1
CHAPTER 31 musCuloskeletal and neurosensory systems
302 Fundamentals For
nursing APPLICATION
EXERCISES
1. A nurse in a provider’s office is preparing to assess a young adult male client’s musculoskeletal
system as part of a comprehensive physical examination. Which of the following findings should the
nurse expect? (Select all that apply.)
A. A concave thoracic spine posteriorly
B. An exaggerated lumbar curvature
C. A concave lumbar spine posteriorly
D. An exaggerated thoracic curvature
E. Muscles slightly larger on his dominant side
2. A nurse is evaluating a client’s neurosensory system. To evaluate stereognosis, she should ask
the client to close his eyes and identify which of the following items?
A. A word she whispers 30 cm from his ear
B. A number she traces on the palm of his hand
C. The vibration of a tuning fork she places on his foot
D. A familiar object she places in his hand
3. A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of
her right shoulder. Which of the following activities is this problem likely to affect?
A. Mopping her floors
B. Brushing the back of her hair
C. Fastening her bra behind her back
D. Reaching into a cabinet above her sink
4. A nurse is performing a neurosensory examination for a client. Which of the following tests should
the nurse perform to test the client’s balance? (Select all that apply.)
A. Romberg test
B. Heel-to-toe walk
, 2
C. Snellen test
D. Spinal accessory function
E. Rosenbaum test
CHAPTER 31 musCuloskeletal and neurosensory systems
Fundamentals For nursing 303
5. A nurse is collecting data from an older adult client as part of a neurosensory examination. Which
of the following findings should the nurse expect as changes associated with aging? (Select all that
apply.)
A. Slower light touch sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short-term memory decline
E. Slower superficial pain sensation
CHAPTER 32 tHeraPeutiC
CommuniCation Fundamentals For
nursing 313 APPLICATION EXERCISES
1. A nurse is caring for a client who states, “I have to check with my wife and see if she thinks I am
ready to be discharged.” The nurse replies, “How do you feel about going home today?” Which
clarifying technique is the nurse displaying to enhance communication between the nurse and the
client?
A. Pacing
B. Reflecting
C. Paraphrasing
D. Restating
2. A nurse is caring for a client who is concerned about being discharged home with a new colostomy
because he is an avid swimmer. Which of the following statements made by the nurse indicates use of
an effective communication technique? (Select all that apply.)
A. “You will do great! You just have to get used it.”
, 3
B. “Why are you worried about going home?”
C. “Your daily routines will be different when you get home.”
D. “Tell me about your support system when you leave the hospital.”
E. “Let me tell you about a friend of mine with a colostomy who also enjoys swimming.”
3. A nurse recognizes that a helping relationship is established with a client if the communication
A. is equally reciprocal between the nurse and the client.
B. encourages the client to express his thoughts and feelings.
C. has no time limits.
D. occurs spontaneously throughout the nurse-client relationship.
4. A nurse is caring for a school-age child who is seated. In order to facilitate effective
communication, the nurse should
A. touch the child.
B. sit at eye level with the child.
C. stand facing the child.
D. stand with a relaxed posture.
CHAPTER 32 tHeraPeutiC CommuniCation
314 Fundamentals For nursing
5. Which of the following are behaviors of active listening? (Select all that apply.)
A. Maintaining an open posture
B. Writing down what the client says so that details are not forgotten
C. Establishing and maintaining eye contact
D. Nodding in agreement with the client throughout the conversation
E. Responding positively when giving feedback
CHAPTER 33 CoPing
Fundamentals For nursing
323 APPLICATION EXERCISES
, 4
1. A nurse is caring for a client whose partner passed away 4 months ago and who has been recently
diagnosed with diabetes mellitus. He is tearful and states, “How could you possibly understand what
I am going through?” Which of the following is an appropriate response by the nurse?
A. “It takes time to get over the loss of a loved one.”
B. “You are right; I cannot really understand. Perhaps you’d like to tell me more about
what you’re feeling.”
C. “Why don’t you try something to take your mind off your troubles, like watching a funny movie.”
D. “I might not share your exact situation, but I do know what people go through when they deal with
a loss.”
2. A nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass
graft. Just as the transport team arrives, the nurse takes the client’s vital signs and notes an elevation
in blood pressure and heart rate. The nurse should recognize this response as which part of the general
adaptation syndrome (GAS)?
A. Exhaustion stage
B. Resistance stage
C. Alarm reaction
D. Recovery reaction
3. A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of
the following nursing interventions for stress, coping, and adherence to the treatment plan
would be appropriate at this time? (Select all that apply.)
A. Suggest coping skills for the client to utilize in this situation.
B. Allow the client to provide input in the treatment plan.
C. Assist the client with time management, and address the client’s priorities.
D. Provide extensive instructions on the client’s treatment regimen.
E. Encourage the client in the expression of feelings and concerns.
4. A nurse is caring for a client who has left-sided hemiplegia resulting from a cerebrovascular accident.
The client works as a carpenter and is now experiencing a situational role change based on physical
limitations. The client is the primary wage earner in the family. Which of the following best describes
the client’s role problem?
A. Role conflict
CHAPTER 31 musCuloskeletal and neurosensory systems
302 Fundamentals For
nursing APPLICATION
EXERCISES
1. A nurse in a provider’s office is preparing to assess a young adult male client’s musculoskeletal
system as part of a comprehensive physical examination. Which of the following findings should the
nurse expect? (Select all that apply.)
A. A concave thoracic spine posteriorly
B. An exaggerated lumbar curvature
C. A concave lumbar spine posteriorly
D. An exaggerated thoracic curvature
E. Muscles slightly larger on his dominant side
2. A nurse is evaluating a client’s neurosensory system. To evaluate stereognosis, she should ask
the client to close his eyes and identify which of the following items?
A. A word she whispers 30 cm from his ear
B. A number she traces on the palm of his hand
C. The vibration of a tuning fork she places on his foot
D. A familiar object she places in his hand
3. A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of
her right shoulder. Which of the following activities is this problem likely to affect?
A. Mopping her floors
B. Brushing the back of her hair
C. Fastening her bra behind her back
D. Reaching into a cabinet above her sink
4. A nurse is performing a neurosensory examination for a client. Which of the following tests should
the nurse perform to test the client’s balance? (Select all that apply.)
A. Romberg test
B. Heel-to-toe walk
, 2
C. Snellen test
D. Spinal accessory function
E. Rosenbaum test
CHAPTER 31 musCuloskeletal and neurosensory systems
Fundamentals For nursing 303
5. A nurse is collecting data from an older adult client as part of a neurosensory examination. Which
of the following findings should the nurse expect as changes associated with aging? (Select all that
apply.)
A. Slower light touch sensation
B. Some vision and hearing decline
C. Slower fine finger movement
D. Some short-term memory decline
E. Slower superficial pain sensation
CHAPTER 32 tHeraPeutiC
CommuniCation Fundamentals For
nursing 313 APPLICATION EXERCISES
1. A nurse is caring for a client who states, “I have to check with my wife and see if she thinks I am
ready to be discharged.” The nurse replies, “How do you feel about going home today?” Which
clarifying technique is the nurse displaying to enhance communication between the nurse and the
client?
A. Pacing
B. Reflecting
C. Paraphrasing
D. Restating
2. A nurse is caring for a client who is concerned about being discharged home with a new colostomy
because he is an avid swimmer. Which of the following statements made by the nurse indicates use of
an effective communication technique? (Select all that apply.)
A. “You will do great! You just have to get used it.”
, 3
B. “Why are you worried about going home?”
C. “Your daily routines will be different when you get home.”
D. “Tell me about your support system when you leave the hospital.”
E. “Let me tell you about a friend of mine with a colostomy who also enjoys swimming.”
3. A nurse recognizes that a helping relationship is established with a client if the communication
A. is equally reciprocal between the nurse and the client.
B. encourages the client to express his thoughts and feelings.
C. has no time limits.
D. occurs spontaneously throughout the nurse-client relationship.
4. A nurse is caring for a school-age child who is seated. In order to facilitate effective
communication, the nurse should
A. touch the child.
B. sit at eye level with the child.
C. stand facing the child.
D. stand with a relaxed posture.
CHAPTER 32 tHeraPeutiC CommuniCation
314 Fundamentals For nursing
5. Which of the following are behaviors of active listening? (Select all that apply.)
A. Maintaining an open posture
B. Writing down what the client says so that details are not forgotten
C. Establishing and maintaining eye contact
D. Nodding in agreement with the client throughout the conversation
E. Responding positively when giving feedback
CHAPTER 33 CoPing
Fundamentals For nursing
323 APPLICATION EXERCISES
, 4
1. A nurse is caring for a client whose partner passed away 4 months ago and who has been recently
diagnosed with diabetes mellitus. He is tearful and states, “How could you possibly understand what
I am going through?” Which of the following is an appropriate response by the nurse?
A. “It takes time to get over the loss of a loved one.”
B. “You are right; I cannot really understand. Perhaps you’d like to tell me more about
what you’re feeling.”
C. “Why don’t you try something to take your mind off your troubles, like watching a funny movie.”
D. “I might not share your exact situation, but I do know what people go through when they deal with
a loss.”
2. A nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass
graft. Just as the transport team arrives, the nurse takes the client’s vital signs and notes an elevation
in blood pressure and heart rate. The nurse should recognize this response as which part of the general
adaptation syndrome (GAS)?
A. Exhaustion stage
B. Resistance stage
C. Alarm reaction
D. Recovery reaction
3. A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of
the following nursing interventions for stress, coping, and adherence to the treatment plan
would be appropriate at this time? (Select all that apply.)
A. Suggest coping skills for the client to utilize in this situation.
B. Allow the client to provide input in the treatment plan.
C. Assist the client with time management, and address the client’s priorities.
D. Provide extensive instructions on the client’s treatment regimen.
E. Encourage the client in the expression of feelings and concerns.
4. A nurse is caring for a client who has left-sided hemiplegia resulting from a cerebrovascular accident.
The client works as a carpenter and is now experiencing a situational role change based on physical
limitations. The client is the primary wage earner in the family. Which of the following best describes
the client’s role problem?
A. Role conflict
