question

Most cancer-related pain is

answer

the direct result of tumor involvement

question

Which of the following statements accurately describes public health nurses?

answer

They often connect at-risk individuals to the work of the health department

question

Which of the following would be an example of primary prevention?

answer

Assisting a sexually active adolescent to receive contraceptive information

question

Sensory perception refers to

answer

the translation of stimuli into meaningful information

question

A family chooses not to inform a client that he is terminally ill. This is an example of

answer

closed awareness.

question

When a client shares the fact that he or she has been treated by a lay healer, the most appropriate initial response by the nurse would be to

answer

ask the client why he or she sought treatment from the healer, as well as to describe what occurred during the treatment.

question

The Centers for Disease Control uses race as a

answer

risk marker for health problems caused by social conditions

question

For both clients and their families, denial is a common reaction to a diagnosis of chronic illness. As a defense mechanism, denial

answer

is a helpful cushion against disintegration

question

Sheltered workshops and programs that encourage public and private industries to use rehabilitated persons to the fullest extent possible are part of

answer

tertiary prevention

question

Throughout the history of nursing, the primary setting for care has been the

answer

home

question

Which of the following would be an example of tertiary prevention?

answer

Discussing contraceptive options for a pregnant teenager

question

For John Westerhoff, spiritual development is a four-stage process that is heavily dependent on

answer

the practices of one's family

question

Which of the following would be a primary prevention strategy to prevent child abuse?

answer

Educating expectant parents on issues related to growth and development

question

A seventy-year-old woman had a total hip replacement five hours ago. She complains of nausea, but she is still only semi-alert from the surgical anesthesia. Which of the following would be an appropriate first nursing intervention?

answer

Check the woman for adequate IV fluid maintenance

question

A client is in extreme pain following major abdominal surgery. Which of the following is an effective comfort strategy at this time?

answer

Wound site evaluation Assessment of pain medication effectiveness Repositioning

question

A middle-aged man who suffers from disabling arthritic pain confides to the nurse that he is going to try a new herbal medicine guaranteed to cure arthritis. Which of the following is the nurse's best response?

answer

"I understand why you want to try this treatment. If you know the name of the herbal medication, I can look for additional information for you."

question

A nurse is caring for the family of a person who was critically injured in a car accident. Here, the nurse would understand that this family is experiencing

answer

a situational loss in which the family's coping mechanisms may be strained.

question

Which of the following represents an area of ethical concern that should be considered when determining the plan of care for a dying patient?

answer

Presence of advance directives

question

John is an eighty-two-year-old man who is happily married with twelve grandchildren and twenty great-grandchildren whom he sees quite often; this brings him a lot of joy. Many times, John reflects on his life and is filled with a sense of happiness and great accomplishment. According to Erik Erikson's stages of life span development, in which stage is John?

answer

Integrity vs. despair

question

Which of the following statements describes a socioeconomic factor that would influence a child's growth and development?

answer

Her parents can't afford to take her to the doctor.

question

Sharon, a pediatric nurse, is performing a routine eye exam on a one-year-old boy in the office when she notes that the child's eyes do not seem to be lining up in the same direction when focusing. Instead, his eyes appear to be crossing. Sharon is concerned because she knows that if left untreated, cross-eye can lead to what condition?

answer

Amblyopia

question

A public health nurse is preparing for a lecture she is to present at the local high school discussing responsible sexual behavior. According to Healthy People 2010, all of the following are appropriate interventions for Monica to include

answer

encouraging the teens to delay first sexual encounters. using peer education to provide sex education materials. discussing the benefits and risks of sexual activity with teens

question

Tammy has been assigned to a diabetic patient with numerous health care needs who is having a difficult time following his diabetic diet. The patient's lab results reveal elevated hemoglobin A1C, cholesterol, and blood sugar levels. Tammy has provided the patient with information on healthy food options for a diabetic and provided instruction on daily exercise. In which phase of the nursing process is Tammy?

answer

Implementation

question

An ER nurse is providing care for an eighty-year-old man diagnosed with influenza. According to Maslow's Hierarchy of Needs and the information given, which action should the nurse take first?

answer

Patient's respirations are 38/min and O2 sat is 92%. The nurse administers O2 as prescribed.

question

Which of the following comfort measures is considered indirect?

answer

Nurse leaving patient alone in room to change into hospital gown and knocking prior to reentry

question

A labor and delivery nurse is assigned to a patient who has just given birth to her baby via emergency C-section. The patient rates her pain as a 10/10 on the pain scale. The nurse provides the patient with 5 mg Percocet per physician orders. The mother states, "I am afraid I will become addicted to pain medicine if I take that." Which of the following responses by the nurse is a rejecting response?

answer

"I really don't understand why you are scared to take this medicine. I have several other patients I am taking care of, so do you want it or not?"

question

A home health nurse is visiting a spinal fusion surgery patient who is seven days postoperative. During his assessment, the patient rates his pain as a 9 out of 10 on the pain scale, complaining that he is unable to get any sleep. In addition, he admits to not going to the physical therapist because it is too painful for him to get in and out of the car. The nurse realizes that the patient's comfort is being affected by his pain and therefore formulates several plans of care for him: Patient will take pain medication as prescribed to help alleviate pain, administer pain medications shortly before bedtime to help with sleep, patient will use guided imagery to help him manage pain, and patient will attend all physical therapy appointments. Ten days later, the nurse makes another visit and discovers that the patient has gone to two of his four physical therapy appointments, is still having difficulty sleeping, and rates his pain as an 8 out of 10 on the pain scale. The patient admits to not taking his pain medication as prescribed and states, "I am really concerned that I will become addicted to my pain medications and won't be able to stop using them." Which of the following is the most appropriate adjustment to the patient's plan of care?

answer

Teach patient about common irrational fears associated with using opioid analgesics

question

The nurse is evaluating a client who sustained a debilitating back injury several months ago at his job. The client is no longer able to work. Privately, the client's wife tells the nurse that her husband, who used to love outdoor sports and was very active with his children, now lays in bed all day and will hardly speak to anyone. When he does speak, he is extremely angry. Which response by the nurse to the client's wife would be most appropriate?

answer

"Your husband seems to be exhibiting signs of depression and anger, which is not uncommon with people who suffer from chronic pain. I will assess him for depression, and we can take it from there."

question

A CCU nurse is taking care of a seventy-nine-year-old woman who is one day postoperative following mitral valve replacement surgery. The nurse writes the following in her narrative notes: "Approximately 100 mL drainage from chest tube; patient rates her sternal incision pain a 9 out of 10 on the pain scale; patient has not been up to walk since surgery." About which of the following should the nurse be most concerned if the patient's pain does not get under control?

answer

Development of a deep vein thrombosis (DVT)

question

Morphine and other opioid medications work to reduce pain in all of the following ways

answer

decreasing the pain impulse. B. mimicking enkephalin and endorphin. D. reducing the transmission of noxious stimuli.

question

A nurse is taking care of a patient who is thirty-six hours postoperative following a right thoracotomy. The patient is refusing to perform her breathing exercises and has not been up to walk since her surgery stating, "It hurts too bad to move; I just want to lay here." The patient has been taking 15 mg morphine po q4h and has not had a bowel movement since surgery. Which of the following nursing diagnoses will take priority for this patient?

answer

Ineffective airway clearance related to postoperative incisional chest pain

question

Dr. Smith, a primary care physician, has a diabetes management clinic in his office. Dr. Smith's RN, Amy, is in charge of running the clinic and seeing all of the patients. She and Dr. Smith meet once a week to go over established protocols and current research associated with long-term diabetic care. In addition, Amy attends diabetic conferences twice a year to make sure her information is up-to-date. Which component of the chronic care module are Amy and Dr. Smith utilizing?

answer

Internal: Decision support

question

A forty-nine-year-old man recently suffered a cerebral vascular accident. He is now bedridden, and his wife has been left responsible for taking care of him and their three teenage children. The man owned his own business and did not have any long-term care insurance; the wife is a stay-at-home mom. The family is receiving social security payments, but it is not enough to pay for their bills, and now their mortgage is four months past due. The family is very concerned that they will lose their house. The wife is unable to get a job, as she needs to stay at home at take care of her husband. They have no family support to help them. Of the following nursing diagnoses, which would take priority?

answer

Fear related to possible loss of home because of inability to pay mortgage

question

A three-year-old-boy's mother has just died. The father asks the nurse what he can do to help the son with his grief response to the loss of his mother. Which of the following nursing interventions is most appropriate?

answer

Encourage the father to discuss the mother's death with his son, and help him express his feelings of sadness about her loss.

question

Which of the following patients would be eligible for palliative care but not for hospice care?

answer

A forty-three-year-old man with COPD who has about one year left to live

question

Which of the following is not one of the three desired outcomes of hospice care, according to the Hospice and Palliative Care Organization's 1999 statement?

answer

Emotional support and healing

question

The nurse is caring for a sixty-nine-year-old man named Walter who is dying from lung cancer. The physician estimates that Walter has less than a month left to live. Walter's family is a consistent presence in the unit and consists of his wife of forty-nine years, named Fannie, and three grown children. Fannie and the children refuse to talk about Walter's impending death. The nurse hears them making such comments as, "When you get out of the hospital we will..." and "Don't be so negative; you can still get better." When the nurse is alone with Walter, he says, "I know that I am going to die and that is okay; I have had a long life and I have done my best to beat this disease. But I know it is going to beat me instead. How do I make my family understand? I feel like I can't even talk to them about my death because they don't want to hear it, so I have given up trying to say anything about it." The nurse observes Fannie and notes that she is extremely tired since she spends most of her days and nights with Walter in his hospital room. She occasionally verbalizes harsh, angry words at the nurses when she feels that they are being "negative" about his condition or his prognosis. As part of her assessment, the nurse would correctly note which of the following about Walter and his family?

answer

Walter is in the acceptance stage of grief while the family is in the denial stage. Walter and his family are engaged in mutual pretense regarding his impending death.

question

The nurse is caring for a sixty-nine-year-old man named Walter who is dying from lung cancer. The physician estimates that Walter has less than a month left to live. Walter's family is a consistent presence in the unit and consists of his wife of forty-nine years, named Fannie, and three grown children. Fannie and the children refuse to talk about Walter's impending death. The nurse hears them making such comments as, "When you get out of the hospital we will..." and "Don't be so negative; you can still get better." When the nurse is alone with Walter, he says, "I know that I am going to die and that is okay; I have had a long life and I have done my best to beat this disease. But I know it is going to beat me instead. How do I make my family understand? I feel like I can't even talk to them about my death because they don't want to hear it, so I have given up trying to say anything about it." The nurse observes Fannie and notes that she is extremely tired since she spends most of her days and nights with Walter in his hospital room. She occasionally verbalizes harsh, angry words at the nurses when she feels that they are being "negative" about his condition or his prognosis. Which of the following nursing diagnoses would be most appropriate for Walter's spouse Fannie?

answer

Anticipatory grieving related to impending loss

question

While caring for Dexter, a new patient on the unit, the nurse becomes concerned that Dexter is experiencing sensory overload. The findings that would support this concern are

answer

anxiety and sleeplessness.

question

An appropriate goal for a patient with external otitis would be to

answer

minimize pain.

question

A nurse who is familiar with Hispanic-American customs would want to initiate a discussion regarding which of the following before discharging Maria with her new infant?

answer

Infant feeding plans

question

Rose will not go see a physician. Instead, she relies on her chiropractor and a health food store owner to give her advice on her health care. She gets chiropractic adjustments three times per week and follows a strict diet of organic whole foods. When she feels ill, she goes to the health food store and purchases supplements based on plants and herbs. Rose is following which types of health practices?

answer

Manipulative body-based therapy and biologically based therapy

question

In which of the following energy therapies does the practitioner modulate the person's energy field without physically touching the patient?

answer

Therapeutic touch

question

While obtaining an initial assessment, the nurse learns that her patient, Malika, is a Mexican American. The nurse recognizes that this heritage places Malika at high risk for

answer

diabetes.

question

Having limited resources, a community agency wants to offer a primary prevention program for women. Cognizant of the causes of death in women, the agency should target

answer

cardiovascular disease.

question

A community health nurse works on all of the following projects. In which one is the nurse working with an aggregate group?

answer

Collecting immunization information for all of the children in a particular neighborhood

question

The community nurse is working with a family that includes three children aged six, eight, and nine. Which intervention would be most important to include in the family's care plan?

answer

Educate the family about helmet and traffic safety.

question

The focus of today's community-based nurse is

answer

the acute and chronic care of individuals and families

question

According to both community health nursing and public health nursing, what is the primary focus of clinical care?

answer

The aggregate

question

Raoul is a fifty-nine-year-old man who lives alone and was recently diagnosed with COPD. He is living at home and learning to manage his disease. Which type of nurse will be most helpful to educate Raoul about how the disease will affect his daily life and how to manage the changes to his activities of daily living?

answer

Home health nurse

question

Karla is a home health nurse conducting an in-home assessment for a new patient named Mabel. Mabel is an eighty-one-year-old woman returning home following hip surgery. She lives with her husband of sixty years, Frank. Frank is eighty-seven years old and is limited in his mobility; he generally uses a walker to move around the home, which is on one level and has no stairs for entry. Until the fall that precipitated Mabel's surgery, she did most of the housecleaning and food preparation. Frank and Mabel are both clear-minded and astute. Mabel has four medications that she must take daily in addition to the pain medication prescribed by her doctor for the postoperative period. The couple has three adult children, but all of them live several hundred miles away and are only able to visit occasionally. Karla formulates all of the following nursing diagnoses for Frank and/or Mabel. Which will take priority?

answer

Risk for injury related to lack of physical support for movement

question

which activity should a nurse suggest to a mother of a normal 2 1/2 y/o child?

answer

jumping using both feet

question

an 89 y/o pt states, "i live alone and i have little money. on sunndy days, i don't use my air conditioner. i don't like to get a flu shot". what nursing diangosis would be a priority when using maslow's hierachy of needs?

answer

ineffective thermoregulation

question

which statement best teaches and older adult about safety issues related to driving?

answer

turn the head side to side before changing lanes to compensate for peripheral vision

question

which nursing aciton would create a healing environment that would best facilitate feelings of self worth in patients in a ltc?

answer

teaching patients about making health care decisions

question

which self healing method should nurses use to foster their own health and well being?

answer

challenge the belief that others always come first

question

which instructions would the nurse provide to a mother asking about how to do a cooling sponge batht for her 5 y/o dtr who has a fever of 102o?

answer

d/c the bath if the child shivers during the sponge bath

question

a pt expresses interest in mind body therapies to increase the release of insulin from the pancreas to improve his diabetes. which therapy would the nurse recommend?

answer

yoga

question

the nurse is planning home care for a patient with chronic pain related to degeneration of the vertebrae. which assessment is a priority?

answer

how the pain affects self care abilities

question

a patient with a chronic illness says to the nurse, "you know i'm not sick now. i feel better each day". how should the nurse interpret the patient's statement? patients who respond in this way

answer

see themselves as sick when the disease interferes with their daily functioning

question

the nurse provides care for a patient who has just been placed in an extended care facility. the patient is alert, oriented, and able to do limited self care. which patient attribute would most likely contribute positively to the patient's adaptation to the loss of independence?

answer

an active and strong spirituality

question

which clinical manifestation in an adolescent with CF causes the greatest disruption in the adolescent's ability to successfully attain erickson's stage of identity vs role confusion?

answer

chronic cough

question

i used to perorm with the NYC ballet, and look at me now!" sobs and 83 y/o patient who is w/c bound. which is the nurse's best response?

answer

what kind of dancing did you do?

question

which description best describes a substantial resolution of grieving?

answer

brief periods of intense feelings may occur at significant times

question

which nursing action best relieves stress for a newly admitted dying patient and his family?

answer

stay at the bedside as much as possible

question

what is the most distressing change for parents to observe in a dying child?

answer

change in respiratory patterns

question

the nurse is developing a care plan for a family with a nursing diagnosis of anticipatory grieving related to a dx fo advanced ovarian cancer in the mother. the nurse should consider which intervention to be of primary importance?

answer

establish a trusting relationship

question

which symptom should the nurse report as a common side effect associate with the use of narcotic analgesics in a dying patient?

answer

constipation

question

which psychosocial nursing intervention best supports a dying patient's preferences?

answer

explore meanings, relationships, and hope with the patient

question

what statement shows that a family member correctly understands the transplant coordinator's explanation about organ donation?

answer

i'm glad the casket can remain open

question

the nurse teaches parents to administer ear drops to their 1 y/o child. which action by the parents during administration of the drops indicates that they have understood the instruction?

answer

down and back

question

ear drops are administered to an adult by pulling the pina

answer

up and back

question

a patient shows normal vision and hearing but has difficulty making decisions. he is often drowsy and appears depressed. which sensory concern does the patient most likely have?

answer

deprivation

question

includes the clinical manifestations of fatigue, irritability, reduced problem solving and scattered thoughts.

answer

sensory overload

question

include impaired reception, perception, or both, in one or more senses

answer

sensory deficits

question

mydriatics are used during eye surgery for which purpose?

answer

to induce relaxation of the ciliary muscle

question

which adverse systemic effect may occur when using pilocarpine eye drops?

answer

tachycardia, diarrhea, hypertension

question

following a trauma to the eye, a pt experiences a mild hyphen. the nurse instructs the patient to maintain an upright position and rest in bed for a few days. which rationale supports this intervention?

answer

enhances the pooling of blood in the anterior chamber, so that gravity can aid in keeping the hyphen away from the optical center of the cornea

question

damage to the 8th cranial nerve results in?

answer

hearing loss

question

the nurse is assessing a patient following the removal of a attract. which observation indicates a complication?

answer

eye pain is not relieved by the ordered analgesic

question

during a nursing history a patient indicates high dosage use of furosemide for several years. the nurse should assess this patient for which side effect of the medication?

answer

hearing loss

question

what should the clinic nurse teach the parent of a child newly diagnosed with acute otitis externa?

answer

keep the ear dry when bathing

question

sustained noise at what level can lead to progressive hearing loss?

answer

85-95 decibels

question

which is an appropriate nursing diagnosis for a patient with vertigo?

answer

risk for fluid volume deficit related to increased fluid output, altered intake, and medications

question

what are the sx of acute angle closure glaucoma?

answer

pain and halo vision

question

manifestations of retinal detachment

answer

floaters and flashing lights

question

the wife of a native american patient tells the nurse that her husband is very depressed about his illness. which nursing diagnosis would be most appropriate in this situation?

answer

spiritual distress related to perception of disharmony with nature

question

which nursing action best illustrates understanding of the dietary practices of patients who are muslim?

answer

provide the patient with a diet that is free of pork and pork products

question

muslims are required to fast from sunup to sundown during the period of ________, only

answer

ramadan

question

which nursing action is essential to provide competent care for families from different cultures?

answer

recognizes the origins of her/his own values

question

what ethnic cultural group believes that health is a state of balance within the body?

answer

asian american

question

see health as a harmony between body, mind, and spirit. illness or disharmony results form natural causes or divine punishment

answer

african american

question

the concept of balance or equilibrium

answer

yin and yang

question

are more likely to accept a scientific modal and see health as a result of their health promotion activities

answer

european american

question

consider health to be a state of harmony with nature and the universe

answer

native american

question

a hispanic american patient requests that a curandero be involved in the treatment. what fact should the nurse know about the traditional role of the curandero before formulation a plan of care for the patient?

answer

involves the patient's entire family in the treatment of the patient

question

a hospice nurse is making a home visit to a patient who is roman catholic. the patient tells the nurse that he has not seen a priest yet. which initial response by the nurse would be most therapeutic?

answer

would you like me to notify your priest?

question

a home care nurse is visiting a mother of 3 young children who is undergoing chemotherapy. the woman states, "my house has never been so disorganized. i just can't keep up". which priority nursing diagnosis would the nurse identify?

answer

impaired home maintenance management

question

based on the developmental level of school age children, what educational focus should be a priority for the school nurse?

answer

motor vehicle safety

question

at what blood lead levels should chelation therapy be given?

answer

45-69 mg/dl

question

the nurse should provide lead education and follow up services

answer

10-14 mg/dl

question

the nurse should continue lead education and follow up services

answer

15-19 mg/dl

question

the nurse should coordinate services and include environmental control for lead

answer

20-44 mg/dl

question

what is the first step the community based nurse would take when preparing a middle school educational program on STD's?

answer

inform school officials about the program

question

the nurse in a workplace setting is discussing potential health problems of the young adult. which instruction will assist in promoting health?

answer

walk vigorously for 20 min at least 3x/wk

question

a nurse is screening healthy young adults. which area is included in the health risk screen?

answer

eating disorders

question

typical health risk for school age children

answer

communicable diseases

question

typical health risk for preschool children

answer

dental caries

question

typical health risk for toddlers and preschool children

answer

vision changes

question

which behavior is appropriate for a 3 y/o child?

answer

feeds self completely

question

this is the behavior of a 5 y/o

answer

1) follows 3 step command, "go to toilet, use it, and wash your hands". 2)balances on alternate feet with eyes closed 3) ties shoes with a bow

question

according to psychodynamic theory, an individual who places a high value on self control is most likely to experience which initial response when that control is threatened?

answer

anxiety

question

which primary nursing intervention offers the patient the most comfort during the first 12 hrs following abdominal surgery?

answer

offer pain medications at regular intervals

question

is a physiological response to acute pain

answer

pupil dilation

question

during which stage of growth and development can the nurse begin to use the FACES rating scale in assessing pain in children?

answer

3-5 y/o

question

this age group responds to pain by body movement and crying. verbal language is in its infancy

answer

1-2 y/o

question

the nurse provides care for a patient with chronic illness. the pt is knowledgeable about the dx and self care, but does not follow the therapeutic routines at home.

answer

follow up with the patient at frequent intervals

question

an adolescent with which condition will likely have the greatest difficulty coping with the chronic disease?

answer

scoliosis

question

which nursing intervention is a priority for the patient with a chronic illness?

answer

assist the pt to id safe activity levels

question

a patient who is middle aged has been diagnosed with chronic illness. the number of lifestyle changes necessary will be influenced by which factor?

answer

the degree of disability

question

what is the one common characteristic in the conceptualization of death in all cultures?

answer

death is considered a passage to the next phase in life

question

mormons permit organ donation, but not?

answer

cremation

question

a pt tells the nurse many details about his parent' death and funeral. he says, "i feel no loss or pain". which defense mechanism is this pt using?

answer

repression

question

transforming impulses into something constructive

answer

sublimination

question

moving an impulse from one object or target to another

answer

displacement

question

finding a rational explanation for questionable behavior

answer

rationalization

question

which statement characterizes the research finding on the grieving process?

answer

the grieving process involves rapidly changing beliefs and emotions that are manageable over time

question

which characteristic is the most common in successful resolution of the grief response? the person who is grieving ....

answer

has a healthy self esteem

question

a nurse is starting palliative care with a terminally ill pt who is the single parent of 3 children ages 27, 21, and 17. which step should be taken to assure that the patient's wishes are followed?

answer

discuss the POA for health care

question

the patient is experiencing noisy respirations. it would be unusual to give which medication?

answer

ativan

question

wich loss most strongly impacts an individual's sense of self?

answer

altered body image from surgical scarring

question

a 35 y/o athlete is diagnosed with cancer and is told he only had 3 mo left to live. the athlete tells everyone he does not believe that death is going to happen so soon. he believes that his life was not meant to be over yet. in which stage of dying is the athlete?

answer

bargaining (is the stage of death that occurs when a person develops hope that death will be postponed)

question

is the stage of death that occurs when a person feels at peace with life and accepts that death will occur

answer

acceptance

question

is the stage of death that occurs when a person denies that he or she is going to die

answer

denial

question

is the stage of death that occurs when the dying person accepts the certainty of death. a period of _______ tends to occur before full acceptance

answer

depression

question

when providing home care for a child who has a terminal illness, which nursing intervention is a priority?

answer

instruct the parents on how to control the child's pain

question

which subjective response to a weber test indicates a conductive hearing loss in the right ear? when compare to the hearing in the left ear, the sound in the right ear is .......

answer

stronger

question

which statement made by a pt being discharged following treatment for a corneal abrasion of the right eye indicates that the nurse's teaching has been successful?

answer

i should not drive the car or truck while wearing the patch

question

the nurse is teaching a patient about the use of pilocarpine eyedrops. what should the nurse explain to the patient about the desired effect of this medication?

answer

constrict the pupil (pilocarpine is used to treat glaucoma. as a direct acting mitotic, pilocarpine blocks the parasympathetic receptors and stimulates muscles of the pupil and cilia. as a result the pupil constricts)

question

this is the role of beta adrenergic blockers like timoptic and carbonic anhydrase inhibitors like trusopt.

answer

reduce the production of aqueous humor

question

which nursing action should be included in the plan of care for a patient with left homonymous hemianopsia?

answer

place all personal items on the right side of the patient's bedside table

question

an older adult patient has a new hearing aid. which intervention by the older adults caregiver is correct? the caregiver .....

answer

assesses the patient's external auditory canal for pressure ulcers

question

what can you clean the hearing aid with?

answer

soap ad water can be used

question

which is the most appropriate toy for a 5 y/o child who is blind?

answer

a large ball with a bell inside it (it provides gross motor and hearing stimulation, key goals for a child who is blind)

question

which is the best action to recommend to a grade school teacher who is working with a child who has a significant hearing impairment?

answer

seat the child in the center of a semicircle

question

for which condition should the nurse expect to apply cold compresses?

answer

cojunctivitis

question

which part of the brain is the major receiving area for sensory nerves?

answer

thalamus

question

is responsible for coordination of movement and integration of information received through the senses

answer

cerebellum

question

which nursing action is assistive to the care of a patient who has advanced glaucoma?

answer

places objects directly in front of the patient (glaucoma patients lose their peripheral vision)

question

infants born to mothers with gestational dm are screened for what?

answer

hypoglycemia

question

what would be a priority screening prevention program for the native american population?

answer

diabetes

question

a pt from a different culture steps back whenever a staff member approaches. the nurse's response should be based upon which understanding?

answer

the patient has different personal space requirements than the nurse

question

which nursing behavior demonstrates cultural competency?

answer

asking about the meaning of a patient's religious medal

question

an asian patient who has dm reports drinking a ginseng preparation. which initial action by the nurse would be best?

answer

urge the patient to mention the use of ginseng to the dr

question

which describes morbidity?

answer

the incidence of a specific illness in the population at a particular time

question

describes the death rate from a specific illness or in a particular population

answer

mortality

question

describe the number of deaths per 1000 live births in the first year

answer

infant mortality rates

question

a community health nurse has made several visits to the family of a patient with alzheimer's disease. a family member states, "i have no time for myself". which intervention is most appropriate?

answer

assist the family member in considering alternative care options

question

what is the most important criterion to consider when home care is the proposed care setting?

answer

the medical condition of the patient is predictable

question

by which mechanism do nonadrenergic drug agonists relieve pain?

answer

modulation of the ascending pain signal from the dorsal horn (nonadrenergic agonists attach to alpha 2 nonadrenergic receptors in the dorsal horn, thereby modulating the ascending pain signal)

question

what inhibits prostaglandin synthesis and interrupt the pain signal at the peripheral level

answer

nsaids

question

what binds to receptors in te dorsal horn, inhibit release of neurotransmitters, and interfere with the relay of the pain signal across the synapse

answer

opioids

question

what blocks ion channels and prevents generation of the pain signal

answer

anesthetics and anticonvulsants

question

which observations indicate that the analgesic administered postoperatively to a 7 y/o child may be effective?

answer

1) tells his parent that he feels better 2)states he is really hungry

question

as the patient advocate, the nurse should make which of the following a priority action in the care of a chronically ill patient?

answer

ensure the patient's access to knowledge and respectful treatment

question

which action should the nurse include in the plan of care to enable patients with a chronic illness to develop a realistic plan for daily living?

answer

assist patients in setting priorities for important self care activities

question

a patient who is dying from lung cancer remarks, " cancer has made me want to be closer to god". which spiritual concept is the patient experiencing?

answer

transcendence

question

is thought to involve a person's recognition that there is something greater than the self

answer

transcendence

question

is the process of anticipation that is directed toward a future fulfillment

answer

hope

question

is an action taken by a person related to an act or attitude formerly committed. it often brings relief from feeling of shame and/or guilt

answer

forgiveness

question

is the belief in something or someone greater than the self

answer

faith

question

a nurse is starting palliative care with a terminally ill patient who is the single parent of 3 children ages 27, 21, and 17. which step should be taken to assure that the patient's wishes be followed?

answer

discuss the POA for health care

question

the nurse is assessing a patient with a retinal detachment should expect the patient to present with which sign?

answer

flashing lights, a shower of spots or a sensation of a curtain being pulled down over part of the visual field

question

which nursing action demonstrates cultural competence in patient care?

answer

provides an interpreter for patients who do not speak english

question

a 52 y/o woman questions the need for colorectal screening. which is the most appropriate response by the nurse?

answer

occult blood testing each year is recommended for men and women beginning at age 50

question

methods before the person gets the disease

answer

primary prevention

question

after the disease has occurred BUT before the person notices that anything is wrong

answer

secondary prevention

question

targets the person who already has symptoms of the disease

answer

tertiary prevention

question

goals of tertiary prevention are?

answer

a) prevent damage and pain from the disease b) slow down the disease c) prevent the disease from causing other problems (complications) d) give better care to people with the disease e) make people with the disease healthy again and able to do what they used to do

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