Level of Cognitive Ability Flashcards
a client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary
the client state to the nurse, “I have read a lot about complementary therapies, do you think I should try any”
the nurse should respond by make which appropriate statement
“let’s talk more about the different forms of complementary therapies”
the nurse is preparing to assist a client of Orthodox Jewish faith with eating lunch.
a kosher meal is delivered to the client
which nursing action is appropriate when assisting the client with the meal
allow the client to unwrap the utensils and prepare his own meal for eating
the nurse is caring for a group of clients who are taking herbal medications at home
which client should be given instructions in regard to avoiding the use of herbal medications
the mother of a 10 year old child with a urinary tract infection
the client asks the nurse about various herbal therapies available for the treatment of insomnia
the nurse should encourage the client to discuss the use of which product with the health care provider
valerian
the nurse is assisting with collecting data from an African American client admitted to the ambulatory care unit who is scheduled for a hernia repair
which information about the client is of least priority during the data collection
psychosocial
the nurse is planning to reinforce nutrition instructions to an African American client
when reviewing the plan, the nurse is aware that which food is a common dietary practice of clients with African American heritage
fried food
the nurse consults with a dietitian regarding the dietary preferences of an Asian American client
which food should the nurse suggest to include in the diet plan
rice
an antihypertensive medication has been prescribed for a client with hypertension
the client tells the nurse that she would like to take a herbal substance to help lower her blood pressure
which statement by the nurse is the most important to provide to the client
“you need to talk to your healthcare provider (HCP) before using a herbal substance
a Hispanic American mother brings her child to the clinic for an examination
which is most important when gathering data about the child
touching the child during the examination
a nursing student is asked to identify the practices and beliefs of the Amish society
which should the student identify (select all that apply)
many choose not to have health insurance
they believe that health is a gift from God
they use both traditional and alternative health care, such as healers, herbs, and massage
funerals are conducted in the home without a eulogy, flower decorations, or any other displays, caskets are plain and simple without adornment
which is a recommended guideline for safe computerized charting
accidental deletions from the computerized file need to be reported to the nursing manager or supervisor
the licensed practical nurse (LPN) enters a client’s room and finds the client sitting on the floor
the LPN calls the registered nurse, who checks the client thoroughly and then assists the client back into bed
the LPN completes and incident report and the nursing supervisor and healthcare provider (HCP) are notified of the incident
which is the next nursing action regarding the incident
document a complete entry in the client’s record concerning the incident
an unconscious client, bleeding profusely, is brought to the emergency department after a serious accident
surgery is required immediately to save the client’s life
with regard to informed consent for the surgical procedure, which is the best action
transport the client to the operating department immediately, as required by the healthcare provider, without obtaining an informed consent
the nurse arrives at work and is told to report (float) to the pediatric unit for the day because the unit is understaffed and needs additional nurses to care for the clients
the nurse has never worked in the pediatric unit
which is the appropriate nursing action
report to the pediatric unit and identify tasks that can be safely performed
the nurse enters a client’s and notes that the client’s lawyer is present and that the client is preparing a living will
the living will requires that the client’s signature be witnessed, and the client asks the nurse to witness the signature
which is the appropriate nursing action
decline to sign the will
the nurse finds the client lying on the floor
the nurse calls the registered nurse, who checks the client and then calls the nursing supervisor and the healthcare provider to inform them of the occurrence
the nurse completes the incident report for which purpose
a method of promoting quality care and risk management
the nurse observes that a client received pain medication 1 hour ago from another nurse, but the client still has severe pain
the nurse has previously observed this same occurrence
based on the nurse practice act, the observing nurse should plan to take which action
report the information to a nursing supervisor
a client has died, and the nurse asks a family member about the funeral arrangements
the family member refuses to discuss the issue
which is the appropriate nursing action
remain with the family member without discussing funeral arrangements
a nurse lawyer provides an education session to the nursing staff regarding client rights
the nurse asks the lawyer to describe an example that may relate to invasion of client privacy
which nursing action indicates a violation of client privacy
taking photographs of the client without consent
an older woman is brought to the emergency department
when caring for the client, the nurse notes old and new ecchymotic, areas on both of the client’s arms and buttocks
the ask the client how the bruises were sustained
the client, although reluctant, tells the nurse in confidence that her daughter frequently hits her if she gets in the way
which is the appropriate nursing response
“I have a legal obligation to report this type of abuse”
