Nur 112- Fundamentals of Nursing Final-Wallace State
A home health nurse is conducting a home safety assessment for an older adult client. Which of the following findings
should the nurse identify as a safety risk for the client? - ANS -Raise toilet seats, Throw Rugs, Water heater (low temp)
\A nurse asks a client to share personal stories. Which of the following types of intervention is the nurse using to promote
client / nurse relationships. - ANS -Narrative communication
\A nurse is adhering to standard precautions while caring for a group of clients. For which of the following tasks should the
nurse wear protective eye gear? - ANS -Irrigating a patient's abdominal wound and suctioning a client's new tracheostomy
tube
\A nurse is assessing a client at a follow-up clinic visit for acute low back pain. A goal for this client is to use proper body
mechanics at all times. Which of the following findings indicate that the client is meeting this goal? - ANS -The client faces
the direction of movement when sliding an object across the floor.
\A nurse is attending a social event when another guest coughs weakly once. Grasps his throat with both his hands, and
cannot talk. Which of the following actions should the nurse take? - ANS -Perform the Heimlich maneuver
\A nurse is caring for a client who has a mental health disorder. the client asks about his medication and their effects. The
nurse asks the client why he needs to know this. Which of the following non therapeutic communication techniques is the
nurse using? - ANS -Asking for an explanation
\A nurse is caring for a client who is discussing his ptsd and states, "Everyone thinks you should be able to put it out of
your mind. It happened so long ago! Just get over it!" The nurse responds, "It must be very frustrating to encounter this
type of attitude." The nurse is using which of the following therapeutic communication techniques? - ANS -Reflection
\A nurse is developing a plan of care for a client who does not speak the same language as the nurse. Which of the
following interventions should the nurse include? - ANS -Determine the client's level of fluency in his primary language
\A nurse is having difficulty caring for a client due to variables affecting the communication process. Which of the following
should the nurse identify as an interpersonal variable? - ANS -Education, Gender, Perception
\A nurse in a long-term care facility is caring for an older adult who has dementia and begins to have frequent episodes of
urinary incontinence. After the provider determines no medical cause for the client's incontinence, which of the following
interventions should the nurse initiate to manage this behavior? - ANS -Take the client to the bathroom every 2 hours
A home health nurse is conducting a home safety assessment for an older adult client. Which of the following findings
should the nurse identify as a safety risk for the client? - ANS -Raise toilet seats, Throw Rugs, Water heater (low temp)
\A nurse asks a client to share personal stories. Which of the following types of intervention is the nurse using to promote
client / nurse relationships. - ANS -Narrative communication
\A nurse is adhering to standard precautions while caring for a group of clients. For which of the following tasks should the
nurse wear protective eye gear? - ANS -Irrigating a patient's abdominal wound and suctioning a client's new tracheostomy
tube
\A nurse is assessing a client at a follow-up clinic visit for acute low back pain. A goal for this client is to use proper body
mechanics at all times. Which of the following findings indicate that the client is meeting this goal? - ANS -The client faces
the direction of movement when sliding an object across the floor.
\A nurse is attending a social event when another guest coughs weakly once. Grasps his throat with both his hands, and
cannot talk. Which of the following actions should the nurse take? - ANS -Perform the Heimlich maneuver
\A nurse is caring for a client who has a mental health disorder. the client asks about his medication and their effects. The
nurse asks the client why he needs to know this. Which of the following non therapeutic communication techniques is the
nurse using? - ANS -Asking for an explanation
\A nurse is caring for a client who is discussing his ptsd and states, "Everyone thinks you should be able to put it out of
your mind. It happened so long ago! Just get over it!" The nurse responds, "It must be very frustrating to encounter this
type of attitude." The nurse is using which of the following therapeutic communication techniques? - ANS -Reflection
\A nurse is developing a plan of care for a client who does not speak the same language as the nurse. Which of the
following interventions should the nurse include? - ANS -Determine the client's level of fluency in his primary language
\A nurse is having difficulty caring for a client due to variables affecting the communication process. Which of the following
should the nurse identify as an interpersonal variable? - ANS -Education, Gender, Perception
\A nurse in a long-term care facility is caring for an older adult who has dementia and begins to have frequent episodes of
urinary incontinence. After the provider determines no medical cause for the client's incontinence, which of the following
interventions should the nurse initiate to manage this behavior? - ANS -Take the client to the bathroom every 2 hours
