Book Questions Flashcards
Basic Care and Comfort
A client with Parkinson’s disease develops akinesia while ambulating, increasing the risk for falls. Which suggestion would the nurse provide to the client to alleviate this problem?
1. Use a wheelchair to move around.
2. Stand erect and use a cane to ambulate.
3. Keep the feet close together while ambulating and use a
walker.
4. Consciously think about walking over imaginary lines on the floor.
Answer: 4
This question addresses the subcategory Basic Care and Comfort in the Client Needs category Physiological Integrity and addresses client mobility and promoting assistance in an activity of daily living to maintain safety. Focus on the subject, akinesia. Clients with Parkinson’s disease can develop bradykinesia (slow movement) or akinesia (freezing or no movement). Having these clients imagine lines on the floor to walk over can keep them moving forward while remaining safe.
Health Promotion and Maintenance
The nurse is choosing age-appropriate toys for a toddler.
Which toy is the best choice for this age?
1. Puzzle
2. Loy soldiers
3. Large stacking blocks
4. A card game with large pictures
Answer: 3
This question addresses the Client Needs category Health Promotion and Maintenance and specifically relates to the principles of growth and development of a toddler. Note the strategic word, best. Toddlers like to master activities independently, such as stacking blocks. Because toddlers do not have the developmental ability to determine what could be harmful, toys that are safe need to be provided. A puzzle and toy soldiers provide objects that can be placed in the mouth and may be harmful for a toddler. A card game with large pictures may require cooperative play, which is more appropriate for a school-age child.
Psychosocial integrity
A client with end stage chronic obstructive pulmonary disease
As selected guided imagery to help cope with psychological Ares. Which dient statement indicates an understanding o this stress-reduction measure?
1. “This will help only if I play music at the same time.”
2.”This will work for me only if I am alone in a quiet area
3. “I need to do this only when I lie down in case I fa asleep.”
4. “The best thing about this is that I can use it anywhere anytime.”
Answer: 4
This question addresses the Client Needs categ Psychosocial Integrity and the content addresses cop mechanisms. Focus on the subject, a characteristic of guic imagery. Guided imagery involves the client creating image in the mind, concentrating on the image, and gradu: becoming less aware of the offending stimulus. It can be dor: anytime and anywhere; some clients may use other relaxation techniques or play music with it.
Pharmacological and Parenteral Therapies
The nurse monitors a client receiving digoxin for which manifestation of digoxin toxicity?
1. Anorexia
2. Facial pain
3. Photophobia
4. Yellow color perception
Answer: 1
This question addresses the subcategory Pharmacologic and Parenteral Therapies in the Client Needs categon Physiological Integrity. Note the strategie word, early!! Digoxin is a cardiac glycoside that is used to manage and treat her failure and to control ventricular rates in clients with ate fibrillation. The most common early manifestations oftoxico include gastrointestinal disturbances such as anorens nausea, and vomiting. Neurological abnormalities c also occur early and include fatigue, headache, depressien weakness, drowsiness, confusion, and nightmares Facial pain, personality changes, and ocular disturbances (photophobia, diplopia, light flashes, halos around bright objects, yellow or green color perception) are also signs of toxicity, but are not early signs.
Reduction of Risk Potential
A magnetic resonance imaging (MRI) study is prescribed for a client with a suspected brain tumor. The nurse would implement which action to prepare the client for this test?
1. Shave the groin for insertion of a femoral catheter.
2. Remove all metal-containing objects from the client.
3. Keep the client NO (nothing by mouth) for 6 hours be.
fore the test.
4. Instruct the client in inhalation techniques for the administration of the radioisotope.
Answer: 2
This question addresses the subcategory Reduction of Risk Potential in the Client Needs category Physiological Integrity, and the nurse’s responsibilities in preparing the client for the diagnostic test. Focus on the subject, preparing a client for an MRI. In an MRI study, radiofrequency pulses in a magnetic field are converted into pictures. All metal objects, such as rings, bracelets, hairpins, and watches, should be removed. In addition, a histor should be taken to ascertain whether the client has any internal metallic devices, such as orthopedic hardware, pacemakers, or shrapnel. A femoral catheter is not used for this diagnostic test.
An intravenous (IV) catheter may be inserted if a contrast agent is prescribed. Additionally, shaving is not a common practice because of the risk for microabrasions and infection. If needed, hair may be clipped away from a surgical or insertion site. NPO status is not necessary for an MRI study of the head. Inhalation of the radioisotope may be prescribed with other types of scans but is not a part of the procedures for an MRI.
Physiological Adaptation
A client with renal insufficiency has a magnesium level of 3.5 mEq/L (1.44 mmol/L). On the basis of this laboratory result, the nurse interprets which sign as significant?
1. Hyperpnea
2. Drowsiness
3. Hypertension
4. Physical hyperactivity
Answer: 2
This question addresses the subcategory Physiological Adaptation in the Client Needs category Physiological Integrity. It addresses an alteration in body systems. Focus on the data in the question. The normal magnesium level is 1.8 to 2.6 mEq/L (0.74 to 1.07 mmol/L). A magnesium level of 3.5 m Eq/L (1.44 mmol/L). indicates hypermagnesemia. Neurological manifestations begin to occur when magnesium levels are elevated and are noted as symptoms of neurological depression, such as drowsiness, sedation, lethargy, respiratory depression, muscle weakness, and areflexia. Bradycardia and hypotension also occur.
A client is scheduled for angioplasty. The client says to the nurse, “I’m so afraid that it will hurt and will make me worse off than I am.” Which response by the nurse is therapeutic?
1. “Can you tell me what you understand about the procedure?”
2. “Your fears are a sign that you really should have this procedure.”
3. “Those are very normal fears, but please be assured that everything will be okay.”
4. “Try not to worry. This is a well-known and easy procedure for the cardiologist.”
Answer: 1
This question addresses the subcategory Caring in the category of Integrated Processes. The correct option utilizes a therapeutic communication technique that explores the client’s feelings, determines the level of client understanding about the procedure, and displays caring. Option 2 demeans the client and does not encourage further sharing by the client. Option 3 does not address the client’s fears, provides false reassurance, and puts the client’s feelings on hold.
Option 4 diminishes the client’s feelings by directing attention away from the client and toward the health care provider’s importance.
Fill-in-the-Blank Question
A prescription reads: acetaminophen liquid, 650 mg orally every 4 hours PRN for pain. The medication label reads:
500 mg/15 mL. The nurse prepares how many milliliters to administer one dose? Fill in the blank. Record your answer using one decimal place.
Answer: 19.5 mL
BOX 1-8 Multiple-Response Question
The emergency department nurse is caring for a child suspected of acute epiglottitis. Which interventions apply in the care of the child? Select all that apply.
1. Obtain a throat culture.
2. Auscultate lung sounds.
3. Prepare the child for a chest x-ray.
4. Maintain the child in a supine position.
5. Obtain a pediatric-size tracheostomy tray.
6. Place the child on an oxygen saturation monitor.
- Auscultate lung sounds.
- Prepare the child for a chest x-ray.
- Obtain a pediatric-size tracheostomy tray.
- Place the child on an oxygen saturation monitor.
The nurse is caring for a hospitalized client with a diagnosis of heart failure who suddenly complains of shortness of breath and dyspnea during activity. After assisting the client to bed and placing the client in high-Fowler’s position, the nurse would take which immediate action?
1. Administer high-flow oxygen to the client.
2. Call the consulting cardiologist to report the findings.
3. Prepare to administer an additional dose of furosemide.
4. Obtain a set of vital signs and perform focused respiratory and cardiovascular assessments.
Answer: 4
When a question is talking about prioritization, what skills and orders need to be remembered?
ABCs
Maslow’s Hierarchy of Needs
Nursing Process
Cognitive skills in CJMM (AAPIE)
Maslow’s Hierarchy of Needs
Bottom to Top
- Basic Physiological Needs (airway, breathing, circulation, nutrition, and elimination)
- Safety and Security ( protect from injury, promote feeling secure, trust in client-nurse relationship)
- love and belonging ( support systems and protect from isolation)
- self esteem ( control, competence, positive regard, and acceptance)
- self actualization (hope, spiritual well-being, and enhanced growth)
A client who had an application of a right arm cast complains of pain at the wrist when the arm is passively moved. What action would the nurse take first?
1. Elevate the arm.
2. Document the findings.
3. Medicate with an additional dose of an opioid.
4. Check for paresthesias and paralysis of the right arm.
Answer: 4
Test-Taking Strategy: This question measures the cognitive skill, take action. Note the strategic word, first. Based on the data in the question, determine whether an abnormality exists. The question event indicates that the client complains of pain at the wrist when the arm is passively moved. This could indicate an abnormality; therefore, the nurse needs to take action and further assessment or intervention is required. Use the steps of the nursing process, remembering that assessment is the first step. The only option that addresses assessment is the correct option. Options 1, 2, and 3 address the implementation step of the nursing process.
Also, these options are incorrect first actions. The arm in a cast should should have already been elevated. The client may be experiencing compartment syndrome, a complication following trauma to the extremities and application of a cast. Additional data need to be collected to determine whether this complication is present.
Remember that assessment is the first step in the nursing process.
AAPIE
Assessment (subjective and objective data)
Analysis( connect data to patient’s problems- expected or unexpected)
I wish they would like make in the books like little flaps. Can’t see the answer until you flip it over.
Planning(prioritize hypothesis highest needs to lowest)
- actual problems prior to potential problems
Implement (doing the nursing action)
Evaluation (compare observed outcomes to expected)
- usually negative event queries
If the question presents and emergency situation what takes priority?
Action rather than obtaining more data
If a patient presents with an abnormality what would the nurse do?
Further investigation or assessment of the problem
NOT continuing to monitor and document
The nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, Pco, 30 mm Hg, and HCO, 22 mEq/L (22 mmol/L). The nurse analyzes these results as indicating which condition?
1. Metabolic acidosis, compensated
2. Respiratory alkalosis, compensated
3. Metabolic alkalosis, uncompensated
4. Respiratory acidosis, uncompensated
Answer: 2
Test-Taking Strategy: Use the steps of the nursing process and analyze cues, the blood gas values. The question does not require further assessment; therefore, it is appropriate to move to the next step in the nursing process, analysis.
The normal pH is 7.35 to 7.45. In a respiratory condition, an opposite effect will be seen between the pH and the Pco,. In this situation, the pH is at the high end of the normal value and the Pco, is low. So, you can eliminate options 1 and 3. In an alkalytic condition, the pH is elevated. The values identified indicate a respiratory alkalosis. Compensation occurs when the pH returns to a normal value. Because the pH is in the normal range at the high end, compensation has occurred.
Remember that analysis is the second step in the nursing process.
BOX 4-13
practice Question: The Nursing
Process–Planning
The nurse developing a plan of care for a client with a catara, understands that which problem is the priority?
1. Concern about the loss of eyesight
2. Altered vision due to opacity of the ocular lens
3. Difficulty moving around because of the need for glasses
4. Becoming lonely because of decreased community immersion
Answer: 2
Test-Taking Strategy: Note the strategic word, priority, and use the steps of the nursing process. This question relates to prioritizing hypotheses and planning nursing care and asks you to identify the priority problem. Use Maslow’s Hierarchy of Needs theory to answer the question, remembering that physiological needs are the priority.
Concern and becoming lonely are psychosocial needs and would be the last priorities. Note that the correct option directly addresses the client’s problem. Remember that planning is the third step of the nursing process.
BOX 4-14 Practice Question: The Nursing
Process–Implementation
The nurse is caring for a hospitalized client with angina pectoris who begins to experience chest pain. The nurse administers a nitroglycerin tablet sublingually as prescribed, but the pain is unrelieved. The nurse would take which action next?
1. Reposition the client.
2. Call the client’s family.
3. Contact the health care provider.
4. Administer another nitroglycerin tablet.
Answer: 4
Test-Taking Strategy: This question measures the cognitive skill, take action. Note the strategic word, next, and use the steps of the nursing process. Implementation questions address the process of organizing and managing care. This question also requires that you prioritize nursing actions. Additionally, focus on the data in the question to assist in avoiding reading into the question. You may think it is necessary to check the blood pressure before administering another tablet, which is correct. However, there are no data in the question indicating that the blood pressure is abnormal and could not sustain if another tablet were given. In addition, checking the blood pressure is not one of the options. Recalling that the nurse would administer 3 nitroglycerin tablets 5 minutes apart from each other to relieve chest pain in a hospitalized client will assist in directing you to the correct option. Remember that implementation is the fourth step of the nursing process.
The nurse is evaluating the client’s response to treatment of a pleural effusion with a chest tube. The nurse notes a respiratory rate of 20 breaths per minute, fluctuation of the fluid level in the water seal chamber, and a decrease in the amount of drainage by 30 ml since the previous shift. Based on this information, which interpretation would the nurse make?
1. The client is responding well to treatment.
2. Suction should be decreased to the system.
3. The system should be assessed for an air leak.
4. Water should be added to the water seal chamber.
Answer: 1
Test-Taking Strategy: Use the steps of the nursing process and note that the nurse needs to evaluate the client’s response to treatment; therefore this question measures the cognitive skill, evaluate outcomes. Focus on the subject and the data in the question. Also, determine whether an abnormality exists based on these data. Remember that fluctuation in the water seal chamber is a normal and expected finding with a chest tube.
Because the client is being treated for a pleural effusion, it can be determined that he or she is responding well to treatment if the amount of drainage is gradually decreasing because the fluid from the pleural effusion is being effectively removed. If the drainage were to stop suddenly, the chest tube should be assessed for a kink or blockage. There is no indication based on the data in the question to decrease suction to the system; in fact, it is unclear as to whether the client is on suction at all.
There are also no data in the question indicating an air leak.
Lastly, there are no data in the question indicating the need to add water to the water seal chamber; again, it is unclear as to whether the client has this type of chest tube versus a dry suction chest tube. Remember that evaluation is the fifth step of the nursing process.
What are hallmark signs of digoxin toxicity?
Anorexia, nausea, and vomiting
BOX 4-17 Practice Question: Communication
A client scheduled for surgery states to the nurse, “I’m not sure if I should have this surgery.” Which response by the nurse is appropriate?
1. “It’s your decision.”
2. “Don’t worry. Everything will be fine.”
3. “Why don’t you want to have this surgery?”
4. “Tell me what concerns you have about the surgery.”
Answer: 4
Test-Taking Strategy: This question measures the cognitive skill, take action. Use therapeutic communication techniques to answer communication questions and remember to focus on the client’s thoughts, feelings, concerns, anxieties, and fears. The correct option is the only one that addresses the client’s concern. Additionally, asking the client about what specific concerns he or she has about the surgery will allow for further decisions in the treatment process to be made.
Option 1 is a blunt response and does not address the client’s concern. Option 2 provides false reassurance. Option 3 can make the client feel defensive and uses the nontherapeutic communication technique of asking “why” Remember to use therapeutic communication techniques and focus on the client.
BOX 4-18 Practice Question: Eliminate
Comparable or Alike Options
The nurse is caring for a group of clients. On review of the clients’ medical records, the nurse determines that which client is at risk for excess fluid volume?
1. The client taking diuretics
2. The client with an ileostomy
3. The client with kidney disease
4. The client undergoing gastrointestinal suctioning
Answer: 3
Test-Taking Strategy: This question measures the cognitive skill, analyzing cues. Focus on the subject, the client at risk for excess fluid volume. Think about the pathophysiology associated with each condition identified in the options. The only client who retains fluid is the client with kidney disease. The client taking diuretics, the client with an ileostomy, and the client undergoing gastrointestinal suctioning all lose fluid; these are comparable or alike options. Remember to eliminate comparable or alike options.
A client is to undergo a computed tomography (CT) scan of the abdomen with oral contrast, and the nurse provides preprocedure instructions. The nurse instructs the client to take which action in the preprocedure period?
1. Avoid eating or drinking for at least 3 hours before the test.
2. Limit self to only 2 cigarettes on the morning of the test.
3. Have a clear liquid breakfast only on the morning of the test.
4. Take all routine medications with a glass of water on the morning of the test.
Answer: 1
Test-Taking Strategy: This question measures the cognitive skill, take action. Note the closed-ended words “only” in options 2 and 3 and “all” in option 4. Eliminate options that contain closed-ended words, because these options are usually incorrect. Also, note that options 2, 3, and 4 are comparable or alike options in that they all involve taking in something on the morning of the test. Remember to eliminate options that contain closed-ended words.
When answering a question what does an umbrella options mean?
Broad or universal statement usually encompasses the concepts of other options
A client admitted to the hospital is diagnosed with a pressure injury on the coccyx with a wound vac. The wound culture results indicate methicillin-resistant staphylococcus aureus is present. The wound dressing and wound vac foam is due to be changed. The nurse would employ which protective precautions to prevent contraction of the infection during care?
1. Gown and gloves
2. Gloves and a mask
3. Contact precautions
4. Airborne precautions
Answer: 3
Test-Taking Strategy: This question measures the cognitive skill, take action. Focus on the client’s diagnosis and recall that this infection is through direct contact. Recall that contact precautions involves the use of gown and gloves for routine care, and the use of gown, gloves, and face shield if splashing is anticipated during care. Note that the correct option is the umbrella option.
Remember to look for the umbrella option, a broad or universal option that includes the concepts of the other options in it.
The nurse in charge of a long-term care facility is planning the client assignments for the day. Which client would be assigned to the assistive personnel (AP)?
1. A client on strict bed rest
2. A client with dyspnea who is receiving oxygen therapy
3. A client scheduled for transfer to the hospital for surgery
4. A client with a gastrostomy tube who requires tube feedings every 4 hours
Answer: 1
Test-Taking Strategy: This question measures the cognitive skill, generate solutions. Note the subject of the question, the assignment to be delegated to the AP. When asked questions about delegation, think about the role description and scope of practice of the employee and the needs of the client. A client with dyspnea who is receiving oxygen therapy, a client scheduled for transfer to the hospital for surgery, or a client with a gastrostomy tube who requires tube feedings every 4 hours has both physiological and psychosocial needs that require care by a licensed nurse.
The AP has been trained to care for a client on bed rest.
Remember to match the client’s needs with the scope of practice of the health care provider.
The nurse is called to a client’s room to assist the client who has a chest tube. The client states that it felt like the tube pulled out. The nurse assesses the client and finds that the tube has dislodged from the chest and is laying on the floor, What action would the nurse take next?
1. Obtain a pair of sterile gloves.
2. Contact the respiratory therapist for help.
3. Cover the insertion site with a sterile dressing.
4. Submerge the dislodged tube into sterile water.
Answer: 3
Test-Taking Strategy: This question measures the cognitive skill, prioritize hypotheses. Note the strategic word, next. This question measures the cognitive skill, take action. Recognize cues in the question and analyze the cues for their significance to identify the action that needs to be taken. When providing care to a client, particularly in emergency situations, keep in mind that all of the resources needed to provide client care will be readily available at the client’s bedside. Most students would eliminate option 4 first, knowing that this action is not necessary in this scenario since the tube has dislodged from the chest. From the remaining options, you may think,
“I don’t have sterile gloves or a sterile dressing with me, so let me call for help first.” Remember, you have everything you need wherever and whenever you need it!
AP ( assistive personnel) are able to do what activities
Skin care
ROM
ambulating
Grooming
Hygiene measures
LPN (licensed practical nurse) activities they can do?
Certain invasive tasks
Dressings
Suctioning
Urinary catheterization
Administration of meds on different levels
RN is responsible for what activities
LPN, AP
Assessment, and planning care
Analyzing client data
Implement and evaluation
Supervise care
Teaching
Administer meds
Cyclophosphamide classification
Antineoplastic
T/F? In general, a client should not take antacid with medication.
Why?
True
Effect absorption by increase or decrease
What PO meds should not be crushed or opened?
Enteric coated
Sustained release
Capsules
Should the client ever change dose or stop abruptly medications?
No
The client needs to avoid OTC or herbals unless
Approved by primary health care provider
Should a client ever have alcohol with medications?
No
Never administer medications if
Difficult to read
Unclear
missing parts
Med dose not normal
BOX 4-23 Practice Question: Answering
Pharmacology Questions
Quinapril hydrochloride is prescribed as adjunctive therapy in the treatment of heart failure. After administering the first dose, the nurse would monitor which item as the priority?
1. Weight
2. Urine output
3. Lung sounds
4. Blood pressure
Answer: 4
Test-Taking Strategy: Focus on the name of the medication and note the strategic word, priority. Recall that the medication names of most angiotensin-converting enzyme (ACE) inhibitors end with “-pril,” and one of the indications for use of these medications is hypertension. Excessive hypotension (“first-dose syncope”) can occur in clients with heart failure or in clients who are severely sodium-depleted or volume-depleted. Although weight, urine output, and lung sounds would be monitored, monitoring the blood pressure is the priority. Remember to use pharmacology guidelines to assist in answering questions about medications and note the strategic words.
What groups are vulnerable and at-risk for health disparities?
Minority
Uninsured
Poverty
Homeless
Chronic health problems/disability
Immigration
Refugees
Limited English
Incarcerated
LQBTQ
An encounter with a client need to elicit the client’s ___________ _______________ based on their own preferences.
Unique perspectives
- allows nurse to understand treatments being realistic and acceptable
General Background Questions for Special population needs
Preferred name
Comfortable talking with me
Language
Age
Identify gender
Ethnicity
Cultural, religious, spiritual preferences
Dietary
Exercise
Remedies
Living situation
Financial, insurance
Abuse, neglect with people and substances
Advance directives
Diseases and immunization
Suicide, incarceration, immigration
Further questions based on living situation special populations
Home
Alone
Alcohol
Drug use
Environmental irritates
What special populations are at a higher risk of COVID-19?
Elderly
Chronic conditions (diabetes or respiratory disease)
Cancer
Immunocompromised
Disease
Minority
Crowded or institutionalized
Healthcare or stress
Obesity, diabetes mellitus, end-stage renal disease secondary to diabetes, and cervical cancer are more common among what population
Hispanic/Latino population
What population is noted to have higher rates of sma alcohol consumption, obesity, and diabetes n litus. Hepatitis B, human immunodeficienc (HIV) and acquired immunodeficiency syndr (AIDS) and tuberculosis are more frequent disc Noted is that there is a high incidence of infants tality and sudden infant death syndrome (SIDS this population.
Native Hawaiian and Pacific Islanders
What population has a higher incidents of Smoking and alcohol us is more common and diabetes mellitus, cance stroke, heart disease, and accidents are a concert Additional concerns include mental healebalien tions, suicide, infant mortality, sudden infant deat syndrome (SIDS), teenage pregnancy: liver diseas and hepatitis.
Native Americans and Alaska Natives
What population is the leading cause of death being heart disease, cancer, and stroke along with obesity diabetes mellitus hypertension, cancer and asthma?
Black
What diseases or screenings need to be considered for the LGBTQ+ community?
STI
Breast and cervical screenings
Depression and suicide due to rejection
With the LGBTQ community, what is a healthy care concern to maintain a rapport?
Using preferred pronouns
What are common health problems of homeless populations?
Dental problems, malnutrition, STI, lung diseases, communicable diseases, mental problems, substance abuse, and wound infections
How would you find identification of homeless needs through?
Outreach programs
Finish the sentence. “ Individuals of low socioeconomic status are more likely to engage in _____ _________ _________.”
Risky health behaviors
Individuals of low socioeconomic status have a higher risk for chronic disease and any diseases associated with what prevention?
A) Primary
B) Secondary
C) Tertiary
D) Dietary
A) Primary ✅
Intellectually disabled individuals common health conditions include
motor deficits, epilepsy, allergies, otitis media, gastro-esophageal reflux disease (GERD), dysmenorrhea, sleep problems, mental illness, vision and hearing impairments, constipation, and oral health problems.
Victims of Abuse or Neglect Order of Priority Care
Compassion and respect
Education and support problems
Mandated reporters of domestic violence and abuse incidents - photos of injuries
Acknowledge and respect dignity
Education and support problems
Cleaning and dressing wounds, pain meds, education self management, emotional support
Safety
- Safety; safe environment and haven from harm
- Compassion and respect
- Acknowledge and respect dignity
- Mandated reporters of domestic violence and abuse incidents - photos of injuries
- Cleaning and dressing wounds, pain meds, education self management, emotional support
- Education and support problems
For single parent households, the nurse should establish a therapeutic relationship and encourage what
Express concerns and needs
Access community organizations
Help assist child’s sexual development
Preventative screenings
If a foster child is in the hospital, who most be included in care to community resources?
Social worker
Side effects of psychotropic drugs
Sedation
Weight gain
Increased appetite
Risk of DM
Metabolic syndrome
Sexual dysfunction
Xerostomia means
Reduction in salivary glands due to medication can result in difficulty maintaining oral hygiene and overall health
What is the most common type of abuse?
Neglect
Military veterans are at an increased risk of
Injury related and stress related injuries (mental and behavior)
Leading to substance abuse and suicide
Military veterans need what screenings
Suicide
Comorbid conditions
Veterans Affairs services
Acculturation to the US increases the risk of:
Poor health by eating less healthy meals, risk taking behavior, separation from support networks
- Which teaching method is most effective when providing instruction to members of special populations?
- Teach-back
- Video instruction
- Written materials
- Verbal explanation
- Teach-back ✅
- Which is most appropriate when communicating wit transgender person?
- Using preferred pronouns
- Using their first name to address them
- Using pronouns associated with birth sex
- Anticipating the client’s needs and making suggestion
- Using preferred pronouns✅
- The nurse is volunteering with an outreach program provide basic health care for homeless people. Which finding, if noted, must be addressed first?
- Blood pressure 154/72 mm Hg
- Visual acuity of 20/200 in both eyes
- Random blood glucose level of 206 mg/dL (11.7 mmol/L)
- Complaints of pain associated with numbness and tingling in both feet
- Complaints of pain associated with numbness and tingling in both feet ✅
- The nurse is completing the admission assessment of client who is intellectually disabled. Which part of the client encounter may require more time to complete?
- The history
- The physical assessment
- The nursing plan of care
- The readmission risk assessment
- The history ✅
- The nurse working in a correctional facility is caring for a new prisoner. The client asks about health risks associated with living in a prison. How would the nurse respond?
- “Health care is very limited in the prison setting.”
- “Living in a prison isn’t different than living at home.”
- “Living in a prison can predispose a person to different health conditions.”
- “Living in a prison is similar to living in a condominium complex or dormitory.
- “Living in a prison can predispose a person to different health conditions.”✅
- The nurse is caring for a female client in the emergency department who presents with a complaint of fatigue and shortness of breath. Which physical assessment find ings, if noted by the nurse, warrant a need for follow-up?
- Reddened sclera of the eyes
- Dry flaking noted on the scalp
- A reddish-purple mark on the neck
- A scaly rash noted on the elbows and knees
- A reddish-purple mark on the neck ✅
- The nurse working in a community outreach program for foster children plans care knows that which health conditions are common in this population? Select all that apply.
- Asthma
- Claustrophobia
- Sleep problems
- Bipolar disorder
- Aggressive behavior
- Attention-deficit hyperactivity disorder (ADHD)
- Sleep problems✅
- Bipolar disorder✅
- Aggressive behavior✅
- Attention-deficit hyperactivity disorder (ADHD) ✅
- ‘The nurse planning care for a military veteran must prioritize nursing interventions targeted at managing which condition, if present, that commonly occurs in this population?
- Hypertension
- Hyperlipidemia
- Substance abuse disorder
- Post-traumatic stress disorder
- Post-traumatic stress disorder✅
