& ANSWERS(RATED A+)
A client asks for advice regarding a personal problem. Which is the most appropriate
response by the nurse? - ANSWER Ask the client what would be the best thing to do.
A client has difficulty communicating verbally (expressive aphasia) because ofa brain
attack (stroke). Which should the nurse do when caring for this client? Select all that
apply. - ANSWER Teach the client how to use a picture board.
Encourage the client to elaborate with gestures.
Be patient when the client is attempting to speak.
A client is admitted to the hospital with multiple health problems. Which nursing
intervention is least effective in meeting the client's psychosocial needs? - ANSWER
Assisting the client with meals.
A client is being discharged to a nursing home. While preparing the discharge summary,
the client says, "I feel that nobody cares about me." Which is the nurse's best
response? - ANSWER "You feel as if nobody cares"
A client is confused and disoriented. Which route of communication used by the nurse is
most effective in this situation? - ANSWER Touch
A client is upset and rambles about an incident that occurred earlier in the week. Which
should the nurse do first? - ANSWER Identify the client's concerns.
A client tells the nurse, "The doctor just told me I have cancer" and then begins to cry.
Which is the best response by the nurse? - ANSWER "Sometimes it helps to talk about
it"
A client who is hearing impaired tells the nurse, "I have difficulty hearing what people
say to me." Which should the nurse do? Select all that apply. - ANSWER Face the
client directly when talking
Provide pencil and paper for communication
Emunciate clearly when speaking with the client
A client who usually is verbal appears sad and withdrawn. Which should the nurse do?
Select all that apply. - ANSWER Use open-ended questions
Describe the behavior to the client
A client's son has just died. The client states, "I can't believe that I have lost my son.
Can you believe it?" Which is the nurse's best response? - ANSWER Touch the client's
hand and say, "I am very sorry"
, A client's spouse died I week ago. When reminiscing about their life together, the client
begins to cry. Which is the nurse's best response? - ANSWER Say, "This must be a
very difficult time for you"
A dying client is withdrawn and depressed. Which are the most therapeutic actions by
the nurse? Select all that apply. - ANSWER Accepting the client's behavioral response
Telling the client you are available to talk
A dying client says to the nurse, "I was much more religious when I was young." How
should the nurse respond to the client's statement? - ANSWER "Would you like me to
call a chaplain?"
Which concepts are important for the nurse to consider when interacting with others?
Select all that apply. - ANSWER Personal appearance can be a source of information
about a person.
Touch has various meanings to different people.
A client reports a pain rating of 9 on a scale of 1 to 10. The nurse administers an
intravenous narcotic analgesic to the client. What will the nurse include when
documenting this task? Select All That Apply. - ANSWER Location and characteristics
of the pain
Client's pain level 30 to 60 minutes after the medication is given
At which points of client care must the nurse complete a discharge summary? Select All
That Apply. - ANSWER Moved to an acute rehabilitation unit
Transferred to a long-term skilled facility
Allowed to leave the hospital and go home
How often must a long-term care facility complete the Minimum Data Set for Resident
Assessment and Care Screening (MDS) after initial admission? - ANSWER Every 3
months
Which are examples of appropriate medication orders? Select all that apply. - ANSWER
Aspirin 325 mg by mouth every morning
Rocephin 200 mg IV q6h
Ibuprofen 200 mg q4h prn fever or mild pain
Which techniques are barriers to communication with clients? Select All That Apply. -
ANSWER Expressing approval
Providing false hope
Asking "why" questions
Interpreting body language
Which phase of the nurse-client relationship allows the client to express thoughts and
feelings to the nurse? - ANSWER Working phase