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A nurse is teaching a client how to walk using a walker. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse utilizing?
- A. Role-play
- B. Question-and-answer
- C. Discussion
- D. Return demonstration
Correct Answer: D
Rationale: The correct answer is D: Return demonstration. This teaching strategy involves the client performing the skill back to the nurse to demonstrate understanding and competence. It allows for immediate feedback and correction. Role-play (A) involves acting out a scenario, not necessarily related to skill demonstration. Question-and-answer (B) involves asking and answering questions but does not involve the client performing a skill. Discussion (C) involves exchanging ideas and opinions, not skill demonstration.
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A nurse is caring for a client whose partner has recently died. The client states, 'I am learning how to pay my own bills.' The nurse should identify that the client is experiencing which of the following tasks in Worden’s Four Tasks of Grieving?
- A. Experiencing the pain of grief
- B. Finding an enduring connection while embarking on a new life
- C. Accepting the reality of the loss
- D. Adjusting to an environment without the deceased
Correct Answer: D
Rationale: The correct answer is D: Adjusting to an environment without the deceased. This task involves adapting to life without the presence of the deceased partner, such as taking on new responsibilities like paying bills. It signifies a significant step in the grieving process, as the individual begins to establish a new routine and sense of normalcy without their loved one.
Choice A (Experiencing the pain of grief) is not the correct answer because this task refers to acknowledging and processing the emotional pain associated with the loss, which is a different aspect of grieving.
Choice B (Finding an enduring connection while embarking on a new life) is not the correct answer as it involves integrating the memory and influence of the deceased into the individual's ongoing life, which is different from adjusting to the practical aspects of life without them.
Choice C (Accepting the reality of the loss) is not the correct answer as it pertains to coming to terms with the fact that the loved one has passed away, which is an important
A nurse is receiving a telephone prescription for a client from a provider. Which of the following actions should the nurse take when transcribing the prescription?
- A. Use the provider’s initials after the prescription
- B. Repeat the prescription to the provider
- C. Write the prescription in shorthand
- D. Read back the prescription to the provider
Correct Answer: D
Rationale: The correct answer is D: Read back the prescription to the provider. This is crucial to ensure accuracy and prevent errors. By reading back the prescription, the nurse confirms understanding and allows the provider to clarify any misunderstandings immediately. This step promotes patient safety and effective communication.
Choice A (Use the provider’s initials after the prescription) is incorrect because it does not address the need for verification of the prescription details. Choice B (Repeat the prescription to the provider) is not as effective as reading back, as it may not ensure complete accuracy. Choice C (Write the prescription in shorthand) can lead to misinterpretation and errors.
A nurse is teaching a class about pharmacodynamics. The nurse should include that which of the following medication levels occurs when a medication is at the lowest serum concentration?
- A. Trough
- B. Peak
- C. Half-life
- D. Toxic
Correct Answer: A
Rationale: The correct answer is A: Trough. The trough level represents the lowest serum concentration of a medication in the body, usually measured just before the next dose is administered. This is important in monitoring the effectiveness and safety of the drug. Peak levels (B) indicate the highest concentration. Half-life (C) refers to the time it takes for half of the drug to be eliminated from the body. Toxic levels (D) are when the drug concentration is too high and can lead to harmful effects. Other choices are not relevant to the lowest serum concentration.
A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the nurse plan to take?
- A. Apply pressure to the client’s nasolacrimal duct after instillation
- B. Clean the client's eye from the outer canthus to the inner canthus before instillation
- C. Ask the client to tightly squeeze their eyes shut after the instillation
- D. Instill the ophthalmic medication directly on the client's cornea
Correct Answer: A
Rationale: The correct answer is A: Apply pressure to the client’s nasolacrimal duct after instillation. This action helps prevent systemic absorption of the medication and decreases the risk of side effects. By gently pressing on the nasolacrimal duct, the nurse can reduce the systemic absorption of the medication and promote its local effects. This technique is crucial for ophthalmic medications to work effectively and minimize adverse reactions.
Choice B is incorrect because cleaning the eye from outer to inner canthus can introduce contaminants into the eye, increasing the risk of infection. Choice C is incorrect as tightly squeezing the eyes shut can also lead to systemic absorption of the medication. Choice D is incorrect as instilling the medication directly onto the cornea can be harmful and may not distribute the medication effectively.
A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates understanding of body mechanics?
- A. They bend at the hip when lifting
- B. They keep their feet together when lifting an object
- C. They stand close to the object being moved
- D. They twist their spine when lifting
Correct Answer: C
Rationale: The correct answer is C: They stand close to the object being moved. This action indicates understanding of body mechanics as it reduces the strain on the back by keeping the load close to the body's center of gravity. Standing close to the object allows for better leverage and control during the lift, minimizing the risk of injury.
Rationale for why other choices are incorrect:
A: Bending at the hip when lifting can put excessive strain on the lower back.
B: Keeping feet together may lead to instability and lack of balance during lifting.
D: Twisting the spine when lifting can result in spinal injuries and muscle strain.