Exam (elaborations)
HESI Practice (Fundamentals In Nursing And Nursing Science) – Questions & Answers
- Course
- NURSING PRACTICE
- Institution
- NURSING PRACTICE
HESI Practice (Fundamentals In Nursing And Nursing Science) – Questions & Answers
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HESI Practice (Fundamentals In Nursing AndNursing Science) – Questions & Answers
A client tells the nurse, "I am so worried about the results of the biopsy they
took today." The nurse overhears the nursing assistant reply, "Don't worry.
I'm sure everything will come out all right." What does the nurse conclude
about the nursing assistant's answer? ✔️Ans - False reassurance
person cannot know the results of the biopsy until it is examined under a
microscope. The response does not allow the client to voice concerns, shuts
off communication, and provides reassurance that may not be accurate. This
answer does not empathize with the client; it minimizes the client's concerns.
This response is not a form of distraction; it minimizes the client's concern
and shuts off communication. This response does not contain any value
statements.
Which statement is true for attachment in the newborn? ✔️Ans -
Attachment is the interaction between parent and child.
Attachment is the interaction between the parent and child. The nurse
promotes the parents' and newborn's need for physical contact by
encouraging breast feeding. Attachment is a process that evolves over the first
24 months. The newborn is awake and alert for the first half-hour after birth,
during which parent-child interaction begins. Molding is the overlapping of
the soft skull bones commonly seen in newborns that had vaginal births.
Molding allows the fetal head to adjust to the various diameters of the
maternal pelvis during birth.
Which intervention reflects the nurse's approach of "family as a context"?
✔️Ans - Trying to meet the client's comfort
In the "family as context" approach, the focus is on the client. The nursing care
aims at meeting the client's comfort, hygiene, and nutritional needs. The
"family as a client" approach focuses on the family's needs as a whole to
determine their coping skills. This approach also includes assessment of the
family's energy level to determine if the family would b be able to meet the
client's needs. In addition, the approach "family as a client" involves
assessment of the family's nutritional needs.
, What principal components are associated with a nurse's time management
skill? Select all that apply. ✔️Ans - goal setting, interruption control and
priority setting
Goal setting, priority setting, and interruption control forms the principal
components of time management. Autonomy is an important component in
the decision-making process. Right communication is considered one of the
rights of delegation.
A child is being treated with oral ampicillin for otitis media. What should be
included in the discharge instructions that the nurse provides to the parents
of the client? ✔️Ans - Complete the entire course of antibiotic therapy.
Once antibiotic therapy is initiated, the antibiotics start to destroy specific
bacterial infections that the healthcare provider is trying to treat. Antibiotic
therapy takes a specific dose and number of days to completely eliminate the
bacteria. If the caregivers start a dose and stop it before the course is
complete, the remaining bacteria have a chance to grow again, become
resistant to antibiotic treatment, and multiply. The nurse should not
discourage use of herbal fever remedies; however, the herbal treatment
should be reviewed to see if it is contraindicated. Ampicillin should be taken 1
to 2 hours after meals. Antibiotic therapy should be completed as prescribed.
Which therapeutic communication technique involves using a coping strategy
to help the nurse and client adjust to stress? ✔️Ans - sharing humor
Sharing humor is a therapeutic communication technique that involves using
a coping strategy that adds perspective and helps the nurse and client adjust
to stress. Nurses should recognize that hope is essential for healing and
communicate a sense of possibility. Sharing empathy is the ability to
understand and accept another person's reality, accurately perceive feelings,
and communicate this understanding to the other. Sharing observations often
helps a client to communicate without the need for extensive questioning,
focusing, or clarification.
The nurse at the well baby clinic is assessing the gross motor skills of a five-
month-old infant. Which finding is a cause for concern? ✔️Ans - The baby
has a head lag when pulled to sit.
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