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The focus of a nurse case manager is:

A.

nursing care needs at discharge.

B.

the comprehensive care needs of the client for continuity of care.

C.

client education needs upon discharge.

D.

financial resources for needed care.

What significant event occurs in the orientation phase of a nurse-client relationship?

A.

establishment of roles

B.

identification of transference phenomenon

C.

placement of the client within the client’s family structure

D.

client agreement that the nurse has the authority in the relationship

Client self-determination is the primary focus of:

A.

malpractice insurance.

B.

nursing’s advocacy for clients.

C.

confidentiality.

D.

health care.

A client has chronic respiratory acidosis caused by end-stage chronic obstructive pulmonary disease (COPD). Oxygen is delivered at 1 L/min per nasal cannula. The nurse teaches the family that the reason for this is to avoid respiratory depression, based on which of the following explanations?

A.

COPD clients are stimulated to breathe by hypoxia.

B.

COPD clients depend on a low carbon dioxide level.

C.

COPD clients tend to retain hydrogen ions if they are given high doses of oxygen.

D.

COPD clients thrive on a high oxygen level.

Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?

A.

They have a high energy-to-fluid-volume ratio.

B.

Even though hypertonic, they are well tolerated.

C.

They are a basic solution secondary to the addition of sodium hydroxide (NaOH).

D.

The pH is alkaline, making them compatible with most medications.

Using clichés in therapeutic communication leads the client toward:

A.

viewing the nurse as human.

B.

accepting himself as human.

C.

self-disclosing.

D.

feeling discounted.

People who live in poverty are most likely to obtain health care from:

A.

their primary care physician (family doctor).

B.

a neighborhood clinic.

C.

specialists.

D.

Emergency Departments or urgent care centers.

The family carries out its health care functions in which of the following ways?

A.

Family provides very little preventive health care to its members at home.

B.

Family provides sick care to its members.

C.

Family pays for most health services.

D.

Family decides when and where to hospitalize its members.

A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:

A.

solutions administered in obstetrics.

B.

dilute antibiotics.

C.

large volumes of IV solution.

D.

the neonatal and pediatric populations.

Distribution of a drug to various tissues is dependent on the amount of cardiac output to each type of tissue. Which tissue would receive the highest amount of cardiac output and thus the highest amount of a drug?

A.

skin

B.

adipose tissue

C.

skeletal muscle

D.

myocardium

A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:

A.

identify all psychosocial problems.

B.

eliminate the client’s enticing behaviors.

C.

resolve feelings of trauma and fear.

D.

verbalize feeling about the event.

The most effective nursing strategy to assist a client in recognizing and using personal strength includes:

A.

encouraging the client’s self-identification of strengths.

B.

promoting the client’s active external thinking.

C.

listening to the client and providing advice as needed.

D.

assisting the client in maintaining an external locus of control.

Following the change of shift report, the nurse should analyze the information and set priorities accordingly. When the plan has been formulated, at what point during the shift can or should the nurse’s plan be altered or modified?

A.

halfway through the shift

B.

at the end of the shift before the nurse reports off

C.

when needs change

D.

after the top-priority tasks have been completed

Ms. Petty is having difficulty falling asleep. Which of the following measures promote sleep?

A.

exercising vigorously for 20 minutes each night beginning at 9:30 p.m.

B.

taking a cool shower and drinking a hot cup of tea

C.

watching TV nightly until midnight

D.

getting a back rub and drinking a glass of warm milk

The nurse is caring for a client who is dying. While assessing the client for signs of impending death, the nurse observes the client for:

A.

elevated blood pressure.

B.

Cheyne-Stokes respiration.

C.

elevated pulse rate.

D.

decreased temperature.