UPDATE | WITH COMPLETE SOLUTION
to provide effective nursing care, the nurse should engage in what type of
communication with the client and significant others? Answer - therapeutic
communication
During an assessment of a newly admitted client the nurse asks the client many
questions. The nurse begins the assessment by asking, "Have you been
hospitalized this year for your back pain?" This is an example of which type of
question? Answer - closed question
A nurse is caring for a client who is newly diagnosed with terminal cancer. The
nurse enters the client's room and finds the client sitting in the dark crying.
Which statement conveys empathy by the nurse? Answer - "I know this is hard
for you. Is there anyway I could help?"
A nurse is caring for a client admitted to the hospital for dehydration. Which
physical findings should the nurse acknowledge as nonverbal communication
concerning this diagnosis? Answer - easy wrinkling of the skin and sunken eyes
A client has cancer, but the significant other does not want the client to know
the diagnosis. The nurse demonstrates sensitivity to the significant other and
works with the couple to achieve desired outcomes. What kind of behavior is
the nurse exhibiting? Answer - empathy
,The nurse is performing an assessment on a client who reports having a rash on
the back that is red and raised. What would be the most appropriate nursing
action? Answer - assess the client's back visually
Which is the most appropriate example of the assessment phase of the nursing
process? Answer - palpating a mass in the lower right quadrant of the
abdomen
While working as part of an interdisciplinary group developing a client's plan of
care, a nurse asks the question, "Can you give me an example?" The nurse is
demonstrating which standard for judging thinking? Answer - clarity
The nurse administers pain medication to a postoperative client. Which nursing
intervention will assist with the client's unrelieved pain? Answer -
repositioning the client
The nurse is caring for an underweight female client diagnosed with a new food
allergy to wheat, rye, and oats and with a nursing diagnosis of Imbalanced
Nutrition: less than body requirements. What is the most appropriate
intervention for this client? Answer - administer a high calorie diet, excluding
wheat, rye, and oats
A nurse has developed a plan of care for an adult client. What nursing function
is important when using nursing diagnoses to guide the care of this client?
Answer - prioritize the nursing diagnosis
Which are characteristics of one who has developed critical thinking skills?
Answer - self-aware, honest, persistent, and authentic
The nurse is making morning rounds after receiving reports on clients. The
nurse takes the opportunity to greet the clients and do an initial observation.
, The nurse is actually accomplishing which step of the nursing process? Answer
- assessment
Which action exemplifies the purpose of evaluation in the nursing process?
Answer - decide whether to continue, modify, or terminate client care
Self-evaluation is a method that nurses use to promote their own development
and to grow in confidence in their nursing roles. This process is referred to as:
Answer - reflective practice
The nurse is caring for a client who presents with polydipsia, polyphagia, and
polyuria. The client's laboratory test results reveal an increased HgbA1C level,
which could indicate increased blood glucose levels. What is the next step for
the nurse to take based on the nursing process? Answer - analyze the data and
create an individualized nursing diagnosis
A nurse is involved in selecting the appropriate nursing diagnosis for a client.
Which techniques would the nurse likely use? Select all that apply. Answer - -
cue clustering
-cluster interpretation
-diagnostic validation
Which statements are true about informatics in nursing practice? Select all that
apply. Answer - -nurses should value technologies that support error
prevention and care coordination
-the use of informatics can help manage knowledge and mitigate error
-utilization of information services helps to support decision making
A single parent age 17 years, with one child and pregnant with a second, has
the mental age of a 12-year-old. The home care nurse's greatest concern in