Hesi practice (fundamentals in nursing and nursing
science) Test with 100% Verified Answers
A client tells the nurse, "I am so worried about the results of the biopsy they took today."
The nurse overhears the nursing assistant reply, "Don't worry. I'm sure everything will come
out all right." What does the nurse conclude about the nursing assistant's answer? - -
False reassurance
person cannot know the results of the biopsy until it is examined under a microscope. The
response does not allow the client to voice concerns, shuts off communication, and
provides reassurance that may not be accurate. This answer does not empathize with the
client; it minimizes the client's concerns. This response is not a form of distraction; it
minimizes the client's concern and shuts off communication. This response does not
contain any value statements.
Which statement is true for attachment in the newborn? - -Attachment is the
interaction between parent and child.
Attachment is the interaction between the parent and child. The nurse promotes the
parents' and newborn's need for physical contact by encouraging breast feeding.
Attachment is a process that evolves over the first 24 months. The newborn is awake and
alert for the first half-hour after birth, during which parent-child interaction begins. Molding
is the overlapping of the soft skull bones commonly seen in newborns that had vaginal
births. Molding allows the fetal head to adjust to the various diameters of the maternal
pelvis during birth.
Which intervention reflects the nurse's approach of "family as a context"? - -Trying to
meet the client's comfort
In the "family as context" approach, the focus is on the client. The nursing care aims at
meeting the client's comfort, hygiene, and nutritional needs. The "family as a client"
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approach focuses on the family's needs as a whole to determine their coping skills. This
approach also includes assessment of the family's energy level to determine if the family
would b be able to meet the client's needs. In addition, the approach "family as a client"
involves assessment of the family's nutritional needs.
What principal components are associated with a nurse's time management skill? Select
all that apply. - -goal setting, interruption control and priority setting
Goal setting, priority setting, and interruption control forms the principal components of
time management. Autonomy is an important component in the decision-making process.
Right communication is considered one of the rights of delegation.
A child is being treated with oral ampicillin for otitis media. What should be included in the
discharge instructions that the nurse provides to the parents of the client? - -
Complete the entire course of antibiotic therapy.
Once antibiotic therapy is initiated, the antibiotics start to destroy specific bacterial
infections that the healthcare provider is trying to treat. Antibiotic therapy takes a specific
dose and number of days to completely eliminate the bacteria. If the caregivers start a
dose and stop it before the course is complete, the remaining bacteria have a chance to
grow again, become resistant to antibiotic treatment, and multiply. The nurse should not
discourage use of herbal fever remedies; however, the herbal treatment should be reviewed
to see if it is contraindicated. Ampicillin should be taken 1 to 2 hours after meals. Antibiotic
therapy should be completed as prescribed.
Which therapeutic communication technique involves using a coping strategy to help the
nurse and client adjust to stress? - -sharing humor
Sharing humor is a therapeutic communication technique that involves using a coping
strategy that adds perspective and helps the nurse and client adjust to stress. Nurses