HESI: Mobility Exam Review Questions And Answers With Correct Rationales A+

HESI: Mobility Exam Review Questions And Answers With Correct Rationales A+ Mr. Matthew tells the nurse that he has never been hospitalized. He appears anxious and frequently turns to his wife for reassurance. What is the best response by the nurse? A. "Is there anything you would like to ask your healthcare provider?" B. "What concerns do you have about being hospitalized." C. "We give good care to all our clients in the hospital." D. "Your healthcare provider the chosen the best hospital in the city." - ANS-B. "What concerns do you have about being hospitalized?" Rationale: This response utilizes principles of therapeutic communication. It is an open-ended question designed to allow Mr. Matthew to verbalize any concerns about hospitalization that might be contributing to his anxiety. Mr. Matthew tells the nurse, "My sweetheart and I have never been apart during our 55-year marriage." What action should the nurse implement to help reduce Mr. Matthew's anxiety during the admission process? A. Explain the room environment to Mr. and Mrs. Matthew. B. Ask Mrs. Matthew if she would like to rest in the waiting room. C. Ask Mr. Matthew if he would like a prescription for an antianxiety medication. D. Reassure Mr. and Mrs. Matthew that everything will be okay. - ANS-A. Explain the room environment to Mr. and Mrs. Matthew. Rationale: This action will reduce the client's anxiety by including the spouse and orientating them both to the room. Mr. Matthew states the pain level in his right foot is 8 on a scale of 1-10. He says he has been favoring his foot by staying in bed the past week. In planning his care, which nursing diagnosis should take priority? A. Risk for caregiver role strain. B. Risk for social isolation. C. Impaired physical mobility. D. Imbalanced nutrition: more than body requirements. - ANS-C. Impaired physical mobility. Rationale: Mr. Matthew's limited activities support this nursing diagnosis. Improving mobility is a nursing priority to prevent the many potential complications. In developing a plan of care, the nurse consults with Mr. Matthew to identify a short-term goal. Which goal is correct for Mr. Matthew's diagnosis for impaired mobility?... Continues...