NURS 1100 Review

A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting, and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?

• Instruct the client to sit down and stop pacing.

• Allow the client to pace alone until physically tired.

• Have a staff member escort the client to her room.

• Walk with the client at a gradually slower pace.

A nurse is counseling a client for the management of anxiety. The client is consistently late for appointments and ignores household chores. The client states, "I'm just too stressed. I need someone to take care of me." The nurse identifies this behavior as an example of which of the following defense mechanisms?

• Dissociation

• Introjection

• Regression

• Repression

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, “I don’t know why my wife left me.” The client receives a diagnosis of anxiety. The nurse realizes the client’s findings support which level of anxiety?

• Mild

• Moderate

• Severe

• Panic

A nurse is planning care for a client who has generalized anxiety disorder. Which of the following intervention should the nurse implement to promote relaxation?

• Assist the client in practicing meditation.

• Recognize the client's spiritual preferences.

• Encourage the client to identify his positive qualities.

• Help the client to identify his previous accomplishments.

A nurse is instructing a group of clients regarding calcium rich foods. Which of the following foods should the nurse include in the teaching as the best source of calcium?

• ½ cup ice cream

• 1 ounce swiss cheese

• 1 cup milk

• 1 cup cottage cheese

A nurse is instructing a group of clients about nutrition. The nurse should include that which of the following foods is a good source of high-quality protein?

• Soybeans

• Grains

• Legumes

• Green vegetables

A nurse is providing care for a client who is 2 days postoperative following abdominal surgery and is about to progress from a clear liquid diet to full liquids. Which of the following items should the nurse tell the client he may now request to have on his meal tray?

• Cranberry juice

• Flavored gelatin

• Skim milk

• Chicken broth

A nurse is teaching a class on health promotion and illness prevention. The nurse should include that which of the following is an example of secondary prevention?

• Providing a community program on stress reduction

• Performing monthly breast self-examinations

• Teaching foot care to a client who has diabetes

• Referring a client who has had a mastectomy to a support group

A nurse is planning to teach a client about a low-potassium diet. Which of the following foods should the nurse instruct the client to avoid? (Select all 2 that apply.)

• Butter

• Poultry

• Yogurt

• Frozen vegetables

• Orange juice

A nurse is caring for a client who has a new prescription for a low-sodium diet. The client’s family has requested to bring in some of the client’s favorite foods. Which of the following food items should the nurse tell the family members to omit?

• Boiled rice

• Flat bread

• Broiled fish fillet

• Pickled vegetables