Self Assessment Questions - Unit 6

As the nurse working in the intensive care unit you are asked to help develop a policy and procedure for weaning patients from the mechanical ventilator. What steps will you take to insure that the research you are reviewing is from a credible source? Identify the steps in the order in which they are performed. 1. Make a clinical decision 2. Find the evidence 3. Frame the clinical question 4. Assess the evidence 5. Discern the evidence

3. Frame the clinical question 2. Find the evidence 4. Assess the evidence 5. Discern the evidence 1. Make a clinical decision

A stress-laden patient has elected to learn deep breathing as a means of reducing stress. Rank the following statements in the order in which the nurse should give information when teaching this technique. 1. "Focus on your breathing; repeat the exercise for 2 to 5 minutes." 2. "With each breath, pay attention to muscular sensations that accompany abdominal expansion." 3. "Hold the breath for 3 seconds." 4. "Find a comfortable position. Relax the shoulders and chest; let the body relax." 5. "Take a deep breath through the nose, expanding the abdomen." 6. "Exhale slowly through the nose, telling the body to relax."

4. "Find a comfortable position. Relax the shoulders and chest; let the body relax." 5. "Take a deep breath through the nose, expanding the abdomen." 3. "Hold the breath for 3 seconds." 6. "Exhale slowly through the nose, telling the body to relax." 2. "With each breath, pay attention to muscular sensations that accompany abdominal expansion." 1. "Focus on your breathing; repeat the exercise for 2 to 5 minutes."

Which nursing interventions are likely to help the patient to cope by addressing the mediators of stress? (Select all that apply.) a. "A divorce, while stressful, can be the beginning of a new, better phase of life." b. "You said you used to jog; getting back to aerobic exercise could be helpful." c. "Journaling gives one more awareness of how experiences have affected them." d. "Perhaps a short-term loan from your father will make your layoff less stressful." e. "Slowing your breathing by counting to three between breaths will calm you." f. "I have found a support group for newly divorced persons in your neighborhood."

a. "A divorce, while stressful, can be the beginning of a new, better phase of life." c. "Journaling gives one more awareness of how experiences have affected them." d. "Perhaps a short-term loan from your father will make your layoff less stressful." f. "I have found a support group for newly divorced persons in your neighborhood."

A registered nurse is teaching a nursing student about how to communicate with a client who is cognitively impaired. Which statements made by the nursing student indicates a need for further education? Select all that apply. a. "I should use visual cues." b "I should ask one question at a time." c. "I should speak in a normal tone of voice." d. "I should give the client time to respond." e.. "I should face the client so that he or she can see my mouth."

a. "I should use visual cues." c. "I should speak in a normal tone of voice." e.. "I should face the client so that he or she can see my mouth."

A registered nurse is teaching an adolescent female client with irregular menstruation about contraception. Which statements made by the client indicate the need for further education? Select all that apply. a. "The calendar method of oral contraception is best suitable for me." b. "The withdrawal method of contraception has a high incidence of failure." c. "Condoms do not offer protection against sexually transmitted diseases." d. "Oral contraceptive pills offer protection from sexually transmitted diseases." e. "Three month injectable contraceptive medications may cause weight gain and decreased bone density."

a. "The calendar method of oral contraception is best suitable for me." c. "Condoms do not offer protection against sexually transmitted diseases." d. "Oral contraceptive pills offer protection from sexually transmitted diseases."

The embryonic period is critical because external and internal structures in the fetus are forming. All teratogens should be avoided from a. 4 to 8 weeks. b. 8 to 12 weeks. c. 12 to 16 weeks. d. 16 to 20 weeks.

a. 4 to 8 weeks

What is a stressor? a. A stressor is any stimuli that can produce tension and cause instability within the system b. A stressor exists within the client's system, such as the psychological and behavioral responses to illnesses. c. A stressor exists without the client's system; external stressors include changes in healthcare policies or an increase in crime rates. d. A stressor is a term, description, or label given to describe an idea or responses about an event, a situation, a process, a group of events, or a group of situations.

a. A stressor is any stimuli that can produce tension and cause instability within the system

A diabetic patient who is hospitalized asks the nurse what factors are associated with increased blood glucose while in the hospital? Which response(s) by the nurse are appropriate? (Select all that apply.) a. Blood sugar may be higher in the hospital due to the increased bed rest. b. Stressors such as illness cause the release of hormones that increase blood sugar. c. Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times. d. A patient's diet is different here in the hospital than at home, and that is the most likely because of the increased glucose level. e. Medications such as steroids may increase glucose levels.

a. Blood sugar may be higher in the hospital due to the increased bed rest. b. Stressors such as illness cause the release of hormones that increase blood sugar. e. Medications such as steroids may increase glucose levels.

Which of the following is a priority for a nurse to include in a teaching plan for a patient who desires self-management and alternative strategies? a. Body alignment and superficial heat and cooling b. Patient-controlled analgesia (PCA) pump c. Neurostimulation d. Peripheral nerve blocks

a. Body alignment and superficial heating and cooling

Mr. Walker is caring for his ailing wife, who was diagnosed with a terminal illness. Mr. Walker is talking with a nurse, and he states, "I miss my old life. I don't see any of my friends any more. Caring for my wife is much more difficult than I thought. I want things to be the way they used to be." The nurse realizes that Mr. Walker is experiencing which emotional strain? a. Caregiver stress b. Remorse over being healthy c. Anger that his children are not helping d. Grief over losing his friends

a. Caregiver stress

A nurse is assessing a menopausal female and discussing sexuality. Which statement is accurate regarding physiological effects of menopause on sexual health? a. Decreased lubrication is frequently cited as the cause for sexual problems. b. Women who have undergone hysterectomy no longer desire to be sexually active. c. Hot flashes are often bothersome and lead to decreased sexual interest. d. Women taking hormone replacement therapy may not experience climax during sex.

a. Decreased lubrication is frequently cited as the cause for sexual problems

The nurse should document which physiologic stressor after performing a screening assessment on a patient? a. Dementia b. Caregiving of parent c. Divorce d. Death of friend

a. Dementia

A nurse researcher is trying to determine what dose of medication is most therapeutic for patients with hypertension and cerebral vascular accidents (CVA). What type of research studies would be best for looking at quantitative measures? (Select all that apply.) a. Descriptive b. Participant Observation c. Correlational d. Cause-comparative e. Experimental f. Field notes

a. Descriptive c. Correlational d. Cause-comparative

A student in the RN-BSN program is taking a research course and finds they are having difficulty. The instructor asks "What are the components of evidence-based practice (EBP)"? How should the student reply? (Select all that apply.) a. EBP relies on practice and research. b. Research utilization occurs after evaluation of all available evidence. c. EBP assists the nurse in the decision-making process. d. Research utilization and EBP are the same concept. e. EPB is more like performing a meta-analysis than is EBP.

a. EBP relies on practice and research. b. Research utilization occurs after evaluation of all available evidence. c. EBP assists the nurse in the decision-making process.

The nurse is surveying the assisted living facility regarding safety features for patients with sensory deficits. Which are the most appropriate accommodations? a. Fire and smoke alarms with both sound and flashing lights b. Colorful throw rugs to designate the purpose of various rooms c. Alarms on all exit doors d. Steps painted with dark colors

a. Fire and smoke alarms with both sound and flashing lights.

The nurse is obtaining a sexual history of a 28-year-old woman. Which of the following questions is most useful in determining the patient's sexual orientation and risk factors? a. Have you had sex with men, women, or both? b. Do you prefer to have sex with men or women? c. How many partners have you had? d. Are you heterosexual, homosexual, or bisexual?

a. Have you had sex with men, women, or both?

A 20-year-old woman comes for preconceptual counseling. She wants to get pregnant soon. Which of the following health-promoting habits would have the highest priority at this time? a. Immediate tobacco cessation b. Getting daily exercise c. Stopping all caffeine d. Avoidance of sweets

a. Immediate tobacco cessation

A nurse is educating a group of adolescent girls about the risk of pregnancy. Which statements does the nurse include to help ensure adequate teaching? a. Infants born to adolescent mothers have low birth weights b. Pregnant adolescents are more likely to seek out prenatal care c. Infants born to adolescent mothers are more likely to be premature d. Pregnant adolescent girls should avoid participating in prenatal classes. e. Infants born to adolescent girls have an increased risk of alcohol and drug exposure

a. Infants born to adolescent mothers have low birth weights c. Infants born to adolescent mothers are more likely to be premature e. Infants born to adolescent girls have an increased risk of alcohol and drug exposure

A new nurse needs further teaching when stating a valid consent involves which action? a. It must be presented to the patient by a nurse. b. The consent includes information about the risks and benefits of the procedure. c. The patient must have the capacity to give consent. d. The patient must voluntarily give consent.

a. It must be presented to the patient by a nurse.

What are some challenges faced in the process of delegation? Select all that apply. a. Limited resources. b. Large geographic areas c. Time-saving considerations d. Vulnerable populations receiving care. e. Provision of assistance with activities of daily living

a. Limited resources. b. Large geographic areas d. Vulnerable populations receiving care.

What are the most important reasons for considering the use of palliative care in patient care management? (Select all that apply.) a. Patients live with multiple chronic diseases several years before dying. b. Patients live with debilitating symptoms that interfere with the quality of life. c. Palliative care is reserved for those patients who are considered terminally ill. d. Palliative care is used to reduce the symptoms associated with chronic disease. e. Palliative care is recommended until cures for illnesses are discovered.

a. Patients live with multiple chronic diseases several years before dying. b. Patients live with debilitating symptoms that interfere with the quality of life. d. Palliative care is used to reduce the symptoms associated with chronic disease.

Palliative care can be used to promote which of the following items? (Select all that apply.) a. Physical functioning b. Reduction in disease exacerbations c. Improved quality of life d. Discussion on advance directives e. Surgical treatment plans versus medical

a. Physical functioning b. Reduction in disease exacerbations c. Improved quality of life. d. Discussion on advance directives

The ability to receive and interpret stimuli has nursing implications that are a priority in what human need? a. Safety b. Socialization c. Nutrition d. Mobility

a. Safety

To assess the functioning of the trigeminal and facial nerves (cranial nerves V and VII), the nurse should: a. Shine a light into the patient's pupil. b. Check for unilateral eyelid drooping. c. Touch a cotton wisp strand to the cornea. d. Have the patient read a magazine or book.

a. Shine a light into the patient's pupil

The nurse is educating a group of adolescents on sexuality and health. The nurse decides to include primary prevention strategies as a topic for discussion. Which intervention is considered a primary prevention strategy: a. Teaching the correct use of condoms b. Diagnosing human papillomavirus (HPV) at an early stage c. Encouraging human immunodeficiency virus (HIV) testing after unprotected sex d. Teaching about sexual dysfunction

a. Teaching the correct use of condoms

Which of the following would be a violation of the Consolidated Omnibus Budget Reconciliation Act and Emergency Medical Treatment and Active Labor Act of 1986? a. The hospital emergency room physician suspects that a patient is not competent in making decisions for his post-care treatment. The physician does not complete a competency evaluation prior to transfer for a non-emergent treatment and allows the patient with suspected incompetence to sign the consent for transfer. b. After providing a medical screening examination, the patient's attending physician determines that transfer for a psychiatric service is necessary and not provided by the hospital. The attending seeks consent from the competent surrogate decision maker for the patient prior to transfer. c. The patient's attending physician determines the patient to be in stable condition after completing the medical screening examination and stabilizing the patient. The patient's condition would deteriorate without a life-saving procedure not available at the hospital. The physician explains the risks of staying at the hospital and the risks of the transfer to the patient's power of attorney. Informed consent is received from the patient's power of attorney for the transfer. d. The hospital does not contract with the patient's insurance company. The emergency room physician completes a medical screening examination and stabilizes the patient for discharge. The patient financial services department informs the patient of insurance status after discharge and arranges for payment options.

a. The hospital emergency room physician suspects that a patient is not competent in making decisions for his post-care treatment. The physician does not complete a competency evaluation prior to transfer for a non-emergent treatment and allows the patient with suspected incompetence to sign the consent for transfer.

Following the initiation of a pain management plan, pain should be reassessed and documented on a regular basis as a way to evaluate the effectiveness of treatments. Pain should be re-assessed at which minimum interval? a. With each new report of pain b. Before and after administration of narcotic analgesics c. Every 10 minutes d. Every shift

a. With each new report of pain. b. Before and after administration of narcotic analgesics

What instruction would the nurse be most likely to give a client with reduced sensory perception to prevent injury from scalding? a. "Apply moisturizers." b. "Use a bath thermometer" c. "Dress warmly in cold weather." d. "Avoid frequent bathing with hot water."

b. "Use a bath thermometer."

The nurse is caring for a patient who sustained a hip fracture and had an open reduction and internal fixation (ORIF) of a hip fracture. The patient is complaining of pain. Which should the nurse do next? a. Reposition the patient. b. Assess the level of pain. c. Administer of pain medications before getting the patient up. d. Maintain bed rest.

b. Assess the level of pain

The nurse is obtaining a history from a patient in pain. Which question asked by the nurse will give the most information about the patient's pain? a. How long have you had this pain? b. Can you describe your pain? c. How much medication do you take for the pain? d. How many times a day do you take medication for the pain?

b. Can you describe your pain?

The daughter of a patient with Alzheimer's disease shares with the nurse that lately she is having difficulty keeping up with her mother and finds that she is easily irritated and loses her temper. Which of the following is the most likely cause of this change in behavior? a. Compromised family adjustment b. Caregiver role strain c. Ineffective coping d. Anxiety

b. Caregiver role strain

A nurse is talking with a woman who is caring for her elderly father. The woman states that she has very little time for herself or any of the activities she used to enjoy. The nurse is using which of the following processes to assess the situation? a. Understanding the father's wishes b. Cognitive ability of appraisal c. Diagnosing the father's health d. Understanding the woman's wishes

b. Cognitive ability of appraisal

The nurse is taking a health history of a 56-year-old male patient. He tells the nurse that he and his wife just got a divorce over 1 month ago, and he is now dating multiple women. He states that he is sexually active again after 2 months of abstinence during his divorce. The nurse knows that teaching should include: a. Longer periods of foreplay may be necessary before sexual intercourse now that the patient is in his fifties. b. Condoms should always be used during sexual activity. c. Because the patient is in his fifties, impotence could be an issue. The patient should not use condoms. d. The patient should not bother getting tested for sexually transmitted infections (STIs). STIs usually only occur in the adolescent age group.

b. Condoms should always be used during sexual activity

The nurse is working with a couple in the infertility clinic. Which of the following should the nurse include in the teaching plan? a. Keep track of the number of times they have sex. b. Determine the estimated time of ovulation. c. Determine the time of menstruation. d. Avoid intercourse before the appointments.

b. Determine the estimated time of ovulation.

The nurse is discussing palliative care with a patient's family. Which statement by the nurse best exemplifies the Macmillan nurse model of palliative care: a. Even though the patient is diagnosed with a terminal disease, I will help manage her symptoms for the next 6 months and throughout the dying process. b. Even though the patient has been diagnosed with a chronic disease, I will help manage her symptoms with the medical team during the next year. c. The physician has ordered weekly laboratory tests for the patient and her urine is being tested for a kidney infection. Once we get the results back the patient can follow up with her primary care physician. d. The patient is actively dying. I will notify the chaplain and social worker that you request their support.

b. Even though the patient has been diagnosed with a chronic disease I will help manage her symptoms with the medical team during the next year.

End-of-life care is most synonymous with which of the following types of care? a. Palliative care b. Hospice care c. Supportive care d. Quality of life

b. Hospice care

A 65-year-old woman has fallen while sweeping her driveway, sustaining a tissue injury. She describes her condition as an aching, throbbing back. Which type of pain are these complaints most indicative of? a. Neuropathic pain b. Nociceptive pain c. Chronic pain d. Mixed pain syndrome

b. Nociceptive pain

A new nurse on an orthopedic unit is assigned to a client on skeletal traction. The nurse asks a colleague, "Do other orthopedic units have higher infection rates with peroxide when performing orthopedic cleaning pin for patients in skeletal traction?" This question is an example of a: a. Hypothesis b. PICO question c. Problem focused-trigger d. Knowledge-focused trigger

b. PICO question

The nurse is caring for an 82-year-old resident of a skilled nursing facility with a diagnosis of Alzheimer disease. Last week the resident, who has an unsteady gait, fell and injured his leg, and this week the resident has become combative. The nurse is reviewing the resident's medical records and notices that some weeks are more difficult than others for the resident and require more care from the nursing staff to keep the resident safe. The nurse knows that this resident is more than likely following which disease trajectory: a. Short period of evident decline b. Prolonged dwindling c. Long term limitations with intermittent episodes d. Cancer disease trajectory

b. Prolonged dwindling

Which nursing diagnoses for patients with sensory perceptual variances may be included in a plan of care? (Select all that apply.) a. Knowledge deficit for nutrition b. Risk for injury c. Impaired mobility d. Altered nutrition that is less than the body requirements e. Decreased cardiac output

b. Risk for injury c. Impaired mobility d. Altered nutrition that is less than body requirements.

Although sexual activity is considered a normative process, some individuals place themselves at increased risk for negative consequences related to this process. Which nonsexual behavior is likely to increase risk-taking activities? a. Having multiple sexual partners b. Using alcohol, marijuana, or illicit substances c. Having gay, lesbian, or bisexual partners d. Refraining from safe-sex practices such as condom use

b. Using alcohol, marijuana or illicit substances

Stephanie is a 70-year-old retired schoolteacher who is interested in nondrug, mind-body therapies, self-management, and alternative strategies to deal with joint discomfort from rheumatoid arthritis. Which of the following options should you suggest for her plan of care, considering her expressed wishes? a. Using a stationary exercise bicycle and free weights and attending a spinning class b. Using mind-body therapies such as music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy c. Drinking chamomile tea and applying icy/hot gel d. Receiving acupuncture and attending church services

b. Using mind-body therapies such as music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy

A nurse protecting a patient's right to consent to a procedure is represented in which of the following answers? a. Finding that the informed consent document is not with the chart, the nurse gives the patient another consent document to sign before the procedure. b. When the nurse finds that the informed consent document is not yet complete, she holds the patient's pre-procedure narcotics until the physician can obtain patient consent. c. The nurse finds that the consent form is unsigned in the chart and waits until after the procedure to get the document signed. d. Knowing the patient is not competent to sign a consent form, the nurse asks the friend who came with the patient to sign it.

b. When the nurse finds that the informed consent document is not yet complete, she holds the patient's pre-procedure narcotics until the physician can obtain patient consent.

A nursing instructor and a student nurse are talking about caregivers and their role in the caring process. The instructor reminds the student that caregivers experience many emotions and face many obstacles as they care for someone, including (Select all that apply.) a. financial prosperity. b. anxiety. c. denial. d. social isolation. e. euphoria. f. understanding of the disease.

b. anxiety c. denial d. social isolation

A client whose spouse recently died appears extremely depressed. The client says, "What's the use in talking? I'd rather be dead. I can't go on without my spouse." What's the best response by the nurse? a. "Would you rather be dead?" b. "What does death mean to you?" c. "Are you thinking about killing yourself?" d. "Do you understand why you feel that way?"

c. "Are you thinking about killing yourself?"

. A patient voices an understanding of instructions about furosemide (Lasix) when he makes which statement? a. "I will report any blurred vision." b. "I expect that this will cause me to have increased sensitivity to saltiness." c. "If I notice ringing in my ears, I will call the doctor." d. "I know that I need to monitor my feet for possible skin changes."

c. "If I notice ringing in my ears I will call the doctor."

A family is talking with a nurse because one family member is experiencing a chronic illness. The family asks the nurse how they should cope with their changing roles. What is the nurse's best response? a. "Don't worry about the role changes; everyone will know what to do." b. "I know you are worried about this, so you should talk with the physician." c. "The family should discuss the changing roles and what is needed for everyone." d. "As the nurse, I can decide about the role changes and what would be best for the family."

c. "The family should discuss the changing roles and what is needed for everyone."

Evidence-based practice is defined as: a. Nursing care based on tradition b. Scholarly inquiry embodied in the nursing and biomedical research literature c. A problem-solving approach to clinical practice based on best practices d. Quality nursing care provided in an efficient and economically sound manner

c. A problem-solving approach to clinical practice based on best practices

The nurse is creating the plan of care for a patient who was recently hospitalized for the treatment of anxiety and depression related to a diagnosis of cervical cancer 1 month ago. In planning tertiary prevention strategies for this patient, the nurse knows to add which tertiary interventions to the patient's plan of care: a. Counseling b. Screening for stress-related diseases c. A rehabilitation program focused on stress management d. A daily exercise program

c. A rehabilitation program focused on stress management

Which of the following is an example of a medical malpractice tort liability? a. A patient is informed of all known side effects of a medication and voluntarily takes the medication. The patient experiences an adverse effect from a medication prescribed by a physician. b. A nurse follows the standard of care for initiating an intravenous line, but the patient's vein bursts, causing a hematoma and the need for minor surgery to evacuate the fluid. c. A surgeon does not complete the postprocedure count process, and a sponge is retained in the patient's abdominal cavity. d. The Department of Justice fines an organization for releasing protected health information to a pharmaceutical company without individual patient consent.

c. A surgeon does not complete the post procedure count process, and a sponge is retained in the patient's abdominal cavity.

Which of the following is the conglomerate of morals, values, beliefs, norms, and meanings that a group of people share and communicate from one generation to the next? a. Language b. Religion c. Culture d. Customs

c. Culture

The nurse is teaching health promotion to a group of college students. Which of the following should be included in the talk? a. Arrange to include otoscopic examinations for all patients. b. Administer influenza immunizations to all students at the clinic. c. Discuss the importance of limiting exposure to amplified music. d. Perform tympanometry on all patients between the ages of 18 to 24.

c. Discuss the importance of limiting exposure to amplified music.

A female patient comes to the clinic at 8 weeks' gestation. She lives in a house beneath electrical power lines, which is located near an oil field. She drinks two caffeinated beverages a day, is a daily beer drinker, and has not stopped eating sweets. She takes a multivitamin and exercises daily. She denies drug use. Which finding in the history has the greatest implication for this patient's plan of care? a. Electrical power lines are a potential hazard to the woman and her fetus. b. Living near an oil field may mean the water supply is polluted. c. Drinking alcohol should be avoided during pregnancy because of its teratogenic effects. d. Eating sweets may cause gestational diabetes or miscarriage.

c. Drinking alcohol should be avoided during pregnancy because of its teratogenic effects

Which of the following relationships and differences would one find when comparing evidence-based practice (EBP) and research utilization? (Select all that apply.) a. EBP relies totally on research evidence, as does research utilization. b. Research utilization occurs after evaluation of all available evidence. c. EBP implies internal decision making on the nurse's part. d. Research utilization cannot be imposed from above. e. EBP was a later historical development than was research utilization. f. EBP considers values before it mandates utilization. g. Research utilization is more like performing a meta-analysis than is EBP.

c. EBP implies internal decision making on the nurse's part. e. EBP was a later historical development than was research utilization. f. EBP considers values before it mandates utilization. g. Research utilization is more like performing a meta-analysis than is EBP.

Optimal symptom management is primarily based upon which type of care? a. Physician-directed care b. Nurse-directed care c. Evidence-based practice d. Hospice-directed care

c. Evidence-based practice

Despite the importance of sexual health to overall well-being, many nurses and patients are uncomfortable discussing issues related to sexuality. It is for this reason that the nurse must include questions regarding a sexual health history as part of a comprehensive health assessment. A 15-year-old female patient has come to the office for her annual physical and first pelvic examination. In this situation, which nursing action is most important? a. Encourage the patient to ask questions about sexuality. b. Screen for possible abuse. c. Excuse the parent. d. Ensure the patient that all information will be kept confidential.

c. Excuse the parent

In order to fully understand the concept of sexuality, it is necessary to become familiar with the terms used when discussing this topic. Which term best describes how one views oneself as masculine or feminine? a. Sexual identity b. Sexual orientation c. Gender identity d. Sexual behavior

c. Gender identity

The nurse is assessing a client with impaired hearing. Which action of the nurse is most important for establishing a good communication with the client? a. Speaking at a normal volume. b. Reducing environmental noise c. Getting the client's attention before speaking. d. Rephrasing rather than repeating if misunderstood.

c. Getting the client's attention before speaking.

A patient presents to the emergency department of a hospital with a respiratory rate of 36 and pulse of 115, and is nonresponsive. The patient is diagnosed with acute respiratory failure and is actively dying. The patient's spouse tells the nurse that she wants her husband to be kept comfortable and does not want any aggressive interventions performed. The patient's medical records show a signed do not resuscitate (DNR) form. The following consult is appropriate for the nurse to request: a. Social work consult b. Palliative care consult c. Hospice care consult d. Chaplain consult

c. Hospice care consult

The nurse knows that which of the following are goals related to palliative care: a. Finding the cause of the disease and treating it as soon as possible b. Informing all patients diagnosed with chronic diseases that they should choose hospice care c. Preventing or treating as early as possible the symptoms of a disease or the side effects caused by the treatment of a disease d. Treating the side effects associated only with cancer therapies such as radiation

c. Preventing or treating as early as possible the symptoms of a disease or the side effects caused by the treatment of a disease.

A 17-year-old female patient tells the nurse that she believes she was born the wrong gender and feels like she is a male inside. The nurse knows that this statement indicates which sexual orientation: a. The patient is a lesbian. b. The patient is questioning her sexuality. c. The patient is transgender. d. The patient is bisexual.

c. The patient is transgender

The nurse is working with a student nurse who is not yet licensed. Which of the following is true? a. The student nurse may perform nursing actions until he or she has passed the licensing examination. b. The student nurse is not responsible for his or her actions as a student under the state licensing law. c. The student nurse may perform nursing actions only under the supervision of a licensed nurse. d. The student nurse must apply for a temporary student nurse permit to practice as a student.

c. The student nurse may perform nursing actions only under the supervision of a licensed nurse.

The nurse is caring for a patient who will be discharged with a pain management plan following a fracture to the forearm. Which of the following should the nurse instruct the patient to do first when in pain? a. Try not to take your medications until you pain level is at an 8. b. Take your pain medications when your pain level is at a 3. c. Try repositioning your arm and applying ice before taking medications. d. Keep the hand immobile to prevent pain.

c. Try repositioning the arm and applying ice before taking medications.

The nurse is reviewing the health history from of a 69-year-old. Which finding would alert the nurse that there is a problem that needs referral to the health care provider? a. My eyes are dry now. b. It is hard for me to see at night. c. My vision is blurry when I read. d. I can't see as far over to the side.

d. "I can't see as far over to the side."

The nurse is teaching a family about sensory alterations. The nurse needs to provide additional teaching if a family member makes which statement? a. "I am going to wear earplugs when I mow the lawn." b. "If I stop smoking, I might enjoy eating more!" c. "So grandpa's stroke is why he thinks his left arm and leg aren't there any more." d. "My cousin has autism, and I am going to hug him more so he understands how much I care."

d. "My cousin has autism and I am going to hug him more so he understands how much I care."

A married couple present to the preconceptual clinic with questions about how a fetus's chromosomal sex is established. What is the nurse's best response? a. At ovulation, chromosomal sex is established. b. At ejaculation, chromosomal sex is established. c. At climax, chromosomal sex is established. d. At fertilization, chromosomal sex is established.

d. At fertilization, chromosomal sex is established

A patient has begun smoking again and drinks six alcoholic beverages per day since experiencing the loss of his job. The nurse recognizes that the patient is exhibiting symptoms of which type of stress? a. Psychological b. Emotional c. Physiological d. Behavioral

d. Behavioral

The nurse manger is hosting an educational event about how best to support patients with Alzheimer's disease and their caregivers. Which of the following signs of caregiver role strain will the nurse manager teach as one of the signs of role strain? a. Asking for help from family members b. Skipping visiting the patient two nights a week to be home with family c. Crying after a visit with the patient d. Caregivers who isolate themselves from others

d. Caregivers who isolate themselves from others

Which of the following best describes terms relates to research that attempts to determine an association between or among variables? a. Qualitative research b. Outcomes research c. Intervention research d. Correlational

d. Correlational

The pediatric nurse compares the sources of stress in preschoolers of different ages. Which source creates stress in both 3-year-olds and 4-year-olds? a. Nap or bedtime b. Insecurity c. Questions d. Fears

d. Fears

A nursing student is recalling information about hospice care. What is hospice care? a. Hospice care is a resident's temporary or permanent home, where the surroundings have been made as homelike as possible. b. Hospice care offers an attractive long-term care setting with an environment akin to the client's home, which offers the client greater autonomy. c. Hospice care is a service that provides short-term relief for people providing home care to an ill, disabled, or frail older adult. d. Hospice care is a system of family-centered care that allows clients to remain at home in comfort while easing the pains of terminal illness.

d. Hospice care is a system of family-centered care that allows clients to remain at home in comfort while easing the pains of terminal illness.

Postoperative surgical patients should be given alternating doses of acetaminophen and which medication throughout the postoperative course, unless contraindicated? a. Antihistamine b. Local anesthetic c. Opioids d. Nonsteroidal anti-inflammatory drug (NSAID)

d. Nonsteroidal anti-inflammatory drug (NSAID)

Comfort care is an intervention carried out by which of the following professional disciplines? a. Medicine b. Clergy c. Volunteers d. Nursing

d. Nursing

You are working with a college student who is planning to become sexually active. She is requesting a reliable method of birth control that could be easily discontinued if necessary. Which option should be given the strongest recommendation? a. Intrauterine device (IUD) b. Coitus interruptus c. Natural family planning d. Oral contraceptive pills

d. Oral contraceptive pills

The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for patients. Which statement made by the nurse is the most accurate? a. Inferences from clinical research studies are used as a guide. b. Patient care is based on clinical judgment, experience, and traditions. c. Data are evaluated to show that the patient outcomes are consistently met. d. Recommendations are based on research, clinical expertise, and patient preferences.

d. Recommendations are based on research, clinical expertise, and patient preferences.

Human sexuality is interrelated with a variety of other nursing concepts that may affect sexuality or be affected by healthy sexual functioning. Prompt diagnosis and treatment of potential concerns related to concept overlap is an important nursing function. Which other concept is most likely to overlap with sexuality? a. Stress b. Gas exchange c. Pain d. Reproduction

d. Reproduction

A nursing student is having test anxiety regarding an upcoming test. The test anxiety is considered to be which of the following: a. Role strain b. Ineffective coping c. Normal d. Stressor

d. Stressor

The nurse is caring for a 68-year-old patient who has recently been diagnosed with breast cancer. The patient tells the nurse that she wants to be kept comfortable, but also wishes to aggressively treat the cancer. The patient asks for specific interventions aimed at palliating the side effects of chemotherapy and radiation that the doctor has prescribed. The nurse knows that the patient wishes to receive which kind of care: a. End-of-life care b. Symptom management c. Comfort care d. Supportive care

d. Supportive care

Which of the following statements is true regarding The Joint Commission's authority relating to healthcare organizations? a. The Joint Commission standards have the same effect as law, and organizations can be fined by The Joint Commission for noncompliance. b. The Joint Commission regulations have no effect on the legal process in health care. c. The Joint Commission serves as an advisor to the federal government in establishing fines related to noncompliance. d. The Joint Commission regulations may be seen as having the effect of law because they accredit organizations to bill Medicare and the standards are frequently used in malpractice cases.

d. The Joint Commission regulations may be seen as having the effect of law because they accredit organizations to bill Medicare and the standards are frequently used in malpractice cases.

The nurse in the family planning clinic is developing a teaching plan for a 22-year-old woman who was treated for pelvic inflammatory disease. What information should the nurse include in the plan of care? a. The need to take the birth control pill b. The importance of calculating monthly periods c. The possibility of changes in secondary sex characteristics d. The increased risk of infertility

d. The increased risk of infertility

The nurse is interviewing for a position in the hospital. During the interview, the interviewer asks the nurse when she plans to start a family. The nurse applicant can legally respond: a. No, not until I get married. b. I plan to start a family when I get benefits. c. I don't know and will let you know when I do. d. You do not have a right to ask me that question.

d. You do not have a right to ask me that question.