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c - ANSWER-A pregnant woman is admitted with a tentative diagnosis of
placenta previa. The nurse implements prescriptions to start an intravenous (IV)
infusion, administer oxygen, and draw blood for laboratory tests. The client's
apprehension is increasing, and she asks the nurse what is happening. The nurse
tells her not to worry, that she is going to be alright, and that everything is under
control. What is the best interpretation of the nurse's statement?
a. Adequate, because the preparations are routine and need no explanation
b. Effective, because the client's anxieties would increase if she knew the danger
involved
c. Questionable, because the client has the right to know what treatment is being
given and why
d. Incorrect, because only the primary healthcare provider should offer
assurances about management of care
a - ANSWER-What is the duty of a nurse while caring for a client?
a. The nurse should determine the client's care preferences.
,b. The nurse should hide serious information from the family.
c. The nurse should inform the family after taking the required steps.
d. The nurse should instruct the family to keep the client from doing things
himself or herself.
c - ANSWER-A nursing student is listing the characteristics of an ethical issue.
Which point listed by the nursing student requires correction?
a. An ethical issue occurs if it is perplexing and if it is not easy to think logically
or make a decision.
b. An ethical issue occurs if it is not possible to resolve solely through a review
of scientific data.
c. An ethical issue occurs if the problem aims at the greatest good for the
greatest number of people.
d. An ethical issue occurs if the answer to the problem has a profound relevance
for areas of human concern.
d - ANSWER-On a home visit to an older adult with chronic heart failure, the
nurse notes that a 6-month-old grandchild lies quietly in a crib, rarely smiles or
babbles, and barely has basic needs attended. The client is the primary caregiver
for the infant. What should the nurse do?
a. Advise the purchase of appropriate toys designed for this age level.
b. Inform the client that the child will be cognitively impaired if he is not
stimulated.
,c. Explain the need for the family to hire a mother's helper for the home.
d. Initiate a referral to an appropriate agency to assess the need for a home
health aide and schedule a family conference.
c - ANSWER-The nurse is assessing a young couple planning to start a family.
What should the nurse tell the couple about the change that they will have to
encounter in their family life-cycle?
a. Develop intimate peer relationships
b. Maintain own functions and interests
c. Realign relationships with extended family
d. Refocus on midlife material and career issues
a - ANSWER-A nurse is caring for a newly admitted client in a long-term care
facility. The nurse notes that the client has a decreased attention span and
cannot concentrate. The nurse suspects which effects of sensory deprivation?
a. Cognitive response
b. Emotional response
c. Perceptual response
d. Physical response
, c - ANSWER-A daughter of a Chinese-speaking client approaches a nurse and
asks multiple questions while maintaining direct eye contact. What culturally
related concept does the daughter's behavior reflect?
a. Prejudice
b. Stereotyping
c. Assimilation
d. Ethnocentrism
d - ANSWER-The nurse is assessing a Latino-Caribbean patient who was
brought to the hospital by family members. The family reports the patient
started crying, shouting, trembling, had uncontrolled jerking of the extremities,
and then fell into a trance-like state. What condition does the nurse suspect?
a. Bulimia nervosa
b. Anorexia nervosa
c. Shenjing shuairuo
d. Ataque de nervios
a - ANSWER-A foreign language-speaking client needs to undergo
chemotherapy; a signed consent form is required. What should the nurse do to
explain the terms of the consent to the client?
a. Seek the help of an official interpreter.