QUESTIONS fully solved
The nurse is caring for an older adult patient who averts her eyes when the nurse speaks to her. How
should the nurse interpret this nonverbal language? - correct answer ✔✔The patient's culture may have
specific rules for maintaining eye contact.
The new nurse would like to determine when it is appropriate to use caring touch. When is the best
occasion for the nurse to use caring touch? - correct answer ✔✔After consent has been obtained from
the patient
The nurse is caring for a patient who recently underwent surgery for the removal of the distal colon and
creation of a colostomy. During the morning assessment, the patient becomes tearful while answering
the nurse's questions. What is the best response on the part of the nurse? - correct answer ✔✔Say
nothing and allow the patient to collect her thoughts
The nurse overhears an unlicensed assistive personnel say to an older adult patient, "Alright, honey, are
we ready to get out of bed now?" How should the nurse handle this situation? - correct answer
✔✔Discuss with the UAP in private how to properly address older adult patients
A patient who only speaks Spanish is admitted to the hospital through the emergency department. Her
daughter, who speaks both English and Spanish, is present and serving as a translator. The patient must
undergo a series of non-emergent, invasive tests for which informed consent is necessary. How should
the nurse proceed? - correct answer ✔✔Place a hold on the tests until a hospital interpreter can be
involved in the informed consent process
The nurse is attempting to obtain social information from a patient newly admitted to the long term care
facility. Which type of questioning is most helpful to obtain this information? - correct answer ✔✔Open-
ended
The nurse must provide education to an older patient who will begin insulin injection therapy. How
should the nurse adapt this education to an older adult? - correct answer ✔✔Provide ample time for the
patient to demonstrate this skill while being supervised
, The nurse knows which factors are vital in order to communicate effectively with his co-workers and
patients? - correct answer ✔✔A need to share information, An understanding of existing barriers to
communication, The belief that each individual has something of worth to say
The nurse is caring for a patient who has developed hypotension, tachycardia, diaphoresis, and
restlessness over the past 4 hours. The nurse calls the primary care provider and states, "This is Sally, the
nurse caring for Mr. Smith in room 502. Over the last four hours, his heart rate has jumped from 82 to
124 beats per minute, his blood pressure has dropped from 134/92 to 98/66, and he is diaphoretic and
seems restless. I'm concerned about this change in his condition and feel he needs to be examined by
you." Which elements of ISBAR-R communication are missing from this phone call? - correct answer
✔✔Situation, Readback, Background
The nurse is preparing an ISBAR-R communication in order to call the provider of a patient who recently
experienced a change in patient status. Which information should the nurse include in the introduction?
- correct answer ✔✔Nurse's name, Patient's name
The nurse is caring for an obese older adult who wishes to lose weight to improve her overall health and
well-being. The nurse knows that, in order for the patient's nutritional needs to be met, the patient's
daily caloric intake should not be less than which amount of calories? - correct answer ✔✔1200
The nurse is providing education to a patient with diabetes mellitus on appropriate diet choices to help
control blood sugar and asks the patient to select a food that is a source of complex carbohydrates. The
patient demonstrates an understanding of complex carbohydrates by selecting which food choices? -
correct answer ✔✔Whole grain pasta
The patient undergoing surgery requests information on ways to speed healing. The nurse would
recommend increasing intake of which type of food? - correct answer ✔✔Proteins
The nurse is providing diet education to a patient with hypercholesterolemia who is to undergo
abdominal surgery. Which food would be most appropriate to recommend to this patient? - correct
answer ✔✔Grilled chicken with broccoli
The patient presents to the clinic and makes the statement, "As I've gotten older, I've noticed my skin is
so much drier, it takes forever for even the smallest wounds to heal, and although my vision is fine