NUR 213 Test 2
1. Which statements by the student nurse indicate an understanding of car-ing for clients of
various cultures?
A. "The focus is on understanding the traditions, beliefs, and values of the client's culture.", "I
will be aware of my own cultural background and beliefswhen attending to clients who belong
to different cultures."
B. "Care would be provided strictly on the basis of the traditions, beliefs, andvalues of the
client's community."
• "Generalized education and information would be provided to clients belong-ing to a different
community."
• "The cultural background of the client has no effect on health, wellness, andillness.": A
2. The nurse is assisting with the end-of-life care of a client.
Which activity is performed when the nurse views family as context?
A. Assess the resources available to the family.
B. Meet the client's family's comfort and nutritional needs.
C. Meet the client's comfort, hygiene, and nutritional needs.
D. Determine the family's need for rest and their stage of coping.: C
3. Which goals of care are associated with the family health system model?
A. Improving family health or well-being, Providing assistance in family man- agement of
illnesses, Achieving health outcomes related to the family's areasof concern
B. Preparing for family transitions later in life, Promoting positive family behaviors to achieve
essential tasks: A
4. Which description of family-centered care is correct?
A. The nursing care is focused on the client as an individual.
B. A collaborative plan of care is developed to achieve optimal health.
C. The health care provider is the expert in developing a plan of care.
D. The nursing care is based solely on standards of practice.: B
5. The adolescent children are having difficulty talking with their mother, whois in the
terminal stage of cancer.
Which rationale best supports initiating a family meeting?
A. It is important to make goals for solving family problems before deathoccurs.
,B. The children will be unable to deal with their feelings until after their motherdies.
C. A deeper level of knowledge will help the children understand the mother'steelings.
D. Open communication increases ability to work through reactions to theterminal illness.: D
6. Which interventions would the nurse follow while dealing with family mem-bers after the
death of the client who was critically injured in an earthquake?
A. Coordinating with crisis staff, Offering the option of speaking to a clergy
B. Expressing intense grief, Avoiding concrete language, Avoiding words suchas "death" or
"died": A
7. Which response would the nurse make to the spouse of a client who hada
cerebrovascular accident and seems unable to accept the goal that the clientwill participate in
self-care?
A. Tell the spouse to let the client do things independently.
B. Allow the spouse to assume total responsibility for the client's care.
C. Explain that the nursing staff has full responsibility for the client's activi-ties.
D. Ask the spouse for assistance in planning activities most helpful to theclient.: D
8. The nurse is preparing to discharge a client who is partially paralyzed after a stroke. Which
behaviors would the nurse alert the family of as symptoms ofcaregiver role strain?
A. Disturbed sleep patterns, Reduced appetite and weight, Fearful about ad- ministering
medications to the client
B. Concerned about personal appearance, Engages in leisure activities asoften as possible: A
9. The nurse is helping a client and the family to set and meet goals. Whichprofessional role
is the nurse displaying?
A. Educator
B. Advocate
C. Manager
D. Caregiver: D
10. During the beginning phase of a therapeutic relationship, why is a clearunderstanding of
participants' roles important?
A. To understand what will be discussed
B. To display that the nurse is trying to be helpful
C. To know what to expect from the relationship
D. To prepare for termination of the relationship: C
, 11. In which situation would the nurse consider family members as the primarysource of
information?
A. The client is an infant or child., The client is brought in as an emergency.,The client is
critically ill and disoriented.
B. The client is an older adult., The client visits the outpatient department.: A
12. Which interventions would the nurse implement for a dying client and thefamily?
A. Help the family set up home care if required., Determine the client and fami- ly's strengths
and weaknesses., Arrange for church or community support forthe family.
B. Arrange for restorative care., Refrain from telling the family that the clientis dying.: A
13. Which rationale best supports informing the family about what is happen- ing with the
client's permission?
A. The family can reassure the client to decrease anxiety.
B. The family will be better equipped to assist the client.
C. The family will appear more relaxed with the situation.
D. The family is less likely to cause problems for thenurse.: B
14. Which priority action would the nurse perform when discharging a clientwith limited
English proficiency?
A. Ask the family to translate information for the client.
B. Speak directly to the client during the instruction process.
C. Assess the need for a medical interpreter for client teaching.
D. Provide discharge instructions in the client's native language.: C
15. Sepsis: -Life-threatening syndrome in response to an infection
-A group of symptoms or syndrome in response to an infection that can include organdysfunction
related to the infection
-Infection fighting processes turn on the body, causing organs to work poorly
16. Sepsis Risk Factors: -Infants, children, older adults
-People who have serious injuries
-People who survived sepsis
-People with recent severe illness or hospitalization
-People with chronic medical condition-Diabetes
-Immunosuppressed patients- HIV, Chemotherapy Patients
17. Causes of Sepsis: •Gram-negative & Gram-positive bacteria
1. Which statements by the student nurse indicate an understanding of car-ing for clients of
various cultures?
A. "The focus is on understanding the traditions, beliefs, and values of the client's culture.", "I
will be aware of my own cultural background and beliefswhen attending to clients who belong
to different cultures."
B. "Care would be provided strictly on the basis of the traditions, beliefs, andvalues of the
client's community."
• "Generalized education and information would be provided to clients belong-ing to a different
community."
• "The cultural background of the client has no effect on health, wellness, andillness.": A
2. The nurse is assisting with the end-of-life care of a client.
Which activity is performed when the nurse views family as context?
A. Assess the resources available to the family.
B. Meet the client's family's comfort and nutritional needs.
C. Meet the client's comfort, hygiene, and nutritional needs.
D. Determine the family's need for rest and their stage of coping.: C
3. Which goals of care are associated with the family health system model?
A. Improving family health or well-being, Providing assistance in family man- agement of
illnesses, Achieving health outcomes related to the family's areasof concern
B. Preparing for family transitions later in life, Promoting positive family behaviors to achieve
essential tasks: A
4. Which description of family-centered care is correct?
A. The nursing care is focused on the client as an individual.
B. A collaborative plan of care is developed to achieve optimal health.
C. The health care provider is the expert in developing a plan of care.
D. The nursing care is based solely on standards of practice.: B
5. The adolescent children are having difficulty talking with their mother, whois in the
terminal stage of cancer.
Which rationale best supports initiating a family meeting?
A. It is important to make goals for solving family problems before deathoccurs.
,B. The children will be unable to deal with their feelings until after their motherdies.
C. A deeper level of knowledge will help the children understand the mother'steelings.
D. Open communication increases ability to work through reactions to theterminal illness.: D
6. Which interventions would the nurse follow while dealing with family mem-bers after the
death of the client who was critically injured in an earthquake?
A. Coordinating with crisis staff, Offering the option of speaking to a clergy
B. Expressing intense grief, Avoiding concrete language, Avoiding words suchas "death" or
"died": A
7. Which response would the nurse make to the spouse of a client who hada
cerebrovascular accident and seems unable to accept the goal that the clientwill participate in
self-care?
A. Tell the spouse to let the client do things independently.
B. Allow the spouse to assume total responsibility for the client's care.
C. Explain that the nursing staff has full responsibility for the client's activi-ties.
D. Ask the spouse for assistance in planning activities most helpful to theclient.: D
8. The nurse is preparing to discharge a client who is partially paralyzed after a stroke. Which
behaviors would the nurse alert the family of as symptoms ofcaregiver role strain?
A. Disturbed sleep patterns, Reduced appetite and weight, Fearful about ad- ministering
medications to the client
B. Concerned about personal appearance, Engages in leisure activities asoften as possible: A
9. The nurse is helping a client and the family to set and meet goals. Whichprofessional role
is the nurse displaying?
A. Educator
B. Advocate
C. Manager
D. Caregiver: D
10. During the beginning phase of a therapeutic relationship, why is a clearunderstanding of
participants' roles important?
A. To understand what will be discussed
B. To display that the nurse is trying to be helpful
C. To know what to expect from the relationship
D. To prepare for termination of the relationship: C
, 11. In which situation would the nurse consider family members as the primarysource of
information?
A. The client is an infant or child., The client is brought in as an emergency.,The client is
critically ill and disoriented.
B. The client is an older adult., The client visits the outpatient department.: A
12. Which interventions would the nurse implement for a dying client and thefamily?
A. Help the family set up home care if required., Determine the client and fami- ly's strengths
and weaknesses., Arrange for church or community support forthe family.
B. Arrange for restorative care., Refrain from telling the family that the clientis dying.: A
13. Which rationale best supports informing the family about what is happen- ing with the
client's permission?
A. The family can reassure the client to decrease anxiety.
B. The family will be better equipped to assist the client.
C. The family will appear more relaxed with the situation.
D. The family is less likely to cause problems for thenurse.: B
14. Which priority action would the nurse perform when discharging a clientwith limited
English proficiency?
A. Ask the family to translate information for the client.
B. Speak directly to the client during the instruction process.
C. Assess the need for a medical interpreter for client teaching.
D. Provide discharge instructions in the client's native language.: C
15. Sepsis: -Life-threatening syndrome in response to an infection
-A group of symptoms or syndrome in response to an infection that can include organdysfunction
related to the infection
-Infection fighting processes turn on the body, causing organs to work poorly
16. Sepsis Risk Factors: -Infants, children, older adults
-People who have serious injuries
-People who survived sepsis
-People with recent severe illness or hospitalization
-People with chronic medical condition-Diabetes
-Immunosuppressed patients- HIV, Chemotherapy Patients
17. Causes of Sepsis: •Gram-negative & Gram-positive bacteria