ANSWERS 2025/2026 LATEST UPDATE/GET A+
The nurse needs to conduct a history and physical interview with a 74 year old hearing impaired
patient. Which of the following should the nurse do to enhance the patient's ability to hear? - Sit
and face the patient so they can see you, and avoid covering your mouth while speaking
Which of the following choices is the most helpful to communicate with a completely deaf
patient? - Pen and paper
A client tells his nurse that he has difficulty hearing related to working in a loud factory setting
for 15 years. What is the term for this condition? - Sensory deficit
A home care client has both visual and hearing deficits. Although all of the following are
important, what would be the highest priority concern when planning and implementing care? -
Safety
During the nurse's morning assessment of a client with a diagnosis of dementia, the client states
that the year is 1949 and she believes she is in a hotel. How should the nurse best respond to this
client's
Disorientation? - Reorient the client to place and time
Which nursing intervention is appropriate for communicating with a patient who is visually
impaired? - Using reading material with at least 14-point font
A nurse is working with a severely visually impaired client. Which approaches are effective
when communicating with this client during a bed bath? - Tell the client exactly what will
happen
Use touch to emphasize what is being do
A patient who is legally blind has been admitted to the telemetry unit. Which of the following
actions would be the best approach to promote adjustment to the environment? - Explain all the
noises and physical surroundings on the unit
A nurse is making a home care visit to a client with a hearing deficit. What can the nurse do to
facilitate communication with the client? - Ask for permission to turn off the television set
during the visit
The nurse is caring for Mrs. Meld, a 62-year-old client with dementia who is confused. Which
nursing interventions will the nurse include in Mrs. Meld's care plan to facilitate
communication? - Use frequent face-to-face contact
Reorient the client to her environment as needed
Speak calmly, simply, and directly
Use clocks and calendars for orientation
, Information regarding a patient's health status may not be released to non-health care team
members because: - Legal and ethical obligations require health care providers to keep
information strictly confidential
A nurse has just admitted a patient with a medical diagnosis of congestive heart failure. When
completing the admission paper work, the nurse needs to record: - Objective data that are
observed
A patient you are assisting has fallen in the shower. You must complete an incident report. The
purpose of an incident report is to: - Aid in the hospital's quality improvement program
The nurse contacts a provider about a change in patient's condition & receives several new orders
for the patient over the phone. When documenting telephone orders in the EHR, most hospitals
require a nurse to do which of the following? - "Read back" all telephone orders to the provider
over the phone to verify all orders were heard, understood, an transcribed correctly before
entering the orders into the HER
When documenting an assessment of a patient's cardiac system in an EHR, the nurse uses the
computer mouse to select the "WNL" statement to document the following findings: "Heart
sounds S1 and S2 auscultated. Heart rate between 80-100 bpm, and regular. Denies chest pain."
This is an example of using which of the following documentation formats? - Charting-by-
exception (CBE)
Which method is appropriate for the nurse to dispose of printed patient information? - Place in a
secure canister marked for shredding
Which statement made by the nursing student indicates a need for further teaching regarding
electronic & written documentation? - "I will document the care provided by other health care
professionals."
A hospital utilizes the SOAP method of charting. Within this model, which of the nurse's
statements would appear at the beginning of a charting entry? - "Client is reporting that her
abdominal pain is rated at 8/10."
A health care provider not assigned to care of the client, approaches the nurse caring for the
client in room 25 and states, "The client is a friend of mine. What treatment is being given?"
Which response by the nurse is most appropriate? - Inform the health care provider that client
permission is needed to release any information
A nurse is using SBAR communication techniques during a crisis. Which nursing intervention
reflects the R step of this technique? - Recommending a potential action to manage the event
When a smiling and cooperative patient complains of discomfort, nurses caring for this patient
often harbor misconceptions about the patient's pain. Which of the following is true? - Patients
are the best judges of their pain