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268 Cards in this Set
- Front
- Back
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The school nurse is plotting the height and weight of children during a school child assessment clinic. Monitoring these patterns is assessing which aspect of the child's health?
A. Development B. Maturity C. Growth D. Bone size |
C. Growth
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A parent brings a 16 month old child to a clinic for a well-child check-up. During the assessment the nurse discovers that the child cannot stand next to furniture and does not try to pull himself up from a sitting position. The child is lagging in which of the following?
A. growth B. development C. height D. behavior |
B. development
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A sudden, loud noise made near a newborn infant is likely elicit the
A. moro flex B. palmar grasp reflex C. babinski reflex D. rooting reflex |
A. moro reflex
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A toddler shows fear and begins to cry when her parent leaves her at day care. According to Havinghurst, which development task would this child be exhibiting?
A. building wholesome attitudes toward oneself B. learning to get along with age-mates C. learning to relate emotionally D. achieving personal independence |
C. learning to relate emotionally
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An individual is being seen in the mental health clinic for antisocial behavior. According to Erikson's stages of psychosocial development, he is dealing with which task?
A. initiative versus guilt B. industry versus inferiority C. intimacy versus isolation D. identity versus role confusion |
D. identity versus role confusion
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A parent brings his child to the physician for a well-child screening. He tells the nurse that the child is learning new words faster than he can write them in the baby book. According to Piaget, this child is in which of the following phases?
A. intuitive thought phase B. Preconceptual phase C. concrete operations phase D. formal operations phase |
B. preconceptual phase
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A patient with an acute, serious illness is hospitalized. When the nurse enters the room she observes the patient praying. The patient says, "I don't know how people manage to get through these tough times without their faith. It's where I get my strength." The nurse correctly this belief with which theorist?
A. Fowler B. Westerhoff C. Gilligan D. Kohlberg |
B. Westerhoff
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Which would the nurse identity as a safety hazard in the infant?
A. drowning B. Pedestrain accidents C. alcohol consumption D. suffocation |
D. suffocation
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A one-year-old is brought to her pediatrician for a well-child check-up. Her birth weight was 8lb. If she is following normal growth and development patterns, what should her weight be at this time?
A. 32lb B. 16lb C. 20lb D. 24lb |
D. 24lb
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An expectant parent asks the nurse about health problems of newborns. The nurse will provide information on which of the following?
1. infant colic 2. respiratory tract infections 3. failure to thrive 4. injuries 5. SIDS A. 1,2,5 B. 2,4,5 C. 1,3,5 D. all of the above |
C. 1,3,5
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The parents of a toddler are concerned that their child is so messy during meals, so they just feed him. The nurse's best response is:
A. "That's probably best. I'm sure it makes your meal time more pleasant." B. "At least you're sharing meals as a family. That's the most important thing." C." Motor skills keep improving with age. Try not to get too frustrated with the mess." D."Your child will never learn if you don't let him experience." |
C."Motor skills keep improving with age. Try not to get too frustrated with the mess."
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A school nurse is working with teachers in helping them address the development needs of grade school students. According to Erikson's theory of industry versus inferiority, which of the following activities should the nurse suggest?
A. providing time for running and playing sports, such as basketball, to increase gross motor skill B. allowing "pretend" time during their classes, like dress-up or role playing C. presenting diversity in culture and practices as part of classroom study D. helping them develop skills needed in the adult world, like allowance budgeting |
D. helping them develop skills needed in the adult world, like allowance budgeting
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A colleague tells you that their adult child has just moved back in with them. They are finding the situation somewhat difficult to adjust to. You offer support and listen, understanding that which of the following in NOT a factor contributing to this particular trend?
A. maladaptive behavior B. high unemployment rate C. high housing cost D. high incidence of chronic disease |
D. high incidence of chronic disease
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Brian sees his favorite candy for sale in the grocery store. He has no money so he plans to steal it. However, after giving this action some thought, he decides not to do it because stealing is wrong. According to Freud's theory, which part of Brian's personality prevented him from stealing?
A. Superego B. Id C. Ego D. Anima |
A. superego
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A teenage girl spends most of her free time with friends or at school. Sharing their concerns about this behavior with the school nurse, the parents state that they are worried that their daughter seems to be drawing away from them. The nurse's best reply would be:
A. "You should really keep track of your child. It's hard to tell what kinds of trouble kids her age could be getting into" B. "Independence is really important for this age group. Try to be extra attentive when your child does spend time at home." C. "Use stricter guidelines for curfew and punishment if curfew is broken." D. "Is it possible that your child might be taking drugs?" |
B."Independence is really important for this age group. Try to be extra attentive when your child does spend time at home."
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An occupational health nurse is providing a hypertension screening at a local manufacturing plant. Which group of employees is at GREATEST RISK for this problem?
A. african-american males B. asian-american females C. male and female employees, equally D. white females |
A. african-american males
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A middle-aged woman is struggling with life changes, including menopause. The BEST response to this client would be:
A. "What did your mother do to get through menopause?" B. "Don't worry. menopause can't last forever." C. "There is a menopause support group that meets here every 2 weeks." D. "There are some very good antidepressants you can take." |
C. "There is a menopause support group that meets here every 2 weeks."
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An elderly gentlemen is complaining of gastrointestinal problems, including frequent constipation and indigestion. The client has not had any recent weight loss. What should the nurse realize about these symptoms?
A. They indicate a concern and could be caused by cancer B. They could be related to normal changes in muscle tone and activity C. They indicate the need for an upper and lower GI x-ray series D. They are probably indicative of a gastric ulcer or colitis |
B. They could be related to normal changes in muscle tone and activity
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A nurse is presenting a health education program to a group of older adults at a senior citizen's center. Considering the physiological changes of this age group, how should the temperature of the room be set?
A. it should be set cooler than what is comfortable for the nurse B. it should be set at a temperature that is comfortable for the nurse C. it should be set warmer than the nurse's preference D. temperature of the room is not one of the nurse's concern |
C. it should be set warmer than the nurse's preference
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A group of elderly women come to the community center for exercise classes taught by one of the parish nurses. This activity will help with which of the following?
A. Prevent pathologic fractures B. eliminate the risk for osteoporosis C. reverse the effects of aging and cure pain D. slow bone density loss and decrease muscle atrophy |
D. slow bone density loss and decrease muscle atrophy
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A woman comes to the clinic and complains of not being able to hold her urine. She says, "I feel so terrible. This shouldn't happen at my age." The nurse's BEST response is :
A. "Getting old isn't much fun, is it?" B. "You'll probably have to start wearing incontinent briefs. Then you won't have to be worried about accidents." C. "You shouldn't feel badly. Lots of people have this trouble." D. "There could be a number of causes for this. I need to ask you some more questions about this." |
D. "There could be a number of causes for this. I need to ask you some more questions about this."
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The most likely cause of difficulty reading small print in the aging population is:
A. Myopia B. Cataract C. Glaucoma D. Presbyopia |
D. Presbyopia
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A 70-year-old woman tells the nurse, "I can go to sleep without a problem, but then I wake up in a couple of hours and can't go back to sleep." What nursing action would help promote rest and sleep for this client?
A. Have the client develop a bedtime ritual of quiet music and a glass of wine or cup of chamomile tea B. encourage the client to avoid taking pain medication prior to sleep C. evaluate if the client perceive sleeplessness to be a serious problem D. have the client perform moderate exercises before bedtime |
A. have the client develop a bedtime ritual of quiet music and a glass of wine or cup of chamomile tea
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How can the nurse best support the spiritual development of a hospitalized five-year-old?
A. encourage the child to pray before each meal B. ask the child who God is C. bring a Bible storybook in to read to the child at bedtime D. listen to the child's routine bedtime prayer |
D. listen to the child's routine bedtime prayer
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The nurse is evaluating the following: Client will select low-fat foods from a list by the end of the month. The client, who is from a different culture, has not been able to achieve this goal. The nurse should:
A. consider how the client's belief system has been an influencing factor B. extend the time frame and give the client a longer period to achieve the goal C. make sure the client understands the importance of the goal D. select a different goal |
A. consider how the client's belief system has been an influencing factor
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With regard to sexual maturity, females generally mature
A. two years earlier than males do B. four years earlier than males do C. two years later than males do D. four years later than males do |
A. two years earlier than males do
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The stage of formal operations is characterized by
A. The application of logical thought to concrete objects and situations B. intuitive and animistic thought C. abstract thought and hypothetical problem solving D. the development of transductive reasoning |
C. abstract thought and hypothetical problem solving
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Which of the following is the symptom most closely associated with Alzheimer's disease?
A. Manic-depressive behavior B. sensory impairment C. loss of ability to walk D. loss of memory |
D. loss of memory
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The term "sandwich generation" refers to
A. the current middle adulthood generation who feels squeezed between children and aging parents, both of whom they must care for B. young adults who return to live with their parents after college or having lived away from home for some other reason C. the current generation of children who are fed mostly sandwiches because their parents are working and cannot prepare meals for them D. the current middle adulthood generation who survive mostly on sandwiches and fast food eaten on the run because their lives are too busy for sit-down meals at home |
A. the current middle adulthood generation who feels squeezed between children and aging parents, both whom they must care for
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Which of the following nursing diagnoses would the nurse expect to find on the care plan of a client prone to falls?
A. at risk for Diuse Syndrome B. at risk for Suffocation C. at risk for injury D. Deficient Knowledge |
C. at risk for injury
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Nursing students are doing their first clinical rotation in a long-term care facility. The nurse educator, in meeting the needs of this particular client group, reminds the students to:
A. treat this group of clients with a different level of respect than younger clients B. make sure the client's care is done in a timely manner, and sometimes that means doing things for the client C. always remember that the client's self-respect must be maintained in all interactions with the students D. do all the care for the clients, since they're unable to do it independently |
C. always remember that the client's self-respect must be maintained in all interactions with the students
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A client has had Alzheimer's dementia for a period of time and continues to live at home with his spouse. Which of the following is the nurse's responsibility?
A. find a suitable long-term care facility for the client B. Assess the client early to ensure proper care C. make sure the client is getting appropriate medication D. provide support for the spouse |
D. make sure the client is getting proper medication
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During morning care, an 80-year-old client talks about "the good old days" and often repeats the same stories. What action should the nurse plan?
A. vary caregivers assigned to the client B. support this as reminiscence therapy C. redirect the client to other topics of conversation D. request a psychological consult for the client |
B. support this as reminiscence therapy
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A hospitalized elderly client is recovering from an acute illness. As the client nears the end of his hospitalization, he questions the nurse about medications and care after discharge. The nurse should:
A. Tell the client not to worry about going home B. assess the client's independence and ability to function in his own home before discharge C. tell the physician the client needs to go to a nursing home D. invite the client's family to come to the hospital so the nurse can explain the client's care to them |
B. assess the client's independence and ability to function in his own home before discharge
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During an auditory screening of third graders, the school nurse identifies a student as having a possible hearing deficit. When the parents ask the nurse about the findings the nurse should respond:
A. " hearing acuity is not fully developed in your child. Let's recheck this next year." B. "I'd like to do a recheck at the clinic. Then we may suggest that you have your child seen by an auditory specialist." C. "It was too noisy when we were testing, so I wouldn't be concerned if I were you." D. "Your child will probably need a hearing aid." |
B. "I'd like to do a recheck at the clinic. Then we may suggest that you have your child seen by an auditory specialist."
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During an educational session regarding physical changes of the middle-aged adult, a question is asked regarding weight loss. The nurse's BEST response is:
A. "Metabolism slows during middle age, which may result in weight gain." B. "Weight loss is no different during this time than at any other time of your life." C. "As long as you exercise appropriately, weight loss will be ensured." D. "Weight loss is always a good idea, regardless of your age." |
A. "Metabolism slows during middle age, which may result in weight gain."
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A nurse is working in a community health office that is often frequented by young adults. In assessing for potential problems, the nurse realizes that a leading cause of death in this age group is suicide. Which of the following factors WOULD NOT indicate a problem in this area?
A. decreased interest in work B. weight loss C. depression D. brain dysfunction, including tumors |
D. brain dysfunction, including tumors
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The nurse is performing a community assessment. Which of the listed assessment data from this community would follow the national norms regarding diseases for the middle-aged adult?
A. coronary heart disease is the leading cause of death B. leading causes of death include suicide and motor vehicle crashes C. injuries and chronic disease are the leading causes of death in this age group D. cancer is the leading cause of death in the age group from 25 to 64 years of age |
A. coronary heart disease is the leading cause of death
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You administer a Denver Development Screening Test to Sarah. Which statement below would be the BEST introduction to this test for her mother?
A. "This test will identify areas of development in which Sarah performs well." B. "It will be best if you do not watch Sarah during the test." C. "The test will be important in determining Sarah's true I.Q. level." D. "The test may not be exactly accurate, as it is not well standardized." |
A. "This test will identify areas of development in which Sarah performs well."
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Based on school-age (6-12 years) cognitive development, which teaching method could you anticipate would be BEST RECEIVED AND MOST EFFECTIVE?
A. use containers of colored water to demonstrate how excessive bleeding leads to decreased body fluid B. ask the children to conceptualize the effect of a falling blood pressure C. ask the children to describe similar pressure changes from science D. read a dictionary or encyclopedia definition of shock |
A. use containers of colored water to demonstrate how excessive bleeding leads to decreased body fluid
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In planning care for Kim, a 2 month-old infant with colic, the advice you give her mother is that
A. "Kim's colic symptoms will probably fade around 3 months of age." B. "Kim will need future follow-up for possible bowel obstruction." C. "Kim's formula intake must be doubled to keep her from losing weight." D. "Kim's symptoms will decrease if she is laid on her back after feedings." |
A. "Kim's colic symptoms will probably fade around 3 months of age."
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Two-year-old Bruce insists on brushing his own teeth and being left alone in the bathtub. A suggestion you might make regarding this situation would be:
A. leaving Bruce alone in the bathtub would be all right if he was mature for his age B. helping with his own tooth brushing allows him to experience autonomy C. it is unusual for 2-year-olds to have strong opinions D. Bruce's mother should continue to do these things for him |
B. helping with his own tooth brushing allows him to experience autonomy
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Joey, a 3-year-old, tells you he has 19 brothers. You know that he has two. Your BEST response to Joey concerning his brothers would be:
A. "That's a good pretend answer, but tell me the names of the brothers you really have at home." B. "Don't lie, Joey. That's never nice." C. "I guess you don't know much about counting yet." D. "Does it make you feel more important when you add on brothers, Joey? |
A. "That's a good pretend answer, but tell me the names of the brothers you really have at home."
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The Boy Scouts is an organizations that continues to be a favorite with school-age males because:
A. Fathers participate in Boy Scouts B. Girls are not included in the organization C. Merit badges require completion of small tasks for reward D. Hiking is a favorite school-age activity |
C. merit badges require completion of small tasks for reward
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Tim is a 12-year-old who recently began smoking cigarettes. You would speak to Tim about this at a health maintenance visit mainly because:
A. at 12 years of age, bone growth is severely retarded by the effect of nicotine B. Tim will probably begin stealing in order to pay for cigarettes C. Cigarette smoking is associated with long-term respiratory and cardiovascular effects D. cigarette abuse invariably leads to other forms of drug abuse |
C. Cigarette smoking is associated with long-term respiratory and cardiovascular effects
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Mary is a 9-year-old who belongs to a gang. The chief characteristics of a 9-year-old gang are:
A. members enjoy completing charity projects B. they have a president and collect dues C. the members whisper a lot; there are strict rules D. they have a secret word; it is structured around common and same gender |
D. they have a secret word; it is structured around common and same gender
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Billy is a 15-year-old hospitalized for a fractured femur. The activity that would BEST foster his development task would be:
A. having a friend bring his homework in for him to do B. deciding whether he wants his bath before or after lunch C. watching television on the set in his room D. talking to another adolescent who had a similar fracture |
D. talking to another adolescent who had a similar fracture
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Eric is a 16-year-old who drives a car he bought with money he earned working after school. He is seen the emergency room after being arrested for driving while intoxicated. The teaching method that will probably be MOST EFFECTIVE in getting Eric to discontinue daily alcohol use it to:
A. review the long-term effects of alcohol on the liver B. stress that he will lose his driver's license if he does not stop C. tell him he should know better D. teach him that alcohol will eventually lead to other drug abuse |
B. stress that he will lose his driver's license if he does not stop
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You are administering an oral medication to a 4-year-old who had surgery yesterday. In order to gain his cooperation to swallow the drug, your BEST approach would be:
A. offer to play a game with him after he takes his medicine B. tell him it's time to take his medicine C. compare the taste of the medicine to a fruit smoothie D. leave the medicine on his bedside table so he can take it independently |
A. offer to play a game with him after he takes his medicine
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An older client has become very confused since being hospitalized earlier in the week. Prior to this illness, the client exhibited clear thought processing and was able to maintain an independent lifestyle. How would the nurse document this mental state?
A. as sundown syndrome B. as delirium C. as reversible confusion D. as dementia |
B. as delirium
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The magico-religious health belief views health and illness or comfort and uneasiness as being controlled by
A. supernatural forces B. the stars C. spiritual warfare D. the patients themselves |
A. supernatural forces
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The biomedical health belief is controlled by biochemical processes that can be manipulated by
A. humans B. animals C. minerals D. plants |
A. humans
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To maintain comfort and ease the forces of nature must be maintained in balance or harmony according to which health belief?
A. magico-religious B. medico-legal C. biomedical D. holistic |
D. holistic
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The type of medicine practiced using cultural traditions rather than modern medicine is called
A. culturally competent care B. competent care C. folk medicine D. holism |
C. folk medicine
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The six Cs of caring are
A. caring,compassion,confidence,conscience,comportment,confidentiality B. compassion,competence,confidence,conscience,commitment,comportment C. cooperation,compassion,competence,confidence,commitment,caring D.confidentiality,caring,compassion,confidence,conscience,comportment |
B. compassion,competence,confidence,conscience,commitment,comportment
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Aromatherapy is gaining in popularity due to
A. documented physical and psychological benefit from those using it B. it is not popular because it is very dangerous due to the toxicity of many of the oils used C. is easy and effective in every situation D. the oils are easy to find and purchase |
A. documented physical and psychological benefit from those using it
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The goal of the naturopathic practitioner is to restore health and normal bodily functions in providing comfort by
A. performing needed surgery and treatments B. prescribing appropriate medications C. mixing and matching complementary and alternative medicine D. treating the patient with herbal substances |
C. mixing and matching complementary and alternative medicine
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Swanson's theory of caring defines
A. caring as the essence and the moral ideal of nursing B. alternative medicine and a case manager C. caring as a nurturing way of relating to a valued other D. holistic nursing rituals |
C. caring as a nurturing way of relating to a valued other
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Physical responses to massage include:
A. improved disposition B. lower blood pressure C. sleepiness D. higher blood pressure |
B. lower blood pressure
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Nursing presence (both physical and emotional) puts the patient at ease because
A. the patient feels that the nurse is caring and safe B. the patient has someone to talk to C. physically checking on the patient exudes a sense of security D. the nurse is better able to know the patient to develop an appropriate care plan |
A. the patient feels that the nurse is caring and safe
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Which skill is NOT necessary for a nurse to be considered competent?
A. cognitive B. affective C. technical D. emotional |
D. emotional
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The nurse must maintain a caring practice in order to give comfort to others. This accomplished by:
A. stress debriefings after particularly busy and stressful shifts B. frequent meetings with the unit manager to discuss patient care C. caring for yourself by exercise, eating right, getting plenty of rest and recreation D. centering |
C. caring for yourself by exercise, eating right, getting plenty of rest and recreation
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The nurse and patient are discussing the care plan. The patient is lying in bed with the lights off, curtains drawn and keeps looking straight ahead giving only one word answers. This type of communication barrier is called
A. passing judgement B. rejecting C. challenging D. defensive |
B. rejecting
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The nurse is engaging in a therapeutic conversation with the client in an attempt to put the client at ease with an upcoming surgery. The nurse says "It sounds like you are worried about your upcoming surgery." This is an example of
A. reflecting B. focusing C. acknowledging D. presenting reality |
B. focusing
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In the above scenario the patient states "I know I'm being silly but I am afraid to be by myself until it is time for surgery." The nurse states, "I'll stay with you until your daughter arrives." This is an example of
A. planning B. seeking clarification C. acknowledging D. offering self |
D. offering self
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Helping clients manage their problems in living more effectively and develop unused or understood opportunities more fully is one of two goals of
A. holistic nursing B. psychiatric nursing C. novice to expert nursing D. helping relationships |
D. helping relationships
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The comforting benefit of heat application is the result of which physiologic effect?
A. vasodilation B. vasoconstriction C. increased cellular metabolism D. decreased cellular metabolism |
A. vasodilation
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The comforting benefit of cold application is the result of which physiologic effect?
A. increased capillary permeability B. decreased capillary permeability C. sedative effect D. local anesthetic effect |
D. local anesthetic effect
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A contraindication of heat and cold applications, even if the patient states that it will bring them comfort is
A. neurosensory impairment B. hypertension C. angina D. total knee replacement |
A. neurosensory impairment
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A cooling sponge bath is an effective, non-invasive method of reducing a patient's temperature and providing comfort. The cooling effect is achieved by
A. radiated heat escape B. vaporization and conduction C. evaporation and vaporization D. convection |
B. vaporization and conduction
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In order to achieve the outcomes agreed upon for a surgical procedure the patient must
A. receive pre-op teaching and post-op teaching B. receive pre-op teaching C. receive post-op teaching D. discuss the outcomes with a former patient of the surgeon |
Receive in pre-op and post-op teaching
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An appropriate nursing diagnosis for a pre-op patient would be
A. ineffective airway clearance B. deficient knowledge (surgery) C. uneasiness about surgery D. inability to stay healthy |
B. deficient knowledge (surgery)
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In order to provide comfort for the post- op patient while encouraging him/her to cough and deep breathe the nurse instructs the patient to
A. lie flat in bed splinting abdomen with a pillow B. administer ordered pain medication prior to beginning C. have patient sit up and splint abdomen with a pillow D. allow the patient to assume any position as long as comfort is maintained |
C. Have patient sit up and splint abdomen with a pillow
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Massaging a patient's back for comfort and relaxation is
A. soothing and relaxing B. only done if the patient requests one C. sexual harassment D. ineffective and intrusive |
A. soothing and relaxing
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Promoting comfort for a patient during a stay at the hospital is often a challenge. What intervention would NOT be useful?
A. quiet the room B. maintain a comfortable temperature for the patient C. plan nursing activities every two hours D. allow time for uninterrupted rest |
C. Plan nursing activities every two hours
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Achieving comfort prior to sleeping is critical for a patient. Which intervention is the MOST IMPORTANT?
A.eat a heavy meal prior to bedtime to fill the stomach and make one sleepy B. watch an exciting show on tv C. as clearly as possible maintain the patient's home sleep routine D. obtain an order for sleeping medication from the physician |
C. as closely as possible maintain the patient's home sleep routine
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The goal of therapeutic communication is to put at ease when talking with the nurse. The space between the patient and the nurse during this communication should be
A. intimate B. personal C. social D. public |
B. personal
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The patient's personal space can vary according to his/her comfort level with the other party in the conversation. The widely accepted distance for personal space is
A. 1ft. B. 11/2ft to 4ft C. 31/1ft to 5 ft D. sitting on the bed |
B. 11/2ft to 4ft
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A patient of a different culture than the nurse will be put at ease and become more comfortable with that nurse if _________ is exhibited
A. congruence B. caring C. cultural competence D. cultural knowledge |
C. cultural competence
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Nurses will be more at ease and comfortable with their practice if they maintain
A. a busy schedule at work to gain confience B. the status quo and don't try anything new C. maintain a healthy self esteem D. attain an advanced nursing degree |
C. maintain a healthy self esteem
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The aspect of pain that varies among individuals and is widely influenced by psychological and sociocultural factors is
A. pain perception B. pain threshold C. pain tolerance D. pain intensity |
C. pain tolerance
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A sign associated with acute pain which the nurse would most likely observe is
A. decreased pulse rate B. dry, warm skin C. constricted pupils D. elevated blood pressure |
D. elevated blood pressure
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A common mental response to chronic pain is
A. anxiety B. depression C. agitation D. restlessness |
B. depression
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When the nurse asks a client about the time of onset of pain, the duration of pain and the interval without pain, which of the following is being assessed?
A. intensity of pain B. pattern of pain C. quality of pain D. location of pain |
B. pattern of pain
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Before administering a narcotic analgesic, the nurse should plan to assess the client's
A. blood pressure B. respiratory rate C. pulse rate D. temperture |
B. repiratory rate
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A client who initially denies the need for any type of analgesic following major abdominal surgery would be assessed to have a
A. low tolerance for pain B. high tolerance for pain C. low pain threshold D. high pain threshold |
B. high tolerance for pain
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The nurse observes that a client grimaces when turning in bed. The client's pulse is 120, respirations are 32 and he is diaphoretic. An accurate nursing diagnosis for this client is
A. altered comfort level B. impaired mobility C. acute pain D. chronic pain |
C. acute pain
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Individual strategies for coping with pain may include
A. changing positions B. ritualistic behaviors (rocking, pacing, rubbing) C. applying heat/cold to painful site D. all of the above |
D. all of the above
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A client who is suffering from terminal cancer complains that his pain remains severe after taking a narcotic taking a narcotic analgesic. The nurse would be accurate to describe this client's pain as
A. psychogenic B. somatogenic C. intractable D. chronic |
C. intractable
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A client who is suffering with chronic pain due to rheumatiod arthritis would most likely experience which of the following signs?
A. increased pulse rate B. elevated blood pressure C. restless and anxious D. dry, warm skin |
D. dry, warm skin
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A decreased perception or sensation of pain would most likely be experienced by which of the following?
A. an elderly person B. an infant C. a toddler D. an adolescent |
A. an elderly person
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In assessing a 4-year-old with severe abdominal pain, the nurse shoudl plan to do which of the following to determine the exact location of the pain?
A. ask the client to point to where the pain is B. observe the child's nonverbal behaviors such as guarding and facial grimaces C. ask the child's mother to locate the child's pain D. ask the child to state the location of the pain |
A. ask the child to point to where the pain is
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A client reports that the pain in her leg is diminished when she rubs the area. The nurse would be accurate in recognizing that this decreased perception of pain is due to
A. the placebo effect B. the gate control theory C. the effect of acupuncture D. the effect of hypnotic suggestion |
B. the gate control theory
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When considering the factors that influence pain, the nurse should plan to implement which of the following actions to promote comfort in a client?
A. reduce the noise level and remove bright lights in client's room B. discourage family members from visiting C. discourage the client from watching television D. tell the client to relax and rest |
A. reduce the noise level and remove bright lights in the client's room
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Massage relieves pain by acting to
A. alter nerve transmission B. decrease tolerance to pain C. stimulate the release of body toxins D. stimulate tactile fibers in the skin |
C. stimulate the release of body toxins
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Two hours after a client recieves pain medication, she continue to complain of severe pain. Since the pain medication cannot be repeated for two hours, the nurse can BEST assist this client with the pain by
A. asking the physician to increase the dosage of the pain medication B. encouraging the client to read a magazine C. turning down the lights and closing the door D. guiding the client in slow, rhythmic breathing exercises |
D. guiding the client in slow, rhythmic breathing exercises
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Narcotics achieve pain relief by working to
A. alter pain perception B. decrease pain intensity C. increase pain tolerance D. block nerve transmission |
A. alter pain perception
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Which one of the following is NOT categorized as a non-invasive strategy for pain management?
A. guided imagery B. application of heat C. client-controlled analgesia D. relaxation techniques |
C. client-controlled analgesia
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A client was depressed and fearful that he would not be able to take care of himself at home. He percieved that his pain was worse than ever. What factor was contributing to his increaed pain perception?
A. anxiety B. family expectaions C. values D. culture |
A. anxiety
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After administering morphine to a client, the nurse plans to evaluate the client for side effects. The MOST IMPORTANT area to assess is
A. heart rate B. blood pressure C. presence of pain D. respiratory rate |
D. respitatory rate
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What aspect of pain assessment would indicate adjectives such as sharp, piercing, and gnawing?
A. duration B. intensity C. quality D. location |
C. quality
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The treatment used to control intractable pain through the interruption of nerve pathways with chemical agents is called
A. cutaneous stimulation B. acupunture C. client-controlled analgesia D. nerve block |
D. nerve block
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A client just returned to her room following major abdominal surgery. During the next 24 hours, the nurse should plan to administer the PRN pain medication
A. when the client requests it B. on a regular schedule C. when the client displays signs of pain D. 4 hours after returning from surgery |
B. on regular schedule
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An example of outcome criteria used to evaluate the effectiveness of pain therapy is
A. the client acknowledges the presence of pain B. the client verbalizes an increased feeling of comfort C. the client identifies the location of the pain D. the client verbalizes fear of the pain |
B. the client verbalizes an increased feeling of comfort
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Which side effect would most likely occur first in a client who recieved an excessive dose of a narcotic?
A. excessive sedation B. nausea and vomiting C. constipation D. pruritus |
A. excessive sedation
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A client reports that following the application of heat to his injured leg, his pain has diminished. The decrease in pain is most likely due to
A. a decrease in capillary circulation B. cutaneous stimulation of the nerve endings C. local vasoconstriction D. relaxation of the skeletal muscles |
D. relaxation of the skeletal muscles
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A client who is experiencing acute pain would most likely display which of the following?
A. dilated pupils B. bradycardia C. hypotension D. decreased respirations |
A. diluted pupils
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If a client is receiving a continuous infusion of morphine through a PCA pump, the drug which should be most readily available for an emergency situation is
A. lidocaine B. narcan C. atropine D. epinephrine |
B. narcan
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The nurse notes signs of respiratory depression and decreased response to tactile and verbal stimuli in her client who is receiving Iv Morphine. Her FIRST action should be to
A. stop the infusion of morphine B. give narcan according to the physician's orders C. call the physician D. monitor the client's condition, this is an expected reponse |
A. stop thee infusion of morphine
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Which of the following statements about endorphins in NOT TRUE?
A. they are receptors in the brain to which opiate compounds bind B. they may act presynaptically to inhibit release of the neurotransmitter substance C. they are found in high concentrations throughout the nerve plexus centers of the body D. they may act postsynaptically to inhibit conduction of pain impulses |
C. they are found in high concentrations throughout the nerve plexus centers of the body
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The Wong-Baker FACES rating scale addresses
A. numerical rating of pain B. rating facial expression of pain C. the development stage of pain perception D. a client's assessment of his pain history |
B. rating facial expression of pain
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Which of the following is an example of an alternative treatment for pain?
A. NSAIDS B. PCA pump C. non-narcotic analgesia D. aromatherapy |
D. aromatherapy
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A common reponse to the use of cold for pain control is
A. a local anesthetic effect B. sedation C. an increased capillary permeability D. vasodilation |
A. a local anesthetic effect
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A postive response to a backrub is it
A. promotes vasodilation B. prevents thrombophlebitis C. allows the nurse to encourage communication with the client D. automatically produces relaxation in the client with pain |
C. allows the nurse to encourage communication with the client
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Which of the following non-narcotic analgesics has a central mecahnism effect rather than a peripheral effect?
A. Indocin B. Feldene C. Tylenol D. Advil |
C. Tylenol
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Which activity by the nurse is an example of the caregiver role?
A. assisting clients and families by organizing and integrating the resources of other agencies of care providers to meet client's needs most effectively B. assisting family members to learn the technical care for a ventilator-dependent client C. speaking out at a town meeting on the need for environments to become wheelchair accessible D. administering insulin to diabetic client's, suctioning a client with a tracheostomy, irrigating a wound and changing a colostomy bag |
D. administering insulin to diabetic clients, suctioning a client with a tracheostomy, irrigating a wound and changing a colostomy bag
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Mr. Smith has chronic obstructive pulmonary disease. The primary nursing intervention for him will be directed toward
A. clarify both Mr. Smith's and the nurse's value system B. teach Mr. Smith about the signs and systems to be reported C. focus on preventing and reducing potential disability D. design diversional activities for when he has difficulty breathing |
C. focus on preventing and reducing potential disability
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A characteristic that distinguishes chronic illness from acute illness is that chronic illness
A. usually results in an abrupt and sometimes unexpected death B. produces signs and systems immediately after exposure to its cause C. results from an inital acute onset but may continue over many years D. produces clinical problems that run a long course and impairment is permanent |
D. produces clinical problems that run a long course and impairment is permanent
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During a interview, an employer asked the person if he had any disabilities that could potentially interfere with the job he was applying for. According to the Americans with Disabilities Act
A. it is illegal to request this type of information from a prospective employee B. employers may not ask about disabilities or use tests to elimanate persons with disabilities C. employers are not allowed to ask about a prospective employee's ability to perform a job D. hospitals are exempt from its provisions in order to protect public health |
B. employers may not ask about disbilities or use tests to eliminate persons with disabilities
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Mr. Winn is the primary caregiver to his wife who has advanced stages of COPD. He is depressed and states that he is fatigued. The PRIORITY nursing action should be to:
A. assess awareness and openess to external support B. call the family's pastor to elicit care volunteers C. make arrangements to transfer Mrs. WInn to a long-term care facility D. reinforce what a good job Mr. Winn is doing |
A. assess awareness and opneness to external support
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Which activity by the nurse is an example of the teaching role?
A. assisting clients and families by organizing and integrating the resources of other agencies or care providers to meet client's needs most effectively B. assisting family members to learn the technical care for a ventilator-dependent client C. speaking out at a town meeting on the need for environments to become wheelchair accessible D. administering insulin to diabetic clients, suctioning a client with a tracheostomy, irrigating a wound and changing a colostomy bag |
B. assisting family members to learn the technical care for a ventilator-dependent client
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Which activity by the nurse is an example of the client advocate role?
A. assisting cleints and families by organizing and integrating the resources of other agenices or care providers to meet client's needs most effectively B. assiting family members to learn the technical care for a ventilator-dependent client C. speaking out at a town meeting on the need for envirnments to become wheelchair accessible D. administering insulin to diabetic clients, suctioning a client with a tracheostomy, irrigating a wound and changing a colostomy bag |
C. speaking out in a town meeting on the need for environments to become wheelchair accessible
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Which activity by the nurse is an example of the manager of care role?
A. assisting clients and families by organizing and integrating the resources of other agencies or care providers to meet client's needs most effectively B. assisting family members to learn the technical care for a ventilator-dependent client C. speaking out at a town meeting on the need for envirnments to become wheelchair accessible D. administering insulin to a diabetic clients, suctioning a client with a tracheostomy , irrigating a wound and changing a colostomy bag |
A. assisting clients and families by organizing and integrating the resources of other agencies or care providers to meet client's needs most effectively
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Mrs. Lynn, a 90 year old woman who is alert and oriented, entered the hospital and has requested a do-not-resuscitate order (DNR). The responsibility of the nurse includes all of the following EXCEPT
A. ensuring that Mrs. Lynn understands and signs a consent form for the DNR B. confirming the exact intention and specificaions of any order involving treatment limitations to comply with the DNR C. imposing personal beliefs and ideas regarding DNRs upon Mrs. Lynn of her family so as to influence decision making D. instructing Mrs. Lynn that a DNR doesn not imply that other types of care will be withdrawn as well |
C. imposing personal beliefs and ideas regarding DNRS upon Mrs. Lynn or her family so as to influence decision making
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"Advance directives" are
A. statements that explain the responsibilities of a nurse B. statements that describe the patient's acceptance or refusal of specific life-sustaining treatments C. court rulings concerning the necessity to continue certain life-sustaining treatments D. statements that delegate health care decisions to another person |
B. statements that describe the patient's acceptance or refusal of specific life-sustaining treatments
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An older adult shows his understanding of advanced directives by stating
A. "My children know what I want if anything were to happen to me." B. "My doctor knows how to treat me if I get sick." C. "If I have a stroke, I don't want any feeding tubes to keep me alive so I signed a Living Will." D. "I can make any decisions about my care when I get older." |
C. "If I have a stroke, I don't wany any feeding tubes to keep me alive so I signed a Living Will."
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The BEST description of chronic illness would be which of the following explanations?
A. signs and symptoms of an acute disease which persist for > 3months B. any disease which causes partial or full disability C. any disease that interferes with normal physiological functioning D. any disease which interferes with, or limits, activity |
A. signs and symptoms of an acute disease which persist for > 3 months with only patial recovery
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In the Tertiary Prevention Phase, the nurses's role in planning interventions for the chronically ill client would focus FIRST on
A. strict bedrest B. relieving pain C. promoting patient's opitmal leve of functioning D. reducing medications |
C. promoting patient's optimal level of functioning
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The nurse assesses a chronically ill client who suffers from chronic intermittent pain. The nurse would expect to find which of the following physiological signs/symptoms?
A. increased muscle tension and anxiety B. well-defined areas of pain with varying intensity C. increased or decreased blood pressure D. normal heart rate |
D. normal heart rate
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The BEST reason to mainstream a chronically ill child would be to
A. maximize growth and development B. improve educational opportunuties C. decrease the need for specially trained personnel D. decrease the cost to train special educators |
A. maximize growth and development
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What might Mr. Ross, who was recently discharged from the hospital with exacerbation of CHF, say that would best indicate to his nurse that he understands the course of chronic illness?
A. "I know I'll be fine once I get over this hump." B. "I know I will never get better." C. "I must have done something bad to get this illness." D. "I know which symptoms to report to my doctor next time this happens." |
D. "I know which symptoms to report next time this happens."
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The nurse assesses the home envirnment of a child with asthma. The nurse knows that teaching has NOT been effective if the nurse finds
A. plastic toys B. an air-cleaning machine C. a humidifier D. a pet kitten |
D. a pet kitten
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Which of the following is a difference between acute and chronic illness?
A. duration B. lifestyle changes C. acute illness has an insidous onset D. chronic illness has a sudden onset |
A. duration
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The homecare nurse offers support to the family of a child with a chronic illness by
A. giving them her home phone number B. reassuring them that everything is being done for the child C. telling them that they can give all the care that is needed D. giving them a list of community resources |
D. giving them a list of community resources
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Which of the following is NOT an appropriate intervention in the psychological well-being of a child with a chronic illness?
A. parents determine the daily activities for a 14 year old B. patents encourage a 10 year old to participate in after school clubs C. teachers include the chronically ill child in activities D. teachers encourage mainstreamed children to participate in as many programs as suitable |
A. parents determine the daily activities for a 14 year old
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Proper technique for administering medications via a GT (gastrostomy tube) would include
A. follow-up with 200cc sterile water after all meds have been administerd B. combine all medications, inject into tube and follow-up with water C. flush with water before medications are started, after each medication, and at the end D. flush the tube with water, then check placement and give medications |
C. flush with water before medications are started, after each medication, and at the end
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What would be an appropriate nursing diagnosis for a wheelchair-confined client, who lives with his spouse in a cluttered mobile home and is experiencing difficulty mobilizing in the home?
A. caregiver role strain related to 24 hour care responsibilty B. impaired home maintance management related to lack of motivation C. impaired wheelchair transfer ability related to decreased endurance D. ineffective health maintance related to decreased mobility |
D. ineffective health maintance related to decreased mobility
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A client who arrives at the emergency room with an exacerbation of COPD in experiencing respiratory failure, acute pneumonia and has an oxygen saturation level of 82%. Which phase of the Trajectory of Chronic Illness is he in?
A. trajectory onset B. unstable C. crisis D. dying |
C. crisis
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What is the main focus of nursing interventions in the case of a chronically- ill client?
A. prevention B. restoration of health C. identifying causative factors D. resolution |
A. prevention
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Two months prior to her marriage, a 40-year old woman is grieving the loss of her mother. This loss is conceptualized as:
A. simple B. symbolic C. compound D. developmental |
D. developmental
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The grief of a 7-year-old girl in response to her mother's terminal illness might be evidenced by:
A. regression sometimes occurs B. fear of going to school C. no change in behavior D. self-mutilation |
A. regression sometimes occurs
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A widow of 2 years tells the home health nurse caring for her postoperative wound that she is still depressed about her husband's death. An appropriate nursing diagnosis would be:
A. possible normal grieving B. dysfunctional grieving C. spiritual distress D. hopelessness |
A. possible normal grieving
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Upon the death of a patient, the nurse should always:
A. determine family wishes and religious preferences B. immediately prepare the deceased for family viewing C. summon the agency chaplain or minister D. offer prayer to the family |
A. determine family wishes and religious preferences
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The home health nurse determines that the family has begun to accept the loss of a loved one when they:
A. remember the loved one realistically and without feeling intense pain B. recall only pleasant moments with the loved one C. no longer talk about the lost relationship D. are able to reminisce without sadness |
A. remember the loved one realistically and without feeling intense pain
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Which behavior is a sign of unresolved grief?
A. excessive loss of workdays due to somatic compliants B. crying on the anniversary of the loved one's death C. frequently telling stories about the loved one's life D. giving away belongings of the deceased |
A. excessive loss of workdays due to somatic complaints
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A patient informs the nurse that her favorite uncle has suddenly died. The MOST APPROPRIATE response by the nurse is:
A. "We are all dying form the time we are born." B. "Well at least you can have comfort in the fact that he didn't suffer." C. "I'm very sorry for your loss." D. "We all have to die some day." |
C. "I'm very sorry for your loss,"
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An elderly woman expresses guilt for not being able to "do anything" to help her dying husband. Which response by the home care nurse us MOST LIKELY to facilitate the work of grieving?
A. "Let's think of some ways you can help with your husband's care." B. "I'm sure your husband wouldn't want to you to feel guilty." C. "This situation is simply out of your control." D. "It must be just terrible to feel so helpless." |
A. "Let's think of some ways you can help with your husband's care."
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Which behavior exhibited by a nurse caring for a dying patient reflects the common social attitude known as "death defiance?"
A. providing quality end-of-life care B. encouraging all possible treatments to achieve a cure despite the prognosis C. changing the subject when the patient speaks of dying D. avoiding the truth when discussing the dying patient's prognosis |
B. encouraging all possible treatments to achieve a cure despite the prognosis
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A hospice nurse is visiting with a dying patient. During a prolonged period of silence, it is best for the nurse to:
A. recognize the patient's wish to be silent and stay at the bedside B. turn on the television and try to take his mind away from his pain C. change the subject in attempt to facilitate conversation D. leave quietly and remain out of the room until the patient calls for your assistance |
A. recognize the patient's wish to be silent and stay at the bedside
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A wife is having difficulty making the transition to palliative care for her dying husband. The most desirable outcome is that the couple will:
A. express hope for a cure B. identify treatment options C. begin to set goals for the future D. acknowledge symptoms and prognosis |
D. acknowledge symptoms and prognosis
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evidence-based practice shows that opioid addiction occurs:
A. less frequently if opioids are discontinued after 3 days B. in fewer than 1% of hospitalized patients C. primarily in patients with chronic pain D. chiefly in the young adult population |
B. in fewer than 1% of hospitalized patients
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During a home visit, an elderly female client tells the nurse that her husband died 3 years ago. Which behavior would the nurse interpret as a possible reflection of complicated grief?
A. she indicates that she sends her laundry out to be done because now that she's alone there isn't as much and it's worth the cost to her B. she tells the nurse that her husband enjoyed being home with her so now she has the opportunity to meet more people as she gets out more C. the client has an album of photographs of her husband opened on the living room table D. she shows the nurse her husband's workshop that remains just as he left it before he died |
D. She shows the nurse her husband's workshop that remains just as he left it before he died
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The nurse is caring for a terminally ill client and his family. The family members have been tearful and sad since they heard the diagnosis. What is the BEST choice of nursing diagnosis problem statement for this family?
A. hopelessness B. anticipatory grieving C. caregiver role strain D. impaired adjustment |
B. anticipatory grieving
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The nurse is counseling a family in which a member has end-stage kidney disease. There are 4 children of varying ages. What should the nurse teach the family about the reactions of children to death?
A. at about age 9, children begin to understand that death is inevitable B. toddlers perceive death as irreversible and unnatural C. adolescents tend to adjust better after a loss than adults do D. preschool children view death as a spiritual release |
A. at age 9, children begin to understand that death is inevitable
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The nurse is making out the assignment for support personnel to assist families of patients who have died in dealing with the stress related to the loss of their family member. Which family would the nurse find to be at highest risk for complicated grief? The family of the patient who:
A. died after a long battle with cancer B. died after developing diabetes-induced renal failure C. was killed in the robbery of a fast food store D. died from chronic heart disease |
C. was killed in the robbery of a fast food store
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The nurse critically evaluates various models of grief used for terminally ill clients and their families. What should the nurse be aware of when applying these models to individual cases?
A. there is strong research proving that these models are only useful for some dying clients B. the Kubler-Ross model is primarily used to describe anticipatory grief C. there are no clear timetables or clear-cut stages of grief that apply to all clients D. the models serve as clearly defined predictors of grief behaviors |
C. the are no clear timetables or clear-cut stages of grief that apply to all clients
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A client who is in the terminal phase of a debilitating muscular disease tells his wife that he believes the health care team has "failed" and "given up" on him and aren't trying as hard as they were in the recent past. The nurse caring for this client realize that:
A. when clients become terminal, physical is no longer a priority B. this is a common fear in the terminally ill client C. clients who feel this way are in denial of their deteriorating status D. this idea of abandonment is unfounded |
B. this is a common fear in the terminally ill client
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Which of the following is a useful nursing intervention in the treatment of anxiety associated with receiving a terminal diagnosis?
A. provide information about the patient's disease process and the expected trajectory of death on a need- to-know basis B. encourage early pharmaceutical intervention with anit-anxiety and sedative medications C. teach the family that while talking with the patient about death and dying is appropriate , they should not allow the patient to dwell on death D. explore the patient's history with other stressful events in his life and what successful coping measures he used at that time |
D. explore the patient's history with other stressful events in his life and what successful coping measures he used at that time
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A patient who has AIDS tells the nurse, "I don't know why I should even keep trying. This disease is so horrible and so many people die from it. It will get me too." The nurse recognizes this statement as which of the following?
A. an indication of hopelessness that should be further evaluated for treatment B. proof that the patient accepts the facts of his illness and impeding death C. common and expected in those facing the end of life D. an indication that the patient has likely given up and many purposefully shorten his life |
A. an indication of hopelessness that should be further evaluated for treatment
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A client tells the nurse that she has been having problems sleeping since her boss died unexpectedly 3 weeks ago. She confides that she and her boss had been having a secret extramarital affair for years. The nurse recognizes that the sleeping difficulty is most likely the result of which of the following?
A. disenfranchised grieving B. external grief C. abbreviated grieving D. dysfunctional grieving |
A. disenfranchised grieving
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A patient with terminal cancer of the lung complains of being short of breath with bilateral crackles and wheezes, despite oxygen at 4 liters per minute via nasal cannula and diuretic therapy. What nursing interventions would you implement for this patient?
1. move the client to a room closer to the nurses' desk for closer observation 2. help the patient assume a right side-lying position 3. place a fan in the room to move air around the patient 4. change the patient's oxygen therapy to a non-breathing mask 5. elevate the head of the patient's bed 6. consider using the prn morphine sulfate order A. 1,4, and 5 B. 2, 3, and 4 C. 3, 5, and 6 D. all the above |
3, 5, and 6
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During the bath, the patient suddenly says, "I am not going to get well. I think I and going to die." What response by the nurse would be the MOST APPROPRIATE?
A. "You are doing so well. Don't talk like that". B. " Whatever is meant happen will happen in its good time." C. "let's think of something more cheerful." D. "What makes you think you are dying?" |
D. "what makes you think you are dying?"
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The patient has an advance health care directive which indicates that no resuscitative measures should be employed in the event of a respiratory or cardiac arrest. The patient begins to exhibit severe dyspnea and air hunger and says. "Please do something. I can't breathe." What action should be taken by the nurse?
A. call the patient's physician for direction B. initiate resuscitative measures C. check the medical record to confirm the terms of the advance directive D. offer the patient other comfort measures until death occurs |
B. initiate resuscitative measures
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The nurse is working with a father and his three children, ages 10, 14 and 17. The mother recently died after a long illness. The children are doing poorly in school, and the father is having a difficult time keeping up the household chores and the children's extracurricular schedule. He has recently taken on a second job to help defray the cost of his late wife's hospital bills. Which nursing diagnosis should the nurse consider in planning care for this family?
1. dysfunctional grieving 2. impaired family process 3. impaired adjustment 4. caregiver roll strain 5. hopelessness 6. complicated grieving A. 2,4, and 6 only B. 1, 3, and 5 only C. 1, 2, and 4 only D. all of the above |
D. all the above
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Upon admitting a patient to the hospital the nurse is given a copy of an advance health care directive to include in the medical record. The document is witnessed by two of the patient's three children. what should the nurse question at this point?
A. having the children's signatures on the advance directive is good because it indicates that they agree with the patient's wishes B. this advance directive may not be legal because in many states children cannot witness advance directives C. in order to be valid, the advance directive must be witnessed by the patient's physician D. the advance directive cannot be honored unless it is witnessed by all three children |
B. This advance directive may not be legal because in many states children cannot witness advance directives
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The family of an unconscious, terminally ill patient cannot come to a decision about requesting a do-not-resuscitate order. Two of the children want a DNR order, but one child and the patient's sister do not agree. Several heated arguments have occurred in the hall outside the patient's room. Efforts to educate the family and mediate in arguments have not helped. What action should the nurse take?
A. call the chaplain and have him attempt mediation B. ban the family from the room until they can be polite to each other in front of the patient C. notify the institutional ethics committee D. talk with each of the children and the patient's sister separately in an attempt to understand what's at the root of the conflict |
C. notify the institutional ethics committee
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The nurse has been assigned postmortem care for a patient whose family would like to view the body before it is transported to the morgue. Which of the following interventions are necessary for this preparation?
1. provide a total bed bath 2. place absorbent pads beneath the body 3. remove dentures 4. dress the client in his clothing 5. place a pillow under the head 6. tape the eyelids closed A. 2 and 5 only B. 1, 2, 3, and 4 C. 2, 4, and 5 D. 1, 2, 4, and 6 |
A. 2 and 5 only
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The family of a young adult patient who has recently been diagnosed with a rapidly progressing terminal illness tell the nurse, "This cannot be happening. There must be some mistake in the testing." What should be the nurse's FIRST step in assisting the family?
A. allow the family to express sadness B. provide structure and continuity to promote feelings of security C. offer spiritual support and ask them what clergy they would like to meet with D. examine his/her own feelings about death to make sure that denial is not shared |
D. examine his/her own feelings about death to make sure that denial is not shared
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A client who has just been diagnosed with a slowly progressive terminal illness asks the nurse about the availability of hospice services. What information should the nurse share with the client?
A. only client with private insurance are eligible to receive hospice benefits B. hospice services are generally reserved for those who have a life expectancy of 6 months or less C. provision of hospice services is reserved for those who don't qualify for other palliative treatments D. when clients are designated as terminally ill, they are automatically assigned to hospice care |
B. hospice services are generally reserved for those who have a life expectancy of 6 months or less
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What is the most important communication strategy for the nurse to use when caring for a child who is dying?
A. avoid discussing death with the child B. encourage the family to talk with the child about the impending death C. be totally honest and open with the child D. talk to the child at the appropriate level of understanding |
D. talk to the child at the appropriate level of understanding
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The nurse is caring for a patient whose family does not want to tell him that he is dying. What is the nurse's BEST course of action based on these wishes?
A. tell the family that the patient has a right ti know that he is dying B. talk to the family about the situation and their concerns C. arrange an encounter with the client and tell him the truth D. change the subject when the client asks about his impending death |
B. talk to the family about the situation and their concerns
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The nurse is providing discharge instructions to a client receiving an opioid. Which of the following measures can be used to decrease the risk of constipation?
A. take an antihistamine three times per day B. drink 6 to 8 glasses of water per day C. assess respiratory rate before taking medication D. assess heart rate after taking medications |
B. drink 6 to 8 glasses of water per day
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You work on a very busy nursing unit. You ignore an in-service program on a new type of Intravenous Pump even though at the time you were free to attend it. A nursing supervisor tells you your action was unethical. On what statement from the American Nurse's Association code of ethics does she base this accusation?
A. nurses should attend in-service programs B. nurses have particular responsibility in regard to I.V. pumps C. nurses have an obligation to maintain competence in nursing D. nurses have particular responsibility with regard to IV therapy |
C. nurses have an obligation to maintain competence in nursing
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The tympanic membrane of a client with otitis media ruptures and a small perforation in the pars tensa results. The nurse expects the client to report which symptom?
A. a sudden loss of hearing B. severe ringing in the ears C. a dramatic reduction in pain D. dizziness and nausea |
C. a dramatic reduction in pain
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When examining your client's eyes, you direct a penlight into the right eye. What do you expect to happen?
A. the right pupil will constrict and the left will be unchanged B. both pupils will dilate equally C. both pupils will constrict equally D. each pupil will react according to the distance form the light source |
c. both pupils with constrict equally
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When checking visual acuity, the nurse should
A. ask the client to read a sign or poster on a wall across the room B. ask the client to keep both eyes opened during the entire test C. assess both far and near vision D. have the client stand 10 feet from the Snellen chart |
C. assess both far and near vision
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A client has 20/100 vision. The nurse knows that
A. this is a variation from normal and means that the client must stand 100 feet from the chart to read it clearly B. this is within normal limits and means the client was correct 100% of the time C. this is a variation from normal and means the client has only 20% of normal vision D. this a variation from normal and means the client sees at 20 feet what normal eyes would see at 100 feet |
D. this a variation from normal and means the client sees at 20 feet what normal eyes would see at 100 feet
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To test peripheral vision the nurse would use the
A. cover-uncover test B. confrontation test C. corneal reflex test D. cardinal gaze test |
b. confrontational test
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Which of the following actions is desirable when instilling eye medication?
A. instruct patient to tilt his/her head toward the opposite side B. apply pressure to out angle of the eye C. apply drops to cornea D. instruct patient to close eyes gently after medication is instilled |
D. instruct patient to close eyes gently after medication is instilled
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The client complains "something is stuck in my eye but I can't see anything." Upon examination, no foreign body is seen. The client also reports tearing and sensitivity to light. The eye appears red. These signs and symptoms point toward a diagnosis of
A. arcus senilis B. chalazion C. corneal abrasion D. cataract |
C. corneal abrasion
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A 75-year-old diabetic complains of intense pain and seeing halos around lights. Upon examination, circumcorneal redness and dilated pupils are seen. These suggest
A. conjunctivitis B. acute glaucoma C.retinal exudates D. Horner's syndrome |
B. acute glaucoma
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As people age, thy typically become
A. farsighted as the lens hardens and the ciliary muscles become weaker B. nearsighted as the retina degenerates C. farsighted due to glaucoma D. nearsighted due to macular defects |
A. farsighted as the lens hardens and the ciliary muscles become weaker
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The tympanic membrane separates the
A. auricle from the pinna B. inner ear from the middle ear C. helix from the meatus D. external ear from the middle ear |
D. external ear from the middle ear
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Upon inspection the normal tympanic membrane should appear
A. loose and pink B. convex and white C. pearl gray and concave D. red and bulging |
C. pearl gray and concave
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During the Weber test
A. a vibrating tuning fork is placed over the ear and the client is asked if he/she can hear it B. the nurse whispers numbers while the client occludes one ear C. a vibrating tuning fork is placed on the forehead and the client is asked where the sound is heard more prominently D. bone conduction is better than air conduction |
C. a vibrating tuning fork is placed on the forehead and the client is asked where the sound is heard more prominently
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When using the otoscope on an adult, the nurse should
A. straighten the ear by pulling the auricle up and back B. ask the client to tip the head toward the nurse so it's easier to see the tympanic membrane C. straighten the ear canal by pulling the auricle downward D. always use the same angle of insertion to prevent pain |
A. straighten the ear by pulling the auricle up and back
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After a patient undergoes surgery for cataract removal and intraocular lens implantation, the nurse should anticipate which of the following outcomes?
A. perfect vision B. sensitivity to the lens C. glasses probably needed for reading D. difficulty removing the lens for cleaning |
C. glasses probably needed for reading
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Laura has otitis media of the left ear. Her ear pain is severe. The expected appearance of the tympanic membrane through an otoscope at this stage of the disease is
A. retracted B. pale C. pearly gray D. red |
D. red
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The Weber test assesses which of the following?
A. bone conduction of sound B. air conduction of sound C. visual acuity D. presence of nystagmus |
A. bone conduction of sound
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In order to help prevent further detachment or tearing of the retina, the nurse would expect a patient with a detached retina to have which of the following orders preoperatively?
A. out of the bed with assistance B. quiet bed rest C. head of bed elevated 45 degrees D. out of bed ad lib |
B. quiet bed rest
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Which of the following approaches would you incorporate into your care plan for a patient who is hearing-impaired?
A. smile frequently B. speak loudly C. talk directly into "good" ear D. do not over accentuate words |
D. do not over accentuate words
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Which of the following activities may a patient perform after surgery for retinal detachment without approval or physician's order?
A. deep-breathing exercise B. hair combing C. shaving D. bending |
A. deep-breathing exercise
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Which one of the following issues should be the first nursing priority when dealing with people who have diminished vision that alters sensory input?
A. their frustration about inability to read favorite books B. their perception of an altered body image: feeling that everyone is looking at them C. their feeling of isolation from family and friends D. their difficulty recognizing objects and maneuvering in their environment |
D. their difficulty recognizing objects and maneuvering in their environment
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If the patient complains of flashing lights and a sensation of a veil over one eye, the nurse should suspect
A. acute-angle glaucoma B. increased intraocular pressure C. increased intracranial pressure D. detached retina |
D. detached retina
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The expected outcome for clients who have a scleral buckling procedure is that
A. the sclera is indented over the sealed break in the retina B. the retina is freed from new attachments C. the retina is sutured to the choroids D. holes in the retina are surgically resected |
A. the sclera is indented over the sealed break in the retina
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On the first postoperative day following surgery to repair a detached retina, the nurse notes a small amount of bloody drainage on the eye dressing. The nurse should do which of the following?
A. notify the physician; drainage indicates the client is experiencing a complication B. note the area and continue to observe the patient for serious drainage C. change the eye dressing; a soiled dressing my support infection D. tell the patient that her dressing has some blood on it, but it is nothing to worry about |
A. notify the physician; drainage indicates the client is experiencing a complication
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The nurse's role as client advocate includes
A. making decisions for the client B. supporting the client in his/her decisions C. counseling the client in the appropriate decisions D. telling the client the nurse's preferences |
B. supporting the client in his/her decisions
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The nurse ensures continuity of care for the client by doing which of the following first?
A. begin discharge planning at admission B. include all health care members when planning care C. review discharge plans with the physician before the client D. review the discharge plans with the client and his/her family |
A. begin discharge planning at admission
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The reason a nurse assesses a client's health care beliefs is to
A. identify risk factors that would have an influence on the client's ability to control disease B. determine how stress affects the client's physical and mental well-being C. validate other assessment data about the client D. provide the nurse with information about the client's perception of how he/she can influence his/her own health through healthful behaviors |
D. provide the nurse with information about the client's perception of how he/she can influence his/her own health through healthful behaviors
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A definition of culture would be
A. traditions, values and norms within a group that are transmitted from generation to generation B. a group of people who have the same biological characteristics C. a group of people with the same racial or religious background D. attitudes, values and beliefs of dominant group of people |
A. traditions, values and norm within a group that are transmitted from generation to generation
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The basis for cultural care nursing is
A. to provide culturally competent care B. to identify many different cultures C. to teach clients a different way to approach health care issues D. to identify noncompliant clients |
A. to provide culturally competent care
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Cultural competence can be described as
A. teaching other cultures about your lifestyle B. insisting that other cultures practice according to your lifestyle C. understanding how cultural beliefs influence wellness, illness and health care D. understanding how to change others behaviors to coincide with your beliefs |
C. understanding how cultural beliefs influence wellness, illness and health care
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A client has religious articles and literature on the bedside table. The nurse demonstrates cultural competence when
A. suggesting that the family members take these articles home at night B. asking permission to place the articles and literature in the bedside cabinet for safekeeping C. refusing to acknowledge the importance of these to the client D. telling the client that there isn't enough room for these articles in the hospital room |
B. asking permission to place the articles and literature in the bedside cabinet for safekeeping
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A basic prerequisite needed by a nurse to be able to understand the cultural and competence when
A. read literature about different cultures from books and magazines B. investigate several religions and visit their churches C. have a good understanding of his/her own culture and religion D. watch other nurses and mimic their behavior regarding other cultures and religions |
C. have a good understanding of his/her own culture and religion
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A client's family wants a tribal elder to perform a religious ceremony for the client. A culturally competent nurse would address this request by
A. saying no to the request B. reporting this request to the physiain C. providing a time, place and privacy for the ceremony D. recommending that the client and family wait for the ceremony until after the client is discharged |
C. providing a time, place and privacy for the ceremony
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If the nurse determines that the client or family attributes illness to witchcraft, a reasonable action by the nurse would be to
A. discourage use of a folk healer until the client is ready to be discharged B. encourage consultation with the folk healer in addition to compliance with a medically prescribed regimen C. assure the client/family that traditional folk healers are not as competent in providing medical advice as a physician D. meet with the folk healer to discuss recent advances in modern medicine |
B. encourage consultation with the folk healer in addition to compliance with a medically prescribed regimen
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A culturally sensitive nurse caring for who doesn't speak her language would
A. touch the client liberally to communicate B. interpret smiling and nodding as effective ways to communicate C. interpret nodding as an indication that the client understands everything the nurse has said D. observe the client's reaction to being touched and only use touch if it is acceptable to the client |
D. observe the client's reaction to being touched and only use touch if it is acceptable to the client
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The nurse would expect that a diagnosis of sickle cell disease would be found in which of the following populations?
A. Native Americans B. European Americans C. African Americans D. Hispanic Americans |
C. African Americans
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The nurse would expect to find signs and symptoms of gastrointestinal and cardiovascular diseases more commonly in which of the following populations?
A. Native Americans B. European Americans C. African Americans D. Hispanic Americans |
B. European Americans
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The nurse would expect to find a high incidence of alcoholism in which of the following populations?
A. Native Americans B. European Americans C. African Americans D. Hispanic Americans |
A. Native Americans
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The nurse is performing a physical examination on a client who cannot speak English. The MOST APPROPRIATE action for the nurse to take would be to
A. obtain a medically-trained interpreter B. ask a family member to translate C. ask a friend to translate D. use nodding and smiling as a mean of communication |
A. obtain a medically-trained interpreter
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The nurse examines an elderly client and finds bruises on the upper arms. The nurse's NEXT action would be to
A. document suspicion of physical abuse B. call the authorities and report the findings C. interview the client about daily activities D. insist the client accompany the nurse to the hospital |
C. interview the client about daily activities
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A Hispanic American client requests a CURANDERO to participate in his/her care. The role of a CURANDERO is
A. to possess special health related knowledge or training B. to include the family in the cure of the client C. to talk the family out of using physicians to care for them and their families D. to assist the family physician in the care of their family member |
A. possess special health related knowledge or training
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A Hispanic American woman asks for a PARTERA to participate in her care. The role of PARTERA is
A. a midwife B. a medicine man C. to cure the patient D. to assist a physician |
A. midwife
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An African American client requests the assistance of a ROOT WORKER. The role of a ROOT WORKER is to
A. act as a midwife B. illness caused by a hex or sorcery C. cure the client through dancing and meditation D. summon the gods for assistance |
B. illness caused by hex or sorcery
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Which of the following clients would the nurse expect to request a MEDICINE MAN in his care?
A. African American B. European American C. Asian American D. Native American |
D. Native American
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Which of the following cultures does NOT practice in "present" time orientation?
A. Asian American B. European American C. Hispanic American D. Native American |
B. European American
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Based on her past experience with an Italian family, the nurse assumes the family will gather to care for the mother and infant when a member of the family has her first baby. This is an example of
A. stereotyping B. racism C. ethnocentrism D. culture shock |
A. stereotyping
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Which of the following cultures is based in "future" time orientation?
A. Asian Americans B. Native Americans C. Hispanic Americans D. European Americans |
D. European Americans
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Which culture believes that exposure to cold weather may cause illness?
A. Asian Americans B. African Americans C. Native Americans D. Dominant U. S. culture |
D. Dominant U.S. culture
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Which culture views health as an ability to live in harmony with nature and respects the land as much as the body?
A. Asian Americans B. Hispanic Americans C. Dominant U.S. D. Native Americans |
D. Native Americans
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Which culture may use cod liver oil to prevent colds?
A. Native Americans B. Asian Americans C. African Americans D. Hispanic Americans |
C. African Americans
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The nurse might expect to find persons from which culture wearing amulets such as jade. and using herbal remedies and acupuncture in their health care?
A. Native Americans B. Asian Americans C. African Americans D. Hispanic Americans |
B. Asian Americans
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The use of ginseng by the Asian culture may require lower doses of which group of medications?
A. proton pump inhibitors B. anticonvulsants C. monoamine oxidase inhibitors D. anticoagulants |
C. monoamine oxidase inhibitors
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The Mexican culture views chocolate, coffee, corn meal, garlic, kidney beans, onions and peas as which type of foods?
A. wet foods B. dry foods C. cold foods D. hot foods |
D. hot foods
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A young Vietnamese family is in need of health care and goes to a community health care clinic. This represents which of the following?
A. subculturation B. diversification C. acculturation D. assimilation |
C. acculturation
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Which of the following actions(s) on the part of a culturally insensitive nurse may cause conflict when working with clients of other cultures?
A. establishing a nursing diagnosis of "non-adherent to medication schedule" B. instructing a client to take prescribed medications at specific times C. both A and B D. neither A nor B |
C. both A and B
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A client is given a nursing diagnosis of "powerlessness related to health care provider's inability to understand the significance of dietary and religious beliefs." Which of the following is NOT an appropriate nursing measure for this diagnosis?
A. involve the dietician in meeting special needs B. teach the client the impact of dietary practices on healing C. develop a plan for medication administration that does not interfere with religious practices D. try, gently, to discuss with the client the reasons to follow the health care practices that the physician has prescribed |
D. try, gently to discuss with the client the reasons to follow the health care practices that the physician has prescribed
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A client has a nursing diagnosis of "spiritual distress related to inability to participate in culturally-based rituals." Which of the following in NOT an appropriate nursing measure for this diagnosis?
A. encourage the client to wait until he is discharged to practice his rituals B. provide privacy for practice of rituals and prayer C. incorporate cultural practices into care as appropriate D. encourage spiritual advisors to participate in health care decisions |
A. encourage the client to wait until he is discharged to practice his rituals
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If a Chinese woman, who has just given birth, refuses to drink cold water at the bedside, stay in bed and refuses to take a sitz bath or shower, the nurse determines that the client
A. is waiting for her folk healer to bring an herbal remedy B. needs to increase the return of yang forces C. needs a meal consisting of vegetables and fish D. is waiting for the nurse to replace her amulet |
B. needs to increase the return of yang forces
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Which of the following behaviors is acceptable when caring for an Asian American client?
A. using a firm handshake B. a symbolic kiss on the cheek C. touching a client's head with permission D. using continuous eye contact |
C. touching a client's head with permission
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The nurse analyzes lead levels for a group of preschool children. The nurse finds the lead levels to be greater than 10ug/dl. The nurse prepares to do which of the following?
A. trigger a community-wide childhood lead poisoning activities prevention B. call a medical emergency and transport these children immediately for medical intervention C. teach the families of these children about nutrition and environmental hazards as well as suggest frequent screening D. the nurse will do nothing as the value is within normal limits |
A. trigger a community-wide childhood lead poisoning activities prevention
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A child with lead poisoning could suffer which of the following signs/symptoms?
A. encephalopathy B. digestive disorders C. metabolic disorders D. permanent skin discoloration |
A. encephalopathy
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Which of the following is the recommended schedule for administration of DTP immunization?
A. 2, 4, 6, 15 months and 5 years of age B. 2, 4, 6, 15-18 months of age C. 15 months and 15 years of age D. 18 months, 5 and 12 years of age |
A. 2, 4, 6, 15 months and 5 years of age
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Which of the following children can receive a live vaccine?
A. a child with a febrile illness B. a child whose mother is receiving chemothrapy C. a child who has epilepsy D. a child whose mother is pregnant |
C. a child who has epilepsy
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Administration of BAL, EDTA and Chemet for the removal of lead in the blood is known as
A. leeching therapy B. chelation therapy C. anemia therapy D. lead removal therapy |
B. chelation therapy
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Major activities of the school nurse focus on
A. primary prevention B. secondary prevention C. tertiary prevention D. rehabilitation |
A. primary prevention
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Which statistical rate is calculated by dividing the number of new cases occurring during a given year by the population at risk during the same time period and multiplying by 1,000?
A. attack B. crude C. incidence D. mortality |
C. incidence
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Which rate would indicate that women are NOT receiving prenatal care?
A. crude death rate B. infant mortality rate C. general fertility rate D. crude birth rate |
B. infant mortality rate
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A primary prevention strategy for preventing child abuse in adult children of abusive parents is to
A. inspect children for bruises B. interview parents regarding child rearing practices C. teach parents about normal growth and development of children D. have the children placed in foster homes until the parents can be evaluated |
C. teach parents about normal growth and development of children
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Which indicator would the nurse choose as a reflection of a particular condition in a specific community or group?
A. crude death rate B. case fatality rate C. infant mortality rate D. morbidity rate |
D. morbidity rate
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Which type of prevention is an immunization?
A. primary prevention B. secondary prevention C. tertiary prevention D. health promotion |
A. primary prevention
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One role of the school nurse in secondary prevention involves
A. reporting safety hazards to the administration B. lobbying in Congress for new legisltaion C. referring children and families for health care and other services as needed D. preventing complications of chronic and handicapping conditions |
C. referring children and families for health care and other services as needed
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Which level of prevention involves health promotion and protection against diseases?
A. primary B. secondary C. tertiary D. initial |
A. primary
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A client dealing with a disability uses rehabilitation to prevent further disability. This stage of prevention is
A. primary B. secondary C. tertiary D. rehabilitation |
C. tertiary
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The three goals for HEALTHY PEOPLE 2000 were
A. promotion of health care activities and prevention of disease B. promotion of new technology to decrease disease and increase life span C. increase health access, decrease disease and improve rehabilitation D. increase healthy life span, reduce health disparities and achieve access to health care services for all Americans |
D. increase healthy life span, reduce health disparities and achieve access to health care services for all Americans
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Which of the following is an example of primary prevention?
A. hanging chemotherapy for a cancer client B. providing p.o. liquids after radiation therapy C. teaching rehabilitation exercises after mastectomy D. teaching procedure for monthly BSE to a woman's club |
D. teaching procedure for monthly BSE to a woman's club
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Which of the following is the BEST example of tertiary prevention?
A. teaching BSE and TSE examinations B. providing p.o. liquids after radiation therapy C. providing equipment for a post -CVA client D. mammography screening |
C. providing equipment for a post- CVA client
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The focus of primary prevention is on
A. early identification of health problems B. nursing interventions to alleviate health problems C. rehabilitation to optimize functioning D. health promotion and protection against specific health problems |
D. health promotion and protection against specific health problems
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The nurse identifies a nursing diagnosis of "health seeking behaviors related to concern about environmental conditions." Which of the following nursing interventions is NOT appropriate for this diagnosis?
A. modify hand-washing techniques in the home B. instruct family regarding hazards of stray animals C. discuss the spread of infection D. assist family in selecting durable medical equipment needed for client care |
D. assist family in selecting durable medical equipment needed for client care
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The nurse identifies a nursing diagnosis of "knowledge deficit related to safe care and prevention of disease." Which of the following nursing interventions is NOT appropriate for this diagnosis?
A. teach proper hand washing techniques B. teach proper schedule and importance of regular immunizations C. teach proper hygiene measures D. teach proper way to select adult day care for the client with cognitive loss |
D. teach proper way to select adult day care for the client with cognitive loss
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The official agency with primary authority in matters relating to health is
A. State Health Department B. Office of Public Health Service C. Centers for Disease Control and Prevention (CDC) D. National Institutes of Health |
A. State Health Department
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The fastest growing segment of the corrections population is
A. the elderly B. women C. adolescents age 13-18 D. young males age 18-25 |
A. the elderly
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To determine problems associated with pregnancy at the population level, the nurse would most likely first examine all of the following EXCEPT
A. pregnancy rate B. birth rate C. maternal mortality rate D. infertility rate |
D. infertility rate
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The nurse would suspect elder abuse in the case of a client who
A. is unusually somnolent B. is underweight C. states he cannot afford to pay for his medications D. has numerous bruises on his extremities |
A. is unusually somnolent
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What is the advantage of community health nurse visits?
A. care can be integrated into the client's usual routine B. medical diagnosis can be verified by the client's disease course C. home care will prevent exacerbation of the primary disease diagnosis D. the nurse can include the care that other health care providers usually assume |
A. care can be integrated into the client's usual routine
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What is the purpose of a crisis center?
A. to provide 24 hour health care B. to help people cope with immediate problems C. to provide guidelines about how to start a self-help group D. to provide community nurses with referrals for home care |
B. to help people cope with immediate problems
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Medicaid's PRIMARY purpose is to
A. provide elder care B. assist hospitals with equal financial disbursements C. aid people with financial assistance for health care needs D. provide outpatient services for childern |
C. aid people with financial assistance for health care needs
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Which of the following is NOT considered a maturational crisis?
A. marriage B. adolescence C. one's first job D. unwanted pregnancy |
D. unwanted pregnancy
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What is the function of the World Health Organization?
A. primary focus is on restoration and rehabilitation B. provides financial assistance for health care in individuals under 65 years old C. addresses community issues as well as responds to a crisis as a result of natural disasters D. sets standards for sanitations, biological products, laboratory techniques and procedures, manufacture of drugs and research |
D. sets standards for sanitations, biological products, laboratory techniques and procedures, manufacture of drugs and research
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Which of the following is an example of endemic disease process?
A. HIV/AIDS B. measles C. chronic obstructive pulmonary disease D. coronary artery disease |
B. measles
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The community health nurse can assess a community's potential for problems by
A. being knowledgeable about the community's health resources B. knowing the community's cultural makeup C. knowing the incidence and prevalence of family violence D. having a thorough knowledge of chronic illness and treatment |
C. knowing the incidence and prevalence of family violence
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The cost of care for the chronically ill may be measured by
A. lost productivity and use of limited resources B. the number of people hospitalized for coronary heart disease C. compliance with immunizations for both children and adults D. the number of health care providers available in the community |
A. lost productivity and use of limited resources
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What are the expectations of health and illness in the community?
A. all communities expect the optimal level of health and provision for treatment for illness B. all cultures have their own unique definition of health and illness and impact on their lives C. people expect to live long healthy lives by participating in preventive health care practices D. the expectations are defined by the community's health care providers |
B. all cultures have their own unique definition of health and illness and impact on their lives
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Which of the following is an assessment tool used to calculate Medicare reimbursement to home health agencies?
A. OASIS B. fall risk assessment tool C. level of consciousness assessment D. sensory acuity assessment |
A. OASIS
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Which of the following is(are) an example of problems/issues in long-term care?
A. gaps in public policy B. staffing C. funding and standards D. all of the above |
D. all of the above
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Racial and ethical disparities are unfounded through research. Race/ethnicity does not impact health.
A. true B. false |
B. false
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Which of the following is NOT a characteristic of a healthy community?
A. access to health care B. safe environment C. high degree of wellness D. free housing |
D. free housing
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