ASSESMENT LEVEL 1-4 |RATED A+|
A nurse in a mental health facility is preparing an educational program for a group of
staff nurses about the proper use of restraints. Which of the following information should
the nurse plan to include?
A) The client should be offered toileting every 2 hours.
B) The provider can write restraints on an as-needed basis.
C) Children younger than 9 years old can be in mechanical restraints for up to 1
hour. ...ANSWER...C) Children younger than 9 years old can be in mechanical
restraints for up to 1 hour.
A nurse is teaching sleep hygiene to a client who has insomnia. Which of the following
statements should the nurse make?
A) Get out of bed if you cannot fall asleep in 30 minutes
B) Alcoholic beverages should only be consumed as late as mid-evening
C) Exercise may tire you out and encourage sleep ...ANSWER...A) Get out of bed if you
cannot fall asleep in 30 minutes
A nurse is assessing a preschooler who has a urinary tract infection (UTI). Which of the
following findings should the nurse expect?
A) Increased thirst
B) Urticaria
C) Headache
D) Constipation ...ANSWER...D) Constipation
A nurse is planning to use an interpreter in her interactions with a patient. Which of the
following statements are correct in regards to using an interpreter?
, A) Questions should be translated as needed to convey the meaning of the questions,
not necessarily word-for-word.
B) Ask the patient's partner to act as an interpreter.
C) Direct the interview questions to the interpreter. ...ANSWER...A) Questions should
be translated as needed to convey the meaning of the questions, not necessarily word-
for-word.
True or False?
Recommendations for safe levels of alcohol consumption for a healthy woman include
consuming no more than seven drinks in a week. ...ANSWER...TRUE
True or False?
Recommendations for safe levels of alcohol consumption for a healthy man under the
age of 65 include consuming no more than seven drinks each day. ...ANSWER...FALSE
No more than four drinks each day for healthy man under age 65.
Which of the following is an example of a therapeutic communication response to
depressive or suicidal comments made by the patient?
A) disapproving of the negative comments made by the patient
B) changing the subject to something more pleasant
C) false reassurances to ease their negative feelings
D) restating what the patient says ...ANSWER...D) restating what the patient says
True or False?
Sore throat and other flu-like symptoms are expected with chronic fatigue
syndrome. ...ANSWER...TRUE
Which of the following should the nurse recognize as nonverbal indicators of pain?
(Select all that apply)
A) Slow, steady breathing
B) Muscle tension
C) Dilated pupils