examine the client within the context of his/her cultural health & illness practices B: Learn to speak the client's language C: Examine the client quickly D: Allow the client to prepare and bring in their own meals

A: Examine the client within the context of his/her cultural health & illness practices

Which of the following are factors that can interfere with auscultation? (Select all that apply) A: Extra room noise B: Client shivering C: The room being too quiet D: Listening on the body, not over clothes E: Nurse bumping the tubing

A: Extra room noise B: Client shivering E: Nurse bumping the tubing

You are caring for a client who is in liver failure. She has been crying and wants you to call the chaplain. You understand that a chaplain can be consulted (referral): Select all that apply A: If a client received a new diagnosis of a terminal illness B: If a client has issues about current faith or beliefs C: If a client is extremely worried, angry or upset D: If a client/significant other requests to see a chaplain

A: If a client received a new diagnosis of a terminal illness B: If a client has issues about current faith or beliefs C: If a client is extremely worried, angry or upset D: If a client/significant other requests

The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm: A: Is used to listen for high-pitched sounds. B: Is used to listen for low-pitched sounds. C: Is used to listen for vascular sounds such as bruits or hums D: Is used if placed lightly on the skin

A: Is used to listen for high-pitched sounds.

Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a client? A: Palpation B: Inspection C: Percussion D: Auscultation

A: Palpation

Which of the following is the best way to document a client's appearance? A: Tense posture; clothing is clean; wearing light cotton tee shirt, shorts, and no shoes or coat (outdoor temperature in the low 40s). B: Expresses feelings accurately. C: Tearful response to diagnosis of potentially disabling disease. D: Speech clear at moderate rate; laughter during discussion of recent suicides in immediate family.

A: Tense posture; clothing is clean; wearing light cotton tee shirt, shorts, and no shoes or coat (outdoor temperature in the low 40s).

True or False: Pain is whatever the person experiencing it, says it is. A: True B: False

A: True

True or false? (a or b) The expression of pain varies among cultures

A: True

A client comes into the clinic with complaints of nausea. She also states that she has lost her appetite for food. What other information can you elicit to perform a nutritional assessment? (Select all that apply) A: What are your normal eating habits? B: Any vomiting, constipation or diarrhea? C: Notice any changes in taste, smell, chewing or swallowing? D: Any recent trauma or infection?

A: What are your normal eating habits? B: Any vomiting, constipation or diarrhea? C: Notice any changes in taste, smell, chewing or swallowing? D: Any recent trauma or infection?

A nurse is preparing to assess a client. She understands the key to successful inspection requires all of the following except: A) Good lighting B) A stethoscope C) Using one's eyes, ears, nose D) comparing body sides for symmetry

B) A stethoscope

A 52-year-old woman has a papule on her nose that has rounded, pearly borders and a central red ulcer. She said she first noticed it several months ago and that it has slowly grown larger. The nurse suspects which condition? A) Acne B) Basal cell carcinoma C) Malignant melanoma D) Squamous cell carcinoma

B) Basal cell carcinoma

An elderly woman is brought to the emergency department after being found lying on the kitchen floor for 2 days, and she is extremely dehydrated. What would the nurse expect to see upon examination? A) Smooth mucous membranes and lips B) Dry mucous membranes and cracked lips C) Pale mucous membranes D) White patches on the mucous membranes

B) Dry mucous membranes and cracked lips

As a mandatory reporter of elder abuse, which must be present before a nurse should notify the authorities? A) Statements from witnesses B) Suspicion of elder abuse and/or neglect C) Proof of abuse and/or neglect D) Statements from the victim

B) Suspicion of elder abuse and/or neglect

An 85-year-old client comments during his annual physical that he seems to be getting shorter as he ages. The nurse should explain that decreased height occurs with aging because: A) long bones tend to shorten with age. B) of the shortening of the vertebral column. C) there is a significant loss of subcutaneous fat. D) there is a thickening of the intervertebral disks.

B) of the shortening of the vertebral column.

True or false: Open ended questions are used for specific information, short one or two word answers, just the facts, neutral interaction, and have minimal rapport building A. True B. False

B. False

An emergency database is: A. Concerns mainly one problem or body system B. Is an urgent, rapid collection of crucial information and often is compiled currently with lifesaving measures C. Used to follow up on a past problem D. Includes a complete health history and a full physical examination

B. Is an urgent, rapid collection of crucial information and often is compiled currently with lifesaving measures

Which of the following does not define a health assessment? A. Data collection using all of your senses B. Last step of the nursing process C. Requires careful observation including watching, listening, feeling, touching and smelling D. Collecting data related to a person's health

B. Last step of the nursing process

The nurse is teaching her client about skin self-examination. The client asks how often she should perform this assessment on herself. The nurse answers: A. You should perform weekly skin checks B. You should perform monthly skin checks C. You should perform skin checks once a year D. You should perform skin checks only if you notice a new lesion

B. You should perform monthly skin checks

The nurse is counting an adult client's respirations. Which of the following rates would be considered within normal range? A: 24 respirations/minute B: 16 respirations/minute C: 8 respirations/minute D: 32 respirations/minute

B: 16 respirations/minute

The nurse is assessing a client's pulse. Which of the following scores would be considered a normal finding? A: 1+ B: 2+ C: 3+ D: 0

B: 2+

Mrs. Casey is a 39 year old client with a herniated disk and neuropathic pain. Which is a primary characteristic of neuropathic pain? A: An abnormal degree of pain interpretation. B: An abnormal processing of the pain sensation. C: An abnormal transmission of pain signals. D: An abnormal modulation of pain signals.

B: An abnormal processing of the pain sensation.

Which of the following basic functions should the nurse test first in an assessment of mental status? A: Behavior B: Consciousness C: Judgment D: Language

B: Consciousness

If the origin of a client's pain was the muscles and joints, which pain source would you expect? A: Visceral pain B: Deep somatic pain C: Cutaneous pain D: Referred pain

B: Deep Somatic Pain

An analgesic medication has been prescribed for a client with headaches. The client tells the clinic nurse that he would like to take an herbal substance to help treat his headaches. The nurse should take which action? A: Tell the client that if he takes the herbal substance, he will need to drink plenty of fluids to hydrate B: Encourage the client to discuss the use of an herbal substance with the health care provider (HCP) C: Tell the client that herbal substances are not safe and should never be used D: Advise the client to read labels of herbal therapies closely

B: Encourage the client to discuss the use of an herbal substance with the health care provider (HCP)

When performing a physical assessment, the technique the nurse will always use first is: A: Palpation B: Inspection C: Percussion D: Auscultation

B: Inspection

What must the nurse assess first when providing culturally competent health care to an Asian American client? A: The tradition of the Asian American culture and the health care practices related to health and wellness B: The nurse's heritage-based cultural values, beliefs, attitudes, and practices C: Any differences between the nurse's culture and the Asian American culture D: The attitudes of Asian American cultures to the health care system in the U.S.

B: The nurse's heritage-based cultural values, beliefs, attitudes, and practices

The nurse notices a colleague is preparing to check the blood pressure of a client who is obese by using a standard-sized blood pressure cuff. The nurse should expect the reading to: A: Yield a falsely low blood pressure. B: Yield a falsely high blood pressure. C: Be the same, regardless of cuff size. D: Vary as a result of the technique of the person performing the assessment.

B: Yield a falsely high blood pressure.

If a client has a drinking problem, which statement by the nurse is most appropriate? A) "If you continue to drink, you might develop serious health problems. It is up to you to find help and the way to quit." B) "I want you to record how much you drink over the next 2 to 3 months. This will help you to determine if you have a drinking problem." C) "I believe that you have an alcohol problem and strongly recommend that you quit drinking. I am willing to help." D) "Your alcohol consumption is not that bad. You only need to cut down on the amount by drinking only on the weekend."

C) "I believe that you have an alcohol problem and strongly recommend that you quit drinking. I am willing to help."

A nurse is explaining to a colleague how to avoid interview traps when assessing a client. Which of the following statements by the colleague indicates the need for further education?" A) "I should keep the introduction short/formal." B) "I should ask follow-up questions." C) "I should interrupt the client if he/she talks too much." D) "I should use a trained interpreter when necessary."

C) "I should interrupt the client if he/she talks too much."

During a clinical rotation at the hospital you and another student are discussing a client you cared for that day on the elevator. As a student, your role should involve which of the following? Select all that apply: A) Sharing your computer password with another student B) Sharing client information with family and friends C) Asking questions if unsure D) Limiting patient specific information that is discussed in public areas of the hospital

C) Asking questions if unsure D) Limiting patient specific information that is discussed in public areas of the hospital

The nurse is assessing a client's fingernails and notes clubbing. Clubbing is best described by which of the following: A) Curved nails with a convex profile and ridges across the nails. B) Nail bases that are firm and slightly tender. C) Nail bases that feel spongy with an angle of the nail base of 180 degrees or greater. D) Nail bases that feel spongy with an angle of the nail base of 150 degrees.

C) Nail bases that feel spongy with an angle of the nail base of 180 degrees or greater.

A client is being assessed for range of joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called: A) flexion B) abduction C) adduction D) extension

C) adduction

The nurse suspects that a client has carpal tunnel syndrome and wants to perform the Phalen's test. To perform this test, the nurse should instruct the client to: A) dorsiflex the foot B) plantarflex the foot C) hold both hands back to back while flexing the wrists for 60 seconds D) hyperextend the wrists with the palmar surface of both hands touching and wait for 60 seconds

C) hold both hands back to back while flexing the wrists for 60 seconds

When assessing an African American patient, the nurse knows that the best way to assess for cyanosis is to: A. Assess the sclera, hard palate, mucous membranes, and skin B. Assess sclera, junction of the hard & soft palates, & palms. C. Assess conjunctivae, oral mucosa, & nail beds D. Assess nail beds, lips, & face

C. Assess conjunctivae, oral mucosa, & nail beds

A client database consists of all of the following except: A. Subjective data B. Objective data C. Client Safety D. Laboratory & other diagnostic test results

C. Client Safety

All of the following are interviewing traps or non-therapeutic communication except: A. Using avoidance language B. Leading/biased questions C. Empathy D. False reassurance

C. Empathy

Which is the best nursing intervention regarding complementary and alternative medicine? A: Advising the client about "good" versus "bad" therapies B: Discouraging the client from using any alternative therapies C: Educating the client about therapies that he or she is using or is interested in using D: Identifying herbal remedies that the client should request from the health care provider (HCP)

C: Educating the client about therapies that he or is using or is interested in using.

You are assessing the orientation of an 85-year-old man. Which of the following indicates that he is oriented to person, place, time, and situation? The client: A: States he is in the hospital, knows the day of the week, does not remember your name. B: Knows the name of the city he is in, does not know the correct time of day, knows his own name. C: He knows his own name, states he is in a hospital (knows what hospital), knows the date, and states he had a heart attack. D: Names the hospital and city it is in, does not know the month or day of the week, knows his own name and your name.

C: He knows his own name, states he is in a hospital (knows what hospital), knows the date, and states he had a heart attack.

You have been approached by a client's spouse who is concerned about his "excessive drinking." You know that all of the following are appropriate interventions except: A: Advise & assist as needed. B: Recommend that they cut down. C: Inform the spouse that the client will be "okay." D: Referral to a counselor.

C: Inform the spouse that the client will be "okay."

The nurse is performing an assessment on the client. Which of the following would help the nurse to be successful in the assessment? A: Exposing the entire body at the beginning of the assessment B: Hurrying through the assessment C: Informing the client of your intentions before touching them D: Having the room cold for client comfort

C: Informing the client of your intentions before touching them

Which of the following is NOT an effect of poorly controlled chronic pain? A: Depression B: Family Distress C: Pain relieved by movement D: Reduced quality of life

C: Pain relieved by movement

The nurse is using percussion as an assessment technique on the client. Which of the following best describes how percussion is performed? A:Close careful scrutiny of the client that involves concentrated watching B:Using the stethoscope to listen to sounds produced by the client's body C: Tapping the clients' skin with short, sharp strokes to assess underlying structures D:Lightly pressing on the client's skin to detect surface characteristics

C: Tapping the clients' skin with short, sharp strokes to assess underlying structures

The registered nurse (RN) is caring for an Asian client who refuses to make eye contact during conversations. How should the RN assess this client's response? A: The client cannot understand the nurse B: The client is uncomfortable with the nurse C: The client is treating the nurse with respect D: The client is purposefully disrespecting the nurse

C: The client is treating the nurse with respect

The nurse understands that all of the following are components of a mental status assessment except? A: Known illness or health problem B: Current medications known to affect mood or cognition C: Cultural background D: Personal history; current stress, social habits, sleep habits, and drug and alcohol use

C: cultural background

The nurse is preparing to perform ROM on a client who is paralyzed from the waist down. Which type of ROM would be most appropriate to perform on this patient's upper extremities (UE) and lower extremities (LE)? A. Active ROM LE, Passive ROM UE B. Passive ROM for all extremities C. Active ROM for all extremities D. Passive ROM LE, Active ROM UE

D. Passive ROM LE, Active ROM UE

During the admission assessment, the nurse asks the client several questions. The client states, "I am in good health." The nurse correctly documents this as: A) The client's biographical statement B) The client's current health history C) The client's review of systems D) The client's health perception

D) The client's health perception

When assessing muscle strength, the nurse observes that a client has complete range of motion against gravity with full resistance. What Grade should the nurse record using a "0 to 5" point scale? A) 2 B) 3 C) 4 D) 5

D) 5

The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor? A) Increased vascularity of the skin in the elderly B) Increased numbers of sweat and sebaceous glands in the elderly C) An increase in elastin and a decrease in subcutaneous fat in the elderly D) An increased loss of elastin and a decrease in subcutaneous fat in the elderly

D) An increased loss of elastin and a decrease in subcutaneous fat in the elderly

The nurse is aware that intimate partner violence (IPV) screening should occur with which situation? A) When a history of abuse in the family is known B) When IPV is suspected C) When a woman has an unexplained injury D) As a routine part of each health care encounter

D) As a routine part of each health care encounter

The FIRST assessment technique that the professional nurse should use when assessing a client is: A) Auscultation B) Palpation C) Percussion D) Inspection

D) Inspection

As a mandatory reporter of elder abuse, which of these must be present before a nurse notifies the authorities? A) Statements from the victim B) Statements from witnesses C) Proof of abuse and/or neglect D) Suspicion of elder abuse and/or neglect

D) Suspicion of elder abuse and/or neglect

A nurse is performing an assessment on a client admitted with slurred speech. She suspects this client may be experiencing symptoms of aphasia which is: A) the impaired ability to recognize or identify objects despite intact sensory function. B) the impaired ability to carry out motor activities despite intact motor function. C) a disturbance in executive functioning (planning, organizing, sequencing, abstracting). D) a language disturbance in speaking, writing, or understanding.

D) a language disturbance in speaking, writing, or understanding.

Although a full mental status examination may not be required for every client, the health care provider must address the four main components of a mental status exam during a health history and physical examination which are: A) mood, affect, consciousness, and orientation. B) language, orientation, attention, and abstract reasoning. C) memory, attention, thought content, and perceptions. D) appearance, behavior, cognition, and thought processes.

D) appearance, behavior, cognition, and thought processes

You are assigned to obtain a nutrition assessment on a client. You understand that the easiest method for obtaining information about dietary intake is by using: A) a food diary B) direct observation C) the food frequency questionnaire D) the 24-hour recall

D) the 24-hour recall

Promoting Client Safety is: A. A key responsibility of the nurse B. Eventually becomes a reflex C. Not a concern of the nurse D. Both A & B are correct

D. Both A & B are correct

When recording data during an interview, the nurse should: A. Document everything post interview B. Record their judgment about what the client said C. Use the computer screen as a barrier between them and the client D. Document as soon as possible

D. Document as soon as possible

The purpose of health history is to collect subjective data, which is: A. Verifiable by another person B. What you observe through measurement, inspection, palpation, percussion, and auscultation C. The reason for seeking care D. What the person says about himself or herself

D. What the person says about himself or herself

A client is admitted with a drinking problem. Which statement by the nurse would be most appropriate? A: "Your alcohol consumption is not that bad. You only need to cut down on the amount by drinking only on the weekend." B: "I want you to record how much you drink over the next 2 to 3 months. This will help you to determine if you have a drinking problem." C: "If you continue to drink, you might develop serious health problems. It is up to you to find help and the way to quit." D: "I believe that you have an alcohol problem and strongly recommend that you quit drinking. I am willing to help."

D: "I believe that you have an alcohol problem and strongly recommend that you quit drinking. I am willing to help."

When assessing the quality of a client's pain, the nurse should ask which question? A: "When did the pain start?" B: "How bad is it?" C: "Where does it radiate?" D: "What does your pain feel like?"

D: "What does your pain feel like?"

Which of the following clients is at the highest risk for nutritional deficits? A: A 5-month-old infant who is only being breastfed B: A 2-year-old toddler who is in the 50th percentile C: An 13-year-old female who is 5'3" and weighs 110 lbs and thinks she's "fat" D: A 65-year-old female who is on a fixed income and is taking five medications

D: A 65-year-old female who is on a fixed income and is taking five medications

While completing a pain assessment, the client tells you that her shoulder pain started 2 days ago after moving heavy boxes. Which type of pain is she describing? A: Chronic pain B: Referred pain C: Nociceptive pain D: Acute pain

D: Acute pain

The nurse is assessing a 43 year old client who is 5'4" and weighs 274 pounds. His blood pressure is 180/74 (hypertension) and he is complaining of back pain. What other risk factor should this client be concerned with considering his history? A: Type II Diabetes Mellitus B: Coronary Artery Disease C: Colon Cancer D: All the above

D: All of the above

While mentoring a colleague in the clinical setting he asks what questions would be appropriate to help in evaluating a client's spiritual health. A correct response would be, ask the client: A: Are you in need of religious/spiritual or emotional support? B: Tell me what life means to you. C: Is this illness causing any major life changes for you or a loved one? D: All the above

D: All the above

The nurse is assessing a client's pain. The nurse knows that the most reliable indicator of pain would be the: A: client's vital signs. B: physical examination. C: results of a computerized axial tomography scan. D: client's subjective report

D: Client's subjective report

What is an integral factor in responding adequately to the health care needs of a 41-year-old African American woman? A: Racial awareness. B: Political correctness. C: Ethnocentrism. D: Cultural competence.

D: Cultural competence

Which of these is a necessary tool for building cultural competence? A: Cultural Competency Assessment Tool B: Health Risk Assessment Tool C: Ethnic Identity Tool D: Heritage Assessment Tool

D: Heritage Assessment Tool

The nurse is about to take a client's oral temperature. When would the nurse need to choose an alternate route such as axillary, tympanic or rectal? A:If the client was getting ready to eat breakfast B: If the client was being taken for a procedure C: If the client had been laying in bed for 15 minutes D: If the client had just taken a drink of a cold beverage

D: If the client had just taken a drink of a cold beverage

You are performing an admission assessment on a 23 year old college student. You are reviewing developmental tasks appropriate for her age according to Erikson. A correct assessment is that the client should be: A: Reviewing & redirecting career goals B: Attaining desired career performance C: Arranging safe & satisfactory living quarters D: Making friends & establishing a social group

D: Making friends & establishing a social group

The nurse notices the client is grimacing, guarding her abdomen, and crying. She documents this as which type of pain behavior? A: Verbal pain behaviors B: Cutaneous pain C:Visceral pain D: Nonverbal pain behaviors

D: Nonverbal pain behaviors

The nurse is caring for a client in the ED who has been a client many times before in the ED. In fact, this is the client's second overdose in one month. The nurse says, "Here we go again. I don't know why we bother with this guy, because he will be back out there as soon as he is discharged". The nurse: A: is not being professional and cannot give unbiased care. B: is obligated to provide care. C: is not obligated to provide care. D: must find a way to come to terms with the way he or she feels about these types of issues and work on ways to deal with them.

D: must find a way to come to terms with the way he or she feels about these types of issues and work on ways to deal with them.

The nurse is assessing a client who admits to being physically abused by her spouse. The client says, "I wish I would have agreed with my husband, because then I wouldn't have been hit." What is the nurse's best response? a. "Changing your reaction to your spouse will likely change his actions against you." b."Try not to blame yourself. You will know better for next time." c. "Your husband has to want to change. Let's focus on you for now." d. "It is not your fault that your husband lost control. Changing your actions will not prevent him from abusing you again."

d. "It is not your fault that your husband lost control. Changing your actions will not prevent him from abusing you again."