NURSING A CONCEPT BASED APPROACH TO
LEARNING CERTIFICATION ASSESSMENT 2026
VERIFIED ANSWERS GRADED A+
◉ 2) The nurse and physician are discussing follow-up care with a
client who is being discharged home and the client's family. The
client and family cross their arms and state angrily that the team's
suggestions are not acceptable. What is the best response by the
nurse?
A) "We will leave you alone to discuss your options."
B) "We only want what's best for you."
C) "Let's discuss other options that might work well for you and
your family."
D) "Perhaps you did not understand the recommendations."
Answer: Answer: C
Explanation:
A) The client is the center of the team, and the goal is to facilitate
healing. There are always other options to consider to reach that
goal. The nurse would discuss other options with the client, which
will most likely increase cooperation by the client, who will feel in
control as the decision is made. By leaving the room, the nurse and
doctor have turned their backs on the client. The client may not
understand the recommendations, but pointing that out can be seen
as demeaning. Telling the client that the doctor only wants what is
best sends the message that the client does not know what is best,
,when, in fact, a well-informed client does know what is best and
should be able to make the correct choice.
◉ 3) The nurse and physician are preparing a client for discharge
who will be requiring physical therapy (PT) to rehabilitate after a
total knee replacement. After reading the physician order for PT,
which would be the nurse's initial action?
A) Set up appointments according to the order with the hospital PT
department.
B) Call home health and schedule a therapist to visit the home for
therapy.
C) Discuss the various types of settings for therapy and have the
client choose the venue.
D) Teach the family the exercises needed for the client.
Answer: Answer: C
Explanation:
A) The nurse best exhibits the characteristic that the client has a
right to self-determination by presenting the methods available for
PT and answering the client's questions about each so the client can
make an informed decision. The nurse would not refer the client for
outpatient therapy unless the client requests that form of therapy.
Scheduling home PT is leaving the client out of the decision-making
process. The therapy that the client requires must be performed by a
professional physical therapist. To teach the family exercises
encroaches upon the expertise of the professional who will be
performing the service.
, ◉ 4) The nurse is caring for a client with rheumatoid arthritis who
expresses the desire to remain active as long as possible. In order for
the client to meet this goal, what should the nurse prepare to do?
A) Teach the client nutrition and joint exercises.
B) Ask the client the reason for the decision.
C) Tell the client there is no hope.
D) Refer the client to the appropriate professionals.
Answer: Answer: D
Explanation:
A) The number of clients with chronic diseases with healthcare
needs is increasing rapidly, and nurses and physicians cannot meet
all of these clients' needs. When a client expresses the desire to live
as normally as possible, the nurse should refer the client to
professionals who can help the client meet that goal. The nurse can
teach some nutrition and exercise but cannot go into the depth that
this client would need. The client with a chronic disease should not
be told there is no hope but should be helped toward reaching
desired goals. Asking the client the reason for the decision is
irrelevant to the situation.
◉ 5) A nurse is working as the designated leader of a group of
healthcare providers in a community clinic setting. The team
members are working to decrease the number of teenage
pregnancies in the community. They have defined the problem and
are now focusing on objectives and considering various viewpoints
LEARNING CERTIFICATION ASSESSMENT 2026
VERIFIED ANSWERS GRADED A+
◉ 2) The nurse and physician are discussing follow-up care with a
client who is being discharged home and the client's family. The
client and family cross their arms and state angrily that the team's
suggestions are not acceptable. What is the best response by the
nurse?
A) "We will leave you alone to discuss your options."
B) "We only want what's best for you."
C) "Let's discuss other options that might work well for you and
your family."
D) "Perhaps you did not understand the recommendations."
Answer: Answer: C
Explanation:
A) The client is the center of the team, and the goal is to facilitate
healing. There are always other options to consider to reach that
goal. The nurse would discuss other options with the client, which
will most likely increase cooperation by the client, who will feel in
control as the decision is made. By leaving the room, the nurse and
doctor have turned their backs on the client. The client may not
understand the recommendations, but pointing that out can be seen
as demeaning. Telling the client that the doctor only wants what is
best sends the message that the client does not know what is best,
,when, in fact, a well-informed client does know what is best and
should be able to make the correct choice.
◉ 3) The nurse and physician are preparing a client for discharge
who will be requiring physical therapy (PT) to rehabilitate after a
total knee replacement. After reading the physician order for PT,
which would be the nurse's initial action?
A) Set up appointments according to the order with the hospital PT
department.
B) Call home health and schedule a therapist to visit the home for
therapy.
C) Discuss the various types of settings for therapy and have the
client choose the venue.
D) Teach the family the exercises needed for the client.
Answer: Answer: C
Explanation:
A) The nurse best exhibits the characteristic that the client has a
right to self-determination by presenting the methods available for
PT and answering the client's questions about each so the client can
make an informed decision. The nurse would not refer the client for
outpatient therapy unless the client requests that form of therapy.
Scheduling home PT is leaving the client out of the decision-making
process. The therapy that the client requires must be performed by a
professional physical therapist. To teach the family exercises
encroaches upon the expertise of the professional who will be
performing the service.
, ◉ 4) The nurse is caring for a client with rheumatoid arthritis who
expresses the desire to remain active as long as possible. In order for
the client to meet this goal, what should the nurse prepare to do?
A) Teach the client nutrition and joint exercises.
B) Ask the client the reason for the decision.
C) Tell the client there is no hope.
D) Refer the client to the appropriate professionals.
Answer: Answer: D
Explanation:
A) The number of clients with chronic diseases with healthcare
needs is increasing rapidly, and nurses and physicians cannot meet
all of these clients' needs. When a client expresses the desire to live
as normally as possible, the nurse should refer the client to
professionals who can help the client meet that goal. The nurse can
teach some nutrition and exercise but cannot go into the depth that
this client would need. The client with a chronic disease should not
be told there is no hope but should be helped toward reaching
desired goals. Asking the client the reason for the decision is
irrelevant to the situation.
◉ 5) A nurse is working as the designated leader of a group of
healthcare providers in a community clinic setting. The team
members are working to decrease the number of teenage
pregnancies in the community. They have defined the problem and
are now focusing on objectives and considering various viewpoints
