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When describing nursing to a group of nursing students, the nursing instructor lists all of the following characteristics of nursing except
a. Historically nursing is as old as mankind.
b. nursing was originally practiced informally by religious orders dedicated to care of the sick.
c. nursing was later practiced in the home by female caregivers with no formal education.
d. nursing has always been identifiable as a distinct occupation.
a. historically nursing is as old as mankind
The nursing profession’s first nurse researcher, who served as an early advocate for high-quality care and used statistical data to document the need for handwashing in preventing infection, was
a. Abraham Maslow.
b. Martha Rogers.
c. Hildegard Peplau.
d. Florence Nightingale.
d. Florence Nightingale.
3. Today, professional nursing education begins at the
a. undergraduate level.
b. graduate level.
c. advanced practice level.
d. administrative level.
a. undergraduate level.
Nursing’s metaparadigm, or worldview, distinguishes the nursing profession from other disciplines and emphasizes its unique functional characteristics. The four key concepts that form the foundation for all nursing theories are
a. caring, compassion, health promotion, and education.
b. respect, integrity, honesty, and advocacy.
c. person, environment, health, and nursing.
d. nursing, teaching, caring, and health promotion.
c. person, environment, health, and nursing.
When admitting a client to the medical-surgical unit, the nurse asks the client about cultural issues. The nurse is demonstrating use of the concept of
a. person.
b. environment.
c. health.
d. nursing.
b. environment
A young mother tells the nurse, “I’m worried because my son needs a blood transfusion. I don’t know what to do, because blood transfusions cause AIDS.” Which central nursing construct is represented in this situation?
a. Environment
b. Caring
c. Health
d. Person
d. Person
The nurse performs a dressing change using sterile technique. This is an example of which pattern of knowledge?
a. Empirical
b. Personal
c. Aesthetic
d. Ethical
a. Empirical
The nurse-client relationship as described by Hildegard Peplau
a. would not be useful in a short-stay unit.
b. allows personal and social growth to occur only for the client.
c. facilitates the identification and accomplishment of therapeutic goals.
d. focuses on maintaining a personal relationship between the nurse and client.
c. facilitates the identification and accomplishment of therapeutic goals.
The identification phase of the nurse-client relationship
a. sets the stage for the rest of the relationship.
b. correlates with the assessment phase of the nursing process.
c. focuses on therapeutic goals to enhance client and family well-being.
d. uses community resources to help resolve health care issues.
c. focuses on therapeutic goals to enhance client and family well-being.
Abraham Maslow's needs theory is a framework that
a. begins with meeting basic psychosocial needs first.
b. ensures essential needs are satisfied, then people move into higher physiological areas of development.
c. proposes that people are motivated to meet their needs in a descending order.
d. nurses use to prioritize client needs and develop relevant nursing approaches.
d. nurses use to prioritize client needs and develop relevant nursing approaches.
Which of the following statements about communication theory is true?
a. Primates are able to learn new languages to share ideas and feelings.
b. Concepts include only verbal communication.
c. Perceptions are clarified through feedback.
d. Past experience does not influence communication.
c. Perceptions are clarified through feedback.
In the circular transactional model of communication,
a. questions are framed in order to recognize the context of the message.
b. people take only complementary roles in the communication.
c. the context of the communication is unimportant.
d. the purpose of communication is to influence the receiver.
a. questions are framed in order to recognize the context of the message.
3. The nurse recognizes that feedback loops
a. do not allow for correction of original information.
b. are solely based on the General Systems Theory.
c. do not allow for validation of information.
d. allow the human system to correct its original information
d. allow the human system to correct its original information
Which of the following statements best represents therapeutic communication when a student discovers a client crying in bed?
a. “I am the nurse who will be doing your treatments today.”
b. “Will you listen to me so I can help you get better?”
c. “This is what is going to happen during surgery.”
d. “Can we talk about what seems to be bothering you?”
d. “Can we talk about what seems to be bothering you?”
The central constructs of person, environment, health, and nursing are found in all nursing theories and models and are referred to as
a. telehealth.
b. the medical model.
c. nursing’s metaparadigm.
d. five core areas of competency.
c. nursing’s metaparadigm.
The nurse demonstrates effective communication by ensuring all of the following except
a. two-way exchange of information among clients and health providers.
b. making sure that unilateral information is exchanged between clients and nurses. c. making sure that the expectations and responsibilities of all are clearly understood.
d. recognizing that effective communication is an active process for all involved.
B
A preoperative assessment shows that a client’s hemoglobin level is dropping. The anesthetist orders 3 units of blood to be administered. The nurse administers the first unit before discovering that the client is a Jehovah’s Witness, as documented in the record. This is an example of
a. professional conduct.
b. a negligent act.
c. physical abuse.
d. breaching client confidentiality
B
Which of the following is a violation of client confidentiality? Reporting
a. certain communicable diseases.
b. child abuse.
c. gunshot wounds.
d. client data to a colleague in a nonprofessional setting.
D
A 16-year-old trauma victim arrives in the emergency department with a life-threatening condition and requires emergency surgery. The nurse knows that
a. a parent/guardian must give consent.
b. the client can give consent if she provides proof of emancipation.
c. the client must first be evaluated for competency before obtaining consent.
d. surgery can be performed without consent.
D
In regard to informed consent, which of the following statements is true?
a. Only legally incompetent adults can give consent.
b. Only parents can give consent for minor children.
c. It is not required that the client be told about costs and alternatives to treatment.
d. Consent must be voluntary.
D
The client has a living will in which he states he does not want to be kept alive by artificial means. The client’s family wants to disregard the client’s wishes and have him maintained on artificial life support. The most appropriate initial course of action for the nurse would be to
a. tell the family that they have no legal rights.
b. tell the family that they have the right to override the living will because the patient cannot speak.
c. report the situation to the hospital ethics committee.
d. allow the family to verbalize their feelings and concerns, while maintaining the role of client advocate.
D
The nurse collects both objective and subjective data. An example of subjective data is
a. BP 140/80.
b. skin color jaundiced.
c. “I have a headache.”
d. history of seizures.
C
The nurse observes a client pacing the floor. The nurse validates an inference when speaking to the client by stating,
a. “You are anxious, so let’s talk about it.”
b. “Let’s try some deep breathing to help you relax.”
c. “You seem anxious. Will you tell me what is going on?”
d. “Clients who pace usually need to talk to a physician. Should I call yours?”
C
A client who is scheduled for a bilateral inguinal hernia repair the next day is observed pacing the unit. After validating that the client is anxious about his upcoming surgery because he is afraid of pain, a relevant nursing diagnosis would be
a. anxiety related to surgery.
b. pain related to anxiety about surgery as evidenced by pacing.
c. anxiety related to fear of postoperative pain as evidenced by pacing.
d. pacing related to fear of postoperative pain.
C
Which of the following is an outcome for a client with a broken leg?
a. Client will develop an ambulation program within 1 month.
b. Encourage client to ambulate with cast using crutches.
c. Client asks, “When will I walk again?”
d. Client experiences alteration in mobility related to a broken leg
A
When setting goals with a client, the nurse demonstrates which step of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
B
When the nurse identifies a health problem or alteration in a client’s health status that requires a nursing intervention, the nurse is performing which step of the nursing process?
a. Diagnosis
b. Planning
c. Intervention
d. Evaluation
A
When evaluating the client’s progress toward goal achievement, the nurse should ask which of the following questions?
a. “Did the client tell the truth?”
b. “Were the goals realistic?”
c. “Did the physician diagnose the client’s condition correctly?”
d. “Was the length of stay too short?
B
The plan of care serves as the structural framework for
a. maintaining confidentiality.
b. attaining self-actualization.
c. maintaining therapeutic communication.
d. providing safe, high-quality care
D
The nurse is caring for a client whose health has suddenly worsened. The nurse calls the health care provider. What is the best example of the nurse communicating to the health care provider using the situation part of SBAR communication?
a. “The patient has developed dyspnea with audible crackles in the lungs bilaterally; oxygen saturation is 86% on room air.”
b. “The patient has chronic obstructive pulmonary disease due to a long-term history of smoking.”
c. “I am concerned that the patient is exhibiting signs of a pulmonary embolus due to a sudden drop in oxygenation.”
d. “I would like for you to order a STAT chest x-ray because the patient has suddenly developed shortness of breath with hypoxia.”
A
During a routine visit, the nurse notes that a child has several bruises at various stages of healing. The child reports having fallen down. Failure to report these findings is an example of
a. negligence.
b. reasonable prudence.
c. maintenance of confidentiality.
d. HIPAA regulation.
A
When practicing effective and correct communication, the nurse should (Select all that apply.)
a. speak in a clear voice.
b. be concise when providing client education.
c. be concrete when communicating with clients.
d. focus entirely on abstract communication techniques with clients.
e. ensure that communication with clients is complete.
f. provide courteous communication when interacting with clients
A, B, C, E, F
Which of the following types of thinking reflects the nursing process?
a. Habits
b. Inquiry
c. Mnemonic
d. Practice
B
Which of the following personality characteristics is a barrier to critical thinking?
a. Accepting change
b. Being open minded
c. Stereotyping
d. Going with the flow
C
The ethical decision-making model where good is defined as maximum welfare or happiness is known as the
a. utilitarian model.
b. human rights based model.
c. duty-based model.
d. Kant’s model.
A
Which of the following case examples represents the ethical concept of distributive justice?
a. A famous baseball player receives a heart transplant.
b. An older adult who has government insurance is denied standard cancer treatment.
c. During a visit to his physician’s office, a client demands antibiotics for his cold and is given a prescription.
d. A client suffering from cirrhosis of the liver is placed on a transplant list.
B
Personal values are defined as
a. values shaped by family, religious beliefs, and years of experience.
b. altruism.
c. two values that are in conflict.
d. values determined by commitment.
A
A nurse values autonomy and self-determination as well as the preservation of life. This is an example of
a. conceptions of the ideal.
b. cognitive dissonance.
c. operative values.
d. commitment.
B
Which of the following statements is true about the critical thinking process?
a. It is a linear process.
b. The skills are inborn.
c. It is goal directed.
d. It assists nurses to criticize the health care system
C
Which of the following best describes the critical thinking skills of a novice nurse and an expert nurse?
a. The expert nurse is able to diagnose faster than the novice nurse.
b. The expert nurse does not need to question and reassess like the novice nurse.
c. The novice nurse uses past knowledge, whereas the expert nurse stays in the here and now.
d. The expert nurse organizes data more efficiently than the novice nurse.
D
When conducting an in-service on serious medical errors, the nurse teaches that nearly 70% of sentinel events are related to
a. lack of education.
b. inadequate resources.
c. minimal rest periods.
d. miscommunication.
D
When working on a nursing unit, the nurse recognizes that incomplete communication errors most often occur during
a. staff meetings.
b. the night shift.
c. a handoff procedure.
d. medication administration.
C
A nurse recognizes that strategies for clear, accurate communication to promote client safety include which of the following?
a. Establishing a safe environment
b. Maintaining a climate of closed communication
c. Using unique interdisciplinary communication tools
d. Using communication tools that promote vague communication
A
When communicating with clients, the nurse actively uses listening responses. Which of the following types of listening response should the nurse use?
a. Moralizing
b. Giving advice
c. False reassurance
d. Paraphrasing
D
The nurse enters a client’s room with the intent of allowing the client to express feelings in relation to her new cancer diagnosis. The nurse notices that the client is crying and guarding her incision site. After validating physical discomfort, the nurse should
a. administer an analgesic (pain reliever) and postpone the interaction.
b. sit with the client and hold her hand.
c. explain that pain is expected following surgery but that it is important to increase activity to avoid complications.
d. acknowledge the physical pain but state that it is a priority to immediately address the emotional pain.
A
When teaching a client how to administer insulin, the nurse recognizes that the best method of communicating therapeutically with the client is to
a. talk to the client in the visitors’ lounge.
b. talk to the client within his personal space.
c. communicate with the client using touch.
d. face the client while leaning slightly forward.
D
The nurse asks a newly admitted client, “Can you tell me what brought you to the hospital today?” The purpose of an open-ended question is to
a. influence the direction of an acceptable response.
b. encourage the client to answer the question with a one-word response.
c. allow clients latitude in telling their story.
d. allow the client to engage in a passive relationship with the nurse.
C
Which of the following is the best questioning sequence during a client interview in which the client is communicative and not in an emergency situation?
a. Begin with focused questions and proceed to open-ended questions.
b. Begin with open-ended questions and proceed to focused questions.
c. Begin with closed questions and proceed to open-ended questions.
d. Begin with open-ended questions and proceed to closed questions.
B
A client is admitted to the hospital for unsteady gait resulting in frequent falls. Which of the following is a circular question that the nurse could ask this client?
a. “Tell me more about your falls at home.”
b. “How will this hospitalization affect your family?”
c. “Have you experienced dizziness and imbalance before?”
d. “Can you tell me what brought you here?”
B
A client states, “I can’t sleep all night because the nurses are noisy.” Which of the following responses by the nurse best represents the nurse’s recognition of the client’s theme?
a. “I will speak to the supervisor about your complaint.”
b. “You cannot sleep because of the noise level at night?”
c. “You need to understand that nurses communicate with other clients during the night.”
d. “I will tell the night nurses that you complained.”
B
A client states, “I don’t know about taking this medicine the doctor is putting me on. I’ve never had to take medication before, and now I have to take it twice a day.” The nurse’s response is, “It sounds like you don’t know what to expect from taking the medication.” The nurse’s response is an example of which of the following?
a. Clarification
b. Paraphrasing
c. Restatement
d. Validation
B
A client tells the nurse, “I am having a tough time and I am scared about the future.” Which of the following responses by the nurse is the best feedback?
a. “I know what you mean.”
b. “You should do something about it.”
c. “I really don’t think you are having a tough time.”
d. “You are having a tough time and you are scared.”
D
Communication is a combination of
a. verbal and nonverbal behaviors.
b. pitch, tone, and paralanguage.
c. proxemics, touch, and kinesics.
d. eye contact, facial expressions, and nonverbal messages
A
Cultural competence
a. involves a lack of acceptance of cultural differences in others.
b. requires self-awareness of one’s own cultural values.
c. is a nonessential skill set required for health care providers.
d. begins with developing knowledge and acceptance of cultural differences in others.
B
When practicing cultural awareness, the nurse recognizes that cultural patterns
a. are socially transmitted through ethnic groups.
b. are nonessential parts of personal identity.
c. are minor determinants of health-related attitudes.
d. are important determinants of health-related beliefs
D
The nurse is caring for a client who has a large extended family. The nurse recognizes the client is part of a group known as a
a. focus group.
b. educational group
c. primary group.
d. secondary group.
C
Which of the following statements is true in relation to task functions?
a. When task functions predominate, member satisfaction increases.
b. When maintenance functions predominate, goals are achieved.
c. They are behaviors used to move toward goal achievement.
d. They are behaviors designed to ensure personal satisfaction.
C
When leading a group meeting, the nurse notices two group members talking. Which of the following represents the best intervention by the nurse?
a. Ask the group, “Have you noticed who is talking at this time?”
b. Tell the two group members, “I would like you to stop talking.”
c. Provide the two group members with a verbal summary of what the group has been discussing.
d. Ask the two group members, “Would you share your comments with the group?”
D
The group leader states, “Today we discussed some of the issues about taking medications, and each one of you developed a goal in relation to some of the problems you were experiencing. I think it was helpful that some of you were able to share your experiences with other group members.” The leader is using the technique of
a. harmonizing.
b. summarizing.
c. encouraging.
d. compromising.
B
During the first session of an Alzheimer disease support group for family members, the nurse recognizes the need to
a. encourage member contributions and emphasize cooperation in recognizing each person’s talents related to group goals.
b. accept differences in member perceptions as being normal and growth producing.
c. encourage group members to introduce themselves and share a little of their background or their reason for coming to the group.
d. link constructive themes while stating the nature of the disagreement.
C
When members of a group experience controversy, conflict, and disagreements, the nurse leading the group recognizes the importance of
a. encouraging member contributions and emphasizing cooperation in recognizing each person’s talents related to group goals.
b. focusing on working together and participating in another person’s personal growth.
c. having members introduce themselves and share a little of their background or their reason for coming to the group.
d. accepting differences in member perceptions as being normal and growth producing.
D
A long-standing group therapy meeting has been in process for 1/2 hour when a member arrives late. Another member says, “I thought we agreed as a group to come on time.” This statement represents which of the following?
a. Regulation
b. Law
c. Role
d. Norm
D
A staff nurse is assigned to lead a community group meeting comprised mostly of psychotic clients. When setting up this type of group meeting, the nurse recognizes that
a. refreshments should always be eliminated in order to keep the meeting room neat and orderly.
b. acutely psychotic clients generally can participate in community group meetings prior to being stabilized.
c. the group leader should take a passive role in order to avoid frightening the clients.
d. choosing a fellow staff member to help co-lead the group is recommended.
D
A member of a support group is concerned that the group has not been ending on time and that some members have been pairing off to discuss group issues after the meetings. The concerned group member expresses these concerns during a group meeting. This is an example of which maintenance function?
a. Setting standards
b. Consensus taking
c. Seeking information
d. Initiating discussion
A
A member of a support group frequently whispers to other members of the group and appears indifferent and passive during group meetings. Which of the following nonfunctional self-roles is represented in this situation?
a. Aggressor
b. Avoider
c. Blocker
d. Self-confessor
B
The nurse recognizes an effective group includes which of the following characteristics?
a. Power resides in the leader and is not shared.
b. Communication is guarded and feelings are not always given attention.
c. Goals are vague or imposed on the group without discussion.
d. Goals are clearly identified and collaboratively developed
D
An older adult client is admitted to the hospital with terminal cancer. The client expresses acceptance of impending death and states, “I am very satisfied with the life I had.” The nurse recognizes the client is in Erikson’s stage of psychosocial development known as which of the following?
a. Integrity vs. Despair
b. Autonomy vs. Shame and Doubt
c. Intimacy vs. Isolation
d. Identity vs. Identity Diffusion
A
The nurse is caring for an adolescent client who has had an amputation of his right leg. The client states, “I’m really worried my girlfriend might not want to be with me anymore. I don’t look the same.” Which of the following concepts is represented in this situation?
a. Role performance
b. Body image
c. Self-esteem
d. Personal identity
B
Which of the following statements about perception is true?
a. Perception is a function of the senses.
b. Perception is an interpersonal process.
c. Positive images are retained longer than negative ones.
d. Personal identity is constructed through cognitive processes of perception.
D
Which of the following statements is true about self-esteem?
a. It is an objective emotional process.
b. Achievements lead to high self-esteem.
c. It is the emotional value a person places on his or her self-concept.
d. It is a concept that becomes fixed.
C
To adequately meet the spiritual needs of clients, the nurse should first
a. learn to be considerate and sensitive.
b. distinguish between his or her own spiritual needs and those of the client.
c. meet the client’s spiritual needs.
d. offer to pray and read the bible with the client.
B
In the preinteraction phase of the nurse-client relationship
a. professional goals are communicated directly to the client.
b. the content of the interaction is vital; the environment has little importance.
c. the nurse develops the appropriate physical and interpersonal environment for an optimal relationship.
d. it is the nurse’s knowledge of principles and responsibilities that guarantees a successful relationship.
C
Which of the following is a nontherapeutic statement during the orientation phase of a relationship?
a. “I am the nurse who will be caring for you today.”
b. “My job is to make you better.”
c. “I will be talking with you while I provide care.”
d. “You will be receiving care from an assistant and myself.”
B
The nurse practices “here and now” focus on problem identification, with an emphasis on quickly understanding the context in which the problem is embedded during which of the following phases of the nurse-client relationship?
a. Orientation
b. Preinteraction
c. Termination
d. Working
A
Self-disclosure by the nurse refers to the intentional revealing of personal experiences or feelings that are similar to or different from those of the client. The purpose of self-disclosure is to
a. deepen trust, to be a role model of self-disclosure as a beneficial mode of communicating.
b. to find out how the client would like to be.
c. to determine how things would be if the problems were solved.
d. to work toward resolution of the client’s self-care needs.
A
The client becomes more self-directed during which of the following phases of the nurse-client relationship?
a. Orientation
b. Preinteraction
c. Identification
d. Working
D
When should the nurse first start planning for termination of the nurse-client relationship?
a. From the initial encounter
b. After goals have been achieved
c. When the client requests it
d. During the working phase of the relationship
A
Which of the following should be achieved first in establishing the nurse-client relationship?
a. Trust
b. Empathy
c. Mutuality
d. Empowerment
A
Which of the following describes proxemics?
a. Study of relationship between message and topic at hand
b. Study of implied meanings within individuals
c. Study of an individual’s use of space
d. Study of the emotional personal space boundary
C
Which of the following is true about trust?
a. The sender feels it.
b. It is difficult to demonstrate professionally.
c. It is an intuitive process.
d. The trusting client feels comfortable revealing needs.
D
The nurse demonstrates an understanding of mutuality when stating to the client,
a. “Mr. Jones, I think you should go to bed now.”
b. “Mr. Jones, I would like you to go to bed now.”
c. “Mr. Jones, I don’t think you should sit in the chair.”
d. “Mr. Jones, I thought we agreed that you would return to bed at this time.”
D
The nurse knocks on the client’s door and waits for the client to answer before entering the room. The nurse is demonstrating
a. nonverbal communication skills.
b. respect for the client’s personal space.
c. respect for the client’s confidentiality.
d. respect for the client’s gender difference.
B
When performing an assessment that focuses on a set of standardized connections to graphically record basic information about family members and their relationships over three generations, the nurse uses
a. an ecomap.
b. a gendergram.
c. family time lines.
d. a genogram.
D
When interviewing the family of a client who is suffering from alcoholism, the communication technique used by the nurse is called circular questioning. The advantage of this technique is that it
a. examines relationships.
b. aids the nurse in establishing a diagnosis.
c. focuses on the equilibrium of the family system.
d. helps the nurse gain specific information.
C
Which of the following describes the dyad family unit?
a. A father and mother with one or more children living together
b. Second- and third-generation members related by blood or marriage but not living together
c. Divorced, never married, separated, or widowed male or female and at least one child
d. Husband and wife or other couple living alone without children
D
The most effective problem-solving style for genuine resolution that creates a win-win situation is
a. accommodation.
b. avoidance.
c. competition.
d. collaboration.
D
Which of the following best describes the goal of assertiveness?
a. Offering responses that contain “you” statements
b. Indirect communication
c. Standing up for one’s personal rights
d. Ignoring the rights of others
C
Which of the following is true about assertion communication?
a. Components include the ability to say no and to ask for what you want.
b. It includes a demonstration of deference to the demands of others.
c. It consistently violates the needs of others.
d. It includes the expression of only positive thoughts and feelings
A
A client yells at the nurse frequently and uses profane language. Which of the following is the most appropriate response by the nurse?
a. Remain silent and do not respond
b. Use an “I” statement when speaking to the client
c. Tell the client, “You make me angry.”
d. Ignore the behavior and walk away
B
After fasting from 10 p.m. the previous evening, a client learns that the procedure has been cancelled. The client curses at the nurse and accuses the nurse of being incompetent. The nurse’s best response would be
a. “You have no right to say that to me. You are nasty.”
b. “I can understand that you’re upset, but I feel uncomfortable when I am cursed at.”
c. “Perhaps we shouldn’t get so angry when things don’t work out the way we think they should.”
d. to leave the room and refuse to return to answer the call light when the client calls.
B
1. Which of the following are strategies the nurse should use when dealing with an angry client? (Select all that apply.)
a. Defuse hostility
b. Avoid responding to a client’s anger by getting angry
c. Speak quickly and use a higher tone of voice
d. Use empathy when communicating with the client
e. Remain with the client
A, B, D
When caring for a client who is a newly diagnosed diabetic and who requires teaching about self-administration of insulin, the nurse recognizes that teaching will be most effective when
a. passive involvement of the learner is encouraged.
b. there is little focus on practicing essential skills.
c. optimizing engagement in only one sense in the learning process is encouraged.
d. encouraging teach-back feedback when demonstrating new skills.
D
When initiating health teaching, the nurse recognizes that readiness to learn
a. is the same as the cognitive ability to learn.
b. involves a smooth and linear developmental process.
c. requires the nurse to consistently challenge the client’s learning pattern.
d. involves incorporation of the client’s learning pattern into new opportunities for learning.
D
10. A client is newly diagnosed with diabetes mellitus. When planning a teaching session to review insulin administration with this client, the nurse should
a. pick times for teaching when energy levels are low.
b. schedule teaching sessions during hospital visiting hours.
c. reserve a block of time for health teaching.
d. provide the client with extensive information during 30-minute intervals.
C
A client who has been diagnosed with cancer asks the nurse, “If I take the chemotherapy, will I be cured, or am I going to die anyway?” The nurse’s best response is
a. “Tell me what prompted your question.”
b. “I don’t think you should have chemotherapy; it will harm you more than help you.”
c. “Let’s not talk about dying; I’m sure you will be cured.”
d. “I really don’t think you should worry about such things; it isn’t something you can control.”
A
When caring for a hearing-impaired client, the nurse should
a. face the interpreter when speaking to the client.
b. use gestures that reinforce verbal content.
c. speak distinctly while exaggerating words.
d. communicate in a dimly-lit room.
B
Which of the following clients with a communication deficit requires the use of touch during a therapeutic encounter?
a. Vision-impaired client
b. Client with a hearing loss
c. Mentally ill client
d. Client with schizophrenia
A
The nurse is caring for a client who has experienced a stroke. The client has aphasia. The nurse recognizes that aphasia is a
a. neurological linguistic deficit.
b. cognitive comprehension deficit.
c. sensory deprivation deficit.
d. mental disorder deficit.
A
When caring for a preschooler, the nurse understands that this child tends to interpret language in a literal way and that the child will not ask for clarification, leading to a misunderstanding of messages. The nurse recognizes a preschooler is in which of Piaget’s cognitive stages of development?
a. Concrete operations
b. Formal operations
c. Preoperational
d. Sensorimotor
C
When assessing a child’s reaction to illness, it is important for the nurse to
a. observe the interaction between parent and child.
b. recognize that chronological age matches cognitive level.
c. realize that children are more comfortable with female health care providers.
d. recognize that the child’s behavior will be age appropriate.
A
Note 
Flashcard (24)