Exam 2: Partnership

Carla is a 13-year-old girl who has just been diagnosed with diabetes mellitus type 1. Before discharge, the nurse conducts a teaching session that mainly focuses on blood sugarcontrol. As a nurse educator, the nurse makes use of which of the following methods of instruction when teaching Carla about diabetes care?

A nurse prepares to teach a newly diagnosed diabetic client about diabetes and how it is managed. Which of the following is the initial step when preparing the client for a teaching session?

A client who is in for coronary artery bypass gastric surgery expresses his fears to the nurse about the surgery. Which of the following statements by the nurse is appropriate?

Wilkins is an 85-year-old female diagnosed with an advanced case of Alzheimer's disease. The client's memory has severely declined through the years. As the nurse assists the client in performing morning care, the client tells the nurse that she worked as a neuroscientist in the 1950s. The client's husband immediately corrects the client by informing the nurse that his wife worked as science teacher. After the morning care, the nurse talks to the husband in private and encourages him to do which of the following?

A nurse is assisting Brenda, a female client who has difficulty controlling self-destructive behaviors. The nurse utilizes a contractmade with the client as an intervention. Which of the following is the most important purpose for the use of contracts as a behavioral management technique?

Emily is a 75-year-old female who is diagnosed with a terminal disease. One afternoon, the client says, "If I can only live to see my granddaughter born, I would be OK." The nurse recognizes that the client demonstrates:

A nurse is caring for a 21-year-old female who has a phobic disorder. Which of the following is the most effective nursing intervention when caring for the client?

White, a 55-year-old sales agent, has been drinking 7 to 10 cans of beer per day for the past five years. The client says alcohol helps him function at work. Mr. White says, "I'm sure I can cut down on my drinking. Drinking socially won't be a problem." Which of the following responses made by the nurse is the most appropriate?

A male Orthodox Jew is admitted to the unit for a scheduled surgery. The nurse notes that the client adheres to kosher dietary laws. Which of the following food items is not appropriately offered to the client?

Which specific communication technique should a nurse utilize when caring for a client with mild cognitive decline due to Alzheimer's disease?

You have medicated your patient for complaints of pain. You tell your patient you will return in 15 minutes to check on them. When you do return in the 15 minutes, what aspect of a therapeutic relationship are you reinforcing?

Natalia, an 18-year-old college student, is in her first trimester. She calls a nurse working at a clinic and reports increased vaginal discharge that is thin and colorless in appearance. The most appropriate INITIAL response of the nurse is:

Thomas, a 35-year-old stay-at-home dad, is diagnosed with major depression. On assessment, the nurse notes new cutting marks and old scars on his arms and wrists. The nurse suspects that Thomas is suicidal. Which of the following strategies is most appropriate to use with Thomas?

A nurse is working with Marieta, a Hispanic immigrant who speaks little English. Marieta is referred to thenurse to discuss reproductive health. Which of the following interventions by the nurse is the least therapeutic when working with the client?

Mary Lou is an 85-year-old female client who is brought to the emergency department due to a fractured clavicle. On physical assessment, the nurse notes bruises in varying coloration on the upper arms, thorax, and upper legs. The client informs the nurse that her daughter hits her every time she fails to quiet down her granddaughter. Which of the following is the most appropriate response of the nurse?

Andie is a registered nurse who works in a medical-surgical unit. Andie understands the importance of avoiding barriers to achieve therapeutic nurse-client communication during the course of care. Which of the following techniques is NOT a barrier to therapeutic communication?

A nurse is tasked with making the room assignments in a psychiatric unit. The nurse makes the room assignments based on all of the following factors EXCEPT:

A nurse understands that trust builders are essential when establishing a therapeutic nurse-client relationship. When communicating with an anxious elderly client who is visually impaired, which of the following trust builders is the most appropriate?

Belle, a mother of two children, informs the nurse that her three-year-old potty trained son has started urinating in his pants. The regression started about two months after she gave birth to her daughter. Which response by the nurse is the most therapeutic?

A client is rushed to the emergency department due to left-sided substernal chest pain, which was unresolved by sublingual nitroglycerin. Acute myocardial infarction is suspected. The client tells the nurse, "I am scared. Am I dying?" Which of the following responses made by the nurse is the most therapeutic?