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LATEST EXAM
A client with alcoholism is receiving court-ordered care in a residential treatment
facility. After alcohol is discovered in her room, the client states, "It is not mine."
Which responses by the nurse are appropriate in this situation? Select all that
apply.
A) "You will lose your day pass privileges for this Sunday."
B) "We have a video of you accepting the alcohol from your brother."
C) "What do you think about sharing this at AA tonight?"
D) "You won't be allowed to go to dinner tonight."
E) "You have violated our behavior contract."
,A, B, C, E
A nurse is concerned about potential substance abuse by a coworker. Which of the
coworker's behaviors would place the clients on the unit at risk for injury?
A) The nurse in question frequently volunteers to give medications to clients.
B) The nurse in question prefers not to be the "medication nurse" on the shift.
C) The nurse in question declines to take scheduled breaks.
D) The nurse in question frequently requests the largest client care assignment for
the shift.
A
The nurse is collecting data on clients at a clinic. One client has risk factors for
substance abuse. What physical sign or signs did the nurse assess that suggest
substance abuse in this client? Select all that apply.
A) Dilated pupils
B) Odor of alcohol on the breath
C) Frequent accidents or falls
D) Extremely low body weight
E) Dressed in jeans and a t-shirt
A, B, D
,A client complains of a right-hand tremor, increasing weakness, and muscles that
feel tight. The nurse notes that the client has poor voice volume and facial muscles
that do not move easily. The nurse recognizes that these symptoms are consistent
with which condition?
A) Parkinson disease
B) Spinal cord injury
C) Cerebrovascular accident
D) Multiple sclerosis
A
A middle-aged female client states to the nurse, "I have noticed a slight tremor in
my left hand when it's at rest. I think I might have Parkinson disease because my
mother had it." Which response by the nurse is the most appropriate?
A) "Having a close relative with Parkinson disease can increase your chance of
developing it as well."
B) "You shouldn't worry too much, because Parkinson disease has a higher
prevalence in males."
C) "It is unlikely that you have the same illness as your mother."
D) "You probably don't have Parkinson disease. Your mother was probably
exposed to a toxin that caused her illness."
A
A client with Parkinson disease (PD) ambulates with a shuffling gait and leans
slightly forward. When seated, the client conducts a conversation, reads, and is
, able to self-feed without assistance. Which nursing diagnosis is a priority for this
client?
A) Ineffective Coping
B) Impaired Physical Mobility
C) Imbalanced Nutrition: More than Body Requirements
D) Anxiety
B
The nurse is planning care for a client with Parkinson disease (PD). Which of the
following nursing interventions aimed at the client's spouse would best support the
client's continued mobility?
A) Suggesting that the spouse use a blender to make foods easier for the client to
swallow
B) Reviewing the client's medication administration schedule with the spouse
C) Instructing the spouse to ambulate the client at least four times a day
D) Instructing the spouse on proper turning and repositioning techniques
C
The nurse is evaluating the care of a client with Parkinson disease (PD). Which
finding indicates an improvement in the client's nutritional status?
A) The client filled out the menu card for each meal.
B) The client coughs frequently when drinking fluids.