NADN 1110-Exam 2

The nurse is caring for a pt who has requested to hold a spiritual ceremony using incense. Best intervention?

A nurse is using a interpreter to communicate with a pt who speaks another langauge. When working with the interpreter:

Fall prevention is done on multiple levels by nurses in the hospital. Which would not be an example of fall prevention?

Which should the nurse include when caring for a client of a different​ culture?

A nurse is educating the family caregiver of an older adult client about measures to promote client safety in the home.

A nurse is to administer 150 mg of a drug IM. The label reads 100 mg/mL. How much would the nurse give?

A nurse has traveled to a different country and started working there. The nurse will most likely experience initially?

A nurse is teaching a postop pt deep breathing and coughing exercises. Which method of instruction is most appropriate?

Which nursing statement is a good example of the therapeutic communication technique of offering self?

A nurse enters a pt's room to complete an admission history. The nurse will convey interest in the pt if the nurse:

When completing an incident report, the nurse should:

Which nursing intervention is the highest in priority for a client at risk for falls in a hospital setting?

A nurse states, "That woman is 78 years old—too old to learn how to change a dressing." What is the nurse demonstrating?

A nurse is caring for two clients who follow the same religion. Which information should the nurse consider?

The assessment on a 78-year-old pt reveals shuffling gait, decreased balance, and instability. Priority diagnosis?

Prescribed is cyanocobalamin 0.3 mg IM. The pharmacy sends cyanocobalamin 100 mcg/0.5 mL. The client should receive:

Therapeutic communication is evaluated as being congruent when:

A patient has an order for Tylenol 500 mg every 6 hrs. The drug comes in 250 mg tabs. What would the nurse administer?

Which class of fire extinguisher would the nurse describe as appropriate for use on an electrical fire?

A nurse is planning teaching about weight-reduction strategies to a pt Which should the nurse assess first?

The nurse knows that safety precautions are instituted to protect pts and staff. Errors still occur and are called:

Interprets health narrowly as the absence of signs and symptoms of disease or injury; the opposite of health is disease.

Which nursing statement is a good example of the therapeutic communication technique of focusing?

The nurse is interviewing a newly admitted psychiatric pt. Which nursing statement is an example of elaboration?

What teaching strategy is appropriate for the nurse to use for a 1hr presentation on osteoporosis to a group of women?

The nurse knows the Poison Control Center phone number to be?

Rapid onset of symptoms, lasts for a limited, relatively brief period of time.

A nurse orients an older patient to the safety features in her hospital room. What is a priority component?

While obtaining a medical history, the nurse repeats the content of the client's message to verify understanding.

The nurse is using Teach-Back to evaluate the pts understanding of new information given during discharge. Use includes:

A nurse engages in professional rituals to standardize practice and ensure efficiency. Nurse integrates understanding of

During a nurse-client interaction, which nursing statement may belittle the client's feelings and concerns?

Recognizes health as an ongoing process toward a person’s highest potential of functioning.

Seeks to prevent a disease or condition before it occurs. Includes immunizations, car seats, seat belts, bicycle helmets

Jehovah's Witness patient has been admitted to the medical floor. Which treatment will this patient most likely refuse?

A nurse states to a pt, "Things will look better tomorrow after a good night's sleep." This is an example of:

Which regulatory body would the nurse contact if he/she was concerned about air quality and being at risk by exposure?

A nurse is designing a teaching-learning plan for a patient who is to be discharged. What should the nurse do first?

What is most important for the nurse to remember that effective learning can best be achieved through which concept?

The nurse's second action after discovering an electrical fire in a patient's room is to:

Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?

A nurse is talking with parents about car seat safety. Which statement by the parents would be a cause of concern?

Educational resource in Nursing focused on maintaining high regard for safety.

The nurse knows that injuries in hospitalized patients are caused most commonly by:

A nurse is interviewing a newly admitted patient. Which question would be considered culturally sensitive?

The nurse is caring for a pt who becomes confused and tries to remove a IV. Which priority action will the nurse take?

A pt tells the nurse, "I feel bad because my mother does not want me to return home after I leave the hospital."

Nursing students are reviewing restraints. The students identify a chemical restraint as:

A nurse is preparing an education plan for an older adult. What would be least appropriate for the nurse to include?

Which therapeutic comm. tech. is being used?pt: My father spanked me oftenNurse: Your father was a harsh disciplinarian

A parent calls the peds office about a bottle of cleaner her son drank. Which of the following is the most important?

The nurse notices that the patient has been crying. Which of the following is the most therapeutic?

Includes hypnosis, meditation, biofeedback, imagery, progressive relaxation.

A couple is with their adolescent for a physical and state they are worried about safety risks. Greatest risk?

The physician orders metoclopramide (Reglan) 45 mg IV. The label reads 5mg/mL. The nurse will administer:

A nurse is teaching a pt colostomy care in relation to the affective domain. Which teaching method is most effective?

When providing pt education it is essential for the nurse to incorporate what action so learning can be optimized?

When interviewing a client, which nonverbal behavior should a nurse employ?

A nurse has applied restraints to as ordered at 21:00. The nurse follows guidelines for restraints by removing them at

The nurse has received an order for restraints to be placed on a pt attempting to remove their g-tube and IV.

A pt who has never given an injection before tells the nurse is and has never received instructions. Nursing diagnosis:

The nurse knows that the main purpose of the working phase of the therapeutic relationship is to:

Which learning domain is used to teach a new mother about the breast and its role in milk production for feeding newborn

A nurse is interviewing a client. Which of these behaviors by the nurse would create a communication barrier?

The HCP prescribes ascorbic acid 0.5 g daily. The drug label reads 250 mg. The nurse would administer?

A culturally competent nurse is planning to teach a pt about self-care. Which must the nurse assess first about the pt?

Prescribed is Tylenol for a child weighing 28 kg. The safe dose of this drug is 5 mg/kg every 12 hours.

Which nursing diagnosis is appropriate for a 35-year-old Hispanic patient who does not speak English?

The patient states, "I can't believe I am going to die. Why me?". What is the nurse's best response?

The joint commission issues a guidelines regarding the use of restraints. In which case is a restraint properly used?

A nurse is planning to teach a new mother how to change a dressing on her 4 month old infant. An appropriate goal is: