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,• A client being treated for hypertension returns to the community clinic for
follow up. The client says, "I know these pills are important, but I just can't
take these water pills anymore. I drive a truck for a living, and I can't be
stopping every 20 minutes to go to the bathroom." Which of these is the best
nursing diagnosis?
A) Noncompliance related to medication side effects
B) Knowledge deficit related to misunderstanding of disease state
C) Defensive coping related to chronic illness
D) Altered health maintenance related to occupation
The correct answer is A: Noncompliance related to medication side effects
• When teaching effective stress management techniques to a client 1 hour
before surgery, which of the following should the nurse recommend?
A) Biofeedback
B) Deep breathing
C) Distraction
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D) Imagery
The correct answer is B: Deep breathing
• When observing 4 year-old children playing in the hospital playroom,
what activity would the nurse expect to see the children participating in?
A) Competitive board games with older children
B) Playing with their own toys along side with other children
C) Playing alone with hand held computer games
D) Playing cooperatively with other preschoolers
The correct answer is D: Playing cooperatively with other preschoolers
• The nurse is assessing a 4 month-old infant. Which motor skill would
the nurse anticipate finding?
A) Hold a rattle
B) Bang two blocks
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C) Drink from a cup
D) Wave "bye-bye"
The correct answer is A: Hold a rattle
• When teaching a 10 year-old child about their
impending heart surgery, which form of explanation
meets the developmental needs of this age child?
A) Provide a verbal explanation just prior to the surgery
B) Provide the child with a booklet to read about the surgery
C) Introduce the child to another child who had heart surgery 3 days ago
D) Explain the surgery using a model of the heart
The correct answer is D: Explain the surgery using a model of the heart
• The parents of a child who has suddenly been hospitalized
for an acute illness state that they should have taken the