Nursing 101 Exam 2
The registered nurse on a busy telemetry floor is delegating tasks to an unlicensed assistive personnel member. Which task is appropriate for the unlicensed personnel member to complete?
Bathing a combative client
The nurse manager for the psychiatric unit sees that there are major conflicts between the day and night shift staff. The nurse manager suggests that each shift put aside their differences for a time and determine a common major goal. Which of the following conflict resolution styles does the nurse manager display?
Collaborating
A nurse manager and the charge nurse have two employees who disagree with the accomplishment of client care. The manager determines a mutually agreed-upon time to discuss this situation with all members involved. This activity is called what?
Conflict resolution
The nurse manager is concerned about the large number of teenage mothers being seen in the obstetrics clinic. How can the nurse manager use the transformational leadership style to address the concern?
Enlist volunteers to help develop a community outreach project that will educate teenagers on methods to prevent pregnancy
The designated charge nurse on the telemetry unit organizes and facilitates the unit meetings; however, during most of the meetings, another registered nurse runs the show and influences staff decisions just by her charisma and personality. Her power to lead is defined by which of the following terms?
Implied
A registered nurse (RN) serves as the chair of the Nursing Practice Committee for the hospital. The meetings do not have a planned agenda; members of the committee who are interested in a particular topic feel free to suggest it and then to lead the subsequent discussion. The chairman's leadership style could be termed what?
Laissez-faire
A child 5 years wakes up at night and finds he has wet the bed. He feels embarrassed that he has this accident and sleeps in the wet bed all night, afraid to tell his parents. In the morning, he wakes up early, gets dressed, and hides his pajamas because he still feels shame for this accident. This child is experiencing which feeling of self-evaluation?
Shame
The nurses who provide care on a medical unit are skeptical about the planned change from a traditional narcotic cupboard to a computerized medical supply and management system. Which of the following statements demonstrates mistrust about the benefits of this proposed change? a.) "I've heard those machines don't even cut down on med errors like they say they do?" b.) "I think that they want us to use these machines just so they can track our work activity/closer c.) Those machines cost a fortune and there are way better ways to spend that money d.)There's no way that I'm going to be able to learn to deal with a computer
a.) "I've heard those machines don't even cut down on med errors like they say they do?"
A client states to the nurse, "I understand that I need a mastectomy for the treatment of my breast cancer, but I am fearful of learning about the drains I will to empty." This is an example of what kind of learning? a.) Affective learning b.) Psychomotor learning c.) Cognitive learning d.) Behavioral learning
a.) Affective learning
A client has recieved a temporary ostomy during her treatment for colon cancer. Which technique is most likely to facilitate the client's ability to independently empty and change the ostomy after discharge. a.) Demonstration b.) Lecture c.) A brochure d.) Discussion
a.) Demonstration
The nurse is conducting a community health promotion class and has developed scenarios that will involve active participation by the class attendees. What type of education strategy is the nurse incorporating into her class? a.) Role-playing b.) Programmed instruction c.) Panel discussion d.) Role modeling
a.) Role-playing
A Chinese client who was previously treated at the health care facility for an open wound has been admitted again because the wound has become gangrenous. It has been identified that the client failed to understand proper wound care. What is the probable reason for the client failing to understand the instruction? a.) The client belongs to a different culture. b.) The client has a short attention span. c.) The client is a passive learner. d.) The client is not interested.
a.) The client belongs to a different culture
When caring for a diabetic client, the nurse notes that the client learns better when he practices the self-administration of the insulin injection by himself, in which learning domain does the client's learning style fall? a.) Interpersonal domain b.) Affective domain c.) Psychomotor domain d.) Cognitive domain
c.) Psychomotor domain
An infant who was born with Down syndrome, gastrointestinal anomalies, and cardiac defects has required nearly continuous hospitalization in the neonatal intensive care and pediatric care units of the hospital during her first year of life. To counteract the negative effects of prolonged hospitalization, the nurse should:
facilitate as many opportunities as possible for infant-parent attachment
A client with a diagnosis of colon cancer has required the creation of an ostomy following bowel surgery. Which factor is most likely to influence the client's adjustment to this change?
the coping mechanisms that the client possess
In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which of the following statements denotes the right direction for the nursing assistant?
"Dispose of the disconnected IV set."
A client with breast cancer need a bilateral mastectomy. Having already established a strong therapeutic partnership with the client, how can the nurse best assess the client's self-concept in light of this bodily change?
"Now that it's completed, how are you feeling about the surgery that you had?"
An older adult client with a diagnosis of early-stage Alzheimer's disease has recently moved to a long-term care facility, largely as a result of the spouses caregiver burnout. What question can the nurse ask to foster the client's sense of self?
"What line of work were you in?"
April and Sara are nurse managers for different units in the hospital. They are planning for a major change to occur on both units. Sara tells April she has identified a key power player on her unit. Which of the following describes what Sara means by this term?
A regular employee who is a natural leader
Prior to the client's scheduled bone marrow biopsy, the nurse has devoted time to educating him about the rationale and the specific details of the procedure. The nurse's actions constitute what stress management technique?
Anticipatory guidance
A nurse is in charge of a large group of employees on a busy surgical floor. Today's care must be completed early due to a special event involving most of the employees. Which management style would work best in this situation?
Authoritarian
The nurse has recently been promoted to nurse manager on an oncology unit and has decided to be the sole decision maker regarding issues that concern the unit. Which type of leadership style is the nurse embodying?
Autocratic
The charge nurse on a unit receives a report that a licensed practical nurse (LPN) is taking client's narcotics and hiding them in the nurses' lounge. The charge nurse disregards the report and continues to work on a scheduled task. Which conflict resolution style is the charge nurse using?
Avoiding
A staff nurse works on a medical unit where staff retention is very high. There is a a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which of the following leadership styles?
Democratic
The nurse is assisting an adolescent female with the identification and recognition of personal strengths. Which of the following is a technique the nurse will employ?
Encourage the client to identify strengths and ways to gain strengths she desires
How might one define leadership?
Leadership is the process of guiding, educating, motivating, and directing others.
A nurse manager must provide care to her clients and her employees under the constraints of her resources. This involves maintaining the financial constraints of her division. What term best describes this scenario?
Resource management
Following a myocardial infarction (heart attack), a client begins to recognize the need to increase exercise, eat a low-fat diet and implement relaxation techniques. According to Lewin, this is an example of what type of change?
Unfreezing
The nurse is preparing to assess a client newly admitted to the behavioral health unit. Assessing the client's self-concept will focus on questions related to:
body image
The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This is an example of what learning theory? a.) Developmental learning theory b.) Behavioral learning theory c.) Cognitive learning theory d.) Adaptive learning theory
c.) Cognitive learning theory
How should a nurse leader best address nurses' resistance to change in shift-scheduling protocol on their hospital unit? a.) Explain the cost savings that the change will bring for the hospital b.) Put the matter to vote and respect the wishes of the majority c.) Explain the benefits of the change and elicit honest feedback d.) Allow those who remain unconvinced to temporarily opt out of the proposed change.
c.) Explain the benefits of the change and elicit honest feedback
A nurse is documenting assessment data for a new client. What is the best source of assessment information for then nurse? a.) Family and friends b.) Nursing plan of care c.) Physician d.) Client
d.) Client
A client diagnosed with renal failure has been informed he will need to start dialysis. He is concerned because he has been advised to stop working for a couple of months, as his body adjusts to the dialysis. Which nursing diagnosis is most appropriate for this client?
Ineffective Role Performance
a client informs the nurse that headaches started when marital problems began. The client reports that each time they have a fight, a headache develops and loss of appetite occurs for several days. What does the nurse identify as the physiologic symptoms?
somatic disorder
Which of the following factors is most likely to present a challenge to the self-concept of a man 79 years of age?
the man's increasing level of dependence on his children
A client was at home when a tornado struck and damaged the structure. What type of crisis does this nurse address in the care of this client?
Adventitious
A nurse manager is trying to resolve a conflict between the day and night shifts. She wants to convince the involved persons to set aside their differences, determine a priority common goal having to do with improved client care, and accept mutual responsibility for achieving this goal. The nurse manager is using which of the types of conflict resolution>
Collaborating
A single mother age 51 years has been recently diagnosed with multiple sclerosis. As as a component of assessment, the nurse has asked the client, "How important is it for you to keep up the day-to-day maintenance of your household?" This question addresses the client's perception of which of the following?
Competence
A client with cancer has a family who is emotionally supportive of the client. Having a supportive family is which type of resource?
External resource
A staff nurse works on a surgical unit where the nurse leader allows the staff to make all decisions and direct themselves. The staff nurses fill out the work schedule and sometimes there are days where the unit is short staffed. The staff nurse feels the unit needs better leadership. The nurse leader is practicing which of the following leadership styles?
Laissez-faire
Karen Wolf, RN, is the charge nurse on the orthopedic unit. She believes in giving the staff as much power as possible. The nurses are allowed, among other things, to create their own work schedules, provide dates and times for unit meetings, and create the agendas, to which Karen contributes. Karen's style of leadership can be described as which of the following?
Laissez-faire
A nurse manager tells her staff that they need to increase response time to client requests by five minutes, beginning tomorrow. The time to begin this activity has been established by the manager and her staff. This action involves goal setting. What leadership style is noted with the implementation of goal setting?
Participative leadership
The nurse manager for a surgical unit is planning on a significant change in how the unit functions. They plan to include some things that will help the staff overcome any resistance to the change. Which of the following might help overcome resistance to the nurse manager's planned change?
Provide incentives, such as time off
A nurse is considering applying for a leadership role on her medical unit. She asks her colleagues what they consider to be good personal leadership skills. Which of the following would be appropriate? Select all that apply.
Self-evaluation, Communication, Problem-solving
A nurse is working with a 16 year-year-old client who is concerned that her parents will shun and reject her upon finding out that she is pregnant. Based upon Coppersmith's four bases of self-esteem, the adolescent is concerned about which base of self-esteem.
Significance
A group of nursing students is learning about the body's response to stress. Which system is responsible for initiating the fight-or-flight response to stress?
Sympathetic nervous system
The nurse is providing education for a client that will be providing self-care at home. The client states, "I just don't think I can do all of this. It's too much to learn." What is the best response by the nurse? a.) "I understand that you feel overwhelmed with all of the information. Tell me what I can do to help." b.) "You will be just fine." c.) "If you don't learn how to do it, who will take care of you?" d.) "It's not difficult information, you just need to listen carefully to the instructions."
a.) "I understand that you feel overwhelmed with all of the information. Tell me what I can do to help."
A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce his risk for cancer, improve his respiratory status, and enhance the quality of his life. The nurse also shares her story of smoking cessation, provides information on other individuals who have successfully quit, and encourages the client to attend a support group for smoking cessation. The client discusses his feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client? a.) Motivational counseling b.) Long-term counseling c.) Situational counseling d.) Developmental counseling
a.) Motivational counseling
The nurse is providing instructions to a client about performance of breast self-examination. What outcome does the nurse evaluate regarding this education? a.) The client will use self-examination for breast cancer detection and prevention. b.) The client will demonstrate improved coping skills. c.) The client will demonstrate self-efficacy and improved body image. d.) The client will have restoration of breast function.
a.) The client will use self-examination for breast cancer detection and prevention.
A construction worker age 33 years experienced a fall on a job site that resulted in a spinal cord injury. In recent days, the client has alluded to the fact that he feels "useless" because he now sees himself as " a burden instead of a provider." The nurse would be justified in choosing interventions to:
address the client's negative self-concept
The nurse is working with a client to assist him in "reframing" his thoughts regarding a new diagnosis of diabetes. Which of the following best defines reframing.
altering a perception of a situation from a negative view to a positive view
Which of the following is an appropriate intervention for body image disturbance?
assisting the client in exploring thoughts and feelings related to body image changes
A nurse is showing an older adult client with severe diabetes the correct method of self-administering insulin injection. What should be the nurse's comment if the client continues making mistakes when learning how to self-administer an insulin injection? Select all that apply. a.) "Why are you repeatedly holding the injection at the wrong angle?" b.) "Lots of people have the same concern" c.) "You've just about figured out how to give yourself an injection." d.) "Try to angle the syringe a little more this way." e.) "It will be better if you ask someone responsible to administer the injection."
b, c, d
A client is meeting with the nurse to discuss options for smoking cessation. Which statement by the nurse is most appropriate for this client? a.) "Did you know that smoking can cause lung cancer?" b.) "What do you see as your biggest hurdle to stopping?" c.) "I think you should just go cold turkey." d.) "Reduce your stress and it will be easy."
b.) "What do you see as your biggest hurdle to stopping?"
A nurse is trying to encourage a client with paraplegia, who is depressed and not adhering to his treatment program, to join a support group. What would be most appropriate for the nurse to do when attempting to modify the client's attitude? a.) Emphasize that the client's views and thoughts are misguided and skewed. b.) Acknowledge the client's ability to accept or reject suggestions. c.) State emphatically that the nurse is the one who knows what is correct. d.) Aggressively work to change the client's current viewpoint.
b.) Acknowledge the client's ability to accept or reject suggestions.
Conflict has emerged on a nursing unit due to the perception by new graduates that some of the more experienced nurses are manipulating the patient assignment to ensure a lighter workload during night shifts. How should the manager of the unit best address this conflict? a.) Reassure the new graduates that the more experienced nurses are acting in the interests of both staff and clients b.) Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible c.) Arrange for the newer nurses to organize the client assignment for a trial period d.) Gather evidence over the next several weeks in order to determine if the practice is indeed happening a) Gather evidence over the next several weeks in order to determine if the practice is indeed happening b) Reassure the new graduates that the more experienced nurses are acting in the interests of both staff and patients c) Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible d) Arrange for the newer nurses to organize the patient assignment for a trial period
b.) Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as possible
A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check patients' blood glucose levels. The nurse manager informs the group this was a new policy on the unit, and discussions will not change the enforcement of this policy. What type or leadership style is the nurse manager demonstrating? a.) Transformational b.) Autocratic c.) Democratic d.) Laissez-faire
b.) Autocratic
A nurse is caring for an older adult client with arthritis. Which action is the priority for the nurse when conducting the health education for the client. a.) Identify how long the education session will last. b.) Find out what the client wants to know. c.) Provide an environment that promotes learning. d.) Divide information into manageable amounts.
b.) Find out what the client wants to know.
Educating women on diet and exercise is an example of what type of client education? a.) Health restoration b.) Health promotion c.) Health protection d.) Disease prevention
b.) Health promotion
A female client has recently been diagnosed with early-stage Alzheimer's disease and her husband has asked the nurse to recommend Web sites that may supplement his learning about her diagnosis. How should the nurse respond to the husband's request? a.) Direct the husband to online databases such as the Cumulative Index to Nursing and Allied Health Literature (CINAHL) b.) Identify and recommend some credible Web sites appropriate to his learning needs c.) Provide the husband with print-based materials that are clearly referenced and reflect his learning style d.) Encourage the husband to avoid online resources due to the unregulated nature of the Internet
b.) Identify and recommend some credible Web sites appropriate to his learning needs
A nurse assisting a new mother in the act of breastfeeding is represented by which form of learning? a.) Cognitive b.) Psychomotor c.) Affective d.) Simplistic
b.) Psychomotor
The experienced nurse is educating a client about his disease and how best to promote his optimal health. The nurse is focusing the education on the cognitive domain of learning. The nurse would focus the education on: a.) muscular movements b.) critical thinking c.) physical demonstration d.) emotions or feelings
b.) critical thinking
The nurse identifies which client response as a need for additional education. a.) Follow-up visit demonstrates a weight loss of 5 lb. in 1 month. b.) The client gives a return demonstration of cleaning the side of finger with alcohol before using lancet. c.) The client states, "I only have to worry about lowering the top number of my blood pressure." d.) The client reports taking levothyroxine every morning with water for only 30 minutes.
c.) The client states, "I only have to worry about lowering the top number of my blood pressure."
While applying dressings to a client's wound, the nurse teaches the client about his wound care. To promote the most effective teaching-learning relationship with this client, what would be most important for the nurse to keep in mind? a.) Nurses are experts who generously bestow knowledge upon clients. b.) Nurses barter knowledge of medication with the client for compliance. c.) The nurse and client relationship is based on mutual sharing and negotiation. d.) Nurses have control over the client because of their knowledge and expertise.
c.) The nurse and client relationship is based on mutual sharing and negotiation.
Which principle of teaching-learning is an accurate guideline for the nurse/teacher? a.) Past life experience should not be a factor when helping clients assimilate new knowledge. b.) Client education should occur independently of the nursing process c.) The teaching-learning process can be facilitated by a helping relationship d.) Planning learner objectives should be done by the teacher alone
c.) The teaching-learning process can be facilitated by a helping relationship
The primary responsibility of the nurse manager is to...
create plans and budgets
Which response from the nurse allows the nurse to determine the effectiveness of a recent medication teaching session for an older adult client who is diagnosed with tuberculosis? a.) "It is okay to make mistakes, but not with your medications." b.) "Please call me when you are ready to take your medications." c.) "Will your relatives be here on time to give you your medication." d.) "Can you tell me how you are going to take this medication."
d.) "Can you tell me how you are going to take this medication."
The nurse is using Teach-back to evaluate the client's understanding of new information given during discharge. Which statement indicates the use of this technique? a.) "Will you promise to read the instructions when you go home?" b.) "Is someone able to review the instructions with you?" c.) "Use the instructions on this paper to clean your wounds at home." d.) "Please repeat to me the different signs and symptoms of stroke."
d.) "Please repeat to me the different signs and symptoms of stroke."
Which of the following nurse leaders most clearly exemplifies transitional leadership? a.) A leader who is careful to thoughtfully assess the issues and priorities surrounding a problem prior to acting. b.) A leader who prioritizes the fact that every member of the team is considered valuable and equal c.) A leader who prioritizes the delegation of leadership to the individual members of the group. d.) A leader who is dynamic, inspiring, and promotes change by the power of her convictions
d.) A leader who is dynamic, inspiring, and promotes change by the power of her convictions
A female adolescent is being taught about changing her abdominal dressing as part of the education for her care at home. When she removes the dressing, she becomes tearful when she sees her surgical incision. What knowledge deficit is best to address for this client at this moment? a.) Pain related to surgical incision b.) Self-care deficit secondary to surgical incision. c.) Infection related to surgical incision d.) Altered body image related to surgical incision
d.) Altered body image related to surgical incision
The nurse is assisting a male client 55 years of age to understand the anatomy and physiology of the heart following a heart attack. What type or learning is taking place? a.) Psychomotor b.) Affective c.) Pedagogy d.) Andragogy
d.) Andragogy
When caring for a client at the health care facility, the nurse observes that the client is having learning difficulty understanding the health education. Which action is most appropriate? a.) Delegate the health education to a colleague. b.) Replace one-on-one teaching with written materials. c.) Boost the morale of the client. d.) Assess for cultural differences.
d.) Assess for cultural differences.
Which learning domain is the focus for instruction when the nurse educates a new mother about the breast and its role in milk production for feeding the newborn? a.) Affective b.) Psychomotor c.) Behavioral d.) Cognitive
d.) Cognitive
A nurse evaluates whether a middle-age client with chronic back pain has been performing the different exercises and physiotherapy procedures recommended by the physician. What would the nurse most likely use to evaluate the client? a.) Oral test b.) Written test c.) Simulation d.) Return demonstration
d.) Return demonstration
A pediatric nurse understands the concepts surrounding the formation of self-concept and incorporates these concepts into the delivery of nursing care to the pediatric population. Based upon these concepts, when does an individual learn that the physical self is different from the environment?
during infancy
A client with uncontrolled hypertension experienced a stroke a week ago, leading to significant motor losses. A successful and normal adaptive response to these new limitations is evident if the client:
exhibits stages of grief
A nurse is assisting a neurologist, who is assessing the norepinephrine level of a client who is reporting stress. Which function does norepinephrine perform
heightens arousal and increases energy
The pediatric nurse is caring for a boy 5 years of age, who is being seen in the clinic today. He is very worried that the doctor may harm his body. His mother asks the nurse if this is normal for this age. The nurse shares with the mother that the very young child worries about which of the following related to his body?
intactness and mutilation
A nurse integrates knowledge of developmental levels and their influence on self-concept when planning client care. The nurse would expect a client in which developmental stage to begin to examine the meaning of self?
older adult
A nurse in an intensive care unit places a request with the nurse manager to modify her work schedule. The nurse desires to return to college and advance her nursing degree. Which of the following illustrates that the nurse manager approaches the situation using a transformational leadership style?
she rearranges the nurse's schedule in a manner that will allow her to attend to college