NPNT 1800 Final Exam Review 2

Question 1

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

Accepted Answer

Cognitive

Question 2

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

Accepted Answer

You feel that your mother does not want you to come back home?"

Question 3

The nurse&#x27;s second action after discovering an electrical fire in a patient&#x27;s room is to:

Accepted Answer

Activate the fire alarm.

Question 4

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

Accepted Answer

Watch the client&#x27;s and interpreter&#x27;s verbal and nonverbal interaction.

Question 5

While obtaining a medical history, the nurse repeats the content of the client&#x27;s message to verify understanding.

Accepted Answer

Restatement

Question 6

When completing an incident report, the nurse should:

Accepted Answer

objectively describe the incident in detail

Question 7

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

Accepted Answer

stereotyping

Question 8

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

Accepted Answer

Risk for falls

Question 9

A nurse states to a pt, "Things will look better tomorrow after a good night&#x27;s sleep." This is an example of:

Accepted Answer

The nontherapeutic technique of "giving false reassurance"

Question 10

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

Accepted Answer

Scheduling education sessions to last 45 minutes

Question 11

Jehovah&#x27;s Witness patient has been admitted to the medical floor. Which treatment will this patient most likely refuse?

Accepted Answer

Blood transfusion

Question 12

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

Accepted Answer

Lecture/discussion

Question 13

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

Accepted Answer

Sedative

Question 14

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

Accepted Answer

Impaired verbal communication

Question 15

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

Accepted Answer

"Clear the clutter from the stairways and walkways."

Question 16

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

Accepted Answer

explain how to operate the call bell.

Question 17

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

Accepted Answer

Include educational strategies that encourage pt to be active participants.

Question 18

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

Accepted Answer

Falls

Question 19

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

Accepted Answer

common and observable expressions of culture.

Question 20

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

Accepted Answer

"Please repeat to me the different signs and symptoms of stroke."

Question 21

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

Accepted Answer

We put the car seat in the front seat so we could see the infant better

Question 22

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

Accepted Answer

Demonstration

Question 23

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

Accepted Answer

The client and the nurse are equal participants.

Question 24

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

Accepted Answer

Culture shock

Question 25

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

Accepted Answer

Health beliefs

Question 26

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

Accepted Answer

Class C

Question 27

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

Accepted Answer

A.A shared religious background generates mutual regard for one another.

Question 28

Therapeutic communication is evaluated as being congruent when:

Accepted Answer

Verbal and nonverbal communication is congruent

Question 29

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

Accepted Answer

Assess the patient&#x27;s current understanding of the content to be taught

Question 30

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

Accepted Answer

Sitting squarely, facing the client

Question 31

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

Accepted Answer

Automobile accidents, suicide and substance abuse

Question 32

The patient states, "I can&#x27;t believe I am going to die. Why me?". What is the nurse&#x27;s best response?

Accepted Answer

"This must be very difficult for you"

Question 33

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

Accepted Answer

Quality and Safety Education for Nurses

Question 34

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

Accepted Answer

&#x27;Would you like me to accompany you to your therapy treatment?"

Question 35

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

Accepted Answer

Assess the patient

Question 36

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

Accepted Answer

Acute Illness

Question 37

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

Accepted Answer

Arrange the ceremony after obtaining permission from administration

Question 38

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

Accepted Answer

Clinical Model

Question 39

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

Accepted Answer

Be nonjudgmental in healthcare beliefs.

Question 40

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

Accepted Answer

Occupational Safety & Health Administration

Question 41

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

Accepted Answer

High-Level Wellness

Question 42

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

Accepted Answer

able to perform a dressing change unassisted before discharge.

Question 43

A nurse enters a pt&#x27;s room to complete an admission history. The nurse will convey interest in the pt if the nurse:

Accepted Answer

sits at the client&#x27;s bedside and faces the client.

Question 44

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

Accepted Answer

Placing soft blankets on the floor in case the pt falls.

Question 45

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

Accepted Answer

Primary Prevention

Question 46

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

Accepted Answer

23:00

Question 47

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

Accepted Answer

The nurse uses medical terminology.

Question 48

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

Accepted Answer

"What types of food do you eat for meals?"

Question 49

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

Accepted Answer

Use the least restrictive restraint that will ensure the client&#x27;s safety.

Question 50

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

Accepted Answer

"You are obviously upset, do you want to talk?"

Question 51

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

Accepted Answer

You mentioned your relationship with your father. Lets discuss that further

Question 52

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

Accepted Answer

Motivation

Question 53

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

Accepted Answer

Implement nursing interventions that help achieve patient outcomes

Question 54

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

Accepted Answer

Place the bed in the lowest position.

Question 55

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

Accepted Answer

Knowledge deficit of injection admin R/T lack of instruction and experience

Question 56

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

Accepted Answer

Ensure that two fingers can be inserted between the restraint and pts wrist

Question 57

During a nurse-client interaction, which nursing statement may belittle the client&#x27;s feelings and concerns?

Accepted Answer

"Don&#x27;t worry. Everything will be alright."

Question 58

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

Accepted Answer

Restatement

Question 59

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

Accepted Answer

Sentinel events

Question 60

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

Accepted Answer

"Can you tell me why you said that?"

Question 61

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

Accepted Answer

"Yes, I see. Go on."

NPNT 1800 Final Exam Review 2

Questions 61

NPNT 1800 Final Exam Review 2

Questions 61