Pensacola State College Nursing NUR1211C |211
questions with verified answers
A 20-year-old client tells the nurse about experiencing extreme anxiety caused by
current problems at work. The client states that having to sit at a desk all day
while working increases his anxiety level. Which alternative therapy is most
appropriate to suggest for this client?
A. Journaling
B. Acupressure
C. St. John's wort
D. Walking meditation Ans✓✓✓ D. The client is physically inactive and this
increases anxiety; walking meditation is an appropriate intervention for the client.
A 70-year-old client whose spouse has died the previous year says to the nurse,
"Life is not fun anymore." How does the nurse respond?
A. "Are you getting enough sleep? That makes me feel better!"
B. "Tell me about your support network, such as friends or family."
,C. "How are you feeling about the death of your spouse after this length of time?"
D. "Why don't you go on a vacation—a change of scenery will do you good."
Ans✓✓✓ B. Establishing and maintaining relationships with others throughout
life is especially important to a person's happiness. Older adults who have close,
intimate, and stable relationships with others in whom they can confide are more
likely to cope with crisis.
A 72-year-old client admitted to the hospital for congestive heart failure has a
history of a fractured hip due to a previous fall. The client is taking oxycodone-
acetaminophen (Tylox) as needed for pain secondary to a recent dental
procedure. Which risk factor puts this client at greatest risk for a fall?
A. Age
B. Diagnosis
C. History of a fall
D. Narcotic use Ans✓✓✓ C. The client's recent history of falling is the single most
important predictor for falls.
A 78-year-old Mexican American client is admitted to the hospital for
hypertension. His wife passed away 6 months ago, and his only child still lives in
,Mexico. Which intervention does the nurse use in dealing with this client
following his admission?
A. Assess the client for his use of folk medicine.
B. Call the client's child and explain why his father needs him.
C. Present all information on hypertension to the client in one teaching session.
D. Provide a pamphlet on hypertension for initial education. Ans✓✓✓ A.
Assessing the client's use of folk medicine will help determine his care.
A client admitted with a non-life-threatening illness says, "I was asked to fill out
an advance directive when I was admitted, but I was too stressed. What was it all
about?" How does the nurse respond?
A. "Advance directives are only for those individuals who are severely ill."
B. "Advance directives allow a client to convey his or her wishes about health care
ahead of time."
, C. "Most Americans have an advance directive in place; you will need to see a
lawyer."
D. "You should have completed the paperwork before you were admitted."
(Ignatavicius, Medical-Surgical Nursing: Patient-Centered Collaborative Care, 7th
Edition, Chapter 9) Ans✓✓✓ B. This is a true statement that best addresses the
client's comments.
A client diagnosed with lung cancer 6 months ago is now ventilator dependent
and unresponsive. The family wants to remove the ventilator and stop antibiotics
and IV fluids. What does the nurse do next?
A. Facilitates a meeting with the family and health care team
B. Removes the interventions, per the family's wishes
C. Tells the family that removing the interventions is illegal
D. Waits to obtain information on the client's wishes
(Ignatavicius, Medical-Surgical Nursing: Patient-Centered Collaborative Care, 7th
Edition, Chapter 9) Ans✓✓✓ A. Withdrawing or withholding life-sustaining
therapy involves discontinuing one or more therapies that might prolong the life
questions with verified answers
A 20-year-old client tells the nurse about experiencing extreme anxiety caused by
current problems at work. The client states that having to sit at a desk all day
while working increases his anxiety level. Which alternative therapy is most
appropriate to suggest for this client?
A. Journaling
B. Acupressure
C. St. John's wort
D. Walking meditation Ans✓✓✓ D. The client is physically inactive and this
increases anxiety; walking meditation is an appropriate intervention for the client.
A 70-year-old client whose spouse has died the previous year says to the nurse,
"Life is not fun anymore." How does the nurse respond?
A. "Are you getting enough sleep? That makes me feel better!"
B. "Tell me about your support network, such as friends or family."
,C. "How are you feeling about the death of your spouse after this length of time?"
D. "Why don't you go on a vacation—a change of scenery will do you good."
Ans✓✓✓ B. Establishing and maintaining relationships with others throughout
life is especially important to a person's happiness. Older adults who have close,
intimate, and stable relationships with others in whom they can confide are more
likely to cope with crisis.
A 72-year-old client admitted to the hospital for congestive heart failure has a
history of a fractured hip due to a previous fall. The client is taking oxycodone-
acetaminophen (Tylox) as needed for pain secondary to a recent dental
procedure. Which risk factor puts this client at greatest risk for a fall?
A. Age
B. Diagnosis
C. History of a fall
D. Narcotic use Ans✓✓✓ C. The client's recent history of falling is the single most
important predictor for falls.
A 78-year-old Mexican American client is admitted to the hospital for
hypertension. His wife passed away 6 months ago, and his only child still lives in
,Mexico. Which intervention does the nurse use in dealing with this client
following his admission?
A. Assess the client for his use of folk medicine.
B. Call the client's child and explain why his father needs him.
C. Present all information on hypertension to the client in one teaching session.
D. Provide a pamphlet on hypertension for initial education. Ans✓✓✓ A.
Assessing the client's use of folk medicine will help determine his care.
A client admitted with a non-life-threatening illness says, "I was asked to fill out
an advance directive when I was admitted, but I was too stressed. What was it all
about?" How does the nurse respond?
A. "Advance directives are only for those individuals who are severely ill."
B. "Advance directives allow a client to convey his or her wishes about health care
ahead of time."
, C. "Most Americans have an advance directive in place; you will need to see a
lawyer."
D. "You should have completed the paperwork before you were admitted."
(Ignatavicius, Medical-Surgical Nursing: Patient-Centered Collaborative Care, 7th
Edition, Chapter 9) Ans✓✓✓ B. This is a true statement that best addresses the
client's comments.
A client diagnosed with lung cancer 6 months ago is now ventilator dependent
and unresponsive. The family wants to remove the ventilator and stop antibiotics
and IV fluids. What does the nurse do next?
A. Facilitates a meeting with the family and health care team
B. Removes the interventions, per the family's wishes
C. Tells the family that removing the interventions is illegal
D. Waits to obtain information on the client's wishes
(Ignatavicius, Medical-Surgical Nursing: Patient-Centered Collaborative Care, 7th
Edition, Chapter 9) Ans✓✓✓ A. Withdrawing or withholding life-sustaining
therapy involves discontinuing one or more therapies that might prolong the life
