Health illness wellness & Family
The nurse takes a health history from the parents under the suspicion that their infant may have a genetic disorder. Which statement(s) by the mother is associated with risk factors of genetic disorders? Select all that apply. "Our obstetrician told us that I was not making enough amniotic fluid during this pregnancy." "This infant is our first child." "My sister's baby was born with trisomy 18." "The father is 55 years old." "My alpha-fetoprotein came back negative when I was 18 weeks pregnant."
"Our obstetrician told us that I was not making enough amniotic fluid during this pregnancy." "The father is 55 years old." "My sister's baby was born with trisomy 18."
The nurse is conducting a family assessment. Which statement should the nurse make that demonstrates commendation to the family? "You really have come a long way since the tornado!" "Spending money on a date night is not wise when the bills aren't paid." "So, it seems that your wife looks for reasons to criticize you." "You both need to be on the same page when punishing your so
"You really have come a long way since the tornado!"
The parent states to the nurse that their 14-year-old adolescent is moody, shuts themselves in the bedroom, and fights with a younger sibling. Which comment is most helpful to support the parent? A. "Calmly talk to your adolescent about your concerns." B. "Set some rules for family etiquette." C. "This is normal for the age." D. "Take away all of the adolescent's privileges until they start acting better."
A. "Calmly talk to your adolescent about your concerns."
A family member is the primary caregiver to a client with dementia who states, "This is so overwhelming. I want to do the right thing but I have no life." Which statement by the nurse would be most appropriate? A. "Spending some time relaxing and doing what you like to do will help you manage the demands of caregiving." B. "Most caregivers seek help when they really need it so this is something to consider." C. "Be glad that you still have your family member around and you are able to care of them." D. "Does your family not know what situation you are in? Tell them you need help with caregiving?"
A. "Spending some time relaxing and doing what you like to do will help you manage the demands of caregiving."
A middle-aged female client has been offered testing for HIV/AIDS upon admission to the hospital for an unrelated health problem. The nurse observes that the client is visibly surprised and embarrassed by this offer. How should the nurse best respond? A. "This testing is offered to every adolescent and adult regardless of their lifestyle, appearance or history." B. "You're being offered this testing because you are actually in the prime demographic for HIV infection." C. "The rationale for this testing is so that you can begin treatment as soon as testing comes back, if it's positive." D. "Most women with HIV don't know they have the disease. If you have it, it's important we catch it early."
A. "This testing is offered to every adolescent and adult regardless of their lifestyle, appearance or history."
A nurse works in a psychiatric clinic. During a counseling session, the nurse finds that the client who has posttraumatic stress disorder (PTSD) is unable to identify the intensity of the client's emotions. The client states that extreme emotions appear out of nowhere and with no warning. What suggestion should the nurse provide to help the client get in touch with the client's emotions? A. "Use a journal or a log to write down your feelings." B. "Practice relaxation techniques to reduce intensity or diminish the feelings." C. "Practice deep-breathing exercises to distract yourself from the feelings." D. "Use grounding techniques to diminish the feelings."
A. "Use a journal or a log to write down your feelings."
A client has sought treatment because of the overwhelming anxiety the client experiences regarding the safety of the client's young children. The client admits that the client will not normally let the client's children leave the client's sight for fear that they will be abducted, abused, or injured. The client is unable to function at work as a result of this anxiety. The nurse would recognize that this client experiences which condition? A. Anticipatory anxiety B. Signal anxiety C. Fear D. Derealization
A. Anticipatory anxiety
A nurse suspects that a 9-year-old girl who is in the office today regarding a sprained wrist has been physically abused. The nurse would like to screen the girl for signs of abuse. The girl's father is in the examination room. What should the nurse do in this situation? A. Ask the father to leave the room so that the nurse can talk with the child in private B. Ask that the mother also be present for the screening C. Proceed with the screening with the father present D. Postpone the screening until a more opportune time
A. Ask the father to leave the room so that the nurse can talk with the child in private
The nurse is reading the chart of a new client at the genetics clinic. The chart notes that the client, her brother, and her mother all have inherited a particular condition. The nurse plans care for a condition with which type of inheritance pattern? A. Autosomal dominant B. Autosomal recessive C. X-linked D. Multifactorial
A. Autosomal dominant
A patient plans to take the herbal preparation guarana to assist with weight loss. The nurse will assess the patient for contraindications to guarana, which include A. Cardiac arrhythmias B. Osteoporosis C. Asthma D. Migraine headache
A. Cardiac arrhythmias
The psychiatric mental health nurse is planning the care of a client. What action best addresses the client's needs in the social domain? A. Collaborating with the client's family to organize support B. Administering a scheduled dose of an atypical antipsychotic C. Dialoguing with a client about the client's feelings around a traumatic event D. Teaching the client skills for identifying behavioral triggers
A. Collaborating with the client's family to organize support
Which are stressors that affect the health of the family? A. Inadequate childcare services B. Family members who live in the same geographic location C. Many job opportunities with adequate income D. Public transportation present throughout the community
A. Inadequate childcare services
Which information is true of home care as a whole? A. It is increasing because new technology makes so many procedures available in the home. B. The amount of care remains even because only a limited number of nurses are available to give care. C. It is decreasing because many new care measures are too technical for use in the home. D. It is decreasing because the overall incidence of children's illnesses is decreasing in number.
A. It is increasing because new technology makes so many procedures available in the home.
The nurse learns that a client has a family member with a mental health disorder. Why is this information helpful when planning this client's care? A. It may be genetic and influence the client's mental health B. It is used to complete a genogram C. It influences the way the client processes experiences D. It determines the best approaches to plan the client's care
A. It may be genetic and influence the client's mental health
Which stage of psychosocial development involves establishing the next generation? A. Middle adult B. Adolescence C. Young adult D. Maturity
A. Middle adult
A nursing instructor is developing an education plan for a class about families. Which would the instructor be most likely to include in the lesson? A. New members are added by birth, marriage, or adoption. B. In the United States, family size has been on the increase. C. Families are primarily determined by blood. D. Families are less mobile today than in the past.
A. New members are added by birth, marriage, or adoption.
A public health nurse is preparing to visit the home of teenage parents with a new infant. Which action would be the priority? A. Review previous home visits to validate interventions. B. Determine the family's willingness for home visits. C. Prepare a schedule of follow-up visits. D. Review the family record to assess if the visit is necessary.
A. Review previous home visits to validate interventions.
Parents raising two school-aged children incorporate their religious beliefs into the family's daily life. The family's beliefs regarding religion include dietary considerations, worship practices, attitudes, and values. This is an example of which function of the family? A. Socialization B. Affective and coping C. Reproductive D. Physical
A. Socialization
The nurse is assessing a 6-year-old child who witnessed the murder of the child's parents. The nurse suspects that the child has developed posttraumatic stress disorder (PTSD). Which specific behavioral manifestation leads the nurse to interpret this? A. The child is easily startled and hyper-vigilant. B. The child constantly weeps. C. The child avoids eating. D. The child enjoys watching violent scenes on television.
A. The child is easily startled and hyper-vigilant.
A family brings the client to the emergency department in an unconscious state with a head injury. The client requires surgery to remove a blood clot. What would be the appropriate nursing intervention in keeping with the policy of informed consent prior to a surgical procedure? A. The nurse confirms that the client's family has signed the consent form. B. The nurse informs the family about the living will. C. The nurse confirms that the client has signed the consent form. D. The nurse informs the family about advance directives.
A. The nurse confirms that the client's family has signed the consent form.
The nurse is assessing the ear canal and tympanic membrane of a client using an otoscope. Which finding would the nurse document as normal? A. The tympanic membrane is translucent, shiny, and gray. B. The tympanic membrane is reddish. C. The ear canal is smooth and white. D. The ear canal is rough and pinkish.
A. The tympanic membrane is translucent, shiny, and gray.
A client has cared for a spouse with Alzheimer disease for 2 years. The client comes to a local health center because reporting feeling "worn out and stressed." What might be an appropriate nursing concern to address for this client? A. caregiver burden risk B. health-seeking behaviors C. anxiety risk D. altered family function
A. caregiver burden risk
Rumination disorder is a poorly understood condition of young children. This refers to: A. rechewing undigested food. B. fear of moving objects. C. excessive worrying about friendships. D. a habit of eating nonfood substances.
A. rechewing undigested food.
A couple is arguing and bickering all the time. This couple has not told the children yet that they are planning to get a divorce. When the couple discusses this with the school nurse, the nurse shares that at this early phase, children likely experience what type of feelings? A. take blame for their parents quarreling and try to behave better B. make up false stories, pretending they are "one big happy family" C. tell their friends that their parents are always "mad" at them D. act out their feelings by crying and screaming at their parents to "Stop!"
A. take blame for their parents quarreling and try to behave better
What are common sources of stress in family members due to a hospitalization of a family member? Select all that apply. Alterations in lifestyle Economic problems Decrease in social interactions Alterations in roles Increase in exercise
Alterations in roles Economic problems Alterations in lifestyle Decrease in social interactions
The nurse is preparing a family to visit their child, who has been admitted to the pediatric intensive care unit (PICU) following a motor vehicle accident. What actions by the nurse would reduce the family's anxiety? Select all that apply. Ask the parents to not bring in personal items such as stuffed animals or toys. Tell the family that the child will be fine soon. Prepare the family for what the child will look like when they first visit. Provide written information about visiting hours. Ask the parents what the doctor has told them to ensure their understanding.
Ask the parents what the doctor has told them to ensure their understanding. Provide written information about visiting hours. Prepare the family for what the child will look like when they first visit.
The nurse is caring for a parent of a 10-month-old infant. The parent is upset and states, "I have so many questions, but the doctor seems too busy to answer my questions." What is the best action by the nurse?
Assist the parent in preparing a list of questions for the health care provider's next visit.
A nurse suspects that an adolescent has oppositional defiant disorder (ODD). In which situation will the client most likely display behavior consistent with ODD? A. At school while confronting teachers B. At home while confronting parents C. At play while confronting peers D. At school while confronting students of the opposite sex
At home while confronting parents
A client has a diagnosis of type-1 neurofibromatosis. As part of the intake assessment protocol for the facility, the clinical educator is teaching the care staff about the diagnosis. Which statement most accurately conveys an aspect of neurofibromatosis? A. "She is living with an example of an autosomal recessive disorder." B. "Her diagnosis puts her at higher risk of developing a malignant neoplasm." C. "The client is likely to be photosensitive as a result of the disease." D. "The neurofibroma lesions are unsightly for the client, but they are not painful."
B. "Her diagnosis puts her at higher risk of developing a malignant neoplasm."
A nurse is assessing a family that consists of two parents and a 13-year-old, 14-year-old, and 16-year-old children. The middle child is from one parent's previous marriage. Which statement by the parents leads the nurse to suspect a potential risk factor for altered health with this family? A. "We have encouraged our children to talk to us about sex and sexually transmitted infections." B. "Our 16-year-old child just seems to butt heads with us at every turn." C. "All of us have faced problems along the way but we have worked them out." D. "We have taught our children to be assertive when appropriate."
B. "Our 16-year-old child just seems to butt heads with us at every turn."
The nurse has conducted a community health fair about eating disorders. After the teaching, a community resident approaches the nurse and states that they are concerned about a family member having a possible eating disorder. Which advisement made by the nurse to the resident would be appropriate? A. "Talk to your family member about calories consumed and offer to seek professional help for them." B. "Tell your family member that you are concerned and would like to help." C. "Try making the family member meals and limit their exercise ability." D. "Start the conversation with making comments about their appearance and see what they say."
B. "Tell your family member that you are concerned and would like to help."
What is the nurse's best response when asked how calories contribute to weight gain? A. "The elimination of exercise in a person's daily routine can cause weight gain." B. "The consumption of more calories than can be used by the body causes weight gain." C. "Most calories are converted to triglycerides and stored in fat cells, causing obesity." D. "Both drug and alcohol consumption can cause weight gain and obesity."
B. "The consumption of more calories than can be used by the body causes weight gain."
After teaching a group of parents on childhood discipline, the nurse understands that which statement, made by a parent, demonstrates an understanding of spanking as a form of discipline? A. "Use spanking as a last resort when time-out has failed." B. "Use methods other than spanking to respond to inappropriate behavior." C. "When responding to inappropriate behavior it is OK to lightly spank." D. "Use a combination of spanking along with other methods of discipline."
B. "Use methods other than spanking to respond to inappropriate behavior."
An important part of the nurse's role as a family consultant is to do what? A. Identify enabling behaviors in family members. B. Acknowledge and show respect for what the family has experienced. C. Subtly work through codependency issues. D. Address the issue of communication deviance.
B. Acknowledge and show respect for what the family has experienced.
A nurse is completing a family assessment on a routine home health visit. The parents have a child with a severe peanut allergy. The mother states that she does not purchase any foods with peanut or peanut oil for her family. The other children are allowed to have foods containing peanuts while they are at school and visiting with friends and family. The nurse would conclude that which of the following theories would most like be the basis for this family's functioning? A. General Systems Theory B. Adaptation Theory C. Developmental Theory D. Maslow's Theory
B. Adaptation Theory
The client has a somatic symptom illness. During individual therapy, the client yells at the nurse, "You are all quacks! Can't you see I am sick?" Which determining factor will help the nurse work most effectively with this client? A. The nurse has done everything possible to treat the client. B. Client progress is expected to be very slow. C. Physical illness is the root cause of the client's problems. D. The client will never be free of somatic symptoms.
B. Client progress is expected to be very slow.
Discharge plans for a client with a mental health disorder include living with family members. The nurse learns that the family is no longer willing to allow the client to live with them. What is the nurse's most appropriate action? A. Instruct the client to make alternate living arrangements. B. Collaborate with other disciplines to revise the discharge plans. C. Communicate with the health care provider about additional orders. D. Inform the family that it is not possible to change the discharge plans.
B. Collaborate with other disciplines to revise the discharge plans.
During the course of assessing the family structure and behaviors of a pediatric client's family, the nurse has identified a number of highly significant risk factors. Which action should the nurse prioritize when addressing these risk factors? A. Introduce the family to another family that possesses fewer risk factors. B. Engage in appropriate health promotion activities. C. Validate the family's unique way of being. D. Enlist the help of community and social support.
B. Engage in appropriate health promotion activities.
An oncology nurse educator is providing health education to a client who has been diagnosed with skin cancer. When asked about the differences between normal cells and cancer cells what fact should be the basis of the nurse's response? A. The nuclei of cancer cells are unusually large, but regularly shaped. B. Malignant cells contain proteins called tumor-associated antigens. C. Malignant cells contain more fibronectin than normal body cells. D. Chromosomes contained in cancer cells are more durable and stable than those of normal cells.
B. Malignant cells contain proteins called tumor-associated antigens.
Sodium is the major extracellular cation in the body. What is one of its functions? A. Muscular stability B. Nerve impulse transmission C. Immune system functioning D. Cardiac stability
B. Nerve impulse transmission
A client states, "Both of my parents were overweight, but I've never really had any problems maintaining a healthy weight." How should the nurse best interpret the role of genetics in the client's observation? A. Obesity is a dominant trait but the client may not possess the locus where the genotype is normally found. B. Obesity is a polygenic trait and does not result from a single gene at one locus. C. The client may be a carrier for obesity and likely has a 50% chance of having an obese child. D. Obesity is a recessive rather than dominant trait.
B. Obesity is a polygenic trait and does not result from a single gene at one locus.
A client continuously repeats, "I know all will go well." What cognitive coping strategy should the nurse document? A. Imagery B. Optimistic self-recitation C. Music therapy D. Distraction
B. Optimistic self-recitation
A client with a somatic symptom illness asks what is causing the physical symptoms. Which would be the appropriate explanation for the nurse to offer? A. Physical symptoms are independent of the amount of the client's psychic distress. B. Physical symptoms are an involuntary way of dealing with psychic conflict. C. Physical symptoms are deliberately expressed in order to benefit in some way. D. Physical symptoms can be attributed to an organic cause.
B. Physical symptoms are an involuntary way of dealing with psychic conflict.
Which clinical characteristic is associated with type 1 diabetes (previously referred to as insulin-dependent diabetes mellitus)? A. Requirement for oral hypoglycemic agents B. Presence of islet cell antibodies C. Rare ketosis D. Obesity
B. Presence of islet cell antibodies
A nursing instructor is teaching a class about the basic functions of families. The instructor determines the class is successful when the students correctly choose which statement as a basic function of the family? A. Couples today are more concerned about unplanned pregnancies. B. Reproduction remains an important function of many families. C. It is primarily the younger members who teach the older members in a family. D. All adult members share the financial responsibilities.
B. Reproduction remains an important function of many families.
Which information is important for a woman to understand before undergoing a scheduled tubal ligation? A. She should schedule it to be done just before a menstrual flow. B. She must think of the procedure as irreversible. C. The procedure will reduce her menstrual flow in amount. D. She will have lessened dysmenorrhea following the procedure.
B. She must think of the procedure as irreversible.
A nurse is counseling the parents of an adolescent client with oppositional defiant disorder (ODD). The parents state, "We've tried everything, what else are we supposed to do?" What is the most likely reason for the parents' voiced loss of hope? A. The adolescent may have been abused in childhood. B. The adolescent may have limited sensitivity to reward and punishment. C. The parents may have been pampering the adolescent too much. D. The parents may have not taught appropriate behavior to the adolescent.
B. The adolescent may have limited sensitivity to reward and punishment.
A client admitted to the emergency department appears withdrawn and quiet. While doing a physical assessment the nurse finds multiple bruises on the client's lower and upper extremities. The nurse notices that the client does not speak to her fiancé, who has not left her side. The nurse expects what level of differentiation in this client? A. extremely high-level differentiation B. low-level differentiation C. moderate-level differentiation D. high-level differentiation
B. low-level differentiation
Which statement by the client indicates an understanding of somatic symptom disorder? A. "As soon as my symptoms go away, I'll be my old self again." B. "Taking medication won't help my pain since it's caused by stress." C. "How I handle stress and emotions can affect my physical health." D. "I have to avoid stress all my life to avoid getting sick again."
C. "How I handle stress and emotions can affect my physical health."
During assessment of the family, which question is appropriate for the nurse to ask to determine the gender roles in the family? A. "Are there alliances that produce triangles in the family?" B. "Do family members express both negative and positive emotion?" C. "What are the expected behaviors of the men in your family?" D. "Do family members provide mutual support to one another?"
C. "What are the expected behaviors of the men in your family?"
Five family function areas have been identified as being essential to the growth of individuals and families. One of these affective and coping. How is this manifested when coping with crisis and illness situations? A. Transmitting culture and acceptable behaviors B. Making clear distinctions between the generations C. Actions that tell family members they are cared about and loved D. The promotion of exercise in the lifestyle
C. Actions that tell family members they are cared about and loved
When educating parents about the safety of preschool-aged children, which is most important for the nurse to include in the presentation? A. Teach children to greet unfamiliar animals to make friends. B. Safety equipment should be used during sports activities to decrease fear. C. At home chemicals should be kept in a locked cabinet. D. Weapons should be kept in a closet to prevent access by children.
C. At home chemicals should be kept in a locked cabinet.
A nurse draws a genogram to help organize and illustrate a client's family history. Which shape is a standard format for representing a deceased female relative? A. Simple circle B. Simple square C. Circle with a cross D. Square with a cross
C. Circle with a cross
A client is responding poorly to interventions aimed at treating shock and appears to be transitioning to the irreversible stage of shock. What action should the intensive care nurse include during this phase of the client's care? A. Ask the client's family how they would prefer treatment to proceed. B. Taper down interventions slowly when the prognosis worsens. C. Communicate clearly and frequently with the client's family. D. Transfer the client to a subacute unit when recovery appears unlikely
C. Communicate clearly and frequently with the client's family.
A nurse is preparing a presentation for family members of clients who have been diagnosed with depression. When describing the family response to depression, which would the nurse include? A. Families of women older than 55 years of age with depression experience the majority of problems. B. Family members typically can understand how disabling depression can be. C. Depression in one family member affects the entire family. D. Abuse of the depressed person is a rare occurrence in families.
C. Depression in one family member affects the entire family.
A nurse recognizes that no two clients have the same susceptibility to disease and that this is partly due to: A. Mitochondria B. Codon C. Haplotype D. Synonym
C. Haplotype
A client has received a diagnosis of irritant contact dermatitis. What action should the nurse prioritize in the client's subsequent care? A. Teaching the client how to maintain meticulous skin hygiene B. Helping the client perform wound care in the home environment C. Helping the client identify and avoid the offending agent D. Teaching the client to safely and effectively administer immunosuppressants
C. Helping the client identify and avoid the offending agent
A client comes to the clinic asking what hematopoiesis means. How should the nurse explain this to the client? A. Hematopoiesis means differentiated stem cells are not stimulated to become specific blood cells. B. Hematopoiesis means undifferentiated stem cells are not stimulated to become nonspecific blood cells. C. Hematopoiesis means undifferentiated stem cells are stimulated to become specific blood cells. D. Hematopoiesis means undifferentiated stem cells are not stimulated to become specific blood cells.
C. Hematopoiesis means undifferentiated stem cells are stimulated to become specific blood cells.
The nurse is discussing a newly diagnosed cancer with a patient when the patient comments that the cancer was "God's will." The nurse documents that the client ascribes to which type of world view/perspective related to the cause of illness? A. Biomedical-scientific B. Holistic-naturalistic C. Magico-religious D. Spiritual chakra
C. Magico-religious
A school nurse work with a diverse population of students in a large school. Which students are known to particularly benefit from interaction with a school nurse? A. Middle school students B. Students with academic problems C. Students from low-income families D. Socially isolated students
C. Students from low-income families
In collecting data on a 7-year-old child with a possible diagnosis of school phobia, the nurse directs questions related to the following topics. Which would most likely be a cause of the child having school phobia? A. The child may be bored and feels more intellectually stimulated at home. B. The child may have a language barrier. C. The child may have a fear of being separated from the parent. D. The child may be a poor student and be afraid of failing grades.
C. The child may have a fear of being separated from the parent.
What would be the priority goal of family-centered care for a medically fragile child? A. The nurse will have opportunity to treat the family holistically. B. The family will be included in all decisions regarding care for the child. C. The child's developmental potential will be maximized. D. The child will be the center of the care, and the family will be educated.
C. The child's developmental potential will be maximized.
The nurse is caring for a first-time mother and newborn in the postpartum unit. The nurse overhears the new mother ask family members to prepare the nursery and purchase clothing for the baby. What would the culturally sensitive nurse suspect? A. The mother is from a lower socioeconomic level and is not able to buy what is needed for the baby. B. The new mother is young, and the pregnancy was unexpected and the baby is unwanted. C. The new mother may believe buying infant clothing before the delivery is bad luck. D. The new mother and requires education about how to prepare for the new baby.
C. The new mother may believe buying infant clothing before the delivery is bad luck.
A family assessment of two parents and four children has suggested the presence of several risk factors. Which aspect of the family's structure and function would be considered a psychosocial risk factor? A. One parent has a history of heavy alcohol use. B. The family lives in a small apartment in a poor neighborhood with high crime rates. C. The parents have a tumultuous relationship, with frequent separations in the past. D. The family's electricity has been cut off at various times due to nonpayment.
C. The parents have a tumultuous relationship, with frequent separations in the past.
A psychiatric-mental health nurse is assessing a family. The nurse is evaluating how open or closed the family is. Which area would be most appropriate for the nurse to examine? A. Family's ability to solve problems in the decision-making process B. Any physical problems that affect family functioning C. Type of information the family shares with nonfamily members D. Maladaptive responses within the family
C. Type of information the family shares with nonfamily members
A nurse on a hematology/oncology floor is caring for a client with aplastic anemia. Which would not be included in the client's discharge instructions? A. Avoid contact with family/friends who are sick. B. Encourage frequent handwashing. C. Use a disposable razor when shaving. D. Plan for frequent periods of rest.
C. Use a disposable razor when shaving.
A nurse is observing a postpartum client interacting with her newborn and notes that the mother is engaging with the newborn in the en face position. Which behavior would the nurse be observing? A. mother holding the newborn upright at the shoulder B. mother placing the newborn next to bare breast (kangaroo care) C. mother making eye-to-eye contact with the newborn D. mother gently stroking the newborn's face
C. mother making eye-to-eye contact with the newborn
The nurse is developing a preoperative plan of care for a 2-year-old toddler. The nurse will focus attention to which of the toddler's age-related fears? A. loss of control B. loss of independence C. separation anxiety D. lack of trust
C. separation anxiety
When performing a cultural assessment, an important point to remember would be A. that the cultural/ethnic background is evident in the client's appearance B. to use first names of those you are speaking to C. that definitions of family differ D. that alternative therapies are reasons for seeking care
C. that definitions of family differ
Which are factors that impact how a client defines health? Select all that apply. Culture Family Community Music Society
Culture Society Community Family
A client who recently gave birth to her third child expresses a desire to have her older two children come to the hospital for a visit. What should the nurse say in response to this request? A. "Your baby is so vulnerable to infections right now that it would be better to wait until you are at home to introduce her to her siblings." B. "That's a great idea! They can also take the baby out into the hall and walk with it for a while to give you a break." C. "I recommend that you introduce the new baby to her siblings once you are back at home. Right now you need to rest and recover." D. "As long as they are well, absolutely. Why don't we give you a dose of pain medication beforehand so that you will enjoy the visit?"
D. "As long as they are well, absolutely. Why don't we give you a dose of pain medication beforehand so that you will enjoy the visit?"
The nurse is teaching a client with acute lymphocytic leukemia (ALL) about therapy. What statement should be included in the plan of care? A. "Side effects are rare with therapy." B. "Treatment is simple and consists of single-drug therapy." C. "The goal of therapy is palliation." D. "Intrathecal chemotherapy is used primarily as preventive therapy."
D. "Intrathecal chemotherapy is used primarily as preventive therapy."
An 8-month-old has been diagnosed with infantile eczema. At a follow-up appointment, the child's caregiver seems exhausted and angry. He explains that he has done all of the child's care because his wife is repulsed by the child's raw and uncomfortable appearance. What responses would be appropriate for the nurse to say to this caregiver? A. "He will be better soon and your family can get back to normal." B. "That's not fair to you; she should get some counseling to learn how to cope with illness better." C. "I understand her feelings. It is hard to see a child in pain sometimes." D. "That's not an uncommon reaction, although it's hard on you and on your child."
D. "That's not an uncommon reaction, although it's hard on you and on your child."
A public health nurse is conducting an education session for new parents. Which statement by a participant about a child's sleep patterns most warrants further assessment? A. "My toddler tends to wake up scared once or twice a week." B. "My son's just 4 weeks old, and I'd estimate that he's asleep three-quarters of the time." C. "I discovered my 5-year-old sleepwalking a few days ago" D. "my daughter is 8 months old now, but she still only awake a few hours a day"
D. "my daughter is 8 months old now, but she still only awake a few hours a day"
Which client will not require extra screening for cancer? A. a 51-year-old woman whose grandmother died of breast cancer B. a 50-year-old male who is obese and has a low-fiber, high-fat diet. C. a 48-year-old man who takes immunosuppressant drugs following a kidney transplant D. a 38-year-old female with Down syndrome and congenital scoliosis
D. A 38 year-old female with Down syndrome and congenital scoliosis
The nurse is monitoring several clients for the development of an opportunistic infection. The nurse understands that which client is at greatest risk? A. A client being treated for the exacerbation of rheumatoid arthritis B. A client who has just given birth vaginally to a premature infant C. A client being treated for ischemic heart disease D. A client who received electrical burns to the lower body
D. A client who received electrical burns to the lower body
Friedman and associates (2003) identified the importance of family-centered nursing care, based on four rationales. Which is one of these rationales? A. The family is composed of dependent members who affect one another. B. The illness of one family member does not affect other family members. C. The level of health of the family is established early and is not influenced by health promotion. D. A strong relationship exists between the family and health status of members.
D. A strong relationship exists between the family and health status of members.
The nurse is educating the parents of an 18-month-old child being prepared to receive cochlear implants. Which statement by the parents requires further teaching? A. The cochlear implant must heal and will be activated 2 to 3 weeks after surgery. B. We have arranged for speech-language therapy after the implant is activated. C. Our child will have hearing tests to assess how the implant is working. D. After the implant surgery our child will have normal hearing.
D. After the implant surgery our child will have normal hearing.
A pregnant client is undergoing a fetal biophysical profile. Which parameter of the profile helps measure long-term adequacy of the placental function? A. Fetal heart rate B. Fetal reactivity C. Fetal breathing record D. Amniotic fluid volume
D. Amniotic fluid volume
Which of the following statements is true about biologic variation? A. Race is based on physical variations. B. Drug metabolism differences are not culture based. C. Cultural practices produce biologic variation. D. Both genetics and environment produce biologic variation.
D. Both genetics and environment produce biologic variation.
A client is diagnosed with diabetes mellitus. Which assessment finding best supports a nursing diagnosis of Ineffective coping related to diabetes mellitus? A. Recent weight gain of 20 lb (9.1 kg) B. Failure to monitor blood glucose levels C. Skipping insulin doses during illness D. Crying whenever diabetes is mentioned
D. Crying whenever diabetes is mentioned
A nurse is assessing a family's interactions with a local recreational soccer league their daughter participates in, their synagogue, their children's private school community, and their neighborhood. Which tool would be best for the nurse to use? A. Attachment diagram B. Triangle C. Genogram D. Ecomap
D. Ecomap
When assessing a client, which aspect of the family's beliefs should the nurse assess? A. Only the beliefs that impact the client's illness B. Spirituality and how it is practiced C. Gender and generational roles D. Health, illness & related behaviors
D. Health, illness & related behaviors
Which are stressors that affect the health of the family? A. Family members who live in the same geographic location b. Public transportation present throughout the community C. Many job opportunities with adequate income D. Inadequate childcare services
D. Inadequate childcare services
A client with posttraumatic stress disorder (PTSD) has been prescribed lorazepam 1 mg SL q6h PRN. What assessment finding indicates that treatment is having the desired effect? A. Decreased nightmares B. Improved mood C. Increased energy D. Reduced anxiety
D. Reduced anxiety
A 20-year-old son of a client who was diagnosed with schizophrenia at the age of 25 is concerned that he may also develop the disorder. Which statement regarding schizophrenia and genetics is true? A. Schizophrenia can only be passed from a mother to her children. B. Schizophrenia can only be passed from a father to his children. C. Schizophrenia has not been shown to be genetic. D. Schizophrenia has shown a strong genetic contribution.
D. Schizophrenia has shown a strong genetic contribution.
Which level of prevention focuses on minimizing deterioration and improving quality of life? A. Primary B. Secondary C. Outpatient D. Tertiary
D. Tertiary
Who should be involved in establishing specific and realistic outcomes so the client does not become frustrated in trying to achieve them? A. The physician B. Case management C. The certified nursing assistant (CNA) D. The client and family
D. The client and family
A nurse is caring for a client who is experiencing a decline in the client's chronic illness. The nurse feels that the nurse should speak to the client's spouse, who is extremely worried and anxious, and provide the spouse with support. Which setting should the nurse select to speak to the spouse? Choose the best answer. A. The cafeteria B. The hallway C. The client's room D. The consultation room
D. The consultation room
Which type of play would the nurse use to prepare a preschooler for upcoming surgery to reduce the stress of the event? A. onlooker play B. cooperative play C. associative play D. dramatic play
D. dramatic play
When a client is encouraged to concentrate on a pleasant experience or restful scene, the client is using the cognitive coping strategy called A. progressive muscular relaxation. B. distraction. C. optimistic self-recitation. D. imagery.
D. imagery.
The nurse is interacting with a family that has been caring for a client with cancer for several months. What are the best interventions to assist in relieving caregiver stress in this family. /select all Suggest support for household maintenance. Educate the family about medications and side effects. Suggest the prescription of antianxiety medications. Allow family members to express feelings. Suggest the family go to church more often.
Educate the family about medications and side effects. Allow family members to express feelings. Suggest suppport support for household maintencnce
The nurse is assessing a client who just graduated from college and is unemployed. What finding might the nurse assess that indicate an issue with development? Select all that apply. Euphoric behavior Heightened anxiety Poor eating habits Depression Difficulty sleeping
Heightened anxiety Poor eating habits Depression Difficulty sleeping
A nurse is studying U.S. Census Bureau trends, specifically the nature and size of households in the last 50 years. Which of the following is an example of such a change?
Household size has decreased.
A family new to a community asks for information about a woman's shelter and meals on wheels. Where should the nurse obtain this information for the family? Select all that apply. Census bureau Local directories Personal interviews Government agencies Chamber of Commerce
Local directories Personal interviews Chamber of Commerce
The nurse is interviewing a client who has been experiencing symptoms of depression over the past month. The client is clean and neatly dressed. During the interview, the client describes recent stresses, including the death of the client's mother, for whom the client was a primary caregiver. The nurse interprets this information as reflecting potential problems with which area? Select all that apply. Judgment Self-care considerations Self-concept Roles and relationships Cognition
Self-concept Roles and relationships Cognition
A mother of three brings her children in for their vaccinations, and tells the nurse that her mom recently died and her husband just lost his job due to his company downsizing. Which parenting behaviors is the nurse likely to observe? Select all that apply. The mother becomes very frustrated and tells the nurse she can't handle her toddler's temper tantrum. The mother utilizes the correct size of infant car seat for her 3-month-old child. The mother asks if the nurse has suggestions on ways to "potty train" her toddler. The mother rarely looks at her infant when the nurse is assessing the child. The mother voices pride in the academic accomplishments of her 7-year-old child.
The mother becomes very frustrated and tells the nurse she can't handle her toddler's temper tantrum. The mother rarely looks at her infant when the nurse is assessing the child.
Which are risk factors for type-2 diabetes that a nurse should recognize in a client? Select all that apply: impaired glucose tolerance obesity history of gestational diabetes Caucasian race younger age
history of gestational diabetes obesity impaired glucose tolerance
A nurse working in the neonatal intensive care unit assists a family during the discharge of the premature newborn. What would the nurse prioritize in assessing the family's preparedness to care for the newborn? Select all that apply. the family's knowledge of newborn care the family's health insurance benefit program the mother's and the family's concerns the availability of day care by the family's home the family's available support system
the family's knowledge of newborn care the mother's and the family's concerns the family's available support system
