2023-2024 practice Guide
1.A nurse educator is presenting information about
the nursing process to a class of nursing students.
What definition of the nursing process should be
included in the presentation?
1. Procedures used to implement client care
2. Sequence of steps used to meet the client’s needs
3. Activities employed to identify a client’s problem
4. Mechanisms applied to determine nursing goals for the
client
2.A nurse on the medical-surgical unit tells other staff
members, “That client can just wait for the lorazepam; I
get so annoyed when people drink too much.” What does
this nurse’s comment reflect?
1. Demonstration of a personal bias
2. Problem solving based on assessment
3. Development of client acuity to set priorities
4. Consideration of the complexity of client care
3.A teenager begins to cry when talking with the nurse
about the problem of not being able to make friends.
What is the most therapeutic nursing intervention? TC
1. Sitting quietly with the client
2. Telling the client that crying is not helpful
3. Suggesting that the client play a board game
4. Recommending how the client can change this situation
, .After being medicated for anxiety, a client says to a
nurse, “I guess you are too busy to stay with me.” How
should the nurse respond? TC
1. “I’m so sorry, but I have to see other clients”
2. “I have to go now, but I will come back in 10 minutes” (
offering self)
3. “You’ll be able to rest after the medicine starts working”
4. “You’ll feel better after I’ve made you more comfortable”
5.A physicianis admitted to the psychiatric unit of a community
hospital. The client, who was restless, loud, aggressive, and
resistive during the admission procedure, states, “I will take
my own blood pressure.” What is the nurse’s most therapeutic
response? TC
1. “Right now you are just another client”
2. “If you would rather, I’m sure you will do it correctly”
3. “I will get the attendants to assist me if you do not
cooperate”
4. “I am sorry, but I cannot allow that because I must
take your blood pressure”(boundaries