Care Exam 4 Practice Questions With Complete Solutions
b. Use of warm incandescent lighting
c. Use of yellow or amber lenses to decrease glare
d. Use of adjustable blinds, sheer curtains, or draperies
The home care nurse is instructing an assistive personnel about
interventions to facilitate location of items for patients with
vision impairment. Which are effective strategies for enhancing
a patient's impaired vision? (Select all that apply)
a. Use of fluorescent lighting
b. Use of warm incandescent lighting
c. Use of yellow or amber lenses to decrease glare
d. Use of adjustable blinds, sheer curtains, or draperies
e. Indirect lighting to reduce glare
c. Face the patient when speaking; demonstrate ideas you wish
to convey.
e. Verify that the information that has been given has been
clearly understood.
An older adult patient with bilateral hearing loss wears a hearing
aid in her left ear. Which of the following approaches best
facilitates communication with her? (Select all that apply)
a. Talk to the patient at a distance so he or she may read your
lips.
b. Keep your arms at your side; speak directly into the patient's
left ear.
,c. Face the patient when speaking; demonstrate ideas you wish
to convey.
d. Position the patient so that the light is on his or her face when
speaking.
e. Verify that the information that has been given has been
clearly understood.
a. Previous experiences with grief and loss
b. Religious affiliation and denomination
c. Ethnic background and cultural practices
To best assist a patient in the grieving process, which factors are
most important for the nurse to assess? (Select all that apply)
a. Previous experiences with grief and loss
b. Religious affiliation and denomination
c. Ethnic background and cultural practices
d. Current financial status
e. Current medications
c. "Did either prayer or meditation prove helpful to you?"
A nurse used spiritual rituals as an intervention in a patient's
care. Which of the following questions is most appropriate to
evaluate its efficacy?
a. "Do you feel the need to forgive your wife over your loss?"
b. "What can I do to help you feel more at peace?"
c. "Did either prayer or meditation prove helpful to you?"
d. "Should we plan on having your family try to visit you more
often in the hospital?"
,b. Sit down and talk with the patient; have her discuss her
feelings and listen attentively.
A patient has just learned she has been diagnosed with a
malignant brain tumor. She is alone; her family will not be
arriving from out of town for an hour. The nurse has been caring
for her for only 2 hours but has a good relationship with her.
What is the most appropriate intervention for support of her
spiritual well-being at this time?
a. Make a referral to a professional spiritual care adviser.
b. Sit down and talk with the patient; have her discuss her
feelings and listen attentively.
c. Move the patient's Bible from her bedside cabinet drawer to
the top of the over-bed table.
d. Ask the patient whether she would like to learn more about
the implications of having this type of tumor.
a. Denial
A patient who is having difficulty managing his diabetes
mellitus responds to the news that his hemoglobin A1c, a
measure of blood sugar control over the past 90 days, has
increased by saying, "The hemoglobin A1c is wrong. My blood
sugar levels have been excellent for the last 6 months." Which
defense mechanism is the patient using?
a. Denial
b. Conversion
, c. Dissociation
d. Displacement
d. "Tell me what you mean when you say you can't go on any
longer."
A 34-year-old single father who is anxious, tearful, and tired
from caring for his three young children tells the nurse that he
feels depressed and doesn't see how he can go on much longer.
Which statement would be the nurse's best response?
a. "Are you thinking of suicide?"
b. "You've been doing a good job raising your children. You can
do it!"
c. "Is there someone who can help you during the evenings and
weekends?"
d. "Tell me what you mean when you say you can't go on any
longer."
c. "I'm going to let the occupational therapist assess my home to
improve efficiency."
e. "I'm going to attend a support group to learn more about
multiple sclerosis."
The nurse is evaluating how well a patient newly diagnosed with
multiple sclerosis and psychomotor impairment is coping.
Which statements indicate that the patient is beginning to cope
with the diagnosis? (Select all that apply)
a. "I'm going to learn to drive a car, so I can be more
independent."
b. Use of warm incandescent lighting
c. Use of yellow or amber lenses to decrease glare
d. Use of adjustable blinds, sheer curtains, or draperies
The home care nurse is instructing an assistive personnel about
interventions to facilitate location of items for patients with
vision impairment. Which are effective strategies for enhancing
a patient's impaired vision? (Select all that apply)
a. Use of fluorescent lighting
b. Use of warm incandescent lighting
c. Use of yellow or amber lenses to decrease glare
d. Use of adjustable blinds, sheer curtains, or draperies
e. Indirect lighting to reduce glare
c. Face the patient when speaking; demonstrate ideas you wish
to convey.
e. Verify that the information that has been given has been
clearly understood.
An older adult patient with bilateral hearing loss wears a hearing
aid in her left ear. Which of the following approaches best
facilitates communication with her? (Select all that apply)
a. Talk to the patient at a distance so he or she may read your
lips.
b. Keep your arms at your side; speak directly into the patient's
left ear.
,c. Face the patient when speaking; demonstrate ideas you wish
to convey.
d. Position the patient so that the light is on his or her face when
speaking.
e. Verify that the information that has been given has been
clearly understood.
a. Previous experiences with grief and loss
b. Religious affiliation and denomination
c. Ethnic background and cultural practices
To best assist a patient in the grieving process, which factors are
most important for the nurse to assess? (Select all that apply)
a. Previous experiences with grief and loss
b. Religious affiliation and denomination
c. Ethnic background and cultural practices
d. Current financial status
e. Current medications
c. "Did either prayer or meditation prove helpful to you?"
A nurse used spiritual rituals as an intervention in a patient's
care. Which of the following questions is most appropriate to
evaluate its efficacy?
a. "Do you feel the need to forgive your wife over your loss?"
b. "What can I do to help you feel more at peace?"
c. "Did either prayer or meditation prove helpful to you?"
d. "Should we plan on having your family try to visit you more
often in the hospital?"
,b. Sit down and talk with the patient; have her discuss her
feelings and listen attentively.
A patient has just learned she has been diagnosed with a
malignant brain tumor. She is alone; her family will not be
arriving from out of town for an hour. The nurse has been caring
for her for only 2 hours but has a good relationship with her.
What is the most appropriate intervention for support of her
spiritual well-being at this time?
a. Make a referral to a professional spiritual care adviser.
b. Sit down and talk with the patient; have her discuss her
feelings and listen attentively.
c. Move the patient's Bible from her bedside cabinet drawer to
the top of the over-bed table.
d. Ask the patient whether she would like to learn more about
the implications of having this type of tumor.
a. Denial
A patient who is having difficulty managing his diabetes
mellitus responds to the news that his hemoglobin A1c, a
measure of blood sugar control over the past 90 days, has
increased by saying, "The hemoglobin A1c is wrong. My blood
sugar levels have been excellent for the last 6 months." Which
defense mechanism is the patient using?
a. Denial
b. Conversion
, c. Dissociation
d. Displacement
d. "Tell me what you mean when you say you can't go on any
longer."
A 34-year-old single father who is anxious, tearful, and tired
from caring for his three young children tells the nurse that he
feels depressed and doesn't see how he can go on much longer.
Which statement would be the nurse's best response?
a. "Are you thinking of suicide?"
b. "You've been doing a good job raising your children. You can
do it!"
c. "Is there someone who can help you during the evenings and
weekends?"
d. "Tell me what you mean when you say you can't go on any
longer."
c. "I'm going to let the occupational therapist assess my home to
improve efficiency."
e. "I'm going to attend a support group to learn more about
multiple sclerosis."
The nurse is evaluating how well a patient newly diagnosed with
multiple sclerosis and psychomotor impairment is coping.
Which statements indicate that the patient is beginning to cope
with the diagnosis? (Select all that apply)
a. "I'm going to learn to drive a car, so I can be more
independent."
