NUR 115 EXAM 1 QUESTIONS AND ANSWERS
During the communication process, "decoding" is:
a. The selection of words by the sender
b. The interpretation of the message by the receiver
c. The method by which the message is given
d. The way in which feedback is interpreted - Answers - b. the interpretation of the
message by the receiver
The nurse is teaching the client about his upcoming procedure and the client is very
stressed. It would be most important for the nurse to:
a. use humor first to decrease the client's stress level
b. determine if teaching should take place at a different time
c. introduce himself as the RN to give credibility to his message
d. speak to the client when family members are there so they can teach the client -
Answers - b. determine if teaching should take place at a different time
Use of the statements "Tell me more about..." or "I see" encourage clients to continue
talking and expressing themselves. This is called:
a. Summarizing
b. Open-ended questions
c. Focusing
d. Encouraging elaboration - Answers - d. encouraging elaboration
Which religion opposes the "false teaching" of other sects, which often extends to
modern science, including medicine?
a. Native American
b. Unification church
c. Buddhism
d. Jehovah's Witnesses - Answers - d. Jehovah's Witnesses
It would be most important for the nurse to instruct the LNA to assist patients of which
faith to wash their hands before meals?
a. Christian
b. Jewish
c. Mormon
d. Muslim - Answers - d. Muslim
Joe was asked to make a list of 20 words that describe him. After 15 minutes, Joe listed
the following: 25 years old, male, named Joe; the delayed he couldn't think of anything
else. He has demonstrated which of the following?
a. lack of self-esteem
b. deficient self-knowledge
c. unrealistic self-expectation
, d. inability to evaluate himself - Answers - b. deficient self-knowledge
Which of the nursing interventions below is least likely to assist a severely ill patient with
cancer to maintain a positive sense of self?
a. making it a point to address the patient by name each time you enter the room
b. fatiguing the patient as little as possible by performing all procedures in silence
c. continuing to respect the patient's privacy and sensibilities
d. offering the patient a simple explanation before moving her in any way - Answers - b.
fatiguing the patient as little as possible by performing all procedures in silence
By the second postoperative day, a
client has not achieved satisfactory pain
relief. Based on this evaluation, which of
the following actions should the nurse
take, according to the nursing process?
A. Reassess the client to
determine the reasons for
inadequate pain relief.
B. Wait to see whether the pain
lessens during the next 24 hr.
C. Change the plan of care
to provide different pain
relief interventions.
D. Teach the client about the plan
of care for managing his pain. - Answers - A. Reassess the client to
determine the reasons for
inadequate pain relief.
A charge nurse is observing a newly licensed nurse care for a client who reports pain.
The nurse checked the client's MAR and noted the last dose of pain medication was 6
hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the
medication and checked with the client 40 min later, when the client reported
improvement. The newly licensed nurse left out which of the following steps of the
nursing process?
a. assessment
b. planning
c. intervention
d. evaluation - Answers - a. assessment
(the nurse should have used the assessment step by asking the patient to rate the
severity of pain on a 0 to 10 scale)
A charge nurse is reviewing the steps of the nursing process with a group of nurses.
Which of the following data should the charge nurse identify as objective data? (Select
all that apply.)
a. respiratory rate that is 22/min with even, unlabored respirations
During the communication process, "decoding" is:
a. The selection of words by the sender
b. The interpretation of the message by the receiver
c. The method by which the message is given
d. The way in which feedback is interpreted - Answers - b. the interpretation of the
message by the receiver
The nurse is teaching the client about his upcoming procedure and the client is very
stressed. It would be most important for the nurse to:
a. use humor first to decrease the client's stress level
b. determine if teaching should take place at a different time
c. introduce himself as the RN to give credibility to his message
d. speak to the client when family members are there so they can teach the client -
Answers - b. determine if teaching should take place at a different time
Use of the statements "Tell me more about..." or "I see" encourage clients to continue
talking and expressing themselves. This is called:
a. Summarizing
b. Open-ended questions
c. Focusing
d. Encouraging elaboration - Answers - d. encouraging elaboration
Which religion opposes the "false teaching" of other sects, which often extends to
modern science, including medicine?
a. Native American
b. Unification church
c. Buddhism
d. Jehovah's Witnesses - Answers - d. Jehovah's Witnesses
It would be most important for the nurse to instruct the LNA to assist patients of which
faith to wash their hands before meals?
a. Christian
b. Jewish
c. Mormon
d. Muslim - Answers - d. Muslim
Joe was asked to make a list of 20 words that describe him. After 15 minutes, Joe listed
the following: 25 years old, male, named Joe; the delayed he couldn't think of anything
else. He has demonstrated which of the following?
a. lack of self-esteem
b. deficient self-knowledge
c. unrealistic self-expectation
, d. inability to evaluate himself - Answers - b. deficient self-knowledge
Which of the nursing interventions below is least likely to assist a severely ill patient with
cancer to maintain a positive sense of self?
a. making it a point to address the patient by name each time you enter the room
b. fatiguing the patient as little as possible by performing all procedures in silence
c. continuing to respect the patient's privacy and sensibilities
d. offering the patient a simple explanation before moving her in any way - Answers - b.
fatiguing the patient as little as possible by performing all procedures in silence
By the second postoperative day, a
client has not achieved satisfactory pain
relief. Based on this evaluation, which of
the following actions should the nurse
take, according to the nursing process?
A. Reassess the client to
determine the reasons for
inadequate pain relief.
B. Wait to see whether the pain
lessens during the next 24 hr.
C. Change the plan of care
to provide different pain
relief interventions.
D. Teach the client about the plan
of care for managing his pain. - Answers - A. Reassess the client to
determine the reasons for
inadequate pain relief.
A charge nurse is observing a newly licensed nurse care for a client who reports pain.
The nurse checked the client's MAR and noted the last dose of pain medication was 6
hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the
medication and checked with the client 40 min later, when the client reported
improvement. The newly licensed nurse left out which of the following steps of the
nursing process?
a. assessment
b. planning
c. intervention
d. evaluation - Answers - a. assessment
(the nurse should have used the assessment step by asking the patient to rate the
severity of pain on a 0 to 10 scale)
A charge nurse is reviewing the steps of the nursing process with a group of nurses.
Which of the following data should the charge nurse identify as objective data? (Select
all that apply.)
a. respiratory rate that is 22/min with even, unlabored respirations
