Updated Detailed Answers | GRADED A+
Question:
A nurse plans to assess a client's recent memory. Which of these questions
should the nurse include?
A) "What is your date of birth?"
B) "What did you have for breakfast?"
C) "Who is the current president?"
D) "Where were you born?"
Answer: B) "What did you have for breakfast?"
Rationale: Recent memory assesses recall of events within the past few hours
to days. Asking about breakfast tests recent recall. Date of birth, birthplace,
and current president test remote memory.
Question:
A client who has a breast tumor says to a nurse, "I am so anxious. Why did I
have to get sick now?" Which of these responses, if made by the nurse, is
therapeutic?
A) "Don't worry, everything will be fine."
B) "You shouldn't question why this happened."
C) "Tell me more about your concerns."
D) "Many people get sick at your age."
Answer: C) "Tell me more about your concerns."
Rationale: This open-ended response encourages the client to express feelings
and concerns, demonstrating active listening and therapeutic communication.
, Question:
Which of these actions, if taken by a nurse who is transferring a client from the
bed to the chair, is correct?
A) The nurse supports the client in an upright standing position for a few
moments.
B) The nurse positions the chair parallel to the bed.
C) The nurse allows the client to dangle for 30 minutes before standing.
D) The nurse lifts the client under the armpits.
Answer: A) The nurse supports the client in an upright standing position for a
few moments.
Rationale: Allowing the client to stand upright momentarily before sitting
assesses balance and prevents dizziness. This is a safe transfer technique.
Question:
A nurse should assist a pregnant client who is in the first trimester to achieve
the developmental task of this stage of pregnancy, which is:
A) preparing for the baby's arrival.
B) accepting the fact that she is pregnant.
C) bonding with the fetus.
D) planning for labor and delivery.
Answer: B) accepting the fact that she is pregnant.
Rationale: The first trimester developmental task is accepting the reality of
pregnancy. Bonding, preparation, and planning occur in later trimesters.
Question:
When interacting with a client who is paranoid, a nurse should:
A) maintain a professional attitude towards the client.
B) whisper to avoid being overheard.