Module Questions for Exam 3

Which statement would be the most effective way to approach a family from another culture regarding the nutritional needs of their children?

" I would like to teach you about the nutritional requirements of your children."

The nurse is developing the plan of care for a client addicted to alcohol. The nurse includes in the plan of care to educate the client on the purpose and characteristics of support groups. During a discussion with the client on the characteristics of a support group which client statement indicates a need for further education?

"A support group will cure me of my addiction."

The nurse is working with a client from a different culture who thinks his illness is due to his past sins. The nurse's best response to the client is:

"Can you tell me more about what you are thinking?"

The nurse assesses a child suspected of having autism. Which intervention by the nurse would be appropriate?

Use speech and pictures to communicate with the child.

A new nursing graduate's first job requires 12-hour night shifts. Which strategy will make it easier for the nurse to sleep during the day and remain awake at night?

Wear dark wrap-around sunglasses when driving home in the morning, and sleep in a darkened bedroom.

The nursing instructor is evaluating the student nurses knowledge with regards to assessment of self-concept with regards to body image. Which comment made by the student nurse would be inappropriate?

What size clothing do you wear?"

What are some of the philosophical concepts that are essential to health promotion? (Select all that apply.)

Wholeness Wellness

The nurse is interviewing a client addicted to narcotics. During the assessment interview which question asked by the nurse would be inappropriate?

Why do you think you need drugs?

Which statement by the client shows the nurse that restful sleep education has been effective?

"I bought some flannel sheets to help me stay warm at night."

Which are considered complimentary therapies for nicotine cessation? (Select all that apply.)

Acupuncture Yoga Massage Hypnotherapy

The client is ambulating for the first time postoperatively and tells the nurse, "I feel faint." Which is the best action by the nurse?

Assist the client to a nearby chair.

Which intervention will the nurse initiate with the parents of an infant with failure to thrive?

How to recognize and respond to the infant's cues of physical hunger.

The nurse is caring for a client with prader-willi syndrome (PWS). Which manifestation would the nurse expect to find when assessing this client?

Hypogonadism

The pediatric nurse caring for an infant is aware that an infant demonstrating the differentiation of their own voice from another's voice is demonstrating which component of self?

Self-awareness

The nurse teaches a family about reducing stimulation for their child with attention deficit hyperactivity disorder (ADHD). Which activity will the nurse teach the family to limit?

Watching television

The physician is discussing medication administration with the family of a child diagnosed with attention deficit hyperactivity disorder (ADHD). Which nonstimulant drug does the nurse expect the physician to order?

Atomoxetine

The nurse evaluates a child who demonstrates daydreaming, poor school performance, constant fidgeting, interrupting others, and mood swings. The child's speech development is age-appropriate. Which disorder would the nurse suspect?

Attention deficit hyperactivity disorder (ADHD)

The nurse is teaching a client and family, who all smoke, about health issues regarding smoking. Which statement indicates the need for further teaching?

"Concentrations of many cancer-causing and toxic chemicals are lower in secondhand smoke than in the smoke inhaled by smokers."

The nurse is planning care for a 4-year-old child with attention deficit hyperactivity disorder (ADHD). The nurse selects risk for injury as a nursing diagnosis based on which statement made by the client's parent?

"I found my child up at the top of a tree this week."

Which statements by the nurse will be important to include during a presentation on oral health at an intergenerational community center? (Select all that apply.)

"It is important for parents to supervise a child's brushing of his/her teeth." "Using a bottle during naps and at bedtime can cause dental caries in a toddler." "Elders are at risk for periodontal disease."

A pregnant client asks the nurse about risk factors for her baby developing attention deficit hyperactivity disorder (ADHD). The nurse responds: (Select all that apply.)

"Mother smokes while pregnant." "Mother drinks alcohol during pregnancy."

The nursing instructor is discussing self-concept with a nursing student. Which comment made by the nursing student indicates the need for further teaching?

"Self-concept only affects an individual mentally and spiritually."

A student nurse asks her preceptor what laboratory tests are used to determine developmental status. What is the best response by the preceptor?

"There are no specific laboratory tests that are used to determine developmental status."

While caring for a 70-year-old client with a history of coronary artery disease, the nurse explains the negative health effects of smoking. The client asks what effect nicotine has on coronary arteries. Which response by the nurse would be most appropriate?

"Tissue oxygenation can be impaired in areas where vessels are already narrowed by atherosclerosis."

The parents of an autistic child ask the nurse what medications will be used to help cure the child. The nurse appropriately responds:

"Treatment for autism focuses on behavior change, not medications."

The nurse is answering questions after a presentation on sleep at a local senior citizens' center. A client, in the late 70s, asks for an opinion about the advisability of napping for 15 to 20 minutes each afternoon. What is the best response by the nurse?

"Unless a person has trouble falling asleep at night, a brief afternoon nap is fine."

The nurse is admitting a client with anorexia nervosa. The nurse would expect to see the physician order which laboratory tests? (Select all that apply.)

Complete blood count (CBC) Complete metabolic panel (CMP) Creatinine Blood urea nitrogen (BUN)

The nurse is teaching a group of parents about autism. The nurse states that what is associated with a higher incidence of autism? (Select all that apply.)

Congenital rubella syndrome Down syndrome Phenylketonuria

A nurse educator is explaining some of the characteristics of chronic illness. What is included in the nurse's description? (Select all that apply.)

A chronic illness is one that lasts for an extended period. Chronic illnesses often have periods of remission and exacerbation.

The nurse is preparing a support group session for those clients admitted with a process addiction. Which clients should attend this therapy session?

A client with a diagnosis of depression who is addicted to gambling.

Cognitive Level: Analyzing The nurse notices that the young adult client from another culture consults with the parent before making any decisions. Which action by the nurse would be most important at this time?

Accept the behavior of the client and the parent.

Five minutes after the client's first postoperative exercise, the client's vital signs have not yet returned to baseline. What is an appropriate nursing diagnosis for this client?

Activity Intolerance

The competent nurse understands that some children with developmental delays will have impaired mobility. Independent nursing interventions for these clients include all except:

Administer ordered analgesics as needed for mobility pain.

A college student was referred to the campus health service because of difficulty staying awake in class. Of the following items, which should be included in the nurse's assessment? (Select all that apply.)

Amount of sleep the client usually obtains during the week and on weekends Onset and duration of symptoms

Adults are often ready to learn what they need to know in order to take care of themselves. This is an example of which learning theory?

Andragogic

Which nursing diagnosis is not an example of learning needs as evidenced by the client's primary concern or problem?

Anxiety related to knowledge deficit

The nurse observes the client from another country becomes restless and avoids eye contact when the nurse discusses birth control. What should the nurse do to demonstrate cultural competence?

Ask the client if this is something that she would like to learn.

A student nurse studying preventions of alterations in self-concept is aware that which action is a vital role of the nurse in regards to wellness promotion?

Assist clients with identification of strategies to promote a healthy self-concept.

A hospitalized client complains of difficulty falling asleep because of worries associated with the diagnosis. What could the nurse provide for the client that would best facilitate sleep?

Back massage

A male nurse is caring for a female client from another culture. As the nurse enters the room, the client avoids eye contact and moves to the other side of room. The nurse's best response is to:

Before touching the client, explain the procedures and ask permission to do them

The nurse conducting a group therapy session on a mental health unit is aware that which curative factor is demonstrated when a client openly speaks in group about what is bothering them?

Catharsis

A nursing diagnosis for a child with autism is "impaired social interaction" and is based on what finding?

Child will not cuddle with parent.

The nurse working on a behavioral unit is aware that nursing interventions for clients with addictive behaviors primarily focus on which of the following? (Select all that apply.)

Developing therapeutic relationships Treating specific symptoms Establishing boundaries Promoting healthy client coping skills

During admission to a hospital unit, a client tells the nurse that sleep tends to be very light and that it is difficult to get back to sleep once awakened at night. Which intervention should the nurse implement? (Select all that apply.)

Encourage the client to ask family members to bring in a fan to provide white noise. Encourage the client's family members to bring in a radio to play soft music at night. Remind colleagues to keep their conversation in the halls to a minimum at night.

During a well-child visit, a parent of a 4-year-old child tells the nurse that the child typically goes to bed at 10:30 p.m. and awakens each morning at 7 a.m. The child does not take a nap in the afternoon. Which of the following is the best response by the nurse?

Encourage the parent to consider putting the child to bed between 8 and 9 p.m.

The parents of an autistic child tell the nurse that their other children are having difficulties because their friends are making fun of the family. The nurse suggests which resolution to the parents?

Explain the disease to the children and alert the school.

The nurse is assessing a 6-month-old infant who has not gained any weight since the last visit 3 months ago. The nurse suspects which condition?

Failure to thrive

The nurse is participating in a health promotion fair. When discussing exercise, the nurse should include which point?

Fast walking is a good form of aerobic exercise.

The nurse learns that a male client is HIV positive. What should the nurse do when providing care to this client?

Follow standard precautions.

A severely malnourished infant is admitted to the hospital. The plan of care for this infant will focus on what intervention?

Fostering adequate nutritional intake

The client is unresponsive and requires total care. Before performing oral care, what should the nurse assess this client for?

Gag reflex

What are some biological factors involved in health? (Select all that apply.)

Gender Age

The nurse understands children are born with the potential for certain features; however, their interaction with the environment influences how and to what extent particular traits are manifested. This idea relates to what concept?

Genetics

The family of a child with attention deficit hyperactivity disorder tells the nurse the child's behavior at home is difficult to manage. The nurse teaches the family which technique to help manage the child at home?

Have routines for eating, sleeping, and recreation.

The parent of a 3-year-old child asks the nurse how attention deficit hyperactivity disorder would be made. The nurse tells the parent that a diagnosis is made by:

History and physical assessment

The nurse is caring for a client admitted with alcohol abuse. During the assessment the nurse notes which as impacting cognitive ability? (Select all that apply.)

Impaired judgment Slowed reaction time Decreased inhibitions Impaired memory

To determine if goals have been met in the child with failure to thrive, the nurse evaluates what outcome?

Improved weight and developmental progress

When planning care for a client who needs an exercise program, the nurse teaches the client that isotonic exercises, such as walking, are intended to achieve which of the following? (Select all that apply.)

Increase muscle mass and strength Increase muscle tone and improve circulation Maintain joint range of motion

Which is one responsibility of the nurse in providing client education?

Inform clients of reputable Internet sites for health care information.

The nurse understands that anticipatory guidance may be used at any time during the client's lifetime. Anticipatory guidance does not include:

Lab tests to diagnose disease

What should the nurse do prior to beginning the assessment of a foreign-born, non-English-speaking client?

Locate an interpreter for the assessment, preferably of the same sex as the client.

Which risk factors will the nurse include in the teaching about risk factors for failure to thrive in an infant? (Select all that apply.)

Mother has postpartum depression. Preterm infants History of abuse

The client with heart disease may need to know the effects of smoking before recognizing the need to quit smoking. In this situation, what factor can best facilitate client learning?

Motivation

A nurse who is evaluating the learner for behavior changes knows that:

New behavior may emerge gradually.

While assessing an older client, the nurse notices that the client's teeth have obvious caries and that the client has difficulty swallowing. The client tells the nurse that the mouth feels very dry. The nurse's primary concern is that the client could experience which of the following health problems from these findings?

Nutritional deficit

The nurse is planning interventions for a child with failure to thrive. What would the nurse do first before planning care?

Observe the parent's technique when feeding the child.

The nurse is giving instructions to a non-English speaking client who does not have an interpreter. An alternative is to:

Obtain pamphlets, teaching materials, and instructions in the language of the client.

The nurse caring for a client with a 5-year history of chewing tobacco. The nurse is educating the client on risks associated with this type of tobacco use. Which is the greatest risk associated with this habit?

Oral cancer

The nurse caring for a client admitted with drug addiction is aware that which diagnostic test can provide information in regards to organ damage caused by substance abuse?

Organ biopsies

The nurse working with pediatric clients understands the best way to promote developmental health in the preschooler is to promote:

Play

A nurse is preparing education programs for new parents. Which of the following are appropriate health promotion topics for this group? (Select all that apply.)

Playful activity to stimulate development Immunizations

A nurse at an assisted living facility is planning workshops for the residents. Which of the following would be considered health promotion activities? (Select all that apply.)

Preventive health services Nutrition and aging

What intervention will the nurse initiate for the family of a recently diagnosed child with autism?

Provide teaching to help the child meet developmental milestones.

What is the nurse's role when a client is experiencing mobility changes as a result of a recent diagnosis of multiple sclerosis? (Select all that apply.)

Provide the client with explanations about necessary adjustments. Suggest ways to make the client's home more accessible.

The pediatric nurse who is assessing a child understands that the information from developmental milestones does all except:

Provides diagnoses for abnormalities.

A student nurse asks the instructor to clarify the components of growth and development. The instructor includes all factors except:

Psychological

The nurse is teaching an adult client to self-administer insulin at home. This type of skill is representative of which domain of learning?

Psychomotor

The nurse is caring for a client who wishes to quit smoking. Which nursing diagnosis would be most appropriate for this client?

Readiness for enhanced self health management

The parents of a child with failure to thrive are giving the child skim milk instead of formula. The priority nursing diagnosis for this child is:

Risk for impaired parenting

Which are nursing roles when considering health promotion and tobacco use? (Select all that apply.)

Suggest resources such as hypnosis, lifestyle training, or behavior modification Serve as a role model by not smoking. Provide education information regarding the dangers of smoking.

A client who is NPO, comatose, and receiving oxygen has cracked lips, dry mucus membranes, swollen gums, and caked mucus on the tongue and teeth. What is the best intervention by the nurse?

Swab the oral cavity with a water-soaked sponge as needed.

Which guideline in organizing learning experiences is most appropriate when teaching clients about self-catheterization?

Teach the basics before any variations of self-catheterization.

A mother from Latin America brings her febrile baby to the primary care provider because she thinks her baby's body is out of balance. The mother tells the nurse that she also plans to consult a curandero. The best course of action on the part of the nurse is to:

Tell the mother that the baby may have seizures if the high fever continues.

The nurse at a well-child clinic assesses a 2 year old and notes a possible speech delay. The nurse understands:

The Denver II developmental test may be used to assess speech.

A nursing student asks his mentor to outline the components of emotional wellness. What are some of the characteristics the mentor might describe? (Select all that apply.)

The ability to accept one's limitations The ability to manage stress

The home health nurse is planning care for a child with attention deficit hyperactivity disorder (ADHD). Which child behavior would indicate progress toward the goal of increased self-esteem?

The child is able to control impulse behavior

A 4-month-old child of Asian descent falls below the 50th percentile in height and weight. The nurse plans care for this infant with what in mind?

The child is failing to thrive.

The nurse evaluates a 3-year-old with a developmental delay. Which assessment finding would suggest a diagnosis of autistic spectrum disorder?

The child is using echolalia

The nurse determines that a goal of treatment for an autistic child has been met when the parent makes which statement?

The child learned to eat with a fork."

What indicates to the nurse that the client who recently emigrated from India has experienced acculturation?

The client attends a community center across town to make new friends.

Which client behavior may cause a nurse to suspect a literacy problem?

The client displays a pattern of making excuses for not reading the instructions.

A nurse is educating a client on the goals and expected outcomes regarding nicotine use. Which response by the client indicates the need for further teaching?

The client does not wish to consider smoking cessation and verbalizes the positive effects of nicotine use.

Prior to teaching a client on self-care of a colostomy, the nurse assesses the client's readiness to learn by evaluating:

The client's pain and comfort levels, as well as the client's willingness to learn

The nurse sees a client do return demonstration of a procedure that the client will need to perform independently. The nurse's teaching methods facilitated which attribute of learning?

The collaborative and cooperative process

An oncology nurse is admitting a client to the unit. Which factor is not of concern when assessing a client with a history of smoking?

The frequency and brand of tobacco the client uses

When teaching a client, the nurse will be more successful if:

The nurse gives written instructions There is a rapport between the client and nurse.

The nurse is assigned for the day to a unit whose clients are diagnosed with AIDS and complains about being on this unit. The nurse realizes which of the following about the assignment?

The nurse needs to deal with feelings related to this group of clients.

The nurse demonstrates that a client has understood teaching about a disease process by documenting:

The responses of the client

The nurse is aware that there are psychological factors of substance abuse. Which description best describes psychoanalytical theorists' views?

They view substance abuse as a fixation at the oral stage of development.

A school nurse desires to educate students who identify themselves as lesbian, gay, bisexual, or transgendered (LGBT). The nurse can accomplish this by all actions except:

Using the nurse's religion to guide the teaching topics.