Nokea
A new nurse manager is responsible for interviewing applicants for a staff nurse position. Which interview strategy would be the best approach?
- A. Vary the interview style for each candidate to learn different techniques
- B. Use simple questions requiring 'yes' and 'no' answers to gain definitive information
- C. Obtain an interview guide from human resources for consistency in interviewing each candidate
- D. Ask personal information of each applicant to assure he/she can meet job demands
Correct Answer: C
Rationale: Obtain an interview guide from human resources for consistency in interviewing each candidate. An interview guide used for each candidate enables the nurse manager to be more objective in the decision making. The nurse should use resources available in the agency before attempts to develop one from scratch. Certain personal questions are prohibited, and HR can identify these for novice managers.
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A 14-year-old client is scheduled for a below-knee (BK) amputation following a motorcycle accident. The nurse knows preoperative teaching for this client should include
- A. explaining that the client will be walking with a prosthesis soon after surgery.
- B. encouraging the client to share his feelings and fears about the surgery.
- C. taking the informed consent form to the client and asking him to sign it.
- D. evaluating how the client plans to maintain his schoolwork during hospitalization.
Correct Answer: B
Rationale: discussing his feelings and fears is important in dealing with his anxiety due to a change in body image and functioning
A psychiatric nurse is assigned to conduct an admission nursing history on a new client.
- A. What should the admission nursing history for a new psychiatric client include?
- B. The nurse’s opinion regarding the mental and emotional status of the client.
- C. Data addressing the client’s emotional state.
- D. Data that address a biopsychosocial approach, including a family system assessment.
- E. Specific data detailing the client’s mental status.
Correct Answer: C
Rationale: A comprehensive psychiatric nursing history should use a biopsychosocial approach, including physical, psychological, social, and family system assessments, to provide a holistic understanding of the client’s needs. Focusing only on emotional state or mental status is too narrow, and the nurse’s opinion lacks objectivity without assessment data.
The nurse knows that the client with peripheral vascular disease understands her instructions in ways to improve circulation if the client states
- A. I will massage my legs three times a day.
- B. I will elevate the foot of my bed on blocks.
- C. I will take a brisk walk for 20 minutes each day.
- D. I will prop my feet up when I sit to watch TV.
Correct Answer: C
Rationale: Answer C is the 'odd answer' and correct. Walking improves circulation by developing muscles that support blood vessels. Massaging may dislodge clots, elevating the bed is not specific to circulation, and propping feet reduces venous pooling but is less effective than walking.
A nine-year-old client with an ostomy.
Which of the following statements, if made by the parents of a nine-year-old client with an ostomy, would indicate to the nurse that they are providing quality home care?
- A. We change the bag at least once a week, and we carefully inspect the stoma at that time.'
- B. We change the bag every day so that we can inspect the stoma and the skin.'
- C. We encourage our daughter to watch TV while we change her ostomy bag.'
- D. We only have to change the ostomy bag every ten days.'
Correct Answer: A
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-ostomy bags should be changed at least once a week; good time for stoma to be closely inspected (2) bag should be changed at least once a week or when seal around stoma is loose or leaking (3) does not encourage client participation or foster independence (4) bag should be changed more often
The nurse is teaching a client with a new diagnosis of osteoporosis about alendronate (Fosamax). Which of the following statements by the client indicates a need for further teaching?
- A. I should take this medication first thing in the morning.
- B. I should remain upright for 30 minutes after taking it.
- C. I should take it with a full glass of water.
- D. I should take it with my calcium supplement.
Correct Answer: D
Rationale: Taking alendronate with a calcium supplement is incorrect, as it reduces absorption; they should be taken at different times. Options A, B, and C are correct: morning dosing, remaining upright, and taking with water minimize esophageal irritation and maximize absorption.