AND CORRECT VERIFIED
ANSWERS)/ALREADY GRADED A
A client expresses to the nurse visiting her home that her
husband has threatened to kill her. The nurse understands that
threats of harm and intimidation are which type of abuse? -
correct answer- Economic
Psychological*
Sexual
Physical
A nurse begins a comprehensive physical exam on a client and
notes the client has a large amount of adipose tissue around the
waistline. The nurse recognizes that this client should be
assessed for an increased risk of which diseases? Select all that
apply? - correct answer- Pancreatitis
Liver disease
Hypertension*
Stroke*
Colon cancer
T2DM*
,A nurse begins an interview with a client who is a native
american. This nurse should not be surprised to see the client
display which type of behavior characteristics of the culture
group when responding to questions or engaging conversations
with the nurse? - correct answer- Looking down*
Interrupting frequently
Standing with the face slightly to the side
Looking away
A nurse is assessing the respiratory rate of an elderly client.
Which of the following findings in breaths per minute would
indicate a normal respiratory rate in this client? - correct
answer- 11
18*
23
12
Normal range for elderly → 15-22
A nurse is preparing to assess a client's vital signs. In which order
should the nurse assess them? - correct answer- Temp-
pulse-RR-BP
,A nurse measures a client's BP at 174/103 mmHg. The nurse
recognizes this as what classification of BP measurement? -
correct answer- Stage 2 hypertension
A nurse must perform a non formal spiritual assessment of a
client. Which tool would be most appropriate for the nurse to
use? - correct answer- Casual conversation
Personal interview
SPIRIT assessment tool*
Open-ended questions
S - spiritual belief system
P - personal spirituality
I - integration with a spiritual community
R - rituals and restrictions spirituality requires for healthcare
I - implications of spirituality and religion for healthcare
T - terminal event planning
A nurse provides care for an african american client who
experiences anxiety - GI complaints - and a fear of being
, poisoned or killed. The nurse recognizes this as which culture-
bound syndrome? - correct answer- Mal de ojo
Susto
Rootwork*
Empacho
Define elder abuse and give an example? - correct answer-
Intentional act of failure to act that causes harm to older adults.
(ex: stealing or misusing money/possessions, coercing them to
sign documents, physical harm)
Give examples of nonverbal communication & what to avoid
when interviewing a patient - correct answer- Nonverbal
communication pertains to anything & everything that is not
communicated directly using your voice to speak
Examples: silence, stands (hands folded over chest), body
language (standing vs. sitting, too much eye contact vs. not
enough)
Nurse interviewer should avoid silence & having an aggressive
stance/body language, maintain an appropriate amount of eye
contact