EXN106A2

Card Set Information

Author:
ndarlenebeck
ID:
295770
Filename:
EXN106A2
Updated:
2015-02-14 19:12:41
Tags:
Excelsior
Folders:
Excelsior
Description:
Excelsior form A part 2
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user ndarlenebeck on FreezingBlue Flashcards. What would you like to do?


  1. A nurse is teaching a group of older adults techniques to promote medication safety. Which statement made by the older adult indicates the teaching was ineffective?
    A) "My daughter gave me a large pill organizer that I will fill weekly."
    B) "My daughter knows the reason why I take each of my medications and I think that's OK."
    C) "I get all of my medications from the same pharmacy."
    D) "I have a list of all my over the counter drugs in my purse."
    B) "My daughter knows the reason why I take each of my medications and I think that's OK."
    (this multiple choice question has been scrambled)
  2. Which part of functional assessment can be assigned to unlicensed assistive personnel?
    A) vital signs
    B) abuse screening
    C) medication history
    D) 24 hour dietary intake review
    A) vital signs
    (this multiple choice question has been scrambled)
  3. Which activity should a nurse suggest to a mother of a normal two and 1/2 year old child?
    A) dancing
    B) going up steps using alternate feet
    C) building a tower of nine to ten cubes
    D) jumping using both feet
    D) jumping using both feet
    (this multiple choice question has been scrambled)
  4. A 49 year old divorced female is in the clinic for a routine physical examination. Which patient statement indicates the need for further screening during the examination?
    A) "My last physical examination and mammogram was 15 months ago."
    B) "I do not use protection since I have gone through menopause."
    C) "I have not smoked for over five years and feel better since I quit."
    B) "I do not use protection since I have gone through menopause."
    (this multiple choice question has been scrambled)
  5. An 89 year old patient states. "I live alone and I have little money. On sunny days, I don't use my air conditioner. I don't like to get a flu shot."
    A) risk for infection
    B) powerlessness
    C) ineffective thermoregulation
    D) confusion
    C) ineffective thermoregulation
    (this multiple choice question has been scrambled)
  6. The family of a 76 year old patient complains to the nurse that the patient is up wandering around the house at all hours of the night and is disturbing everyone's sleep. Which response should the nurse use initially?
    A) "How long does he sleep each night?"
    B) "What does he do during the day?"
    C) "Tell him to stay in his room."
    D) "It is normal for an older adult to have a different sleep pattern."
    B) "What does he do during the day?"
    (this multiple choice question has been scrambled)
  7. Which statement best teaches an older adult about safety issues related to driving?
    A) Drive five miles under the speed limit to accommodate diminished reaction time.
    B) Allow extra time to turn the steering wheel to compensate for muscle mass.
    C) Turn the head side to side before changing lanes to compensate for peripheral vision.
    D) Do not drive at night because the response time is slower.
    C) Turn the head side to side before changing lanes to compensate for peripheral vision.
    (this multiple choice question has been scrambled)
  8. An 80 year old patient has a neuromuscular impairment with very little fine motor movement. Which nursing diagnosis is appropriate for this patient?
    A) disturbed sensory perception
    B) self care deficit: dressing
    C) impaired skin integrity
    D) risk for powerlessness
    B) self care deficit: dressing
    (this multiple choice question has been scrambled)
  9. A nurse is screening health adolescent for health risks. Which factor should be included in this screening?
    A) bicycle safety
    B) suicide
    C) healthy nutrition
    D) sexual abuse
    B) suicide
    (this multiple choice question has been scrambled)
  10. Based on the goals of Healthy People 2010, a nurse focuses on health screening for which group?
    A) Young men are screened for genitourinary cancers.
    B) Young African Americans are screened for hypertension
    C) Young women are screened for reproductive cancers
    D) All of the young adults are screened for depression.
    B) Young African Americans are screened for hypertension.
    (this multiple choice question has been scrambled)
  11. During a home visit, the nurse notices that the patient is lying in a urine soaked bed and areas of inflammation appear on the patient's buttocks and elbows. The caregiver appears tired and states that they are doing their best for the patient, but they are just overwhelmed. What would be the appropriate intervention?
    A) Encourage the caregiver to have c complete physical.
    B) Teach the caregiver the importance of good skin care.
    C) Encourage placement of the patient in an extended care facility.
    D) Suggest respite care for the patient.
    D) Suggest respite care for the patient.
    (this multiple choice question has been scrambled)
  12. Which nursing action is a priority when caring for a patient with a chronic disease?
    A) provide supportive assistance for management of care.
    B) encourage family members to provide minimal assistance during times of crisis.
    C) take over all aspects of the patient's care.
    D) expect the patient to do the majority of care.
    A) provide supportive assistance for management of care.
    (this multiple choice question has been scrambled)
  13. A patient with a chronic illness says to the nurse. "You know I'm not sick now, I feel better each day." How should the nurse interpret the patient's statement?
    A) see themselves as sick when the disease interferes with their daily functioning.
    B) see themselves as the same as others without chronic illness.
    C) are using rationalization to deal with the illness.
    D) are not assuming the role of being sick.
    A) see themselves as sick when the disease interferes with their daily functioning.
    (this multiple choice question has been scrambled)
  14. Which nursing action ensures that a caregiver safely administers medications to a  patient through a gastrostomy tube?
    A) Keep the medication in the refrigerator until just before administration.
    B) Place the patient in Trendelenburg position while the medication is instilled.
    C) Flush the tube with clear water between administration of medication.
    D) Follow the medication with 100 mL of sterile water.
    C) Flush the tube with clear water between administration of medication.
    (this multiple choice question has been scrambled)
  15. The nurse provides care for a patient who has just been placed in an extended care facility. The patient is alert, oriented, and able to do limited self care. Which patient attribute would most likely contribute positively to the patient's adaptation to the loss of independence?
    A) an active and strong spirituality
    B) self-determination
    C) financial independence
    D) a large network of friends and family
    A) an active and strong spirituality
    (this multiple choice question has been scrambled)
  16. Which statement made by a patient about advance directives indicates that the patient understands their use?
    A) "My significant other will make all decisions for me if my disease progresses."
    B) "I told my family how I wish to be treated so I know I don't need to be worried about writing anything down."
    C) "I'm not very sick now, so I don't have to fill out the advance directives."
    D) "If I have a stroke, I do not want to have cardiopulmonary resuscitation or a ventilator, so I signed an advance directive."
    D) "If I have s stroke, I do not want to have cardiopulmonary resuscitation or a ventilator, so I signed an advance directive."
    (this multiple choice question has been scrambled)
  17. Which clinical manifestation is an adolescent with cystic fibrosis causes the greatest disruption in the adolescent's ability to successfully attain Erickson's stage of identity vs. role confusion?
    A) chronic cough
    B) barrel chest
    C) delay in onset of secondary sex characteristics
    D) poor absorption of nutrients
    A) chronic cough
    (this multiple choice question has been scrambled)
  18. Which data supports the nursing diagnosis of altered growth and development related to chronic illness?
    A) An eight year old performs self catherization while the parent watches.
    B) The parent plans the daily activity schedule for a 13 year old.
    C) The parent gives daily medications to a six year old.
    D) A 16 year old selects the accessories for a new wheelchair.
    B) The parent plans the daily activity schedule for a 13 year old.
    (this multiple choice question has been scrambled)
  19. Which statement made by a patient on long term anticoagulant therapy indicates that the nurse needs to provide the patient with additional information?
    A) "I use a night light to avoid bumping into objects."
    B) "I use laxatives as needed to keep my stools soft."
    C) "I always wear shoes when walking outside."
    D) "I use a toothbrush with soft bristles."
    B) "I use laxatives as needed to keep my stools soft."
    (this multiple choice question has been scrambled)
  20. A patient with chronic illness has developed complications. Which factor is important for the nurse to assess?
    A) the amount of financial support available to the patient
    B) the number of years the patient had been treated for chronic illness
    C) the seriousness of the complications
    D) the patient's efforts to manage the chronic illness
    D) the patient's efforts to manage the chronic illness
    (this multiple choice question has been scrambled)
  21. A patient expresses interest in mind body therapies to increase the release of insulin from the pancreas to improve his diabetes. Which therapy would the nurse recommend?
    A) hypnotherapy
    B) imagery
    C) yoga
    D) meditation
    C) yoga
    (this multiple choice question has been scrambled)
  22. Which nursing action would create a healing environment that would best facilitate feelings of self worth in patients in a long tern care facility?
    A) playing cards three times per week
    B) teaching patients about making health care decisions
    C) walking two times per day with patients outdoors.
    D) serving meals in the dining area
    B) teaching patient about making health care decisions
    (this multiple choice question has been scrambled)
  23. Which instructions would the nurse provide to a mother asking about how to do a cooling sponge bath for her five year old daughter who has a fever of 102 degrees?
    A) "Rub your daughter's skin vigorously to increase the blood flow to her skin."
    B) "Sponge the child quickly so that the temperature comes down more quickly."
    C) "Discontinue the bath if the child shivers during the sponge bath."
    D) "Sponge your daughter's chest and abdomen as they are the largest body areas."
    C) "Discontinue the bath if the child shivers during the sponge bath."
    (this multiple choice question has been scrambled)
  24. An adult patient reports not sleeping well at night. Which instruction should the nurse give the patient to promote restful sleep?
    A) Take short naps during the day when needed.
    B) Keep the bedroom warmer than other parts of the home.
    C) Limit alcohol intake in the evening.
    D) Perform gentle stretching before going to bed.
    C) Limit alcohol intake in the evening.
    (this multiple choice question has been scrambled)
  25. Which instructions should the nurse include in the teaching plan of a patient with diabetes who asks about application of an ice pack for chronic knee discomfort?
    A) "You are at risk for not being able to feel the temperature of a cold pack, which could cause tissue damage."
    B) "Applying a cold pack to your knee will increase the joint range of motion."
    C) "An ice pack may be applied to your knee as long as you can feel how cold it is."
    D) "It is fine to apply a cold pack to your knee to relax and increase the blood flow."
    A) "You are at risk for not being able to feel the temperature of a cold pack, which could cause tissue damage."
    (this multiple choice question has been scrambled)
  26. A patient is experiencing a pulsating sensation related to a noxious stimulus. Which nursing diagnosis is appropriate for this patient?
    A) urge incontinence
    B) acute pain
    C) hyperthermia
    D) impaired comfort
    D) impaired comfort
    (this multiple choice question has been scrambled)
  27. A nursing assistant is giving hygiene care to an older African American patient who has impaired comfort related to itching skin. The assistant asks what can be done to  help this patient. What is the nurse's most appropriate response?
    A) Apply a lanolin based lotion
    B) Put mitts on patient to avoid scratching
    C) Give a gentle, simple massage
    D) Turn the patient on the side opposite the itching side.
    A) Apply a lanolin based lotion
    (this multiple choice question has been scrambled)
  28. Which self healing method should nurses use to foster their own health and well being?
    A) Clarify values and beliefs
    B) Learn to manage stress
    C) Challenge the belief that others always come first
    D) Set realistic goals
    C) Challenge the belief that others always come first
    (this multiple choice question has been scrambled)
  29. Which nursing action best promotes warmth and sleep for an older adult patient?
    A) Place a hot water bottle in the bed.
    B) Encourage the patient to have a snack before bed.
    C) Provide the patient with linen sleepwear.
    D) Use flannel sheets on the bed.
    D) Use flannel sheets on the bed.
    (this multiple choice question has been scrambled)
  30. For which patient would a back massage as a comfort measure be most appropriate?
    A) patient with rib fractures from an automobile accident
    B) patient who is experiencing difficulty sleeping
    C) patient with a four centimeter sacral pressure ulcer
    D) patient who is two days postoperative for laminectomy
    B) patient who is experiencing difficulty sleeping
    (this multiple choice question has been scrambled)
  31. Which information is critical to the evaluation of the community for potential lead hazards?
    A) the amount of poverty in the community
    B) the number of houses built before 1960
    C) the amount of open space within the community
    D) the number of children between the ages of 1 and 10 years
    B) the number of house built before 1960
    (this multiple choice question has been scrambled)
  32. Based on the developmental level of school age children, what educational focus should be a priority for the school nurse?
    A) contraception
    B) motor vehicle safety
    C) nutrition
    D) stress reduction
    B) motor vehicle safety
    (this multiple choice question has been scrambled)
  33. The community based nurse refers an older adult who is malnourished to the local community center for congregate meals. What role has the nurse assumed?
    A) rehabilitator
    B) clinical decision maker
    C) case manager
    D) mentor
    C) case manager
    (this multiple choice question has been scrambled)
  34. The nurse in a workplace setting is discussing potential health problems of the young adult. Which instruction will assist in promoting health?
    A) Walk vigorously for 20 minutes at least three times a week.
    B) Eat a variety of low fiber foods daily.
    C) Use smokeless tobacco products.
    D) Maintain weight within 20 percent of desired weight.
    A) Walk vigorously for 20 minutes at least three times a week.
    (this multiple choice question has been scrambled)
  35. Which instruction for the caretaker of a child with asthma would the community health nurse include during a home visit?
    A) Launder blankets in cold water.
    B) Keep the humidity above 60 percent.
    C) Clean bare floors with a wet mop once a week.
    D) Cover windows with curtains.
    C) Clean bare floors with a wet mop once a week.
    (this multiple choice question has been scrambled)
  36. When is the most appropriate time to discuss termination of home care with the patient and family?
    A) when the patient of family ask
    B) two to three weeks before the last planned visit
    C) upon resolution of the health problem
    D) during the initial visit
    D) during the initial visit
    (this multiple choice question has been scrambled)
  37. At what blood lead levels should chelation therapy be given?
    A) 15-19 mg/dL
    B) 20-44 mg/dL
    C) 45-69 mg/dL
    D) 10-14 mg/dL
    C) 45-69 mg/dL
    (this multiple choice question has been scrambled)
  38. What is the first step the community based nurse would take when preparing a middle school educational program on sexually transmitted diseases?
    A) Develop a colorful brochure about the school's program.
    B) Inform school officials about the program.
    C) Ask a public health worker to visit the school and discuss typical cases.
    D) Evaluate students' knowledge
    B) Inform school officials about the program.
    (this multiple choice question has been scrambled)
  39. When caring for their child at home, parents refuse to perform tracheostomy care. What should the nurse do first?
    A) Identify the reason why the parents are refusing to perform the procedure.
    B) Ask the parents if they wish the nurse to perform the procedure.
    C) Explain to the parents that it is essential to perform the procedure.
    D) Contact the nursing supervisor and explain the parents' refusal.
    A) Identify the reason why the parents are refusing to perform the procedure.
    (this multiple choice question has been scrambled)
  40. A home care nurse is visiting a mother of three young children who is undergoing chemotherapy. the woman states, "My house has never been so disorganized, I just can't keep up." Which priority nursing diagnosis would the nurse identify?
    A) caregiver role strain
    B) impaired home maintenance management
    C) ineffective family coping
    D) decisional conflict
    B) impaired home maintenance management
    (this multiple choice question has been scrambled)
  41. Which nursing action is essential to provide competent care for families from different cultures?
    A) recognized the origins of her/his own values
    B) works to identify diverse lifestyles
    C) learns to accept people as they are
    D) strives to understand other person's beliefs
    A) recognized the origins of her/his own values
    (this multiple choice question has been scrambled)
  42. Which is a culturally competent method for responding to the Native American orientation to time?
    A) Establish walk-in clinics with flexible appointment times.
    B) Send reminders out one week before appointment.
    C) Provide transportation to bring patients to the clinic.
    D) Schedule appointments so waiting time is minimized.
    A) Establish walk-in clinics with flexible appointment times.
    (this multiple choice question has been scrambled)
  43. A nurse caring for a child who is from Mexico notes that the child is reluctant to make eye contact. How should the nurse interpret this behavior, and which action should the nurse take?
    A) The child is not capable of responding appropriately, and should be left alone as much as possible.
    B) The child is demonstrating a developmental lag, and should be gently encouraged to make eye contact.
    C) The child is showing sign of abuse, and the home situation should be assessed carefully.
    D) The child is showing a sign of respect, and should receive care as planned.
    D) The child is showing a sign of respect, and should receive care as planned.
    (this multiple choice question has been scrambled)
  44. A hospice nurse is making a home visit to a patient who is Roman Catholic. The patient tells the nurse that he has not seen a priest yet. Which initial response by the nurse would be most therapeutic?
    A) "Why do you want to see a priest?"
    B) "Would you like me to notify the priest?"
    C) "What parish do you belong to?"
    D) "I'll let your family know you want to see your priest."
    B) "Would you like me to notify the priest?"
    (this multiple choice question has been scrambled)
  45. The wife of a Native American patient tells the nurse that her husband is very depressed about his illness. Which nursing diagnosis would be most appropriate in this situation?
    A) spiritual distress related to perception of disharmony with nature
    B) anxiety related to loss of status in family
    C) powerlessness related to dependence of European American medical treatment
    D) ineffective individual coping related to perception of helplessness
    A) spiritual distress related to perception of disharmony with nature
    (this multiple choice question has been scrambled)
  46. What ethnic cultural group believes that health is a state of balance with the body?
    A) Asian American
    B) African American
    C) Native American
    D) European American
    A) Asian American
    (this multiple choice question has been scrambled)
  47. When assessing a patient who is African American, the nurse who is culturally competent will focus first on the assessment of which disease?
    A) rheumatoid arthritis
    B) hypertension
    C) Tay-Sachs disease
    D) tuberculosis
    B) hypertension
    (this multiple choice question has been scrambled)
  48. A Hispanic American patient requests that a curandero be involved in the treatment. What fact should the nurse know about the traditional role of the curandero before formulating a plan of care for the patient?
    A) Involves the patient's entire family in the treatment of the patient.
    B) maintains status by interacting with the patient in a formal manner.
    C) provides treatment if the patient agrees to follow his advice over that of the physician.
    D) assumes the responsibility for the curing of the patient's illness.
    A) Involves the patient's entire family in the treatment of the patient.
    (this multiple choice question has been scrambled)
  49. Which is the most important reason for the nurse to include a cultural assessment as part of the patient's health history?
    A) Information about the patient's cultural practices facilitates planning treatment for the patient.
    B) Health care teams work more effectively together when each member is aware of the patient's cultural beliefs.
    C) Assessment of the patient's cultural beliefs will increase the nurse's confidence while caring for the patient.
    D) Patients have more respect for health care providers who demonstrate cultural sensitivity.
    A) Information about the patient's cultural practices facilitates planning treatment for the patient.
    (this multiple choice question has been scrambled)
  50. Which nursing action best illustrates understanding of the dietary practices of patients who are Muslim?
    A) Notify dietary services that the patient will require a vegan diet.
    B) Maintain patient on NPO status from midnight until sunrise daily.
    C) Provide the patient with a diet that is free of pork and pork products
    D) Encourage the patient to supplement protein intake by consumption of beans and grains.
    C) Provide the patient with a diet that is free of pork and pork products
    (this multiple choice question has been scrambled)

What would you like to do?

Home > Flashcards > Print Preview