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A client is admitted for heart failure. The nurse assesses that the client's blood pressure
is below normal range and the apical pulse is 110 beats/min. The nurse knows that the
increase in the client's pulse illustrates which aspect of the clients homeostatic
mechanism?
1. Compensation
2. Decompensation
3. Self-regulation
4. Equilibrium - CORRECT ANSWER: 1. Compensation
A client recently diagnosed with a chronic illness asks for help in understanding the term
chronic. It would be correct for the nurse to say which of the following?
1. Symptoms are always less severe than with an acute illness.
2. Chronic illness are considered incurable
3. Signs and symptoms of chronic illnesses tend to be stable for many years.
4. Chronic illnesses have no effective treatments - CORRECT ANSWER: 2. Chronic
illness are considered incurable
A client who is 46 pounds overweight tells you, "I was just born to be fat. I don't have the
willpower." Although weight loss occurred while attending two previous programs that
"guaranteed" weight loss, the weight returned along with extra pounds after each
program. According to the Health Promotion Model, the nurse is most likely to focus on
which behavior-specific cognition and affect variable for this client?
,1. Perceived barriers to action
2. Perceived self-efficancy
3. Interpersonal influences
4. Situational influences - CORRECT ANSWER: 2. Perceived self-efficancy
A client who speaks limited English requires instructions for a test. No one at your
agency speaks the person's language. What is the nurse's best approach?
1. Provide the instructions in writing.
2. Locate a professional interpreter
3. Ask a family member to translate on the phone
4. Document that the required instruction is not possible - CORRECT ANSWER: 2.
Locate a professional interpreter
A client with strong preferences for folk healing methods would prefer which of the
following to treat a sinus infection?
1. Hospitalization
2. Steam humidifier
3. Antibiotic therapy
4. "Watch and wait " - CORRECT ANSWER: 2. Steam humidifier
A key function of a study's methodology is to
1. Determine the hypotheses that will be tested in the study.
2. Exercise control over contaminating factors in the study environment.
3. Identify grants and other funding sources for conducting the study.
, 4. Protect the rights of the study's participants. - CORRECT ANSWER: 2. Exercise
control over contaminating factors in the study environment.
A lawful contract requires the following four features: - CORRECT ANSWER: 1. Promise
or agreement between two or more persons for the performance of an action or restraint
from certain actions.
2. Mutual understanding of the terms and meaning of the contract by all
3. A lawful purpose
4. Compensation in the form of something of value, in most cases, compensation is
monetary.
A married mother of three small children has frequent immobilizing headaches of
unknown cause. The nurse anticipates that the woman may have which of the following
possible reactions? Select all that apply.
1. She feels guilty when unable to perform her usual activities.
2. She is angry and acting out
3. She shifts some responsibilities to the spouse
4. She takes on a job to help pay for the medical expenses
5. She has fewer social interactions with her friends. - CORRECT ANSWER: 1. She
feels guilty when unable to perform her usual activities.
2. She is angry and acting out
3. She shifts some responsibilities to the spouse
5. She has fewer social interactions with her friends.
A nurse and a primary care provider inform a client that chemotherapy is recommended
for a diagnosis of cancer. Which nursing action is most representative of the concept of
holism?
1. Offer to come to the client's home to provide needed physical care.