NUR 111 Exam 5 study guide

A nurse in a clinic is planning health promotion and disease prevention strategies for a client who has multiple risk factors for cardiovascular disease. Which of the following interventions should the nurse include? SELECT ALL THAT APPLY

• Help the client see the benefits of their actions

• Identify the client's support systems

• Suggest and recommend community resources

• Devise and set goals for the client

• Teach stress management strategies

A nurse in a health clinic is caring for a 21-year old client who tells the nurse that their last physical exam was in high school. Which of the following health screenings should the nurse expect the provider to perform for this client?

• Testicular Exam

• Blood Glucose

• Fecal occult blood

• Prostate-specific antigen

A nurse at a health department is planning strategies related to heart disease. Which of the following activities should the nurse include as part of primary prevention?

• Provide cholesterol screening

• Teaching about a healthy diet

• Providing information about antihypertensive medications

• Developing a list of cardiac rehabilitation programs

A nurse at a provider's office is talking about routine screenings with a 45 year old female client who has no specific family history of cancer or diabetes mellitus. Which of the following client statements indicates that the client understands how to proceed?

• "So, I don't need the colon cancer procedure for another 2-3 years"

• "For now, I should continue to have a mammogram each year"

• "Because the doctor just did a Pap smear, I'll come back next year for another one"

• "I had my blood glucose test last year, so I won't need it again for 4 years"

A nurse is caring for a client whose partner passed away 4 months ago. The client has a recent diagnosis of diabetes mellitus. The client is tearful and states "How could you possibly understand what I am going through?" Which of the following responses should the nurse make?

• "it takes time to get over the loss of a loved one"

• "You are right. I cannot really understand. Perhaps you'd like to tell me more about what you're feeling"

• "Why don't you try something to take your mind off your troubles, like watching a funny movie"

• "I might not share your exact situation, but I do know what people go through when they deal with a loss"

A nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass graft. Just as the transport team arrives, the nurse takes the client's vital signs and notes an elevation in BP and HR. The nurse should recognize this response as which part of the general adaptation syndrome (GAS)?

• Exhaustion stage

• Resistance stage

• Alarm stage

• Recovery Stage

A nurse is caring for a client who has left-sided hemiplegia resulting from a cerebrovascular accident. The client works as a carpenter and is now experiencing a situational role change based on physical limitations. The client is the primary wage earner in the family. Which of the following describes the client's role problem?

• Role Conflict

• Role overload

• Role ambiguity

• Role strain

A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following nursing interventions for stress, coping, and adherence to the treatment plan should the nurse initiate at this time? SELECT ALL THAT APPLY

• Suggest coping skills for the client to use in this situation

• Allow the client to provide input in the treatment plan

• Assist the client with time management, and address the client's priorities

• Provide extensive instructions on the client's treatment regimen

• Encourage the client in the expression of feelings and concerns

A nurse is caring for a family who is experiencing a crisis. Which of the following approaches should the nurse use when working with a family using an open structure for coping with crisis?

• Prescribing tasks unilaterally

• Delegating care to one member

• Speaking to the primary client privately

• Convening to a family meeting

A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? SELECT ALL THAT APPLY

• Place a belt restraint on the client when they are sitting on the bedside commode

• Keep the bed in its lowest position with all the side rails up

• Make sure that the client's call light is within reach

• Provide the client with nonskid footwear

• Complete a fall-risk assessment