NURSING 110 TEST 1

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NURSING 110 TEST 1
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2013-10-01 22:28:12
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NURSING 110 TEST
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NURSING 110 TEST 1
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  1. THE NURSE IS PARTICIPATING AT A HEALTH FAIR AT THE LOCAL MALL GIVING INFLUENZA VACCINES TO SENIOR CITIZENS.  WHAT LEVEL OF PREVENTION IS THE NURSE PRACTICING?
    1. PRIMARY
    2. SECONDARY
    3. TERTIARY
    4. QUATERNARY
    1. PRIMARY
  2. A PATIENT EXPERIENCED A MYOCARDIAL INFARCTION 4 WEEKS AGO AND IS CURRENTLY PARTICIPATING IN THE DAILY CARDIAC REHABILITATION SESSIONS AT THE LOCAL FITNESS CENTER.  IN WHAT LEVEL OF PREVENTION IS THE PATIENT PARTICIPATING?
    1. PRIMARY
    2. SECONDARY
    3. TERTAIRY
    4. QUATERNARY
    3. TERTIARY
  3. BASED ON THE TRANSTHEORETICAL MODEL OF CHANGE, WHAT IS THE MOST APPROPRIATE RESPONSE TO A PATIENT WHO STATES: ME, EXCERCISE?  I HAVEN'T DONE THAT SINCE JUNIOR HIGH GYM CLASS, AND I HATED IT THEN!
    1. THATS FINE.  EXERCISE IS BAD FOR YOU ANYWAY
    2. OK.  I WANT YOU TO WALK 3 MILES 4 TIMES A WEEK AND ILL SEE YOU IN 1 MONTH
    3. I UNDERSTAND.  CAN YOU THINK OF ONE REASON WHY BEING MORE ACTIVE WOULD BE HELPFUL FOR YOU
    4. I'D LIKE YOU TO RIDE YOUR BIKE 3 TIMES THIS WEEK AND ILL SEE YOU IN 1 MONTH
    3. I UNDERSTAND.  CAN YOU THINK OF ONE REASON WHY BEING MORE ACTIVE WOULD BE HELPFUL FOR YOU
  4. A PATIENT COMES TO THE LOCAL HEALTH CLINIC AND STATES:  I'VE NOTICED HOW MANY PEOPLE ARE OUT WALKING IN MY NEIGHBORHOOD.  IS WALKING GOOD FOR YOU?  WHAT IS THE BEST RESPONSE TO HELP THE PATIENT THROUGH THE STAGES OF CHANGE FOR EXCERCISE
    1. WALKING IS OK.  I REALLY THINK RUNNING IS BETTER
    2. YES, WALKING IS GREAT EXERCISE.  DO YOU THINK YOU COULD GO FOR A 5 MINUTE WALK NEXT WEEK?
    3. YES, I WANT YOU TO BEGIN WALKING.  WALK FOR 30 MINUTES EVERY DAY AND START TO EAT MORE FRUITS AND VEGETABLES.
    4. THEY PROBABLY AREN'T WALKING GAST ENOUGH OR FAR ENOUGH.  YOU NEED TO SPEND AT LEAST 45 MINUTES IF YOU ARE GOING TO DO ANY GOOD.
    2. YES, WALKING IS GREAT EXERCISE.  DO YOU THINK YOU COULD GO FOR A 5 MINUTE WALK NEXT WEEK?
  5. A MALE PATIENT HAS BEEN LAID OFF FROM HIS CONSTRUCTION JOB AND HAS MANY UNPAID BILLS.  HE IS GOING THROUGH A DIVORCE FROM HIS MARRIAGE OF 15 YEARS AND HAS BEEN SEEING HIS PASTOR TO HELP HIM THROUGH THIS DIFFICULT TIME.  HE DOES NOT HAVE A PRIMARY HEALTH CARE PROVIDER BECAUSE HE HAS NEVER REALLY BEEN SICK AND HIS PARENTS NEVER TOOK HIM TO THE PHYSICIAN WHEN HE WAS A CHILD.  WHICH EXTERNAL VARIABLES INFLUENCE THE PATIENT'S HEALTH PRACTICES? SELECT ALL THAT APPLY.
    1. DIFFICULTY PAYING HIS BILLS
    2. SEEING HIS PASTOR AS A MEANS OF SUPPORT
    3. FAMILY PRACTICE OF NOT ROUTINELY SEEING A HEALTH CARE PROVIDER
    4. STRESS FROM THE DIVORCE AND THE LOSS OF A JOB.
    • 1. DIFFICULTY PAYING HIS BILLS
    • 3. FAMILY PRACTICE OF NOT ROUTINELY SEEING A HEALTH CARE PROVIDER
    • 4. STRESS FROM THE DIVORCE AND THE LOSS OF A JOB.
  6. THE NURSE IS CONDUCTING A HOME VISIT WITH AN OLDER ADULT COUPLE.  SHE ASSESSES THAT THE LIGHTING IN THE HOME IS POOR AND THERE ARE THROW RUGS THROUGHOUT THE HOME AND A LOW FOOTSTOOL IN THE LIVING ROOM.  SHE DISCUSSES REMOVING THE RUGS AND FOOTSTOOL AND IMPROVING THE LIGHTING WITH THE COUPLE.  THE NURSE IS ADDRESSING WHICH LEVEL OF NEED ACCORDING TO MASLOW?
    1. PHYSIOLOGICAL
    2. SAFETY AND SECURITY
    3. LOVE AND BELONGING
    4. SELF-ACTUALIZATION
    2. SAFETY AND SECURITY
  7. WHEN TAKING CARE OF PATIENTS, THE NURSE ROUTINELY ASKS THEM IF THEY TAKE ANY VITAMINS OR HERBAL MEDICATIONS, ENCOURAGES FAMILY MEMBERS TO BRING IN MUSIC THAT THE PATENT LIKES TO HELP THE PATIENT RELAX, AND FREQUENTLY PRAYS WITH HER PATIENTS IF THAT IS IMPORTANT TO THEM.  THE NURSE IS PRACTICING WHICH MODEL?
    1. HOLISTIC
    2. HEALTH BELIEF
    3. TRANSTHEORETICAL
    4. HEALTH PROMOTION
    1. HOLISTIC
  8. WHEN ILLNESS OCCURS, DIFFERENT ATTITUDES ABOUT IT CAUSE PEOPLE TO REACT IN DIFFERENT WAYS.  WHAT DO MEDICAL SOCIOLOGIST CALL THIS REACTION TO ILLNESS?
    1. HEALTH BELIEF
    2. ILLNESS BEHAVIOR
    3. HEALTH PROMOTION
    4. ILLNESS PREVENTION
    2. ILLNESS BEHAVIOR
  9. A PATIENT AT THE COMMUNITY CLINIC ASKS THE NURSE ABOUT HEALTH PROMOTION ACTIVITIES THAT SHE CAN DO BECAUSE SHE IS CONCERNED ABOUT GETTING DIABETES MELLITUS SINCE HER GRANDFATHER AND FATHER BOTH HAVE THE DISEASE.  THIS STATEMENT REFLECTS THAT THE PATIENT IS IN WHAT STATE OF THE HEALTH BELIEF MODEL?
    1. PERCEIVED THREAT OF THE DISEASE
    2. LIKELIHOOD OF TAKING PREVENTATIVE HEALTH ACTION
    3. ANALYSIS OF PERCEIVED BENEFITS OF PREVENTATIVE ACTION
    4. PERCEIVED SUSCEPTIBILITY TO THE DISEASE
    4. PERCEIVED SUSCEPTIBILITY TO THE DISEASE
  10. A NURSE WORKS IN A SPECIAL CARE UNIT FOR CHILDREN WITH SEVER IMMUNOLOGY PROBLEMS AND IS CARING FOR A 3 YEAR OLD BOY FROM GREECE.  THE BOY'S FATHER IS WITH HIM WHILE HIS MOTHER AND SISTER ARE BACK IN GREECE.  THE NURSE IS HAVING DIFFICULTY COMMUNICATING WITH THE FATHER.  WHAT ACTION DOES THE NURSE TAKE?
    1. CARE FOR THE BOY AS SHE WOULD ANY OTHER PATIENT
    2. ASK THE MANGER TO TALK WITH THE FATHER AND KEEP HIM OUT OF THE UNIT
    3. HAVE ANOTHER NURSE CARE FOR THE BOY BECAUSE MAYBE THAT NURSE WILL DO BETTER WITH THE FATHER
    4. SEARCH FOR HELP WITH INTERPRETATION AND UNDERSTANDING OF THE CULTURAL DIFFERENCES BY CONTACTING SOMEONE FROM THE LOCAL GREEK COMMUNITY.
    4. SEARCH FOR HELP WITH INTERPRETATION AND UNDERSTANDING OF THE CULTURAL DIFFERENCES BY CONTACTING SOMEONE FROM THE LOCAL GREEK COMMUNITY.
  11. A PATIENT WITH A 20 YEAR HISTORY OF DIABETES MELLITUS HAD A LOWER LEG AMPUTATION.  WHICH STATEMENT MADE BY THE PATIENT INDICATES THAT HE IS EXPERIENCING A PROBLEM WITH BODY IMAGE?
    1. I JUST DON'T HAVE ANY ENERGY TO GET OUT OF BED IN THE MORNING
    2. I'VE BEEN ATTENDING CHURCH REGULARLY WITH MY WIFE SINCE I GOT OUT OF THE HOSPITAL
    3. MY WIFE HAS TAKEN OVER PAYING THE BILLS SINCE i'VE BEEN IN THE HOSPITAL
    4. I DON'T GO OUT VERY MUCH BECAUSE EVERYONE STARES AT ME.
    4. I DON'T GO OUT VERY MUCH BECAUSE EVERYONE STARES AT ME.
  12. THE PATIENT STATES SHE JOINED A FITNESS CLUB AND ATTENDS THE AEROBICS CLASS THREE NIGHTS A WEEK.  THE PATIENT IS IN WHAT STATE OF BEHAVIORAL CHANGE?
    1. PRECONTEMPLATION
    2. CONTEMPLATION
    3. PREPARATION
    4. ACTION
    4 ACTION
  13. THE NURSE IS DEVELOPING A HEALTH PROMOTION PROGRAM ON HEALTHY EATING AND EXERCISE FOR HIGH SCHOOL STUDENTS USING THE HEALTH BELIEF MODEL AS A FRAMEWORK.  WHICH STATEMENT MADE BY A NURSING STUDENT IS RELATED TO THE INDIVIDUALS PERCEPTION OF SUSCEPTIBILITY TO AN ILLNESS?
    1. I DON'T HAVE TIME TO EXERCISE BECAUSE I HAVE TO WORK AFTER SCHOOL EVERY NIGHT.
    2. I'M WORRIED ABOUT BECOMING OVERWEIGHT AND GETTING DIABETES BECAUSE MY FATHER HAS DIABETES
    3. THE STATISTICS OF HOW MANY TEENAGERS ARE OVERWEIGHT IS SCARY
    4. I'VE DECIDED TO START A WALKING CLUB AT SCHOOL FOR INTERESTED STUDENTS.
    2. I'M WORRIED ABOUT BECOMING OVERWEIGHT AND GETTING DIABETES BECAUSE MY FATHER HAS DIABETES
  14. THE NURSE ASSESSES THE FOLLOWING RISK FACTORS FOR CORONARY ARTERY DISEASE (CAD) IN A MALE PATIENT.  WHICH FACTORS ARE CLASSIFIED AS GENETIC AND PHYSIOLOGICAL? (SELECT ALL THAT APPLY)
    1. SEDENTARY LIFESTYLE
    2. FATHER DIED FROM CAD AT
    AGE 50

    3. HISTORY OF HYPERTENSION4. EATS DIET HIGH IN SODIUM
    5. ELEVATED CHOLESTEROL LEVEL
    6. AGE IS 44 YEARS
    • 2. FATHER DIED FROM CAD AT AGE 50
    • 3. HISTORY OF HYPERTENSION
    • 5. ELEVATED CHOLESTEROL LEVEL
    • 6. AGE IS 44 YEARS
  15. WHICH ACTIVITY REPRESENTS SECONDARY PREVENTION?
    1. A HOME HEALTH CARE NURSE VISITS A PATIENTS HOME TO CHANGE A WOUND DRESSING
    2. A 50 YEAR OLD WOMAN WITH NO HISTORY OF DISEASE ATTENDS THE LOCAL HEALTH FAIR AND HAS HER BLOOD PRESSURE CHECKED
    3. THE SCHOOL HEALTH NURSE PROVIDES A PROGRAM TO THE FIRST YEAR STUDENTS ON HEALTHY EATING.
    4. THE PATIENT ATTENDS CARDIAC REHABILITATION SESSIONS WEEKLY.
    1. A HOME HEALTH CARE NURSE VISITS A PATIENTS HOME TO CHANGE A WOUND DRESSING
  16. A NURSE HEARS A COLLEAGUE TELL A NURSING STUDENT THAT SHE NEVER TOUCHES A PATIENT UNLESS SHE IS PERFORMING A PROCEDURE OR DOING AN ASSESSMENT.  THE NURSE TELLS THE STUDENT THAT FROM A CARING PERSPECTIVE:
    1. SHE DOES NOT TOUGH THE PATIENTS EITHER.
    2. TOUCH IS A TYPE OF VERBAL COMMUNICATION
    3. THERE IS NEVER A PROBLEM WITH USING TOUCH.
    4. TOUCH FORMS A CONNECTION BETWEEN NURSE AND PATIENT
    4. TOUCH FORMS A CONNECTION BETWEEN NURSE AND PATIENT
  17. OF THE FIVE CARING PROCESSES DESCRIBED BY SWANSON, WHICH DESCRIBES "KNOWING THE PATIENT"
    1. ANTICIPATING THE PATIENT'S CULTURAL PREFERENCES
    3. ESTABLISHING AN UNDERSTANDING OF A SPECIFIC PATIENT
    4. GATHERING TASK ORIENTED INFORMATION DURING ASSESSMENT
    3. ESTABLISHING AN UNDERSTANDING OF A SPECIFIC PATIENT
  18. A MUSLIM WOMAN ENTERS THE CLINIC TO HAVE A WOMAN'S HEALTH EXAMINATION FOR THE FIRST TIME.  WHICH NURSING BEHAVIOR APPLIES SWANSON'S CARING PROCESS OF "KNOWING THE PATIENT?"
    1. SHARING FEELINGS ABOUT THE IMPORTANCE OF HAVING REGULAR WOMANS HEALTH EXAMINATIONS
    2. GAINING AN UNDERSTANDING OF WHAT A WOMAN'S HEALTH EXAMINATION MEANS TO THE PATIENT
    3. RECOGNIZING THAT THE PATIENT IS MOSEST; OBTAINING GENDER CONGRUENT CAREGIVER
    4. EXPLAINING THE RISK FACTORS FOR CERVICAL CANCER
    2. GAINING AN UNDERSTANDING OF WHAT A WOMAN'S HEALTH EXAMINATION MEANS TO THE PATIENT
  19. HELPING A NEW MOTHER THROUGH THE BIRTHING EXPERIENCE DEMONSTRATES WHICH OF SWANSON'S FIVE CARING PROCESSES?
    1. KNOWING
    2. ENABLING
    3. DOING FOR
    4. BEING WITH
    2. ENABLING
  20. A PATIENT IS FEARFUL OF UPCOMING SURGERY AND A POSSIBLE CANCER DIAGNOSIS.  HE DISCUSSES HIS LOVE FOR THE BIBLE WITH HIS NURSE, WHO RECOMMENDS A FAVORITE BIBLE VERSE.  ANOTHER NURSE TELLS THE PATENT'S NURSE THAT THERE IS NO PLACE IN NURSING FOR SPIRITUAL CARING.  THE PATIENTS NURSE REPLIES:
    1. SPRITUAL CARE SHOULD BE LEFT TO A PROFESSIONAL
    2. YOU ARE CORRECDT, RELIGION IS A PERSONAL DECISION
    3. NURSES SHOULD NOT FORCE THEIR RELIGIOUS BELIFS ON PATIENTS
    4. SPRITUAL, MIND, AND BODY CONNCETIONS CAN AFFECT HEALTH
    4. SPRITUAL, MIND, AND BODY CONNCETIONS CAN AFFECT HEALTH
  21. WHICH OF THE FOLLOWING IS A STRATEGY FOR CREATING WORK ENVIRONMENTS THAT ENABLE NURSES TO DEMONSTRATE MORE CARING BEHAVIORS?
    1. INCREASING THE WORKING HOURS OF THE STAFF
    2. INCREASING SALARY BENEFITS OF THE STAFF
    3. CREATING A SETTING THAT ALLOWS FLEXIBILITY AND AUTONOMY FOR STAFF
    4. ENCOURAGING INCREASED INPUT CONCERNING NURSING FUNCTIONS FROM PHYSICIANS
    3. CREATING A SETTING THAT ALLOWS FLEXIBILITY AND AUTONOMY FOR STAFF
  22. WHEN A NURSE HELPS A PATIENT FIND THE MEANING OF CANCER BY SUPPORTING BELIEFS ABOUT LIFE, THIS IS AN EXAMPLE OF
    1. INSTILLING HOPE AND FAITH
    2. FORMING A HUMAN ALTRUISTIC VALUE SYSTEM
    3. CULTURAL CARING
    4. BEING WITH
    1. INSTILLING HOPE AND FAITH
  23. AN EXAMPLE OF A NURSE CARING BEHAVIOR THAT FAMILIES OF ACUTELY ILL PATIENTS PERCEIVE AS IMPORTANT TO PATIENTS' WELL BEING IS
    1. MAKING HEALTH CARE DECISIONS FOR PATIENTS
    2. HAVING FAMILY MEMBERS PROVIDE A PATIENT'S TOTAL PERSONAL HYGIENE
    3. INJECTING THE NURSE'S PERCEPTION ABOUT THE LEVEL OF CARE PROVIDED
    4. ASKING PERMISSION BEFORE PERFORMING A PROCEDURE ON A PATIENT
    4. ASKING PERMISSION BEFORE PERFORMING A PROCEDURE ON A PATIENT
  24. A NURSE DEMONSTRATES CARING BY HELPING FAMILY MEMBERS:
    1. BECOME ACTIVE PARTICIPANTS IN CARE
    2. PROVIDE ACTIVITIES OF DAILY LIVING (ADL'S)
    3. REMOVE THEMSELVES FROM PERSONAL CARE
    4. MAKE HEALTH CARE DECISIONS FOR THE PATIENT
    1. BECOME ACTIVE PARTICIPANTS IN CARE
  25. LISTENING IS NOT ONLY "TAKING IN" WHAT A PATIENT SAYS; IT ALSO INCLUDES:
    1. INCORPORATING THE VIEWS OF THE PHYSICIAN
    2. CORRECTING ANY ERRORS IN THE PATIENT'S UNDERSTANDING
    3. INJECTING THE NURSE'S PERSONAL VIEWS AND STATEMENTS
    4. INTERPRETING AND UNDERSTANDING WHAT THE PATIENT MEANS
    4. INTERPRETING AND UNDERSTANDING WHAT THE PATIENT MEANS
  26. A NURSE IS CARING FOR AN OLDER ADULT WHO NEEDS TO ENTER AN ASSISTED LIVING FACILITY FOLLOWING DISCHARGE FROM THE HOSPITAL.  WHICH OF THE FOLLOWING IS AN EXAMPLE OF LISTENING THAT DISPLAYS CARING?
    1. THE NURSE ENCOURAGES THE PATIENT TO TALK ABOUT HIS CONCERNS WHILE REVIEWING THE COMPUTER SCREEN IN THE ROOM.
    2. THE NURSE SITS AT THE PATIENT'S BEDSIDE, LISTENS AS HE RELAYS HIS FEAR OF NEVER SEEING HIS HOME AGAIN, AND THEN ASKS IF HE WANTS ANYTHING TO EAT. 
    3. THE NURSE LISTENS TO THE PATIENT'S STORY WHILE SITTING ON THE SIDE OF THE BED AND THEN SUMMARIZES THE STORY.
    4. THE NURSE LISTENS TO THE PATIENT TALK ABOUT HIS FEARS OF NOT RETURNING HOME AND THEN TELLS HIM TO THINK POSITIVELY.
    3. THE NURSE LISTENS TO THE PATIENT'S STORY WHILE SITTING ON THE SIDE OF THE BED AND THEN SUMMARIZES THE STORY.
  27. PRESENCE INVOLVES A PERSON TO PERSON ENCOUNTER THAT
    1. ENABLES PATIENTS TO CARE FOR SELF
    2. PROVIDES PERSONAL CARE TO A PATIENT
    3. CONVEYS A CLOSENESS AND A SENSE OF CARING
    4. DESCRIBES BEING IN CLOSE CONTACT WITH A PATIENT.
    3. CONVEYS A CLOSENESS AND A SENSE OF CARING
  28. A NURSE ENTERS A PATIENT'S ROOM, ARRANGES THE SUPPLIES FOR A FOLEY CATHETER INSERTION, AND EXPALINS THE PROCEDURE TO THE PATIENT.  SHE TELLS THE PATIENT WHAT TO EXPECT JUST BEFORE INSERTING THE CATHETER, SHE TELLS THE PATIENT TO RELAX AND THAT, ONCE THE CATHETER IS IN PLACE, SHE WILL NOT FEEL THE BLADDER PRESSURE.  THE NURSE THEN PROCEEDS TO SKILLFULLY INSERT THE FOLEY CATHETER.  THIS IS AN EXAMPLE OF WHAT TYPE OF TOUCH?
    1. CARING TOUCH
    2. PROTECTIVE TOUCH
    3. TASK ORIENTED TOUCH
    4. INTERPERSONAL TOUCH
    3. TASK ORIENTED TOUCH
  29. A HOSPICE NURSE SITS AT THE BEDSIDE OF A MALE PATIENT IN THE FINAL STAGES OF CANCER.  HE AND HIS PARENTS MADE THE DECISION THAT HE WOULD MOVE HOME AND THEY WOULD HELP HIM IN THE FINAL STAGES OF HIS DISEASE.  THE FAMILY PARTICIPATES IN HIS CARE, BUT LATELY THE NURSE HAS INCREASED THE AMOUNT OF TIME SHE SPENDS WITH THE FAMILY.  WHENEVER SHE ENTERS THE ROOM OR APPROACHES THE PATIENT TO GIVE CARE, SHE TOUCHES HIS SHOULDER AND TELLS HIM THAT SHE IS PRESENT.  THIS IS AN EXAMPLE OF WHAT TYPE OF TOUCH.
    1. CARING TOUCH
    2. PROTECTIVE TOUCH
    3. TASK ORIENTED TOUCH
    4. INTERPERSONAL TOUCH
    1. CARING TOUCH
  30. MATCH THE FOLLOWING CARING BEHAVIORS WITH THEIR DEFINITIONS
    1. KNOWING
    2. BEING
    3. DOING FOR
    4. MAINTAINING BELIEF
    A. SUSTAINING FAITH IN ONE'S CAPACITY TO GET THROUGH A SITUATION
    B STRIVING TO UNDERSTAND AN EVENT'S MEANING FOR ANOTHER PERSON
    C. BEING EMOTIONALLY THERE FOR ANOTHER PERSON
    D. PROVIDING FOR ANOTHER AS HE OR SHE WOULD DO FOR THEMSELVES
    • 1. KNOWING-
    • B STRIVING TO UNDERSTAND AN EVENT'S MEANING FOR ANOTHER PERSON
    • 2. BEING-C. BEING EMOTIONALLY THERE FOR ANOTHER PERSON
    • 3. DOING FOR-D. PROVIDING FOR ANOTHER AS HE OR SHE WOULD DO FOR THEMSELVES
    • 4. MAINTAINING BELIEF-A. SUSTAINING FAITH IN ONE'S CAPACITY TO GET THROUGH A SITUATION
  31. THE NURSES FIRST ACTION AFTER DISCOVERING AN ELECTRICAL FIRE IN A PATIENT'S ROOM IS TO 
    1. ACTIVATE THE FIRE ALARM
    2. CONFINE THE FIRE BY CLOSING ALL DOORS AND WINDOWS
    3. REMOVE ALL PATIENTS IN IMMEDIATE DANGER.
    4. EXTINGUISH THE FIRE BY USING THE NEAREST FIRE EXTINGUISHER
    3. REMOVE ALL PATIENTS IN IMMEDIATE DANGER.
  32. A PARENT CALLS THE PEDIATRICIAN'S OFFICE FRANTIC ABOUT THE BOTTLE OF CLEANER THAT HER 2 YR OLD SON DRANK.  WHICH OF THE FOLLOWING IS THE MOST IMPORTANT INSTRUCTION THE NURSE GIVES TO THIS PARENT?
    1. GIVE THE CHILD MILK
    2. GIVE THE CHILD SYRUP OF IPECAC
    3. CALL THE POISON CONTROL CENTER
    4. TAKE THE CHILD TO THE EMERGENCY DEPARTMENT
    3. CALL THE POISON CONTROL CENTER
  33. THE NURSING ASSESSMENT ON A 78 YEAR OLD WOMAN REVEALS SHUFFLING GAIT, DECREASED BALANCE, AND INSTABILITY.  ON THE BASIS OF THE PATIENT'S DATA, WHICH ONE OF THE FOLLOWING NURSING DIAGNOSES INDICATES AN UNDERSTANDING OF THE ASSESSMENT FINDINGS?
    1. ACTIVITY INTOLERANCE
    2. IMPAIRED BED MOBILITY
    3. ACUTE PAIN
    4. RISK FOR FALLS
    4. RISK FOR FALLS
  34. A COUPLE IS WITH THEIR ADOLESCENT DAUGHTER FOR A SCHOOL PHYSICAL AND STATE THEY ARE WORRIED ABOUT ALL THE SAFETY RISKS AFFECTING THIS AGE.  WHAT IS THE GREATEST RISK FOR INJURY FOR AN ADOLESCENT?
    1. HOME ACCIDENTS
    2. PHYSIOLOGICAL CHANGES OF AGING
    3. POISONING AND CHILD ABDUCTION
    4. AUTOMOBILE ACCIDENTS, SUICIDE, AND SUBSTANCE ABUSE
    4. AUTOMOBILE ACCIDENTS, SUICIDE, AND SUBSTANCE ABUSE
  35. THE NURSE FOUND A 68 YEAR OLD FEMALE PATIENT WANDERING IN THE HALL.  THE PATIENT SAYS SHE IS LOOKING FOR THE BATHROOM.  WHICH INTERVENTIONS ARE APPROPRIATE TO ENSURE THE SAFETY OF THE PATIENT? (SELECT ALL THAT APPLY)
    1. INSERT A URINARY CATHETER
    2. LEAVE A NIGHT LIGHT ON IN THE BATHROOM
    3. ASK THE PHYSICIAN TO ORDER A RESTRAINT
    4. KEEP THE BED IN LOW POSITION WITH UPPER AND LOWER SIDE RAILS UP
    5. ASSIGN A STAFF MEMBER TO STAY WITH THE PATIENT
    6. PROVIDE SCHEDULED TOILETING DURING THE NIGHT SHIFT.
    7. KEEP THE PATHWAY FROM THE BED TO THE BATHROOM CLEAR.
    • 2. LEAVE A NIGHT LIGHT ON IN THE BATHROOM
    • 6. PROVIDE SCHEDULED TOILETING DURING THE NIGHT SHIFT.
    • 7. KEEP THE PATHWAY FROM THE BED TO THE BATHROOM CLEAR.
  36. THE FAMILY OF A PATIENT WHO IS CONFUSED AND AMBULATORY INSISTS THAT ALL FOUR SIDE RAILS BE UP WHEN THE PATIENT IS ALONE.  WHAT IS THE BEST ACTION TO TAKE IN THIS SITUATION? (SELECT ALL THAT APPLY)
    1. CONTACT THE NURSING SUPERVISOR
    2. RESTRICT THE FAMILY'S PRIVILEGES
    3. ASK THE FAMILY TO STAY WITH THE PATIENT IF POSSIBLE
    4. INFORM THE FAMILY OF THE RISKS ASSOCIATED WITH SIDE RAIL USE
    5. THANK THE FAMILY FOR BEING CONSCIENTIOUS AND PUT THE FOUR RAILS UP
    6. DISCUSS ALTERNATIVES WITH THE FAMILY THAT ARE APPROPRIATE FOR THIS PATIENT.
    • 3. ASK THE FAMILY TO STAY WITH THE PATIENT IF POSSIBLE
    • 4. INFORM THE FAMILY OF THE RISKS ASSOCIATED WITH SIDE RAIL USE
    • 6. DISCUSS ALTERNATIVES WITH THE FAMILY THAT ARE APPROPRIATE FOR THIS PATIENT.
  37. A PHYSICIAN WRITES AN ORDER TO APPLY A WRIST RESTRAINT TO A PATIENT WHO HAS BEEN PULLING OUT A SURGICAL WOUND DRAIN.  PLACE THE FOLLOWING STEPS FOR APPLYING THE RESTRAINT IN THE CORRECT ORDER.
    1. EXPLAIN WHAT YOU PLAN TO DO
    2. WRAP A LIMB RESTRAINT AROUND WRIST OR ANKLE WITH SOFT PART TOWARD SKIN AND SECURE
    3. DETERMINE THAT RESTRAINT ALTERNATIVES FAIL TO INSURE PATIENT'S SAFETY
    4. IDENTIFY THE PATIENT USING PROPER IDENTIFIER.
    5. PAD THE PATIENT'S WRIST.
    • 3
    • 4
    • 1
    • 5
    • 2
  38. A CHILD IN THE HOSPITAL STARTS TO HAVE A GRAND MAL SEIZURE WHILE PLAYING IN THE PLAYROOM.  WHAT IS YOUR MOST IMPORTANT NURSING INTERVENTION DURING THIS SITUATION?
    1. BEGIN CARDIOPULMONARY RESPIRATION
    2. RESTRAIN THE CHILD TO PREVENT INJURY
    3. PLACE A TONGUE BLADE OVER THE TONGUE TO PREVENT ASPIRATION
    4. CLEAR THE AREA AROUND THE CHILD TO PROTECT THE CHILD FROM INJURY
    4. CLEAR THE AREA AROUND THE CHILD TO PROTECT THE CHILD FROM INJURY
  39. A 62 YEAR OLD WOMAN IS BEING DISCHARGED HOME WITH HER HUSBAND AFTER SURGERY FOR A HIP FRACTURE FROM A FALL AT HOME.  WHEN PROVIDING DISCHARGE TEACHING ABOUT HOME SAFETY TO THIS PATIENT AND HER HUSBAND, THE NURSE KNOWS THAT:
    1. A SAFE ENVIRONMENT PROMOTES PATIENT ACTIVITY
    2. ASSESSMENT FOCUSES ON ENVIRONMENTAL FACTORS ONLY
    3. TEACHING HOME SAFETY IS DIFFICULT TO DO IN THE HOSPITAL
    4. MOST ACCIDENTS IN THE OLDER ADULT ARE CAUSED BY LIFESTYLE FACTORS.
    1. A SAFE ENVIRONMENT PROMOTES PATIENT ACTIVITY
  40. A FRAGILE, 87 YEAR OLD NURSING HOME RESIDENT IS ADMITTED TO THE HOSPITAL WITH DEHYDRATION AND INCREASED CONFUSION.  THE PATIENT HAS UPPER LIMB RESTRAINTS TO PREVENT HER FROM PULLING OUT HER NASOGASTRIC TUBE.  WHAT INSTRUCTIONS DOES THE NURSE GIVE TO NURSING ASSISTIVE PERSONNEL (NAP)
  41. THE NURSING ASSESSMENT OF AN 80 YEAR OLD PATIENT WHO DEMONSTRATES SOME CONFUSION BUT NO ANXIETY REVEALS THAT THE PATIENT IS A FALL RISK BECAUSE SHE CONTINUES TO GET OUT OF BED WITHOUT HELP DESPITE FREQUENT REMINDERS.  THE INITIAL NURSING INTERVENTION TO PREVENT FALLS FOR THIS PATIENT IS TO:
    1. PLACE A BED ALARM DEVICE ON THE BED.
    2. PLACE THE PATIENT IN A BELT RESTRAINT
    3. PROVIDE ONE ON ONE OBSERVATION OF THE PATIENT
    4 APPLY WRIST  RESTRAINTS
    1. PLACE A BED ALARM DEVICE ON THE BED.
  42. TO ENSURE THE SAFE USE OF OXYGEN IN THE HOME BY A PATIENT, WHICH OF THE FOLLOWING TEACHING POINTS DOES THE NURSE INCLUDE? (SELECT ALL THAT APPLY)
    1. SMOKING IS PROHIBITED AROUND OXYGEN.
    2. DEMONSTRATE HOW TO ADJUST THE OXYGEN FLOW RATE BASED ON PATIENT SYMPTOMS
    3. DO NOT USE ELECTRICAL EQUIPMENT AROUND OXYGEN
    4. SPECIAL PRECAUTIONS MAY BE REQUIRED WHEN TRAVELING WITH OXYGEN.
    • 1. SMOKING IS PROHIBITED AROUND OXYGEN.
    • 3. DO NOT USE ELECTRICAL EQUIPMENT AROUND OXYGEN
    • 4. SPECIAL PRECAUTIONS MAY BE REQUIRED WHEN TRAVELING WITH OXYGEN.
  43. HOW DOES THE NURSE SUPPORT A CULTURE OF SAFETY? (SELECT ALL THAT APPLY)
    1. COMPLETING INCIDENT REPORTS WHEN APPROPRIATE
    2. COMPLETING INCIDENT REPORTS FOR A NEAR MISS
    3. COMMUNICATING PRODUCT CONCERNS TO AN IMMEDIATE SUPERVISOR
    4. IDENTIFYING THE PERSON RESPONSIBLE FOR AN INCIDENT.
    • 1. COMPLETING INCIDENT REPORTS WHEN APPROPRIATE
    • 2. COMPLETING INCIDENT REPORTS FOR A NEAR MISS
    • 3. COMMUNICATING PRODUCT CONCERNS TO AN IMMEDIATE SUPERVISOR
  44. YOU ARE ADMITTING MR JONES A 64 YEAR OLD PATIENT WHO HAD A RIGHT HEMISPHERS STROKE AND A RECENT FALL.  THE WIFE STATED THAT HE HAS A HISTORY OF HIGH BLOOD PRESSURE, WHICH IS CONTROLLED BY AN ANTIHYPERTENSIVE AND DIURETIC.  CURRENTLY HE EXHIBITS LEFT SIDED NEGLECT AND PROBLEMS WITH SPATIAL AND PERCEPTUAL ABILITIES AND IS IMPULSIVE.  HE HAS MODERATE LEFT SIDED WEAKNESS THAT REQUIRES THE ASSISTANCE OF TWO AND THE USE OF GAIT BELT TO TRANSFER TO A CHAIR.  HE CURRENTLY HAS AN INTRAVENOUS (IV) LINE AND A URINARY CATHETER IN PLACE.  WHAT FACTORS INCREASE HIS FALL RISK AT THIS TIME?  (SELECT ALL THAT APPLY)
    1. SMOKES A PACK A DAY
    2. USED A CANE TO WALK AT HOME
    3. TAKES ANTIHYPERTENSIVE AND DIURETICS
    4  HISTORY OF RECENT FALL
    5. NEGLECT, SPATIAL AND PERCEPTUAL ABILITIES,IMPULSIVE
    6. REQUIRES ASSISTANCE WITH ACTIVITY, UNSTEADY GAIT
    7. IV LINE, URINARY CATHETER
    • 3. TAKES ANTIHYPERTENSIVE AND DIURETICS
    • 4  HISTORY OF RECENT FALL
    • 5. NEGLECT, SPATIAL AND PERCEPTUAL ABILITIES,IMPULSIVE
    • 6. REQUIRES ASSISTANCE WITH ACTIVITY, UNSTEADY GAIT
    • 7. IV LINE, URINARY CATHETER
  45. AT 3 AM THE EMERGENCY DEPARTMENT NURSE HEARS THAT A TORNADO HIT THE EAST SIDE OF TOWN.  WHAT ACTION DOES THE NURSE TAKE FIRST
    1. PREPARE FOR AN INFLUX OF PATIENTS
    2. CONTACT THE AMERICAN RED CROSS
    3. DETERMINE HOW TO RESTORE ESSENTIAL SERVICES
    4. EVACUATE PATIENTS PER THE DISASTER PLAN
    1. PREPARE FOR AN INFLUX OF PATIENTS
  46. THE COLLINS FAMILY INCLUDES A MOTHER, JEAN; STEPFATHER, ADAM; TWO TEENAGE BIOLOGICAL DAUGHTERS OF THE MOTHER, LISA AND LAURA; AND A BIOLOGICAL DAUGHTER OF THE FATHER, 25 YEAR OLD STACEY.  STACEY JUST MOVED HOME FOLLOWING THE LOSS OF HER JOB IN ANOTHER CITY.  THE FAMILY IS CONVERTING A STUDY INTO STACEY'S BEDROOM AND IS IN THE PROCESS OF DISTRIBUTING HOUSEHOLD CHORES.  WHEN YOU TALK TO MEMBERS OF THE FAMILY, THEY ALL THINK THAT THEIR FAMILY CAN ADJUST TO LIFESTYLE CHANGES.  THIS IS AN EXAMPLE OF FAMILY:
    1. DIVERSITY
    2. DURABILITY
    3. RESILIENCY
    4. CONFIGURATION
    3. RESILIENCEY
  47. THE MOST COMMON REASON GRANDPARENTS ARE CALLED ON TO RAISE THEIR GRANDCHILDREN IS BECAUSE OF :
    1. SINGLE PARENTHOOD
    2. LEGAL INTERVENTIONS
    3. DUAL INCOME FAMILIES
    4. INCREASE DIVORCE RATE
    2. LEGAL INTERVENTIONS
  48. A FAMILY'S ACCESS TO ADEQUATE HEALTH CARE, OPPORTUNITY FOR EDUCATION, SOUND NUTRITION, AND DECREASED STRESS IS AFFECTED BY:
    1. DEVELOPMENT
    2. FAMILY FUNCTION
    3. FAMILY STRUCTURE
    4. ECONOMIC STABILITY
    4. ECONOMIC STABILITY
  49. DAVID SINGER IS A SINGLE PARENT OF A 3 YEAR OLD BOY, KEVIN.  KEVIN HAS WELL MANAGED ASTHMA AND MISSES DAY CARE INFREQUENTLY.  DAVID IS IN SCHOOL STUDYING TO BE AN INFORMATION TECHNOLOGY PROFESSIONAL.  HIS INCOME AND TIME ARE LIMITED, AND HE ADMITS TO GOING TO FAST FOOD RESTAURANTS FREQUENTLY FOR DINNER.  HOWEVER, HE AND HIS SON SPEND A LOT OF TIME TOGETHER.  DAVID RECEIVES STATE SUPPORTED HEALTH CARE FOR HIS SON, BUT HE DOES NOT HAVE HEALTH INSURANCE OR A PERSONAL PHYSICIAN.  HE HAS HIS SON ENROLLED IN A GOVERNMENT ASSISTED DAY CARE PROGRAM.  WHICH OF THE FOLLOWING ARE RISKS TO THIS FAMILY'S LEVEL OF HEALTH? (SELECT ALL THAT APPLY)
    1. ECONOMIC STATUS
    2. CHRONIC ILLNESS
    3. UNDERINSURED
    4. GOVERNMENT ASSISTED DAY CARE
    • 1. ECONOMIC STATUS
    • 3. UNDERINSURED
  50. THE CLERIC FAMILY, WHICH INCLUDES A MOTHER, STEPFATHER, TWO TEENAGE BIOLOGICAL DAUGHTERS OF THE MOTHER AND A BIOLOGICAL DAUGHTER OF THE FATHER IS AN EXAMPLE OF A(N):
    1. NUCLEAR FAMILY
    2. BLENDED FAMILY
    3. EXTENDED FAMILY
    4. ALTERNATIVE FAMILY
    2. BLENDED FAMILLY
  51. WHICH OF THE FOLLOWING ARE POSSIBLE OUTCOMES WITH CLEAR FAMILY COMMUNICATION? (SELECT ALL THAT APPLY)
    1. FAMILY GOALS
    2. DECISION MAKING
    3. METHODS OF DISCIPLINE
    4. IMPAIRED COPING
    • 1. FAMILY GOALS
    • 2. DECISION MAKING
    • 3. METHODS OF DISCIPLINE
  52. COMMUNICATION AMONG FAMILY MEMBERS IS AN EXAMPLE OF FAMILY:
    1. ATTRIBUTES
    2. FUNCTION
    3. STRUCTURE
    4. DEVELOPMENT
    4. DEVELOPMENT
  53. WHICH OF THE FOLLOWING CONTRIBUTE TO FAMILY HARDINESS? (SELECT ALL THAT APPLY)
    1. FAMILY MEETINGS
    2. ESTABLISHED FAMILY ROLES
    3. WILLINGNESS TO CHANGE IN TIME OF STRESS
    4. PASSIVE ORIENTATION TO LIFE
    • 1. FAMILY MEETINGS
    • 2. ESTABLISHED FAMILY ROLES
    • 3. WILLINGNESS TO CHANGE IN TIME OF STRESS
  54. WHICH OF THE FOLLOWING DEMONSTRATE FAMILY RESILIENCY? (SELECT ALL THAT APPLY)
    1. RESUMING FULL TIME WORK WHEN SPOUSE LOSES JOB
    2. ARGUING WAYS TO DEAL WITH PROBLEMS AMONG SIBLINGS
    3. DEVELOPING HOBBIES WHEN CHILDREN LEAVE HOME
    4. PLACING BLAME ON FAMILY MEMBERS
    • 1. RESUMING FULL TIME WORK WHEN SPOUSE LOSES JOB
    • 3. DEVELOPING HOBBIES WHEN CHILDREN LEAVE HOME
  55. WHEN NURSES VIEW THE FAMILY AS CONTEXT, THEIR PRIMARY FOCUS IS ON THE 
    1. FAMILY MEMBERS WITHIN A SYSTEM.
    2. FAMILY PROCESS AND RELATIONSHIPS
    3. FAMILY RELATIONAL AND TRANSACTIONAL CONCEPTS
    4. HEALTH NEEDS OF AN INDIVIDUAL MEMBER
    4. HEALTH NEEDS OF AN INDIVIDUAL MEMBER
  56. KIANE IS A HOSPICE NURSE WHO IS CARING FOR THE ROBINSON FAMILY.  THIS FAMILY IS PROVIDING END OF LIFE CARE FOR THEIR GRANDMOTHER, WHO HAS TERMINAL BREAST CANCER.  WHEN DIANE VISITS THE HOME 3 TIMES A WEEK, SHE FOCUSES ON SYMPTOM MANAGEMENT FOR THE GRANDMOTHER AND ASSISTS THE FAMILY WITH COPING SKILLS.  DIANE'S APPROACH IS AN EXAMPLE OF WHICH OF THE FOLLOWING?
    1. FAMILY AS CONTENT
    2. FAMILY AS PATIENT
    3. FAMILY AS SYSTEM
    4. FAMILY AS STRUCTURE
    2. FAMILY AS PATIENT
  57. WHICH OF THE FOLLOWING ARE INCLUDED IN A FAMILY FUNCTION ASSESSMENT?  (SELECT ALL THAT APPLY)
    1. CULTURAL PRACTICES
    2. DECISION MAKING
    3. RITUALS AND CELEBRATIONS
    4. NEIGHBORHOOD CRIME DATA
    • 1. CULTURAL PRACTICES
    • 2. DECISION MAKING
    • 3. RITUALS AND CELEBRATIONS
  58. KAREN JOHNSON IS A SINGLE MOTHER OF A SCHOOL AGE DAUGHTER.  LINDA BROWN IS ALSO A SINGLE MOTHER OF TWO TEENAGE DAUGHTERS.  KAREN AND LINDA ARE ACTIVE PROFESSIONALS, HAVE BUSY SOCIAL LIVES, AND DATE OCCASIONALLY.  THREE YEARS AGO THEY DECIDED TO SHARE A HOUSE AND HOUSING COSTS, LIVING EXPENSES, AND CHILD CARE RESPONSIBILITIES.  THE CHILDREN CONSIDER ONE ANOTHER AS THEIR FAMILY.  THIS FAMILY FORM IS CONSIDERED A(N)
    1. DIVERSE FAMILY RELATIONSHIP
    2. BLENDED FAMILY RELATIONSHIPS
    3. EXTENDED FAMILY RELATIONSHIP
    4. ALTERNATIVE FAMILY RELATIONSHIP
    4. ALTERNATIVE FAMILY RELATIONSHIP
  59. DURING A VISIT TO A FAMILY CLINIC THE NURSE TEACHES THE MOTHER ABOUT IMMUNIZATIONS, CAR SEAT USE, AND HOME SAFETY FOR AN INFANT AND TODDLER.  WHICH TYPE OF NURSING INTERVENTIONS ARE THESE?
    1. HEALTH PROMOTION ACTIVITIES
    2. ACUTE CARE ACTIVITIES
    3. RESTORATIVE CARE ACTIVITIES
    4. GROWTH AND DEVELOPMENT CARE ACTIVITIES
    1. HEALTH PROMOTION ACTIVITIES
  60. WHICH BEST DEFINES FAMILY CAREGIVING? (SELECT ALL THAT APPLY)
    1. DESIGNING A NURTURING FAMILY TO RAISE CHILDREN
    2. PROVIDING PHYSICAL AND EMOTIONAL CARE FOR A FAMILY MEMBER
    3. ESTABLISHING A SAFE PHYSICAL ENVIRONMENT FOR A FAMILY
    4. MONITORING FOR SIDE EFFECTS OF ILLNESS AND TREATMENTS
    2. PROVIDING PHYSICAL AND EMOTIONAL CARE FOR A FAMILY MEMBER3. ESTABLISHING A SAFE PHYSICAL ENVIRONMENT FOR A FAMILY4. MONITORING FOR SIDE EFFECTS OF ILLNESS AND TREATMENTS
  61. THE NURSE IS AWARE THAT PRESCHOOLERS OFTEN DISPLAY A DEVELOPMENTAL CHARACTERISTIC THAT MAKES THEM TREAT DOLLS OR STUFFED ANIMALS AS IF THEY HAVE THOUGHTS AND FEELINGS.  THIS IS AN EXAMPLE OF:
    1. LOGICAL REASONING
    2. EGOCENTRISM
    3. CONCRETE THINKING
    4. ANIMISM
    4. ANIMISM
  62. AN 18 MONTH OLD CHILD IS NOTED BY THE PARENTS TO BE "ANGRY" ABOUT ANY CHANGE IN ROUTINE.  THIS CHILD'S TEMPERAMENT IS MOST LIKELY TO BE DESCRIBED AS:
    1. SLOW TO WARM UP
    2. DIFFICULT
    3. HYPERACTIVE
    4. EASY
    2. DIFFICULT
  63. NINE YEAR OLD BRIAN HAS A DIFFICULT TIME MAKING FRIENDS AT SCHOOL AND BEING CHOSEN TO PLAY ON THE TEAM.  HE ALSO HAS TROUBLE COMPLETING HIS HOMEWORK AND, AS A RESULT, RECEIVES LITTLE POSITIVE FEEDBACK FROM HIS PARENTS OR TEACHER.  ACCORDING TO ERICKSON'S THEORY, FAILURE AT THIS STAGE OF DEVELOPMENT RESULTS IN:
    1. A SENSE OF GUILT.
    2. A POOR SENSE OF SELF.
    3. FEELINGS OF INFERIORITY.
    4. MISTRUST.
    3 FEELINGS OF INFERIORITY
  64. THE NURSE TEACHES PARENTS HOW TO HAVE THEIR CHILDREN LEARN IMPULSE CONTROL AND COOPERATIVE BEHAVIORS.  THIS WOULD BE DURING WHICH OF ERICKSON'S STAGES OF DEVELOPMENT?
    1. TRUST VERSUS MISTRUST
    2. INITIATIVE VERSUS GUILT
    3. INDUSTRY VERSUS INFERIORITY
    4. AUTONOMY VERSUS SENSE OF SHAME AND DOUBT
    2. INITIATIVE VERSUS GUILT
  65. WHEN RYAN WAS 3 MONTHS OLD, HE HAD A TOY TRAIN; WHEN HIS VIEW OF THE TRAIN WAS BLOCKED, HE DID NOT SEARCH FOR IT.  NOW THAT HE IS 9 MONTHS OLD, HE LOOKS FOR IT, REFLECTING THE PRESENCE OF 
    1. OBJECT PERMANENCE
    2. SENSORIMOTOR PLAY
    3. SCHEMATA
    4. MAGICAL THINKING
    1. OBJECT PERMANENCE
  66. WHEN PREPARING A 4 YEAR OLD CHILD FOR A PROCEDURE, WHICH METHOD IS DEVELOPMENTALLY MOST APPROPRIATE FOR THE NURSE TO USE?
    1. ALLOWING THE CHILD TO WATCH ANOTHER CHILD UNDERGOING THE SAME PROCEDURE
    2. SHOWING THE CHILD PICTURES OF WHAT ANOTHER HE OR SHE WILL EXPERIENCE
    TALKING TO THE CHILD IN SIMPLE TERMS ABOUT WHAT WILL HAPPEN
    3. TALKING TO THE CHILD IN SIMPLE TERMS ABOUT WHAT WILL HAPPEN
    4. PREPARING THE CHILD THROUGH PLAY WITH A DOLL AND TOY MEDICAL EQUIPMENT
    4. PREPARING THE CHILD THROUGH PLAY WITH A DOLL AND TOY MEDICAL EQUIPMENT
  67. A 35 YEAR OLD WOMAN IS SPEAKING WITH YOU ABOUT HER RECENT DIAGNOSIS OF A CHRONIC ILLNESS. SHE IS CONCERNED ABOUT HER TREATMENT OPTIONS IN RELATION TO HER ABILITY TO CONTINUE TO CARE FOR HER FAMILY.  AS SHE CONSIDERS THE OPTIONS AND ALTERNATIVES, SHE INCORPORATES INFORMATION, HER VALUES, AND EMOTIONS TO DECIDE WHICH PLAN WILL BE THE BEST FIT FOR HER.  SHE IS USING WHICH FORM OF COGNITIVE DEVELOPMENT
    1. CONVENTIONAL REASONING
    2. FORMAL OPERATIONS
    3. INTEGRITY VERSUS DESPAIR
    4. POSTFORMAL THOUGHT
    4. POSTFORMAL THOUGHT
  68. YOU ARE CARING FOR A RECENTLY RETIRED MAN WHO APPEARS WITHDRAWN AND SAYS HE IS "BORED WITH LIFE."  APPLYING THE WORK OF HAVINGHURST, YOU WOULD HELP THIS INDIVIDUAL FIND MEANING IN LIFE BY:
    1. ENCOURAGING HIM TO EXPLORE NEW ROLES.
    2. ENCOURAGING RELOCATION TO A NEW CITY
    3. EXPLAINING THE NEED TO SIMPLIFY LIFE
    4. ENCOURAGING HIM TO ADOPT A NEW PET
    1. ENCOURAGING HIM TO EXPLORE NEW ROLES.
  69. PLACE THE FOLLOWING STAGES OF FREUD'S PSYCHOSEXUAL DEVELOPMENT IN THE PROPER ORDER BY AGE PROGRESSION
    1. OEDIPAL
    2. LATENCY
    3. ORAL
    4. GENITAL
    5. ANAL
    • 3
    • 5
    • 2
    • 1
    • 4
  70. ACCORDING TO PAIGET'S COGNITIVE THEORY, A 12 YEAR OLD CHILD IS MOST LIKELY TO ENGAGE IN WHICH OF THE FOLLOWING ACTIVITIES
    1. USING BUILDING BLOCKS TO DETERMINE HOW HOUSES ARE CONSTRUCTED
    2. WRITING A STORY ABOUT A CLOWN WHO WANTS TO LEAVE THE CIRCUS
    3. DRAWING PICTURES OF A FAMILY USING STICK FIGURES
    4. WRITING AN ESSAY ABOUT PATRIOTISM
    2. WRITING A STORY ABOUT A CLOWN WHO WANTS TO LEAVE THE CIRCUS
  71. ALLISON, AGE 15 YEARS, CALLS HER BEST FRIEND LAURA AND IS CRYING.  SHE HAS A DATE WITH JOHN, SOMEONE SHE HAS BEEN HOPING TO DATE FOR MONTHS, BUT NOW SHE HAS A PIMPLE ON HER FOREHEAD.  LAURA FIRMLY BELIEVES THAT JOHN AND EVERYONE ELSE WILL NOTICE THE BLEMISH RIGHT AWAY.  THIS IS AN EXAMPLE OF THE:
    1. IMAGINARY AUDIENCE
    2. FALSE BELIEF SYNDROME
    3. PERSONAL FABLE
    4. PERSONAL ABSORPTION SYNDROME
    1. IMAGINARY AUDIENCE
  72. ELIZABETH, WHO IS HAVING UNPROTECTED SEX WITH HER BOYFRIEND, COMMENTS TO HER FRIENDS, "DID YOU HEAR ABOUT KATHY:  YOU KNOW, SHE FOOLS AROUND SO MUCH;  I HEARD SHE WAS PREGNANT.  THAT WOULD NEVER HAPPEN TO ME!"  THIS IS AN EXAMPLE OF ADOLESCENT:
    1. IMAGINARY AUDIENCE
    2 FALSE BELIEF SYNDROME
    3. PERSONAL FABLE
    4. SENSE OF INVULNERABILITY
    4. SENSE OF INVULNERABILITY
  73. TEACHING AN OLDER ADULT HOW TO USE EMAIL TO COMMUNICATE WITH A GRANDCHILD WHO LIVES IN ANOTHER STATE IS AN EXAMPLE OF _________, WHICH AIDS COGNITIVE PERFORMANCE BY USING NEW APPROACHES.
    1. COGNITIVE DEVELOPMENT
    2. ACTIVITY THEORY
    3. SELECTIVE OPTIMIZATION WITH COMPENSATION
    4. FORMAL OPERATIONS
    3. SELECTIVE OPTIMIZATION WITH COMPENSATION
  74. DAVE REPORTS BEING HAPPY AND SATISFIED WITH HIS LIFE.  WHAT DO WE KNOW ABOUT DAVE?
    1. HE IS IN ONE OF THE LATER DEVELOPMENTAL PERIODS, CONCERNED WITH REVIEWING HIS LIFE.
    2. HE IS ATYPICAL, SINCE MOST PEOPLE IN ANY OF THE DEVELOPMENTAL STAGES REPORT SIGNIFICANT DISSATISFACTION WITH THEIR LIVES
    3. HE IS IN ONE OF THE EARLIER DEVELOPMENTAL PERIODS, CONCERNED WITH ESTABLISHING A CAREER AND SATISFYING LONG TERM RELATIONSHIPS
    4. IT IS DIFFICULT TO DETERMINE DAVE'S DEVELOPMENTAL STAGE SINCE MOST PEOPLE REPORT OVERALL SATISFACTION WITH THEIR LIVES IN ALL STAGES
    4. IT IS DIFFICULT TO DETERMINE DAVE'S DEVELOPMENTAL STAGE SINCE MOST PEOPLE REPORT OVERALL SATISFACTION WITH THEIR LIVES IN ALL STAGES
  75. YOU ARE WORKING IN A CLINIC THAT PROVIDES SERVICES FOR HOMELESS PEOPLE.  THE CURRENT LOCAL REGULATIONS PROHIBIT PROVIDING A SERVICE THAT YOU BELIEVE IS NEEDED BY YOUR PATIENTS.  YOU ADHERE TO THE REGULATIONS BUT AT THE SAME TIME ARE INVOLVED IN INFLUENCING AUTHORITIES TO CHANGE THE REGULATION.  THIS ACTION REPRESENTS WHICH STAGE OF MORAL DEVELOPMENT
    1. INSTRUMENTAL RELATIVIST ORIENTATION
    2. SOCIAL CONTRACT ORIENTATION
    3. SOCIETY MAINTAINING ORIENTATION
    4. UNIVERSAL ETHICAL PRINCIPLE ORIENTATION
    2. SOCIAL CONTRACT ORIENTATION
  76. IN AN INTERVIEW WITH A PREGNANT PATIENT, THE NURSE DISCUSSED THE THREE RISK FACTORS THAT HAVE BEEN CITED AS HAVING A POSSIBLE EFFECT ON PRENATAL DEVELOPMENT.  THEY ARE:
    1. NUTRITION, STRESS, AND MOTHER'S AGE
    2. PREMATURITY, STRESS, AND MOTHER'S AGE
    3. NUTRITION, MOTHER'S AGE, AND FETAL INFECTIONS
    4. FETAL INFECTIONS, PREMATURITY, AND PLACENTA PREVIA
    1. NUTRITION, STRESS, AND MOTHER'S AGE
  77. A PARENT HAS BROUGHT HER 6 MONTH OLD INFANT IN FOR A WELL CHILD CHECK.  WHICH OF HER STATEMENTS INDICATES A NEED FOR FURTHER TEACHING?
    1. "I CAN START GIVING HER WHOLE MILK AT ABOUT 12 MONTHS"
    2. "I CAN CONTINUE TO BREASTFEED FOR ANOTHER 6 MONTHS"
    3. I'VE STARTED GIVING HER PLENTY OF FRUIT JUICE AS A WAY TO INCREASE HER VITAMIN INTAKE."
    4. "I CAN START GIVING HER SOLD FOOD NOW
    3. I'VE STARTED GIVING HER PLENTY OF FRUIT JUICE AS A WAY TO INCREASE HER VITAMIN INTAKE."
  78. THE TYPE OF INJURY A CHILD IS MOST VULNERABLE TO AT A SPECIFIC AGE IS MOST CLOSELY RELATED TO WHICH OF THE FOLLOWING?
    1. PROVISION OF ADULT SUPERVISION
    2. EDUCATIONAL LEVEL OF THE PARENT
    3. PHYSICAL HEALTH OF THE CHILD
    4. DEVELOPMENTAL LEVEL OF THE CHILD
    4. DEVELOPMENTAL LEVEL OF THE CHILD
  79. WHICH APPROACH WOULD BE BEST FOR THE NURSE TO USE WITH A HOSPITALIZED TODDLER?
    1. ALWAYS GIVE SEVERAL CHOICES
    2. SET FEW LIMITS TO ALLOW FOR OPEN EXPRESSION
    3. USE NONINVASIVE METHODS WHEN POSSIBLE
    4. GAIN COOPERATION BEFORE ATTEMPTING TREATMENT
    4. GAIN COOPERATION BEFORE ATTEMPTING TREATMENT
  80. THE NURSE IS PROVIDING INFORMATION ON PREVENTION OF SUDDEN INFANT DEATH SYNDROME (SIDS) TO THE MOTHER OF A YOUNG INFANT.  WHICH OF THE FOLLOWING STATEMENTS INDICATES THAT THE MOTHER HAS A GOOD UNDERSTANDING? (SELECT ALL THAT APPLY)
    1. " I WON'T USE A PACIFIER TO HELP MY BABY SLEEP"
    2. "I'LL BE SURE MY BABY DOES NOT SPEND ANY TIME ON HER ABDOMEN"
    3. "I'LL PLACE MY BABY ON HER BACK FOR SLEEP"
    4. I'LL BE SURE TO KEEP MY BABYS ROOM COLD"
    • 3. "I'LL PLACE MY BABY ON HER BACK FOR SLEEP"
    • 4. I'LL BE SURE TO KEEP MY BABYS ROOM COLD"
  81. IN EVALUATING THE GROSS MOTOR DEVELOPMENT OF A 5 MONTH OLD INFANT, WHICH OF THE FOLLOWING WOULD THE NURSE EXPECT THE INFANT TO DO?
    1. ROLL FROM ABDOMEN TO BACK
    2. MOVE FROM PRONE TO SITTING UNASSISTED
    3. SIT UPRIGHT WITHOUT SUPPORT
    4. TURN COMPLETELY OVER
    1. ROLL FROM ABDOMEN TO BACK
  82. PARENTS ARE CONCERNED ABOUT THEIR TODDLER'S NEGATIVISM AND AS THE NURSE FOR GUIDANCE.  WHICH IS THE MOST APPROPRIATE RECOMMENDATION
    1. PROVIDE MORE ATTENTION
    2. REDUCE OPPORTUNITIES FOR A "NO" ANSWER
    3. BE CONSISTENT WITH PUNISHMENT
    4. PROVIDE OPPORTUNITIES FOR THE TODDLER TO MAKE DECISIONS
    2. REDUCE OPPORTUNITIES FOR A "NO" ANSWER
  83. WHEN NURSES ARE COMMUNICATING WITH ADOLESCENTS, THEY SHOULD
    1. BE ALERT TO CLUES TO THEIR EMOTIONAL STATE
    2. ASK CLOSE ENDED QUESTIONS TO GET A STRAIGHT ANSWERS
    3. AVOID LOOKING FOR MEANING BEHIND ADOLESCENTS' WORDS OR ACTIONS
    4. AVOID DISCUSSING SENSITIVE ISSUES SUCH AS SEX AND DRUGS.
    1. BE ALERT TO CLUES TO THEIR EMOTIONAL STATE
  84. WHICH OF THE FOLLOWING STATEMENTS IS MOST DESCRIPTIVE OF THE PSYCHOSOCIAL DEVELOPMENT OF SCHOOL AGE CHILDREN?
    1. BOYS AND GIRLS PLAY EQUALLY WITH EACH OTHER
    2. PEER INFLUENCE IS NOT YET AN IMPORTANT FACTOR TO THE CHILD
    3. THEY LIKE TO PLAY GAMES WITH RIGID RULES
    4. CHILDREN FREQUENTLY HAVE "BEST FRIENDS"
    4. CHILDREN FREQUENTLY HAVE "BEST FRIENDS"
  85. YOU ARE CARING FOR A 4 YEAR OLD CHILD WHO IS HOSPITALIZED FOR AN INFECTION.  HE TELLS YOU THAT HE IS SICK BECAUSE HE WAS "BAD" WHICH IS THE MOST CORRECT INTERPRETATION OF HIS COMMENT:
    1. INDICATIVE OF EXTREME STRESS
    2. REPRESENTATIVE OF HIS COGNITIVE DEVELOPMENT
    3. SUGGESTIVE OF EXCESSIVE DISCIPLINE AT HOME
    4. INDICATIVE OF HIS DEVELOPING SENSE OF INFERIORITY
    2. REPRESENTATIVE OF HIS COGNITIVE DEVELOPMENT
  86. AT A WELL CHILD EXAMINATION, THE MOTHER COMMENTS THAT HER TODDLER EATS LITTLE AT MEALTIME, WILL ONLY SIT BRIEFLY AT THE TABLE, AND WANTS SNACKS ALL THE TIME. WHICH OF THE FOLLOWING SHOULD THE NURSE RECOMMEND?
    1. PROVIDE NUTRITIOUS SNACKS
    2. OFFER REWARDS FOR EATING AT MEAL TIMES
    3. AVOID SNACKS SO SHE IS HUNGRY AT MEALTIME.
    1. PROVIDE NUTRITIOUS SNACKS
  87. AN 8 YEAR OLD CHILD IS BEING ADMITTED TO THE HOSPITAL FROM THE EMERGENCY DEPARTMENT WITH AN INJURY FROM FALLING OFF HER BICYCLE.  WHICH OF THE FOLLOWING WILL MOST HELP HER ADJUST TO THE HOSPITAL
    1. EXPLAIN HOSPITAL ROUTINES SUCH AS MEALTIMES TO HER
    2. USE TERMS SUCH AS "HONEY" AND "DEAR" TO SHOW A CARING ATTITUDE
    3. EXPLAIN WHEN HER PARENTS CAN VISIT AND WHY SIBLINGS CANNOT COME TO SEE HER
    4. SINCE SHE IS YOUNG, ORIENT HER PARENTS TO HER ROOM AND HOSPITAL FACILITY
    1. EXPLAIN HOSPITAL ROUTINES SUCH AS MEALTIMES TO HER
  88. THE SCHOOL NURSE IS COUNSELING AN OBESE 10 YEAR OLD CHILD.  WHAT FACTOR WOULD BE IMPORTANT TO CONSIDER WHEN PLANNING AN INTERVENTION TO SUPPORT THE CHILD'S HEALTH
    1. CONCENTRATE ON THE CHILD ONLY RATHER THAN THE FAMILY SINCE IT IS THE CHILD'S RESPONSIBILITY
    2. CONSIDER THE USE OF MEDICATIONS TO SUPPRESS THE APPETITE
    3. FIRST PLAN FOR WEIGHT LOSS THROUGH DIETING AND THEN ADD ACTIVITY AS TOLERATED
    4. PLAN FOOD INTAKE TO ALLOW FOR GROWTH
    4. PLAN FOOD INTAKE TO ALLOW FOR GROWTH
  89. YOU ARE WORKING IN AN ADOLESCENT HEALTH CENTER WHEN A 15 YEAR OLD PATIENT SHARES WITH YOU THAT SHE THINKS SHE IS PREGNANT AND IS WORRIED THAT SHE MAY NOW HAVE A SEXUALLY TRANSMITTED INFECTION (STI).  HER PREGNANCY TEST IS NEGATIVE.  WHAT IS YOUR NEXT PRIORITY OF CARE?
    1. CONTACT HER PARENTS TO ALERT THEM OF HER NEED FOR BIRTH CONTROL.
    2. REFER HER TO A PRIMARY HEALTH CARE PROVIDER TO OBTAIN A PRESCRIPTION FOR BIRTH CONTROL.
    3. COUNSEL HER ON SAFE SEX PRACTICES
    4. ASK HER TO HAVE HER PARTNER COME TO THE CLINIC FOR STI TESTING.
    3. COUNSEL HER ON SAFE SEX PRACTICES
  90. WHILE WORKING IN THE HIGH SCHOOL CLINIC, ONE OF THE STUDENTS TELLS YOU THAT SHE IS WORRIED ABOUT HER FRIEND WHO HAS STARTED TO REFUSE TO PARTICIPATE IN GROUP ACTIVITIES, NO LONGER CARES ABOUT HOW SHE LOOKS AT SCHOOL, AND IS NOT GOING TO ALL OF HER CLASSES.  YOUR ASSESSMENT OF THESE SYMPTOMS MAY INDICATE THAT:
    1. SHE HAS JUST BROKEN UP WITH HER BOYFRIEND AND TIME WILL HEAL ALL
    2. YOU WILL NEED TO OBSERVE HER OVER TIME TO SEE IF SYMPTOMS PERSIST
    3. SCHOOL MAY BE TOO DIFFICULT FOR HER RIGHT NOW.
    4. SHE MAY BE AT INCREASED RISK FOR SUICIDE
    4. SHE MAY BE AT INCREASED RISK FOR SUICIDE
  91. WITH THE EXCEPTION OF PREGNANT OR LACTATING WOMEN, THE YOUNG ADULT HAS USUALLY COMPLETED PHYSICAL GROWTH BY THE AGE OF
    1. 18
    2. 20
    3. 25
    4. 30
    2. 20
  92. THE NURSE IS COMPETING AN ASSESSMENT ON A MALE PATIENT, AGE 24.  FOLLOWING THE ASSESSMENT, THE NURSE NOTES THAT HIS PHYSICAL AND LABORATORY FINDINGS ARE WITHIN NORMAL LIMITS.  BECAUSE OF THESE FINDINGS, NURSING INTERVENTIONS ARE DIRECTED TOWARD ACTIVITIES RELATED TO:
    1. INSTRUCTING HIM TO RETURN IN 2 YEARS
    2. INSTRUCTING HIM IN SECONDARY PREVENTION
    3. INSTRUCTING HIM IN HEALTH PROMOTION ACTIVITIES.
    4. IMPLEMENTING PRIMARY PREVENTION WITH VACCINES
    3. INSTRUCTING HIM IN HEALTH PROMOTION ACTIVITIES.
  93. WHEN DETERMINING THE AMOUNT OF INFORMATION THAT A PATIENT NEEDS TO MAKE DECISIONS ABOUT THE PRESCRIBED COURSE OF THERAPY MANY FACTORS AFFECT THE PATIENT'S COMPLIANCE WITH THE REGIMEN, INCLUDING EDUCATIONAL LEVEL AND SOCIOECONOMIC FACTORS.  WHICH ADDITIONAL FACTOR AFFECTS COMPLIANCE?
    1. GENDER
    2. LIFESTYLE
    3. MOTIVATION
    4. FAMILY HISTORY
    3. MOTIVATION
  94. A PATIENT IS LABORING WITH HER FIRST BABY, WHICH IS COMING WEEKS EARLY.  HER HUSBAND IS IN THE MILITARY AND MIGHT NOT GET BACK IN TIME, AND BOTH FAMILIES ARE UNABLE TO BE WITH HER DURING LABOR.  THE DOCTOR DECIDES TO CALL IN WHICH OF THE FOLLOWING PEOPLE EMPLOYED BY THE BIRTHING AREA TO BE A SUPPORT PERSON TO BE PRESENT DURING LABOR?
    1. NURSE
    2. MIDWIFE
    3. ASSISTANT
    4. LAY DOULA
    4. LAY DOULA
  95. A SINGLE YOUNG ADULT FEMALE INTERACTS WITH A GROUP OF CLOSE FRIENDS FROM COLLEGE AND WORK.  THEY CELEBRATE BIRTHDAYS AND HOLIDAYS TOGETHER .  IN ADDITION, THEY HELP ONE ANOTHER THROUGH MANY STRESSORS.  SHE VIEWS THESE INDIVIDUALS AS:
    1. FAMILY
    2. SIBLINGS
    3. SUBSTITUTE PARENTS
    4. ALTERNATIVE FAMILY STRUCTURE
    1. FAMILY
  96. SHARING EATING UTENSILS WITH A PERSON WHO HAS A CONTAGIOUS ILLNESS INCREASES THE RISK OF ILLNESS.  THIS TYPE OF HEALTH RISK ARISES FROM :
    1. LIFESTYLE
    2. COMMUNITY
    3. FAMILY HISTORY
    4. PERSONAL HYGIENE HABITS
    4. PERSONAL HYGIENE HABITS
  97. A 50 YEAR OLD WOMAN HAS ELEVATED CHOLESTEROL PROFILE VALUES THAT INCREASE HER CARDIOVASCULAR RISK FACTOR.  ONE METHOD IS CONTROL THIS RISK FACTOR IS TO IDENTIFY CURRENT DIET TRENDS AND DESCRIBE DIETARY CHANGES TO REDUCE THE RISK.  THIS NURSING ACTIVITY IS A FORM OF 
    1. REFERRAL
    2. COUNSELING
    3. HEALTH EDUCATION
    4. STRESS MANAGEMENT TECHNIQUES
    3. HEALTH EDUCATION
  98. A 34 YEAR OLD FEMALE EXECUTIVE HAS A JOB WITH FREQUENT DEADLINES.  SHE NOTES THAT, WHEN THE DEADLINES APPEAR, SHE HAS A TENDENCY TO EAT HIGH FAT, HIGH CARBOHYDRATE FOODS.  SHE ALSO EXPLAINS THAT SHE GETS FREQUENT HEADACHES AND STOMACH PAIN DURING THESE DEADLINES.  THE NURSE PROVIDES A NUMBER OF OPTIONS FOR THE EXECUTIVE, AND SHE CHOOSES YOGA.  IN THIS SCENARIO YOGA IS USED AS A(N)
    1. OUTPATIENT REFERRAL
    2. COUNSELING TECHNIQUE
    3. HEALTH PROMOTION ACTIVITY
    4. STRESS MANAGEMENT TECHNIQUE
    4. STRESS MANAGEMENT TECHNIQUE
  99. A 50 YEAR OLD MALE PATIENT IS SEEN IN THE CLINIC.  HE TELLS THE NURSE THAT HE HAS RECENTLY LOST HIS JOB AND HIS WIFE OF 26 YEARS HAS ASKED FOR A DIVORCE.  HE HAS A FLAT AFFECT.  FAMILY HISTORY REVEALS THAT HIS FATHER COMMITTED SUICIDE AT THE AGE OF 53.  THE NURSE SHOULD ASSESS OR THE FOLLOWING:
    1. CARDIOVASCULAR DISEASE
    2. DEPRESSION
    3. SEXUALLY TRANSMITTED INFECTION
    4. IRON DEFICIENCY ANEMIA
    2. DEPRESSION
  100. MIDDLE AGE ADULTS FREQUENTLY FIND THEM SELVES TRYING TO BALANCE RESPONSIBILITIES RELATED TO EMPLOYMENT, FAMILY LIFE,CARE OF CHILDREN AND CARE OF AGING PARENTS.  PEOPLE FIND THEMSELVES IN THIS SITUATION ARE FREQUENTLY REFERRED TO AS BEING A PART OF 
    1. THE SANDWICH GENERATION
    2. THE MILLENNIAL GENERATION
    3. THE GENERATION X
    4. THE GENERATION Y
    1. THE SANDWICH GENERATION
  101. INTIMATE PARTNER VIOLENCE (IPV) IS LINKED TO WHICH OF THE FOLLOWING FACTORS? (SELECT ALL THAT APPLY)
    1. ALCOHOL ABUSE
    2. PREGNANCY
    3. UNEMPLOYMENT
    4. DRUG USE
    • 1. ALCOHOL ABUSE
    • 2. PREGNANCY
    • 3. UNEMPLOYMENT
    • 4. DRUG USE
  102. SEXUALLY TRANSMITTED INFECTIONS (STIS) CONTINUE TO BE A MAJOR HEALTH PROBLEM IN YOUNG ADULTS.  MEN AGES 20 TO 40 YEARS HAVE THE HIGHEST RATE OF WHICH STI?
    1. CHLAMYDIA
    2. SYPHILIS
    3. GONORRHEA
    4. HERPES ZOSTER
    1. CHLAMYDIA
  103. FORMATION OF POSITIVE HEALTH HABITS MAY PREVENT THE DEVELOPMENT OF CHRONIC ILLNESS LATER IN LIFE.  WHICH OF THE FOLLOWING ARE EXAMPLES OF POSITIVE HEALTH HABITS? (SELECT ALL THAT APPLY)
    1. ROUTINE SCREENING AND DIAGNOSTIC TESTS
    2. UNPROTECED SEXUAL ACTIVITY
    3. REGULAR EXERCISE
    4. EXCESS ALCOHOL CONSUMPTION
    • 1. ROUTINE SCREENING AND DIAGNOSTIC TESTS
    • 3. REGULAR EXERCISE
  104. CHRONIC ILLNESS (E.G., DIABETES MELLITUS,HYPERTENSION, RHEUMATOID ARTHRITIS) MAY AFFECT A PERSON'S ROLES AND RESPONSIBILITES DURING MIDDLE ADULTHOOD.  WHEN ASSESSING THE KNOWLEDGE BASE OF BOTH THE MIDDLE AGE PATIENT WITH A CHRONIC ILLNESS AND HIS FAMILY, THE ASSESSMENT SHOULD INCLUDE WHICH OF THE FOLLOWING? (SELECT ALL THAT APPLY)
    1. THE MEDICAL COURSE OF THE ILLNESS
    2. THE PROGNOSIS FOR THE PATIENT
    3. COPING MECHANISMS OF THE PATIENT AND FAMILY
    4. THE NEED FOR COMMUNITY AND SOCIAL SERVICES.
    • 1. THE MEDICAL COURSE OF THE ILLNESS
    • 2. THE PROGNOSIS FOR THE PATIENT
    • 3. COPING MECHANISMS OF THE PATIENT AND FAMILY
    • 4. THE NEED FOR COMMUNITY AND SOCIAL SERVICES.
  105. A 45 YEAR OLD OBESE WOMAN TELLS THE NURSE THAT SHE WANTS TO LOSE WEIGHT.  AFTER CONDUCTING A THOROUGH ASSESSMENT, THE NURSE CONCLUDES THAT WHICH OF THE FOLLOWING MAY BE CONTRIBUTING FACTORS TOT THE WOMAN'S OBESITY? (SELECT ALL THAT APPLY)
    1. THE WOMAN WORKS IN AN EXECUTIVE POSITION THAT IS VERY DEMANDING.
    2. THE WOMAN WORKS OUT A THE CORPORATE GYM AT 5 AM TWO MORNINGS PER WEEK.
    3. THE WOMAN SAYS THAT SHE HAS LITTLE TIME TO PREPARE MEALS AT HOME AND EATS OUT AT LEAST FOUR NIGHTS A WEEK
    4. THE WOMAN SAYS THAT SHE TRIES TO EAT "LOW CHOLESTEROL" FOODS TO HELP LOSE WEIGHT.
    • 1. THE WOMAN WORKS IN AN EXECUTIVE POSITION THAT IS VERY DEMANDING.
    • 3. THE WOMAN SAYS THAT SHE HAS LITTLE TIME TO PREPARE MEALS AT HOME AND EATS OUT AT LEAST FOUR NIGHTS A WEEK
  106. A STUDENT NURSE IS CARING FOR A 78 YEAR OLD PATIENT WITH MULTIPLE SCLEROSIS.  THE PATIENT HAS HAD AN INDWELLING FOLEY CATHETER IN FOR 3 DAYS.  EIGHT HOURS AGO THE PATIENT'S TEMPERATURE WAS 37.1 DEGREES C (98.8 DEGREES F).  THE STUDENT REPORTS HER RECENT ASSESSMENT TO THE REGISTERED NURSE (RN):  THE PATIENTS TEMPERATURE IS 37.2C (99F); THE FOLEY CATHETER IS STILL IN PLACE, DRAINING DARK URINE; AND THE PATIENT IS UNCERTAIN WHAT TIME OF DAY IT IS.  FROM WHAT THE RN KNOWS ABOUT PRESENTATION OF SYMPTOMS IN OLDER ADULTS, WHAT SHOULD HE RECOMMEND FIRST?
    1. TELL THE STUDENT THAT TEMPORARY CONFUSION IS NORMAL AND SIMPLY REQUIRES REORIENTATION
    2. TELL THE STUDENT TO INCREASE THE PATIENT'S FLUID INTAKE SINCE THE URINE IS CONCENTRATED
    3. TELL THE STUDENT THAT HER ASSESSMENT FINDINGS ARE NORMAL FOR AN OLDER ADULT 
    4. TELL THE STUDENT THAT HE WILL NOTIFY THE PHYSICIAN OF THE FINDINGS
    4. TELL THE STUDENT THAT HE WILL NOTIFY THE PHYSICIAN OF THE FINDINGS
  107. A PATIENT'S FAMILY MEMBER IS CONSIDERING HAVING HER MOTHER PLACED IN A NURSING CENTER.  YOU HAVE TALKED WITH FAMILY BEFORE AND KNOW THAT THIS IS A DIFFICULT DECISION.  WHICH OF THE FOLLOWING CRITERIA WOULD YOU RECOMMEND IN CHOOSING A NURSING CENTER? (SELECT ALL THAT APPLY)
    1. THE CENTER SHOULD BE CLEAN, AND ROOMS SHOULD LOOK LIKE A HOSPITAL ROOM.
    2. THERE SHOULD BE ADEQUATE STAFFING ON ALL SHIFTS
    3. SOCIAL ACTIVITIES SHOULD BE AVAILABLE FOR ALL RESIDENTS
    4.  THREE MEAL SHOULD BE SERVED DAILY WITH A SET MENU AND SERVING SCHEDULE.
    5. FAMILY INVOLVEMENT IN CARE PLANNING AND ASSISTING WITH PHYSICAL CARE IS NECESSARY.
    • 2. THERE SHOULD BE ADEQUATE STAFFING ON ALL SHIFTS
    • 3. SOCIAL ACTIVITIES SHOULD BE AVAILABLE FOR ALL RESIDENTS
    • 5. FAMILY INVOLVEMENT IN CARE PLANNING AND ASSISTING WITH PHYSICAL CARE IS NECESSARY
  108. A NURSE HAS CONDUCTED AN ASSESSMENT OF A NEW PATIENT WHO HAS COME TO THE MEDICAL CLINIC.  THE PATIENT IS 82 YEARS OLD AND HAS HAD OSTEOARTHRITIS FOR 10 YEARS AND DIABETES MELLITUS FOR 20 YEARS.  HE IS ALERT BUT BECOMES EASILY DISTRACTED DURING THE NURSING HISTORY.  HE RECENTLY MOVED TO A NEW APARTMENT, AND HIS PET BEAGLE DIED JUST 2 MONTHS AGO.  HE IS MOST LIKELY EXPERIENCING
    1. DEMENTIA
    2. DEPRESSION
    3. DELIRIUM
    4. DISENGAGEMENT
    2. DEPRESSION
  109. A MAJOR LIFE EVENT SUCH AS THE DEATH OF A LOVED ONE, A MOVE TO A NURSING HOME, OR A CANCER DIAGNOSIS COULD PRECIPITATE:
    1. DEMENTIA
    2. DELIRIUM
    3. DEPRESSION
    4. STROKE
    3. DEPRESSION
  110. SEXUALITY IS MAINTAINED THROUGHOUT OUR LIVES.  WHICH ANSWER BELOW BEST EXPLAINS SEXUALITY IN AN OLDER ADULT.
    1. WHEN THE SEXUAL PARTNER PASSES AWAY, THE SURVIVOR NO LONGER FEELS SEXUAL.
    2. A DECREASE IN AN OLDER ADULT'S LIBIDO OCCURS
    3. ANY OUTWARD EXPRESSION OF SEXUALITY SUGGESTS THAT THE OLDER ADULT IS HAVING A DEVELOPMENTAL PROBLEM
    4. ALL OLDER ADULTS, WHETHER HEALTHY OR FRAIL, NEED TO EXPRESS SEXUAL FEELINGS.
    4. ALL OLDER ADULTS, WHETHER HEALTHY OR FRAIL, NEED TO EXPRESS SEXUAL FEELINGS.
  111. OLDER ADULTS EXPERIENCE A CHANGE IN SEXUAL ACTIVITY.  WHICH BEST EXPLAINS THIS CHANGE?
    1. THE NEED TO TOUCH AND BE TOUCHED IS DECREASED.
    2. THE SEXUAL PREFERENCES OF OLDER ADULTS ARE NOT AS DIVERSE.
    3. PHYSICAL CHANGES USUALLY DO NOT AFFECT SEXUAL FUNCTIONING
    4. FREQUENCY AND OPPORTUNITIES FOR SEXUAL ACTIVITY MAY DELCINE
    4. FREQUENCY AND OPPORTUNITIES FOR SEXUAL ACTIVITY MAY DELCINE
  112. YOU SEE A 76 YEAR OLD WOMAN IN THE OUTPATIENT CLINIC.  HER CHIEF COMPLAINT IS VISION.  SHE STATES SHE HAS REALLY NOTICED GLARE IN THE LIGHTS AT HOME.  HER VISION IS BLURRED; AND SHE IS UNABLE TO PLAY CARDS WITH HER FRIENDS, READ, OR DO HER NEEDLEWORK.  YOU SUSPECT THAT SHE MAY HAVE:
    1. PRESBYOPIA
    2. DISENGAGEMENT
    3. CATARACT(S)
    4. DEPRESSION
    3. CATARACT(S)
  113. A NURSE IS CARING FOR A PATIENT PREPARING FOR DISCHARGE FROM THE HOSPITAL THE NEXT DAY.  THE PATIENT DOES NOT READ AND HAS A HEARING LOSS.  HIS FAMILY CAREGIVER WILL BE VISITING BEFORE DISCHARGE.  WHAT CAN YOU DO TO FACILITATE THE PATIENT'S UNDERSTANDING OF HIS DISCHARGE INSTRUCTIONS? (SELECT ALL THAT APPLY)
    1. SPEAK LOUDLY SO THE PATIENT CAN HEAR YOU.
    2. SIT FACING THE PATIENT SO HE IS ABLE TO WATCH YOUR LIP MOVEMENTS AND FACIAL EXPRESSIONS.
    3. PRESENT ONE IDEA OR CONCEPT AT A TIME.
    4 SEND A WRITTEN COPY OF THE INSTRUCTIONS HOME WITH HIM AND TELL HIM TO HAVE THE FAMILY REVIEW THEM.
    5. INCLUDE THE FAMILY CAREGIVER IN THE TEACHING SESSION.
    • 2. SIT FACING THE PATIENT SO HE IS ABLE TO WATCH YOUR LIP MOVEMENTS AND FACIAL EXPRESSIONS.
    • 3. PRESENT ONE IDEA OR CONCEPT AT A TIME.
    • 5. INCLUDE THE FAMILY CAREGIVER IN THE TEACHING SESSION.
  114. TASTE BUDS ATROPHY AND LOSE SENSITIVITY, AND APPETITE MAY DECREASE.  AS A RESULT, THE OLDER ADULT IS LESS ABLE TO DISCERN:
    1. SPICY, AND BLAND FOODS.
    2. SALTY, SOUR, AND BETTER TASTES
    3. HOT AND OCLD FOOD TEMPERATURES.
    4. MOIST AND DRY FOOD PREPARATIONS
    2. SALTY, SOUR, AND BETTER TASTES
  115. KYPHOSIS, A CHANGE IN THE MUSCULOSKELETAL SYSTEM,LEADS TO 
    1. DECREASED BONE DENSITY IN THE VERTEBRAE AND HIPS
    2. INCREASED RISK FOR PATHOLOGICAL STRESS FRACTURES IN THE HIPS
    3. CHANGES IN THE CONFIGURATION OF THE SPINE THAT AFFECT THE LUNGS AND THORAX.
    4. CALCIFICATION OF THE BONY TISSUES OF THE LONG BONES SUCH AS IN THE LEGS AND ARMS.
    3. CHANGES IN THE CONFIGURATION OF THE SPINE THAT AFFECT THE LUNGS AND THORAX.
  116. DURING A HOME HEALTH VISIT A NURSE TALKS WITH A PATIENT AND HIS FAMILY CAREGIVER ABOUT THE PATIENT'S MEDICATIONS.  THE PATIENT WAS HYPERTENSION AND RENAL DISEASE.  WHICH OF THE FOLLOWING FINDINGS PLACES HIM AT RISK FOR AN ADVERSE DRUG EVENT? (SELECT ALL THAT APPLY.)
    1. TAKING TWO MEDICATIONS FOR HYPERTENSION
    2. TAKING A TOTAL OF EIGHT DIFFERENT MEDICATIONS DURING THE DAY
    3. HAVING ONE PHYSICIAN WHO REVIEWS ALL MEDICATIONS
    4. PATIENT'S HEALTH HISTORY
    5. INVOLVEMENT OF THE CAREGIVER IN ASSISTING WITH MEDICATION ADMINISTRATION.
    • 2. TAKING A TOTAL OF EIGHT DIFFERENT MEDICATIONS DURING THE DAY
    • 4. PATIENT'S HEALTH HISTORY
  117. YOU ARE CARING FOR AN 80 YEAR OLD MAN WHO RECENTLY LOST HIS WIFE.  HE SHARES WITH YOU THAT HE HAS BEEN DRINKING MORE THAN HE EVER DID IN THE PAST AND FEELS HOPELESS WITHOUT HIS WIFE.  HE REPORTS THAT HE RARELY SEES HIS CHILDREN AND FEELS ISOLATED AND ALONE.  THIS PATIENT IS AT RISK FOR:
    1. DEMENTIA
    2. LIVER FAILURE
    3. DEHYDRATION
    4. SUICIDE
    4. SUICIDE
  118. YOU ARE WORKING WITH AN OLDER ADULT AFTER AN ACUTE HOSPITALIZATION.  YOUR GOAL IS TO HELP THIS PERSON BE MORE IN TOUCH WITH TIME, PLACE,AND PERSON.  WHAT MIGHT YOU TRY?
    1. REMINISCENCE
    2. VALIDATION THERAPY
    3. REALITY ORIENTATION
    4  BODY IMAGE INTERVENTIONS
    3. REALITY ORIENTATION
  119. A 71 YEAR OLD PATIENT ENTERS THE EMERGENCY DEPARTMENT AFTER FALLING DOWN STAIRS IN THE HOME.  THE NURSE IS CONDUCTING A FALL HISTORY WITH THE PATIENT AND HIS WIFE.  THEY LIVE IN A ONE LEVEL RANCH HOME.  HE HAS HAD DIABETES FOR OVER 15 YEARS AND EXPERIENCES SOME NUMBNESS IN HIS FEET.  HE WEARS BIFOCAL GLASSES. HIS BLOOD PRESSURE IS STABLE AROUND 130/70.  THE PATIENT DOES NOT EXERCISE REGULARLY AND COMPLAINS OF WEAKNESS IN HIS LEGS WHEN CLIMBING STAIRS.  HE IS ALERT, ORIENTED, AND ABLE TO ANSWER QUESTIONS CLEARLY.  WHAT ARE THE FALL RISK FACTORS FOR THIS PATIENT? (SELECT ALL THAT APPLY)
    1. PRESENCE OF A CHRONIC DISEASE
    2. IMPAIRED VISION
    3. RESIDENCE DESIGN
    4. BLOOD PRESSURE
    5. LEG WEAKNESS
    6. EXERCISE HISTORY
    • 1. PRESENCE OF A CHRONIC DISEASE
    • 2. IMPAIRED VISION
    • 5. LEG WEAKNESS
    • 6. EXERCISE HISTORY
  120. A PATIENT ON BED REST FOR SEVERAL DAYS ATTEMPTS TO WALK WITH ASSISTANCE.  HE BECOMES DIZZY AND NAUSEATED.  HIS PULSE RATE JUMPS FROM 85 TO 110 BEATS/MIN.  THESE ARE MOST LIKELY SYMPTOMS OF WHICH OF THE FOLLOWING?
    1. REBOUND HYPERTENSION
    2. ORTHOSTATIC HYPOTENSION
    3. DYSFUNCTIONAL PROPRIOCEPTION
    4. CENTRAL NERVOUS SYSTEM REBOUND HYPOTENSION
    2. ORTHOSTATIC HYPOTENSION
  121. WHICH ACTION(S) ARE APPROPRIATE FOR THE NURSE TO IMPLEMENT WHEN A PATIENT EXPERIENCES ORTHOSTATIC HYPOTENSION? (SELECT ALL THAT APPLY)
    1. CALL FOR ASSISTANCE
    2. ALLOW PATIENT TO SIT DOWN
    3. TAKE PATIENT'S BLOOD PRESSURE AND PULSE
    4. CONTINUE TO AMBULATE PATIENT TO BUILD ENDURANCE
    5. IF PATIENT BEGINS TO FAINT, ALLOW HIM TO SLIDE AGAINST THE NURSES LEG TO THE FLOOR.
    • (SELECT ALL THAT APPLY)1. CALL FOR ASSISTANCE
    • 2. ALLOW PATIENT TO SIT DOWN
    • 3. TAKE PATIENT'S BLOOD PRESSURE AND PULSE
    • 5. IF PATIENT BEGINS TO FAINT, ALLOW HIM TO SLIDE AGAINST THE NURSES LEG TO THE FLOOR.
  122. WHICH OF THE FOLLOWING BEST MOTIVATES A PATIENT TO PARTICIPATE IN AN EXERCISE PROGRAM?
    1. GIVING A PATIENT INFORMATION ON EXERCISE
    2. PROVIDING INFORMATION TO THE PATIENT WHEN THE PATIENT IS READY TO CHANGE BEHAVIOR
    3. EXPLAINING THE IMPORTANCE OF EXERCISE WHEN A PATIENT IS DIAGNOSED WITH A CHRONIC DISEASE SUCH AS DIABETES
    4. FOLLOWING UP WITH INSTRUCTIONS AFTER THE HEALTH CARE PROVIDER TELLS A PATIENT TO BEGIN AN EXERCISE PROGRAM.
    2. PROVIDING INFORMATION TO THE PATIENT WHEN THE PATIENT IS READY TO CHANGE BEHAVIOR
  123. WHICH OF THE FOLLOWING IS A PRINCIPLE OF PROPER BODY MECHANICS WHEN LIFTING OR CARRYING OBJECTS?
    1. KEEP KNEES IN A LOCKED POSITION
    2. BEND AT THE WAIST TO MAINTAIN A CENTER OF GRAVITY
    3. MAINTAIN A WIDE BASE OF SUPPORT
    4. HOLD OBJECTS AWAY FROM THE BODY FOR IMPROVED LEVERAGE.
    3. MAINTAIN A WIDE BASE OF SUPPORT
  124. WHICH GROUP OF PATIENTS IS AT MOST RISK FOR SEVERE INJURIES RELATED TO FALLS?
    1. ADOLESCENTS
    2. OLDER ADULTS
    3. TODDLERS
    4. YOUNG CHILDREN
    2 OLDER ADULTS
  125. A NURSE PLANS TO PROVIDE EDUCATION TO THE PARENTS OF SCHOOL AGED CHILDREN AND INCLUDES WHICH OF THE FOLLOWING RESULT IN CHILDREN BEING LESS PHYSICALLY ACTIVE OUTSIDE OF SCHOOL
    1. AN INCREASE IN OBESITY
    2. AN INCREASE IN HEART DISEASE
    3. HIGHER COMPUTER LITERACY
    4. IMPROVED SCHOOL ATTENDANCE AND GRADES
    1. AN INCREASE IN OBESITY
  126. A NURSING ASSISTIVE PERSONNEL ASKS FOR HELP TO TRANSFER A PATIENT WHO IS 125 LBS FROM THE BED TO A WHEELCHAIR.  THE PATIENT IS UNABLE TO ASSIST.  WHAT IS THE NURSE'S BEST RESPONSE?
    1. "AS LONG AS WE USE PROPER BODY MECHANICS, NO ONE WILL GET HURT"
    2. "THE PATIENT ONLY WEIGHS 125 LB.  YOU DON'T NEED MY ASSISTANCE"
    3. CALL THE LIFT TEAM FOR ADDITIONAL ASSISTANCE
    4. THE TWO OF US CAN EASILY LIFT THE PATIENT.
    3. CALL THE LIFT TEAM FOR ADDITIONAL ASSISTANCE
  127. YOU ARE TRANSFERRING A PATIENT WHO WEIGHS 320 LB FROM HIS BED TO A CHAIR.  THE PATIENT HAS AN ORDER FOR PARTIAL WEIGHT BEARING AS A RESULT OF BILATERAL RECONSTRUCTIVE KNEE SURGERY.  WHICH OF THE FOLLOWING IS THE BEST TECHNIQUE FOR TRANSFER?
    1. USE A TRANSFER BOARD
    2. OBTAIN A STAND ASSIST DEVICE
    3. IMPLEMENT A THREE PERSON CARRY
    4. USE A CEILING MOUNTED LIFT.
    4. USE A CEILING MOUNTED LIFT.
  128. WHICH IS THE CORRECT GAIT WHEN A PATIENT IS ASCENDING STAIRS ON CRUTCHES
    1. A MODIFIED TWO POINT GAIT.  THE AFFECTED LEG IS ADVANCED BETWEEN THE CRUTCHES TO THE STAIRS
    2. A MODIFIED THREE POINT GAIT.  THE UNAFFECTED LEG IS ADVANCED BETWEEN THE CRUTCHES TO THE STAIRS.
    3 A SWING THROUGH GAIT
    4. A MODIFIED FOUR POINT GAIT.  BOTH LEGS ADVANCE BETWEEN THE CRUTCHES TO THE STAIRS
    2. A MODIFIED THREE POINT GAIT.  THE UNAFFECTED LEG IS ADVANCED BETWEEN THE CRUTCHES TO THE STAIRS.
  129. A PATIENT RECOVERING FROM BILATERAL KNEE REPLACEMENTS IS PRESCRIBED BILATERAL PARTIAL WEIGHT BEARING.  YOU REINFORCE CRUTCH WALKING KNOWING THAT WHICH OF THE FOLLOWING CRUTCH GAITS IS MOST APPROPRIATE FOR THIS PATIENT?
    1. TWO POINT GAIT
    2. THREE POINT GAIT
    3. FOUR POINT GAIT
    4. SWING THROUGH GAIT
    2. THREE POINT GAIT
  130. A PATIENT ON WEEK LONG BED REST IS NOW PERFORMING ISOMETRIC EXERCISES.  WHICH NURSING DIAGNOSIS BEST ADDRESSES THE SAFETY OF THIS PATIENT?
    1. DISTURBED THOUGHT PROCESS
    2. IMPAIRED SKIN INTEGRITY
    3. DISTURBED BODY IMAGE
    4. RISK FOR ACTIVITY INTOLERANCE
    4. RISK FOR ACTIVITY INTOLERANCE
  131. WHICH OF THE FOLLOWING ACTIVITIES DOES THE NURSE DELEGATE TO NURSING ASSISTIVE PERSONNEL IN REGARD TO CRUTCH WALKING? (SELECT ALL THAT APPLY)
    1. NOTIFY THE NURSE IF PATIENT REPORTS PAIN BEFORE, DURING, OR AFTER EXERCISE
    2. NOTIFY NURSE OF PATIENT COMPLAINTS OF INCREASED FATIGUE, DIZZINESS, LIGHT-HEADEDNESS WHEN OBTAINING VITAL SIGNS BEFORE AND/OR AFTER EXERCISING
    3. NOTIFY NURSE OF VITAL SIGN VALUES
    4. EVALUATE THE PATIENTS ABILITY TO USE CRUTCHES PROPERLY
    5. PREPARE THE PATIENT FOR EXERCISE BY ASSISTING IN DRESSING AND PUTTING ON SHOES.
    • 1. NOTIFY THE NURSE IF PATIENT REPORTS PAIN BEFORE, DURING, OR AFTER EXERCISE
    • 2. NOTIFY NURSE OF PATIENT COMPLAINTS OF INCREASED FATIGUE, DIZZINESS, LIGHT-HEADEDNESS WHEN OBTAINING VITAL SIGNS BEFORE AND/OR AFTER EXERCISING
    • 3. NOTIFY NURSE OF VITAL SIGN VALUES
    • 5. PREPARE THE PATIENT FOR EXERCISE BY ASSISTING IN DRESSING AND PUTTING ON SHOES.
  132. SELECT STATEMENTS THAT APPLY TO THE PROPER USE OF A CANE (SELECT ALL THAT APPLY)
    1. FOR MAXIMUM SUPPORT WHEN WALKING, THE PATIENT PLACES THE CANE FORWARD 15 TO 25 CM (6 TO 10 INCHES), KEEPING BODY WEIGHT ON BOTH LEGS.  THE WEAKER LEG IS MOVED FORWARD TO THE CANE SO BODY WEIGHT IS DIVIDED BETWEEN THE CANE AND THE STRONGER LEG.
    2. A PERSON'S CANE LENGTH IS EQUAL TO THE DISTANCE BETWEEN THE ELBOW AND THE FLOOR.
    3. CANES PROVIDE LESS SUPPORT THAN A WALKER AND ARE LESS STABLE.
    4. THE PATIENT NEEDS TO LEARN THAT TWO POINTS OF SUPPORT SUCH AS BOTH FEET OR ONE FOOT AND THE CANE NEED TO BE PRESENT AT ALL TIMES.
    • 1. FOR MAXIMUM SUPPORT WHEN WALKING, THE PATIENT PLACES THE CANE FORWARD 15 TO 25 CM (6 TO 10 INCHES), KEEPING BODY WEIGHT ON BOTH LEGS.  THE WEAKER LEG IS MOVED FORWARD TO THE CANE SO BODY WEIGHT IS DIVIDED BETWEEN THE CANE AND THE STRONGER LEG.
    • 3. CANES PROVIDE LESS SUPPORT THAN A WALKER AND ARE LESS STABLE.
    • 4. THE PATIENT NEEDS TO LEARN THAT TWO POINTS OF SUPPORT SUCH AS BOTH FEET OR ONE FOOT AND THE CANE NEED TO BE PRESENT AT ALL TIMES.
  133. A PATIENT IS DISCHARGED AFTER AN EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD).  SHE STAES, "I'M AFRAID TO GO TO PULMONARY REHABILITATION."  WHAT IS YOUR BEST RESPONSE?
    1. PULMONARY REHABILITATION PROVIDES A SAFE ENVIRONMENT FOR MONITORING YOUR PROGRESS
    2. YOU HAVE TO PARTICIPATE OR YOU WILL BE BACK IN THE HOSPITAL
    3. TELL ME MORE ABOUT YOUR CONCERNS WITH GOING TO PULMONARY REHABILITATION
    4. THE STAFF AT OUR PULMONARY REHABILITATION FACILITY ARE PROFESSIONALS AND WILL NOT CAUSE YOU ANY HARM.
    1. PULMONARY REHABILITATION PROVIDES A SAFE ENVIRONMENT FOR MONITORING YOUR PROGRESS
  134. AN OLDER ADULT HAS LIMITED MOBILITY AS A RESULT OF A SURGICAL REPAIR OF A FRACTURE HIP.  DURING ASSESSMENT YOU NOTE THAT THE PATIENT CANNOT TOLERATE LYING FLAT.  WHICH OF THE FOLLOWING ASSESSMENT DATA SUPPORT A POSSIBLE PULMONARY PROBLEM RELATED TO IMPAIRED MOBILITY? (SELECT ALL THAT APPLY)
    1. B/P = 128/84
    2. RESPIRATIONS 26 PER MINUTE ON ROOM AIR
    3. HR 114
    4. CRACKLES HEARD ON AUSCULTATION
    5. PAIN REPORTED AS 3 ON SCALE OF 1 TO 10 AFTER MEDICATION
    • 2. RESPIRATIONS 26 PER MINUTE ON ROOM AIR
    • 3. HR 114
    • 4. CRACKLES HEARD ON AUSCULTATION
  135. A PATIENT HAS HER CALL BELL ON AND LOOKS FRIGHTENED WHEN YOU ENTER THE ROOM.  SHE HAS BEEN ON BED REST FOR 3 DAYS FOLLOWING A FRACTURED FEMUR.  SHE SAYS, "IT HURTS WHEN I TRY TO BREATH, AND I CAN'T CATCH MY BREATH."  YOUR FIST ACTION IS TO:
    1. CALL THE HEALTH CARE PROVIDER TO REPORT THIS CHANGE IN CONDITION
    2. GIVE THE PATIENT A PAPER BAG TO BREATHE INTO TO DECREASE HER ANXIETY
    3. ASSESS HER VITAL SIGNS, PERFORM A RESPIRATORY ASSESSMENT, AND BE PREPARED TO START OXYGEN.
    4. EXPLAIN THAT THIS IS NORMAL AFTER SUCH TRAUMA AND ADMINISTER THE ORDERED PAIN MEDICATION
    3. ASSESS HER VITAL SIGNS, PERFORM A RESPIRATORY ASSESSMENT, AND BE PREPARED TO START OXYGEN.
  136. THE NURSE PUTS ELASTIC STOCKINGS ON A PATIENT FOLLOWING MAJOR ABDOMINAL SURGERY.  THE NURSE TEACHES THE PATIENT THAT THE STOCKINGS ARE USED AFTER A SURGICAL PROCEDURE TO:
    1. PREVENT VARICOSE VEINS
    2. PREVENT MUSCULAR ATROPHY
    3. ENSURE JOINT MOBILITY AND PREVENT CONTRACTURES
    4. PROMOTE VENOUS RETURN TO THE HEART
    4. PROMOTE VENOUS RETURN TO THE HEART
  137. A NURSE IS TEACHING A COMMUNITY GROUP ABOUT WAYS TO MINIMIZE THE RISK OF DEVELOPING OSTEOPOROSIS.  WHICH OF THE FOLLOWING STATEMENTS MADE BY A WOMAN IN THE AUDIENCE REFLECTS A NEED FOR FURTHER EDUCATION?
    1. "I USUALLY GO SWIMMING WITH MY FAMILY AT THE YMCA 3 TIMES A WEEK"
    2. " I NEED TO ASK MY DOCTOR IF I SHOULD HAVE A BONE MINERAL DENSITY CHECK THIS YEAR
    3. "IF I DON'T DRINK MILK AT DINNER, I'LL EAT BROCCOLI OR CABBAGE TO GET THE CALCIUM THAT I NEED IN MY DIET
    4. I'LL CHECK THE LABEL OF MY MULTIVITAMIN.  IF IT HAS CALCIUM, I CAN SAVE MONEY BY NOT TAKING ANOTHER PILL
    4. I'LL CHECK THE LABEL OF MY MULTIVITAMIN.  IF IT HAS CALCIUM, I CAN SAVE MONEY BY NOT TAKING ANOTHER PILL
  138. THE PATIENT AT GREATEST RISK FOR DEVELOPING MULTIPLE ADVERSE EFFECTS OF IMMOBILITY IS A 
    1. 1 YEAR OLD CHILD WITH A HERNIA REPAIR
    2. 80 YEAR OLD WOMAN WHO HAS SUFFERED A HEMORRHAGIC CEREBROVASCULAR ACCIDENT (CVA)
    3 51 YEAR OLD WOMAN FOLLOWING A THYROIDECTOMY
    4. 38 YEAR OLD WOMAN UNDERGOING A HYSTERECTOMY.
    2. 80 YEAR OLD WOMAN WHO HAS SUFFERED A HEMORRHAGIC CEREBROVASCULAR ACCIDENT (CVA)
  139. AN OLDER ADULT WHO WAS IN A CAR ACCIDENT AND FRACTURED HIS FEMUR HAS BEEN IMMOBILIZED FOR 5 DAYS.  WHICH NURSING DIAGNOSIS IS RELATED TO PATIENT SAFETY WHEN THE NURSE ASSISTS THIS PATIENT OUT OF BED FOR THE FIRST TIME?
    1. CHRONIC PAIN
    2. IMPAIRED SKIN INTEGRITY
    3. RISK FOR INEFFECTIVE CEREBRAL TISSUE PERFUSION
    4. RISK FOR ACTIVITY INTOLERANCE
    4. RISK FOR ACTIVITY INTOLERANCE
  140. A PATIENT HAD A LEFT SIDED CEREBROVASCULAR ACCIDENT 3 DAYS AGO AND IS RECEIVING 5000 UNITS OF HEPARIN SUBCUTANEOUSLY EVERY 12 HOURS TO PREVENT THROMBOPHLEBITIS.  THE PATIENT IS RECEIVING ENTERAL FEEDINGS THROUGH A SMALL BORE NASOGASTRIC (NG) TUBE BECAUSE OF DYSPHAGIA.  WHICH OF THE FOLLOWING SYMPTOMS REQUIRES THE NURSE TO CALL THE HEALTH CARE PROVIDER IMMEDIATELY?
    1. PALE YELLOW URINE
    2. UNILATERAL NEGLECT
    3. SLIGHT MOVEMENT NOTED ON THE R SIDE
    4. COFFEE GROUND LIKE ASPIRATE FROM THE FEEDING TUBE
    4. COFFEE GROUND LIKE ASPIRATE FROM THE FEEDING TUBE
  141. A HOME CARE NURSE IS PREPARING THE HOME FOR A PATIENT WHO IS DISCHARGED TO HOME FOLLOWING A LEFT SIDED STROKE.  THE PATIENT IS COOPERATIVE AND CAN AMBULATE WITH A QUAD CANE.  WHICH OF THE FOLLOWING MUST BE CORRECTED OR REMOVED FOR THE PATIENTS SAFETY: (SELECT ALL THAT APPLY)
    1. THE RUBBER MAT IN THE WALK IN SHOWER
    2. THE THREE LEGGED STOOL ON WHEELS IN THE KITCHEN
    3. THE BRAIDED THROW RUGS IN THE ENTRY HALLWAY AND BETWEEN THE BEDROOM AND BATHROOM
    4. THE NIGHT LIGHTS IN THE HALLWAYS, BEDROOM AND BATHROOM
    5. THE CORDLESS PHONE NEXT TO THE PATIENTS BED
    • 2. THE THREE LEGGED STOOL ON WHEELS IN THE KITCHEN
    • 3. THE BRAIDED THROW RUGS IN THE ENTRY HALLWAY AND BETWEEN THE BEDROOM AND BATHROOM
  142. THE NURSE IS CARING FOR A PATIENT WHOSE CALCIUM INTAKE MUST INCREASE BECAUSE OF HIGH RISK FACTORS FOR OSTEOPOROSIS. THE NURSE WOULD RECOMMEND WHICH OF THE FOLLOWING MENUS?
    1. CREAM OF BROCCOLI SOUP WITH WHOLE WHEAT CRACKERS AND TAPIOCA FOR DESSERT
    2. HAMBURGER ON SOFT ROLL WITH A SIDE SALAD AND AN APPLE FOR DESSERT
    3. LOW FAT TURKEY CHILI WITH SOUR CREAM AND FRESH PEARS FOR DESSERT
    4. CHICKEN SALAD ON TOAST WITH TOMATO AND LETTUCE AND HONEY BUN FOR DESSERT.
    1. CREAM OF BROCCOLI SOUP WITH WHOLE WHEAT CRACKERS AND TAPIOCA FOR DESSERT
  143. BEFORE TRANSFERRING A PATIENT FROM THE BED TO A STRETCHER, WHICH ASSESSMENT DATA DOES THE NURSE NEED TO GATHER? (SELECT ALL THAT APPLY)
    1. PATIENT'S WEIGHT
    2. PATIENT'S LEVEL OF COOPERATION
    3. PATIENT'S ABILITY TO ASSIST
    4. PRESENCE OF MEDICAL EQUIPMENT
    5. 24 HOUR CALORIE INTAKE
    • 1. PATIENT'S WEIGHT
    • 2. PATIENT'S LEVEL OF COOPERATION
    • 3. PATIENT'S ABILITY TO ASSIST
    • 4. PRESENCE OF MEDICAL EQUIPMENT
  144. A PATIENT OF ANY AGE CAN DEVELOP A CONTRACTURE OF A JOINT WHEN:
    1. THE ADDUCTORS MUSCLES ARE WEAKENED AS A RESULT OF IMMOBILITY
    2. THE MUSCLE FIBERS BECOME SHORTENED BECAUSE OF DISUSE.
    3. THE CALCIUM TO PHOSPHORUS RATION BECOMES DISRUPTED
    4. THERE IS A DEFICIENCY IN VITAMIN D
    2. THE MUSCLE FIBERS BECOME SHORTENED BECAUSE OF DISUSE.
  145. IMMOBILIZED PATIENTS ARE AT RISK FOR IMPAIRED SKIN INTEGRITY.  WHICH OF THE FOLLOWING INTERVENTIONS WOULD REDUCE THIS RISK? (SELECT ALL THAT APPLY)
    1. REPOSITIONING PATIENT EVERY 1 TO 2 HOURS WHILE AWAKE
    2. USING AN OBJECTIVE, VALID SCALE TO ASSESS PATIENT'S RISK FOR PRESSURE ULCER DEVELOPMENT
    3. USING A DEVICE TO RELIEVE PRESSURE WHEN PATIENT IS SEATED IN CHAIR
    4. TEACHING PATIENT HOW TO SHIFT WEIGHT AT REGULAR INTERVALS WHILE SITTING IN A CHAIR
    5. A GOOD RULE IS: THE HIGHER THE RISK FOR SKIN BREAKDOWN, THE SHORTER THE INTERVAL BETWEEN POSITION CHANGES
    • 2. USING AN OBJECTIVE, VALID SCALE TO ASSESS PATIENT'S RISK FOR PRESSURE ULCER DEVELOPMENT
    • 3. USING A DEVICE TO RELIEVE PRESSURE WHEN PATIENT IS SEATED IN CHAIR
    • 4. TEACHING PATIENT HOW TO SHIFT WEIGHT AT REGULAR INTERVALS WHILE SITTING IN A CHAIR
    • 5. A GOOD RULE IS: THE HIGHER THE RISK FOR SKIN BREAKDOWN, THE SHORTER THE INTERVAL BETWEEN POSITION CHANGES
  146. WHICH OF THE FOLLOWING INDICATES THAT ADDITIONAL ASSISTANCE IS NEEDED TO TRANSFER THE PATIENT FROM THE BED TO THE STRETCHER?
    1. THE PATIENT IS 5 FEET 6 INCHES AND WEIGHS 120 LBS.
    2. THE PATIENT SPEAKS AND UNDERSTANDS ENGLISH
    3. THE PATIENT RECEIVED AN INJECTION OF MORPHINE 30 MINUTES AGO FOR PAIN.
    4. YOU FEEL COMFORTABLE HANDLING A PATIENT OF HIS SIZE AND WITH HIS LEVEL OF COOPERATION
    3. THE PATIENT RECEIVED AN INJECTION OF MORPHINE 30 MINUTES AGO FOR PAIN.
  147. A PATIENT WITH LET SIDED WEAKNESS ASKS HIS NURSE, "WHY ARE YOU WALKING ON MY LEFT SIDE:  I CAN HOLD ON TO YOU BETTER WITH MY RIGHT HAND." WHAT WOULD BE YOUR BEST THERAPEUTIC RESPONSE?
    1. WALKING ON YOUR LEFT SIDE LETS ME USE MY RIGHT HAND TO HOLD ON TO YOUR ARM.  IN CASE YOU START TO FALL, I CAN STILL HOLD YOU
    2. WOULD YOU LIKE ME TO WALK ON YOUR RIGHT SIDE SO YOU FEEL MORE SECURE
    3. EITHER SIDE IS APPROPRIATE, BUT I PREFER THE LEFT SIDE.  IF YOU LIKE, I CAN HAVE ANOTHER NURSE WALK WITH YOU WHO WILL HOLD YOU ON THE RIGHT SIDE.
    4. BY WALKING ON YOUR LEFT SIDE I CAN SUPPORT YOU AND HELP KEEP YOU FROM INJURY IF YOU SHOULD START TO FALL.  BY HOLDING YOUR WAIST, I WOULD PROTECT YOUR SHOULDER IF YOU SHOULD START TO FALL OR FAINT
    4. BY WALKING ON YOUR LEFT SIDE I CAN SUPPORT YOU AND HELP KEEP YOU FROM INJURY IF YOU SHOULD START TO FALL.  BY HOLDING YOUR WAIST, I WOULD PROTECT YOUR SHOULDER IF YOU SHOULD START TO FALL OR FAINT
  148. WHICH IS AN OUTCOME FOR A PATIENT DIAGNOSED WITH OSTEOPOROSIS?
    1. MAINTAIN SERUM LEVEL OF CALCIUM
    2. MAINTAIN INDEPENDENCE WITH ACTIVITIES OF DAILY LIVING (ADLS'S) 
    3. REDUCE SUPPLEMENTAL SOURCES OF VITAMIN D
    4. REVERSE BONE LOSS THROUGH DIETARY MANIPULATION
    2. MAINTAIN INDEPENDENCE WITH ACTIVITIES OF DAILY LIVING (ADLS'S)
  149. HEALTH IS THE MEANS TO VIEW THE TOTAL PERSON AND THEIR ENVIRONMENT, THE SPIRITUAL MIND AND BODY CONNECTIONS THAT CAN CONNECT ONES HEALTH
  150. HOLISTIC HEALTH
    CONTEMPORARY OR ALTERNATIVE MEDICINE BASED ON THE COMPREHENSIVE VIEW OF THE PERSON AS A SPIRITUAL BEING
  151. THE PRESENCE OF RISK FACTORS DOES NOT MEAN THAT A DISEASE WILL DEVELOP BUT RISK FACTORS INCREASE THE CHANCE THAT THE INDIVIDUAL WILL EXPERIENCE A PARTICULAR DISEASE OR DYSFUNCTION
  152. EQUIPMENT RELATED ACCIDENTS RESULT FROM MALFUNCTION DISREPAIR OR MISUSE OF EQUIPMENT. MAKE SURE THAT ALL EQUIPMENT HAS BEEN WELL MAINTAINED AND HAS UNDERGONE A SAFETY INSPECTION BY THE ENGINEERING DEPARTMENT.
  153. RAISED SIDE RAILS INCREASE THE OCCURRENCE OF FALLS SO IF A BED HAS SPLIT RAILS KEEP THE LOWER RAILS DOWN
  154. WHEN RECEIVING A PHYSICIANS ORDER FOR RESTRAINTS, THERE IS NO SUCH THING AS A PRN (OR AS NEEDED).  PHYSICIANS MUST ALWAYS HAVE A TIMED ORDER ON HOW LONG THE RESTRAINTS CAN BE USED AND WHAT CONDITIONS.
  155. IT IS NECESSARY,THAT WHEN USING RESTRAINTS WITH A PATIENT YOU NEED TO CHECK EVERY 15 TO 30 MINUTES TO MAKE SURE THE RESTRAINTS AREN'T TOO TIGHT.  REMOVE RESTRAINTS EVERY 2 HOURS TO CHECK CIRCULATION AND RANGE OF MOTION
  156. IF YOU SEE A PATIENT WHO IS HAVING A SEIZURE YOU NEED TO LOWER TO FLOOR AND PUT ON THEIR SIDE IF IN A CHAIR
  157. PATIENTS NEED TO KNOW HOW TO PROPERLY DISPOSE OF BIOHAZARDOUS (DRESSING CHANGES)
  158. ABC FIRE EXTINGUISHERS ARE MOST COMMON USED IN A HOSPITAL
  159. A FIRE EXTINGUISHER IS USED FOR PAPER AND CLOTH
  160. TO PROMOTE PATIENT UNDERSTANDING, AND SECURITY, THE NURSE IS RESPONSIBLE FOR EXPLAINING ALL PROCEDURES THE NURSE IS HAVING DONE
  161. EXPLAIN TO ALL THE MEMBERS INVOLVED IN CARE-GIVING, THAT ROLE STRAIN MAY BE PRESENT WHEN THE FOLLOWING OCCURS:

    CHANGE IN APPETITE, SLEEPING, LEISURE ACTIVITIES
    CAREGIVER IS FEARFUL WHEN LEARNING
    LOSS OF INTEREST IN PERSONAL APPEARANCE
    PROBLEMS MAY INTENSIFY WITH STATUS CHANGE
  162. THE ONE CONCERN OF THE NURSE IS WHO MAKES THE HOUSEHOLD DECISIONS
  163. SELECTIVE OPTIMIZATION WITH COMPENSATION THEORY STATES THAT AS INDIVIDUALS AGE, THEY ARE ABLE TO COMPENSATE FOR SOME DECREASES IN PHYSICAL OR COGNITIVE PERFORMANCE BY DEVELOPING NEW APPROACHES
  164. TRIANGLE FONTANELS IS POSTERIOR
    DIAMOND FONTANELS IS ANTERIOR
  165. DURING INFANT CHILD DEVELOPMENT PLAY IS, THE BEST RECOGNIZED, AS A MEANS TO INTERACT WITH THE ENVIRONMENT AND RELATE TO OTHERS
  166. CHILDREN SHOULD BE LIMITED TO NO MORE THAN 3 TO 4 SNACKS A DAY
  167. SUPPORT FROM A NURSE, ACCESS TO INFORMATION AND APPROPRIATE REFERRALS PROVIDE OPPORTUNITIES FOR ACHIEVEMENT OF A PATIENT'S POTENTIAL
  168. CHANGING NORMS AND VALUES ABOUT FAMILY IN THE US REVEAL BASIC SHIFTS IN ATTITUDES OF OUR SOCIETY
  169. DURING MIDDLE ADULTHOOD THE PATIENT IS LIKELY TO ADOPT FAVORABLY TO A CHANGING BODY IMAGE IF HE/SHE ENGAGES IN GOOD HYGIENE PRACTICE
  170. IF YOU HAVE A DIABETIC PATIENT, YOU NEED A SOFT BRUSH TO CLEAN AROUND THEIR CUTICLES
  171. PAGE 161 TABLE 13-1
  172. LIMITED RANGE OF MOTION OFTEN INDICATES INFLAMMATION SUCH AS ARTHRITIS FLUID IN THE JOINT, ALTERED NERVE SUPPLY OR CONTRACTURES.  INCREASE MOBILITY OF A JOINT SOMETIMES INDICATES A CONNECTIVE TISSUE DISORDER, LIGAMENT TEARS OR POSSIBLE JOINT FRACTURE.
  173. TO FIND TARGET HEART RATE
    220-AGE(6O%-90%)
  174. HAVE THE PATIENT KEEP THEIR CANE ON THE STRONGER SIDE OF THEIR BODY.  CRUTCHES KEEP 3-4 FINGERS BETWEEN TOP OF CRUTCH AND AXILLA
  175. 3PT
    NURSE INSTRUCTS THE PATIENT TO MOVE BOTH CRUTCHES AND THEN THE EFFECTED LEG AND THEN THE STRONG LEG
  176. 2PT
    LEFT FOOT AND RIGHT CRUTCH, THEN RIGHT FOOT AND LEFT CRUTCH
  177. THE NURSE IS RESPONSIBLE FOR ASSISTING AMBULATION THE 1ST TIME A POST OP PATIENT GETS OUT OF BED
  178. THE NURSE SHOULD BE TIGHTENING THEIR STOMACH MUSCLES AND THEIR TRUNK OR PELVIC MUSCLES TO PROVIDE A GOOD CORE POSITION WHEN HELPING PATIENTS MOVE
  179. MANUAL LIFTING AND TRANSFERRING PATIENTS CONTRIBUTES TO THE HIGH INCIDENCE OF WORK RELATED MUSCULOSKELETAL PROBLEMS AND BACK INJURIES IN NURSES AND OTHER HEALTH CARE STAFF
  180. TURN EVERY 2 HOURS TO PREVENT PRESSURE ULCERS
  181. RESPIRATORY ASSESSMENT EVERY 2 HOURS
  182. IF POSSIBLE THE NURSE WANTS TO ENCOURAGE EARLY AMBULATION TO PREVENT VENOUS STASIS.  IF YOUR PATIENT IS GOING TO BE DISCHARGED AFTER BEING TREATED FOR A DVT & INSTRUCTED TO WEAR ANTIEMBOLIC STOCKINGS, YOU SHOULD SUGGEST THEY HAVE 2 PAIR.  THEY NEED WASHED EVERY 2 DAYS AND LAY FLAT TO DRY
  183. TO VERIFY THE FIT OF THE SCD SLEEVE, YOU PLACE 2 FINGERS BETWEEN SLEEVE AND PATIENTS SKIN AND CONNECT TO MACHINE AND TURN MACHINE ON
  184. ANTIEMBOLIC ELASTIC STOCKINGS ARE ORDERED TO APPLY EXTERNAL PRESSURE FO PATIENTS THAT HAVE LIMITED ABILITY.  THEY NEED TO BE REMOVED FOR 30 MINUTES EVERY 8 HOURS
  185. IF PATIENT CAN'T ASSIST WHEN REPOSITIONING UP IN BED, ASK THE PATIENT TO FLEX HIS KNEES AND PUSH ON THE COUNT OF 3
  186. WHEN GETTING A PATIENT OUT OF BED FOLLOWING PROLONGED IMMOBILITY, RAISE THE HEAD OF THE BED AND ALLOW THEM TIME TO ADJUST PRIOR TO HAVING THEM DANGLING ON THE SIDE OF THE BED.  THIS WILL PREVENT HYPOTENSION
  187. HEMOPLASIA
    PARALYSIS ON ONE SIDE
  188. HEMOPERESIS
    WEAK ON ONE SIDE
  189. WHEN YOU HAVE A PATIENT WITH HEMOPLASIA OR HEMIPARESIS, PLACE THE CANE ON THE STRONGER SIDE AND MOVE THE STRONGER LEG AND WEAKER LEG LAST

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