NUR 101 Test 5
- The nurse should assess every client to determine if stress reduction interventions should be
part of the plan of care. The rationale for this action is that
- There are more persons experiencing mental illness now than in the past.
- Life is so much more stressful than it has ever been.
- The occurrence of stress in clients is unpredictable.
- Clients often develop maladaptive coping strategies.
Answer The occurrence of stress in clients is unpredictable.
- A patient who speaks little English is admitted to the hospital after experiencing severe
abdominal pain. Which nursing diagnosis is preferred for this patient?
- Impaired communication
- Readiness for Enhanced Communication
- Impaired Verbal Communication
- Sensory alteration
Answer Impaired communication
- Which of the following characteristics do the various definitions of critical thinking have in
common? Critical thinking
- Requires reasoned thought
- Asks the questions "why" or "how'
- Is a hierarchical process 1 / 3
- Demands specialized thinking skills
Answer Requires reasoned thought
- As the nurse you have writing the nursing diagnosis list below. Which portion of the
statement represents the etiology Activity intolerance r/t prolonged bed rest AEB(AMB) increased heart rate, decreased blood pressure with activity, patient statements of weakness, & dyspnea with exertion.
- Activity Intolerance
- Prolonged Bed Rest
- Increased Heart Rate
- Dyspnea with Exertion
Answer Prolonged Best Rest
- The nurse is completing a head-to-toe assessment on her client at the beginning of the shift
for the hospital unit. This would be considered a/an
- Focused Assessment
- Initial assessment
- Ongoing assessment
- Special needs assessment
Answer Ongoing assessment
- A patient who underwent a total abdominal hysterectomy is assisted out of bed as soon as her
vital signs are stable. This intervention is most likely being directed by a
- Critical pathway.
- Nursing care plan. 2 / 3
- Case manager.
- Traditional care model.
Answer Critical pathway
- The nurse is caring for a patient who refuses pain medication despite the nurse's explaining
its importance in the healing process. After the nurse considers the patient cultural descent which intervention(s) by the nurse is/are appropriate for this patient?
- Assess the patient's pain levels at less frequent intervals.
- Document in the patient's record that the patient does not want to take opioids.
- Utilize nonpharmacological measures to help control the patient's pain.
- Notify the primary care provider of the patient's noncompliance.
Answer Document in the patient's record that the patient does not want to take opiods.
Utilize nonpharmalogical measures to help control the patient's pain.
- A patient and his wife are 2 years from retirement when he is diagnosed with lung cancer.
Although with delayed childbearing, developmental stages can vary among families, which typical stage of family development is this couple likely experiencing?
- Family launching young adults
- Postparental family
- Family with frail elderly
- Family with teenagers and young adults
Answer Postparental family
- Which aspects of healthcare are affected by a client's culture? Choose all that apply.
- How the clients views healthcare
- How the client views illness
- How the client will pay for healthcare services
- / 3