Question 1

The nurse cares for a young adult patient in the emergency room after a sexual assault.Which action by the nurse is appropriate?

Accepted Answer

A) Avoid situations in which the patient will be involved with decision making. 
B) Tell the patient to join a local support group for sexual assault victims. 
C) Actively listen to the patient express feelings related to the sexual assault. 
D) Provide detailed information about evidence collection and invasive procedures. 
A) Avoid situations in which the patient will be involved with decision making. 
B) Tell the patient to join a local support group for sexual assault victims. 
C) Actively listen to the patient express feelings related to the sexual assault. 
D) Provide detailed information about evidence collection and invasive procedures. C

Question 2

The nurse cares for a patient who is scheduled for abdominal surgery.Which action,if taken by the nurse,is most appropriate?

Accepted Answer

A) Mandate the use of a complementary therapy such as guided imagery. 
B) Administer opioids for pain rated more than 3 (on a 0-10 pain scale). 
C) Ask the patient about expectations for postoperative pain management. 
D) Provide pain management based on a standardized nursing care plan. 
A) Mandate the use of a complementary therapy such as guided imagery. 
B) Administer opioids for pain rated more than 3 (on a 0-10 pain scale). 
C) Ask the patient about expectations for postoperative pain management. 
D) Provide pain management based on a standardized nursing care plan. C

Question 3

The home health nurse visits a client with heart failure who has increased dyspnea and peripheral edema and weight gain.The nurse suspects the client is not restricting fluids as prescribed.Which action by the nurse is most appropriate?

Accepted Answer

A) Teach the client about the consequences of not following the fluid restrictions. 
B) Ask the client to report the amount of fluid intake for the past 24 hours. 
C) Provide the client with sugarless candy or gum to decrease the thirst sensation. 
D) Consult with the health care provider about increasing the dose of the diuretic. 
A) Teach the client about the consequences of not following the fluid restrictions. 
B) Ask the client to report the amount of fluid intake for the past 24 hours. 
C) Provide the client with sugarless candy or gum to decrease the thirst sensation. 
D) Consult with the health care provider about increasing the dose of the diuretic. B

Question 4

The nurse cares for a client with hypertension,and a nurse-client contract is developed outlining the activities and responsibilities of each.Which would be appropriate to include in this contract? Select all that apply.

Accepted Answer

A) The outcomes should be realistic and measurable. 
B) Progress should be reviewed at regular intervals. 
C) The contract should be written and signed. 
D) The nurse should keep the information confidential. 
E) The nurse and client should mutually evaluate progress. 
A) The outcomes should be realistic and measurable. 
B) Progress should be reviewed at regular intervals. 
C) The contract should be written and signed. 
D) The nurse should keep the information confidential. 
E) The nurse and client should mutually evaluate progress.

Question 5

The nurse cares for a client who has several options for cancer treatment.Which document supports the client's right to have access to information about treatment options?

Accepted Answer

A) Standards of Clinical Practice 
B) Advance Health Care Directive 
C) Patient's Bill of Rights 
D) Client's Living Will 
A) Standards of Clinical Practice 
B) Advance Health Care Directive 
C) Patient's Bill of Rights 
D) Client's Living Will

Question 6

The nurse cares for a patient with urinary incontinence after a stroke.Which response by the nurse is best?

Accepted Answer

A) "You seem upset about this.We can work together on a bladder retraining program." 
B) "I don't mind cleaning up your mess.I am used to it because my child does this at night." 
C) "Don't be embarrassed.A lot of patients have this problem after a stroke." 
D) "I will bring you some diapers to wear instead of having you wet the bed all the time." 
A) "You seem upset about this.We can work together on a bladder retraining program." 
B) "I don't mind cleaning up your mess.I am used to it because my child does this at night." 
C) "Don't be embarrassed.A lot of patients have this problem after a stroke." 
D) "I will bring you some diapers to wear instead of having you wet the bed all the time."

Question 7

Which describe characteristics of mutuality in the nurse-client relationship? Select all that apply.

Accepted Answer

A) Dependency 
B) Collaboration 
C) Paternalism 
D) Acceptance of differences 
E) Empathy 
A) Dependency 
B) Collaboration 
C) Paternalism 
D) Acceptance of differences 
E) Empathy

Question 8

The nurse discusses smoking cessation with a client.Which action,if taken by the nurse,would most likely result in a behavior change?

Accepted Answer

A) The nurse should advise the client to contact the national telephone quitline. 
B) The nurse should recommend nicotine replacement and behavioral interventions. 
C) The nurse should collaborate with the client to develop an individualized plan of action. 
D) The nurse should implement a strategy that has been validated by research. 
A) The nurse should advise the client to contact the national telephone quitline. 
B) The nurse should recommend nicotine replacement and behavioral interventions. 
C) The nurse should collaborate with the client to develop an individualized plan of action. 
D) The nurse should implement a strategy that has been validated by research.

Question 9

The nurse makes a home visit to a client with chronic kidney disease.The client asks the nurse to make the decision about whether or not to start dialysis.Which action by the nurse is most appropriate?

Accepted Answer

A) Encourage the client to appoint a durable power of attorney. 
B) Invite the client to make a decision after reviewing options. 
C) Direct the client to have the physician make a decision. 
D) Have the client visit with an individual receiving dialysis. 
A) Encourage the client to appoint a durable power of attorney. 
B) Invite the client to make a decision after reviewing options. 
C) Direct the client to have the physician make a decision. 
D) Have the client visit with an individual receiving dialysis.

Question 10

The nurse cares for an adult client diagnosed with type 1 diabetes mellitus.Which is essential in building mutuality in the nurse-client relationship?

Accepted Answer

A) The nurse controls the relationship by retaining the power to make judgments about diabetes education. 
B) The nurse teaches diabetes management by involving the client in making decisions about self-care. 
C) The nurse has expert knowledge of diabetes and formulates appropriate learning outcomes for the client. 
D) The nurse demonstrates trust and respect by solving problems for the client when issues occur with self-management. 
A) The nurse controls the relationship by retaining the power to make judgments about diabetes education. 
B) The nurse teaches diabetes management by involving the client in making decisions about self-care. 
C) The nurse has expert knowledge of diabetes and formulates appropriate learning outcomes for the client. 
D) The nurse demonstrates trust and respect by solving problems for the client when issues occur with self-management.

The nurse cares for a young adult patient in the emergency room after a sexual assault.Which action by the nurse is appropriate?

The nurse cares for a patient who is scheduled for abdominal surgery.Which action,if taken by the nurse,is most appropriate?

The home health nurse visits a client with heart failure who has increased dyspnea and peripheral edema and weight gain.The nurse suspects the client is not restricting fluids as prescribed.Which action by the nurse is most appropriate?

The nurse cares for a client with hypertension,and a nurse-client contract is developed outlining the activities and responsibilities of each.Which would be appropriate to include in this contract? Select all that apply.

The nurse cares for a client who has several options for cancer treatment.Which document supports the client's right to have access to information about treatment options?

The nurse cares for a patient with urinary incontinence after a stroke.Which response by the nurse is best?

Which describe characteristics of mutuality in the nurse-client relationship? Select all that apply.

The nurse discusses smoking cessation with a client.Which action,if taken by the nurse,would most likely result in a behavior change?

The nurse makes a home visit to a client with chronic kidney disease.The client asks the nurse to make the decision about whether or not to start dialysis.Which action by the nurse is most appropriate?

The nurse cares for an adult client diagnosed with type 1 diabetes mellitus.Which is essential in building mutuality in the nurse-client relationship?

Responsible, assertive, caring Communication in Nursing

The Client-Nurse Relationship: a Helping Relationship

Understanding Each Other: Communication and Culture

Working Together in Groups

The Changing World of Electronic Communication

Warmth

Respect

Genuineness

Empathy

Self-Disclosure

Specificity

Asking Questions

Expressing Opinions

Humor

Spirituality

Requesting Support

Overcoming Evaluation Anxiety

Feedback

Relaxation

Imagery

Positive Self-Talk

Confrontation

Refusing Unreasonable Requests

Communicating Assertively and Responsibly With Distressed Clients and Colleagues

Communicating Assertively and Responsibly With Aggressive Clients and Colleagues

Communicating Assertively and Responsibly With Unpopular Clients

Managing Team Conflict Assertively and Responsibly

Communicating at the End of Life

Continuing the Commitment

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Exam 3: Solving Problems Together

The nurse cares for a young adult patient in the emergency room after a sexual assault.Which action by the nurse is appropriate?

The nurse cares for a patient who is scheduled for abdominal surgery.Which action,if taken by the nurse,is most appropriate?

The home health nurse visits a client with heart failure who has increased dyspnea and peripheral edema and weight gain.The nurse suspects the client is not restricting fluids as prescribed.Which action by the nurse is most appropriate?

The nurse cares for a client with hypertension,and a nurse-client contract is developed outlining the activities and responsibilities of each.Which would be appropriate to include in this contract? Select all that apply.

The nurse cares for a client who has several options for cancer treatment.Which document supports the client's right to have access to information about treatment options?

The nurse cares for a patient with urinary incontinence after a stroke.Which response by the nurse is best?

Which describe characteristics of mutuality in the nurse-client relationship? Select all that apply.

The nurse discusses smoking cessation with a client.Which action,if taken by the nurse,would most likely result in a behavior change?

The nurse makes a home visit to a client with chronic kidney disease.The client asks the nurse to make the decision about whether or not to start dialysis.Which action by the nurse is most appropriate?

The nurse cares for an adult client diagnosed with type 1 diabetes mellitus.Which is essential in building mutuality in the nurse-client relationship?

Responsible, assertive, caring Communication in Nursing

The Client-Nurse Relationship: a Helping Relationship

Understanding Each Other: Communication and Culture

Working Together in Groups

The Changing World of Electronic Communication

Warmth

Respect

Genuineness

Empathy

Self-Disclosure

Specificity

Asking Questions

Expressing Opinions

Humor

Spirituality

Requesting Support

Overcoming Evaluation Anxiety

Feedback

Relaxation

Imagery

Positive Self-Talk

Confrontation

Refusing Unreasonable Requests

Communicating Assertively and Responsibly With Distressed Clients and Colleagues

Communicating Assertively and Responsibly With Aggressive Clients and Colleagues

Communicating Assertively and Responsibly With Unpopular Clients

Managing Team Conflict Assertively and Responsibly

Communicating at the End of Life

Continuing the Commitment

Filters