communication
Which techniques are barriers to communication with clients? Select All That Apply.
Allowing silence
A.Expressing approval
B.Providing false hope
C.Asking "why" questions
D.Interpreting body language
A.Expressing approval
B.providing false hope
C.asking "why" questions
Which phase of the nurse-client relationship allows the client to express thoughts and feelings to the nurse?
Working phase
Which scenarios support the use of restraints in a hospital? Select all that apply.
A. client refusing to take medications
B.A confused client who continuously pulls out his or her IV line
C.An alert client who is ventilator dependent who is pulling at the endotracheal tube
D. A client who is threatening to leave the hospital agains medical advice.
E. A confused client who has fallen multiiple times.
A. confused client who continuously pulls out his or her IV line
C.An alert client who is ventilator dependent who is pulling at the endotracheal tube
what are the Essential Professional Nursing Values
-Altruism
-Autonomy
-Human Dignity
-Integrity
-Social Justice
In which body system is it necessary to deviate from the usual assessment order of inspection, palpation, percussion, and auscultation?
gastrointestinal
Which behaviors should the nurse include when actively listening to a client? Select All That Apply.
A.Look at his or her watch.
B.Focus on nonverbal behaviors.
c.Face the client and lean in.
D.Type in the medical record when speaking.
E.Sit at the eye level of the client.
B,C,E
focus on nonverbal behaviors
face the client and lean in
sit at eye level of the client
How could a nurse reduce a confused client's risk of falls?
1. Apply restraints as ordered.
2. Administer sedating medications.
3. Assist with toileting frequently.
4. Require the family to stay with the client.
3.
Which is an effective nursing intervention for preventing falls?
use of bed alarms
-right to self-determinism (right to choose)
autonomy
Assessment of cranial nerve II is part of which assessment?
eyes
When caring for a client who is from a different culture, what should the nurse do?
Be aware that direct eye contact may be perceived as aggressive or impolite.
What is most important for the nurse to do during the orientation phase of developing a therapeutic relationship with a client?
ask the name the client would like to be called.
Orders for restraint or seclusion can be written as a standing order or as needed (prn):
true or false
false
-concern for the well-being of others
*patients, nursing colleagues, other health care workers
alturism
During an assessment, the nurse notes that the client has an elevated temperature. Which type of data is this?
objective
Which environmental factors should the nurse control when interviewing a client? Select All That Apply.
A.noise
B. odors
c. presence of family
D.comfortable temperature
E. open public environment
A, B,D
An 82-year-old client is admitted with a fractured hip from a fall at home. The initial assessment reveals that the client is incontinent at times, suffers from dizziness when standing, and is on multiple medications. Which is the primary safety risk for this client?
1.
Infection
2.
Falls
3.
Violence
4.
Poisoning
2.
which is considered a restraint?
1.
Holding a client for a procedure
2.
Soft wrist holders
3.
Siderails up X 2
4.
Closing the door to the room
2. soft wrist holders
-Upholding moral, legal, and humanistic principles
social justice.
The nurse is assessing the lungs of a client and notes slight crackles as well as regular breath sounds in both lung fields. The client appears to be in no respiratory distress and has an oxygen saturation of 98% on room air. What should be the nurse's first intervention?
A.) Have the client cough and listen again.
B.) Notify the primary health care provider.
C.) Administer a nebulizer breathing treatment.
D.) Document the findings in the medical record.
a
Which techniques are barriers to communication with clients? Select All That Apply.
A.Allowing silence
B.Expressing approval
c.Providing false hope
D.Asking "why" questions
E.Interpreting body language
B,C, D,
The diabetic nurse educator is meeting a new client recently diagnosed with type 2 diabetes mellitus. Which statements are accurate about what this nurse will accomplish during the orientation phase? Select All That Apply.
A.The nurse gathers information about the client from the primary health-care provider.
B.The nurse explains that information will be shared with the primary health-care provider.
C.The nurse establishes a level of trust with the client by providing the client with accurate information.
D.The nurse informs the client about consequences of noncompliance with the treatment regimen.
E.The nurse and the client set mutually agreed-upon goals that meet the client's needs to manage his or her diabetes.
a,B,C,
Which nursing interventions are important for the home health nurse to perform to promote safety when caring for elderly clients? Select All That Apply.
1.Removing throw rugs
2.Moving electrical cords
3.Changing positions slowly
4.Using visual and hearing aids
5.Taking pain medication prior to movement
1,2,3,4
respect for the worth and uniqueness of individuals and populations
human dignity
A nurse who is obtaining a health history through an interview asks, “What can you tell me about your previous knee replacement surgery?” Which type of question is this?
open ended