Nursing Final Exam (questions with
answers from Saunders)
The nurse is discussing preoperative procedures with a Japanese
American client who is scheduled for surgery the following week.
During the discussion, the client continually nods and smiles. How
should the nurse interpret this nonverbal behavior?
A. Reflecting a cultural value
B. An acceptance of the treatment
C. client agreement to the required procedures
D. client understanding of the preoperative procedures -
correct answer ✅A. Reflecting a cultural value.
(Rationale: May reflect only the behavior of interpersonal harmony.
This nonverbal behavior may not be an indication of acceptance of
the treatment, agreement with the speaker or understanding of the
procedure.)
When communicating with a client who speaks a different
language, which BEST practice should the nurse implement?
1. speak loudly and slowly
2. arrange for an interpreter to translate.
3. speak to the client and family together.
4. Stand close to the client and speak loudly. -
correct answer ✅2. arrange for an interpreter to translate.
,Nursing Final Exam (questions with
answers from Saunders)
(Rationale: 1 and 4 inappropriate and ineffective ways of
communication, 3 is inappropriate because it violates the patient's
privacy)
Upon giving instructions to a Chinese American client regarding a
prescribed diet the client continuously turns away from the nurse.
The nurse should implement which best action?
1. continue with the instructions verifying client understanding
2. walk around the client so the nurse constantly faces the client.
3. give the client a dietary booklet and return later to continue with
the instructions
4. Tell the client about the importance of the instructions for the
maintenance of health care. -
correct answer ✅1. continue with the instructions verifying client
understanding
(Rationale: many chinese americans are uncomfortable with face-
to-face communication, especially when eye contact is direct. If
client turns away the best action is to continue.)
The nurse identifies low-risk therapies to a client and should
include which therapies in the discussion. Select all that apply.
1. Herbs
, Nursing Final Exam (questions with
answers from Saunders)
2. Prayer
3. Touch
4. Massage
5. Relaxation
5. Acupuncture. -
correct answer ✅2,3,4,5.
(rationale: herbs and acupuncture can have adverse effects to
medications and are not considered low-risk therapies)
Which client(s) has a high risk of obesity and diabetes mellitus?
Select all that apply
1. a 40 year old latino american man
2. a 45 year old native american man
3. a 23 year old asian american woman
4. a 35 year old hispanic american man
5. a 40 year old african american woman -
correct answer ✅1, 2, 4, 5.
(rationale: 1,2,4,5 have high risk of obesity and diabetes. asian
americans have a lower risk for both)
answers from Saunders)
The nurse is discussing preoperative procedures with a Japanese
American client who is scheduled for surgery the following week.
During the discussion, the client continually nods and smiles. How
should the nurse interpret this nonverbal behavior?
A. Reflecting a cultural value
B. An acceptance of the treatment
C. client agreement to the required procedures
D. client understanding of the preoperative procedures -
correct answer ✅A. Reflecting a cultural value.
(Rationale: May reflect only the behavior of interpersonal harmony.
This nonverbal behavior may not be an indication of acceptance of
the treatment, agreement with the speaker or understanding of the
procedure.)
When communicating with a client who speaks a different
language, which BEST practice should the nurse implement?
1. speak loudly and slowly
2. arrange for an interpreter to translate.
3. speak to the client and family together.
4. Stand close to the client and speak loudly. -
correct answer ✅2. arrange for an interpreter to translate.
,Nursing Final Exam (questions with
answers from Saunders)
(Rationale: 1 and 4 inappropriate and ineffective ways of
communication, 3 is inappropriate because it violates the patient's
privacy)
Upon giving instructions to a Chinese American client regarding a
prescribed diet the client continuously turns away from the nurse.
The nurse should implement which best action?
1. continue with the instructions verifying client understanding
2. walk around the client so the nurse constantly faces the client.
3. give the client a dietary booklet and return later to continue with
the instructions
4. Tell the client about the importance of the instructions for the
maintenance of health care. -
correct answer ✅1. continue with the instructions verifying client
understanding
(Rationale: many chinese americans are uncomfortable with face-
to-face communication, especially when eye contact is direct. If
client turns away the best action is to continue.)
The nurse identifies low-risk therapies to a client and should
include which therapies in the discussion. Select all that apply.
1. Herbs
, Nursing Final Exam (questions with
answers from Saunders)
2. Prayer
3. Touch
4. Massage
5. Relaxation
5. Acupuncture. -
correct answer ✅2,3,4,5.
(rationale: herbs and acupuncture can have adverse effects to
medications and are not considered low-risk therapies)
Which client(s) has a high risk of obesity and diabetes mellitus?
Select all that apply
1. a 40 year old latino american man
2. a 45 year old native american man
3. a 23 year old asian american woman
4. a 35 year old hispanic american man
5. a 40 year old african american woman -
correct answer ✅1, 2, 4, 5.
(rationale: 1,2,4,5 have high risk of obesity and diabetes. asian
americans have a lower risk for both)
