ANSWERS 100% PASS
A nurse is performing care activities for a client in the zone of touch that requires his
consent. Which of the following activities should the nurse perform in this zone? -
✔✔Removing the clients dentures, palpating for pedal edema, and counting radial
pulse
A nurse observes a client sitting alone in her room crying. As the nurse approaches the
client states ''I'm feeling sad. I don't want to talk right now.'' Which response should the
nurse make? - ✔✔I'll stay with you a few minutes
A nurse is admitting a client from a long term care facility. The nurse should use close-
ended questions when assessing which of the following factors? - ✔✔When asking if
the client took his medication this morning
A nurse is having difficulty caring for a client due to variables affecting the
communication process. Which of the following should the nurse identify as an
interpersonal variable? - ✔✔Education, gender, and perception
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, A nurse asks a client how he is feeling. The client states, ''Im feeling a bit nervous
today''. Which of the following responses should the nurse make? - ✔✔Please explain
what you mean by the word nervous
A nurse is developing a therapeutic relationship with a client. The nurse should
perform which of the following actions during the working phase of a therapeutic
relationship? - ✔✔Instruct the client about methods to achieve goals
A nurse is caring for a client who is cognitively impaired. Which of the following rooms
will provide a therapeutic environment for this client? - ✔✔A room containing personal
belongings
A nurse is providing dietary teaching for a client who is Asian-American and is gazing
at the floor during instructions. Which actions should the nurse take to demonstrate
culturally sensitive nursing care? - ✔✔Continue with the discussion
A nurse is caring for a client within the intimate zone of the clients personal space. The
nurse should perform which of the following activities in this space? - ✔✔Auscultating
heart sounds, and changing a dressing
A nurse is caring for a client whose partner is requesting to bring the client food from
home thats not allowed in the clients dietary plan. Which response should the nurse
make? - ✔✔Lets try to find ways to incorporate your partners favorite food into her diet
plan
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