Nokea
A client just received a diagnosis of cancer. Which statement by the nurse
demonstrates empathy?
- A. "This must be hard news to hear. Tell me more about it."?
- B. "I believe you can overcome this because I have seen how strong you are."?
- C. "Tomorrow will be better."
- D. "What is your biggest fear about this diagnosis?"?
Correct Answer: A
Rationale:
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A goal for a client with impaired mobility is to prevent skin breakdown. What
nursing intervention would best help the client meet this goal?
- A. Assist the client to orthopneic position
- B. Offer the client a bedpan for toileting
- C. Offer a protein-rich diet
- D. Turn the client every 2 hours
Correct Answer: D
Rationale:
A nurse is teaching a client how to follow a low-purine diet as prescribed by the
provider for the management of gout. What statement by the client indicates a
correct understanding of the teaching?
- A. "I should choose red meat instead of poultry."?
- B. "I should avoid eating liver and other organ meats."?
- C. I can drink only white wine."?
- D. "I will need to limit the number of fruit servings each day."?
Correct Answer: B
Rationale:
A client arrives speaking only Spanish. What is the priority nursing
intervention?
- A. Give the client a tour of the unit
- B. Verify the reason for admission
- C. Request a medical interpreter
- D. Call the chaplain for support
Correct Answer: C
Rationale:
What statement by the client indicates a correct understanding of the timing
of progression of human immunodefiency virus (HIV) to acquired
immunodeficiency syndrome?
- A. "Sexually transmitted infections will not make AIDS develop faster"?
- B. "My diet does not influence the progression of HIV to AIDS"?
- C. "If I practice medication, I may develop AIDS faster."?
- D. "IF I am re-exposed to HIV, the progression to AIDS may be faster,"?
Correct Answer: D
Rationale:
The nurse is performing a psychosocial assessment on a client with a severe
rheumatoid arthritis. What would be the most appropriate statement by the
nurse?
- A. "Tell me about what medication you are taking"?
- B. "What physical limitations are you experiencing?"?
- C. "How does this impact your role in your family?"?
- D. "What therapies are you using to reduce swelling?"?
Correct Answer: C
Rationale: