Nursing Theory Exam 2 Questions With Complete Solutions
A new nurse is caring for a hospitalized obese patient who is
homeless. This is the first time the patient has been admitted to
the hospital, and the patient is scheduled for surgery. Which of
the following is a universal skill that will help the nurse work
effectively with this patient?
a. The nurse shifts her focus to understanding the patient by
asking her, "Describe for me the course of your illness."
b. The nurse tells the patient, "Your choices of foods and
unwillingness to exercise are adding to your health problems."
c. The nurse asks the patient, "Tell me about the main problems
you have had with your health from not having a home."
d. The nurse explains, "Because you have obesity, it is important
to know the effects it has on wound healing because of reduced
tissue perfusion." Correct Answers C
A nurse enters the examination room of the emergency clinic
and meets a 29-year-old patient who missed her last two follow-
up appointments. The nurse notes from the medical record that
the patient has high blood pressure that the doctor has been
trying to help her manage. The patient just spoke with her doctor
who left the room frustrated because the patient has not been
taking her medication as prescribed. The patient confronts the
nurse, saying, "I'm tired of being treated this way; no one cares.
I need to find another doctor!" Using the C-LARA mnemonic,
match the nurse's response to the correct letter of the mnemonic.
,Correct Answers 1 (C): The nurse uses a relaxation technique
before responding to the patient's concerns. Calm yourself. Take
a deep breath. Check your pulse.
2 (L): The nurse maintains eye contact and allows the patient to
discuss her perspective while remaining attentively quiet.
3 (A): The nurse acknowledges that it is absolutely reasonable
for patients to expect that their health care providers care about
their situations and that it is disappointing when they have
experiences that make them feel like they do not.
4 (R): The nurse says, "I want to help you; I can do that better if
you tell me what's making it difficult for you to come to your
appointments and take your medicine each day."
5 (A): The nurse explains, "One thing I want you to understand
is that your blood pressure medicine will only work if you take
the same amount each day. Your follow-up appointments are
important so we can get this blood pressure under control. Let
me get a social worker who can help you figure out these
transportation issues or see if he can find a doctor closer to your
house."
A nurse has worked in a home health agency for a number of
years. She goes to visit a patient who has diabetes and who lives
in a public housing facility. This is the first time the nurse has
cared for the patient. The patient has four other family members
who live with her in the one-bedroom apartment. Which of the
following, based on Campinha-Bacote's (2002) model of
cultural competency, is an example of cultural awareness?
a. The nurse begins a discussion with the patient by asking, "Tell
me about your family members who live with you?"
, b. The nurse asks, "What do you believe is needed to make you
feel better?"
c. The nurse silently reflects about how her biases regarding
poverty can influence how she assesses the patient.
d. The nurse uses a therapeutic and caring approach to how she
interacts with the patient. Correct Answers C
a nurse is caring for a client who has been sitting in a chair for 1
hr. which of the following complications is the greatest risk to
the client?
A) decreased subcutaneous fat
B) muscle atrophy
C) pressure injury
D) fecal impaction Correct Answers C
a nurse is caring for a client who is postoperative. which of the
following interventions should the nurse take to reduce the risk
of thrombus development? (select all)
A) instruct the client not to perform the Valsalva maneuver
B) apply elastic stocking
C) review laboratory values for total protein level
D) place pillows under the client's knees and lower extremities
E) assist the client to change positions often Correct Answers
B, E
a nurse is caring for an older adult who has had a fractured hip
repaired. in the first few postoperative days, which of the
following nursing measures will best facilitate the resumption of
activities of daily living for this patient?
A new nurse is caring for a hospitalized obese patient who is
homeless. This is the first time the patient has been admitted to
the hospital, and the patient is scheduled for surgery. Which of
the following is a universal skill that will help the nurse work
effectively with this patient?
a. The nurse shifts her focus to understanding the patient by
asking her, "Describe for me the course of your illness."
b. The nurse tells the patient, "Your choices of foods and
unwillingness to exercise are adding to your health problems."
c. The nurse asks the patient, "Tell me about the main problems
you have had with your health from not having a home."
d. The nurse explains, "Because you have obesity, it is important
to know the effects it has on wound healing because of reduced
tissue perfusion." Correct Answers C
A nurse enters the examination room of the emergency clinic
and meets a 29-year-old patient who missed her last two follow-
up appointments. The nurse notes from the medical record that
the patient has high blood pressure that the doctor has been
trying to help her manage. The patient just spoke with her doctor
who left the room frustrated because the patient has not been
taking her medication as prescribed. The patient confronts the
nurse, saying, "I'm tired of being treated this way; no one cares.
I need to find another doctor!" Using the C-LARA mnemonic,
match the nurse's response to the correct letter of the mnemonic.
,Correct Answers 1 (C): The nurse uses a relaxation technique
before responding to the patient's concerns. Calm yourself. Take
a deep breath. Check your pulse.
2 (L): The nurse maintains eye contact and allows the patient to
discuss her perspective while remaining attentively quiet.
3 (A): The nurse acknowledges that it is absolutely reasonable
for patients to expect that their health care providers care about
their situations and that it is disappointing when they have
experiences that make them feel like they do not.
4 (R): The nurse says, "I want to help you; I can do that better if
you tell me what's making it difficult for you to come to your
appointments and take your medicine each day."
5 (A): The nurse explains, "One thing I want you to understand
is that your blood pressure medicine will only work if you take
the same amount each day. Your follow-up appointments are
important so we can get this blood pressure under control. Let
me get a social worker who can help you figure out these
transportation issues or see if he can find a doctor closer to your
house."
A nurse has worked in a home health agency for a number of
years. She goes to visit a patient who has diabetes and who lives
in a public housing facility. This is the first time the nurse has
cared for the patient. The patient has four other family members
who live with her in the one-bedroom apartment. Which of the
following, based on Campinha-Bacote's (2002) model of
cultural competency, is an example of cultural awareness?
a. The nurse begins a discussion with the patient by asking, "Tell
me about your family members who live with you?"
, b. The nurse asks, "What do you believe is needed to make you
feel better?"
c. The nurse silently reflects about how her biases regarding
poverty can influence how she assesses the patient.
d. The nurse uses a therapeutic and caring approach to how she
interacts with the patient. Correct Answers C
a nurse is caring for a client who has been sitting in a chair for 1
hr. which of the following complications is the greatest risk to
the client?
A) decreased subcutaneous fat
B) muscle atrophy
C) pressure injury
D) fecal impaction Correct Answers C
a nurse is caring for a client who is postoperative. which of the
following interventions should the nurse take to reduce the risk
of thrombus development? (select all)
A) instruct the client not to perform the Valsalva maneuver
B) apply elastic stocking
C) review laboratory values for total protein level
D) place pillows under the client's knees and lower extremities
E) assist the client to change positions often Correct Answers
B, E
a nurse is caring for an older adult who has had a fractured hip
repaired. in the first few postoperative days, which of the
following nursing measures will best facilitate the resumption of
activities of daily living for this patient?
