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Exam (elaborations)

MDC1 Exam1 (Quizzes & Ans) Solved 100% Correct!!

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MDC1 Exam1 (Quizzes & Ans) Solved 100% Correct!! Which of the following is an example of false reassurance that a nurse might provide? A: Your will receive immediate care" B: (Correct) "Don't worry. I'm sure you will be just fine" C: "We take care of many patients just like you here" B: "I have been a nurse for ten years" The nurse asking a Latino patient what matters most to them in their treatment demonstrates cultural competence. All of the following are appropriate interventions for a client that is visually impaired except: A: Minimize environmental noise B: Ensure adequate lighting C: (correct) Speak louder D: Provide discharge instructions in a larger font Which type of food would be most appropriate to provide for a patient that is an Orthodox Jew? A: Bacon with breakfast B: fresh fish during lent C: Pork chop cutlets D: (correct) A kosher meal Which is the best response by the nurse when the patient states "I don't know what to do. My life is a mess." A: Immediately place the patient on a 72 hour hold B: (correct) Remain attentive, but silent C: Leave the room D: Remind the patient that everything will work out. Accepting pauses or silence without interjecting a verbal response is considered therapeutic communication. All of the following are forms of therapeutic communication except: A: asking clarifying questions B: (correct) expressing advice that will be best for the client C: being attentive and listening D: restating what the client said What is best defined as social distance? A: 18 inches to 4 feet B: (correct) 4 to 12 feet C: 18 feet D: 12 inches The nurse and patient are working on exercise strategies. What phase of the therapeutic relationship are they in? A: Pre-interaction B: Orientation C: (correct) Working D: Termination Folk medicine is a standard practice in the North American Healthcare system. Where is the best room placement for a patient with dementia and syncope? A: In a room at the end of the hall away from the nurses' station B: (correct) In a room close to the nurses' station C: In a double room D: In the room with the best television for distraction All of the following is appropriate advice for a mother to keep her infant safe except: A: the infant should be put to bed on their back B: the infant's car seat should be rear-facing in the back seat C: (correct) the infant should remain in their car seat at all times D: do not warm the formula in the microwave All of the following are nursing interventions to prevent elderly risk for falling except: A: Promote healthy sleep patterns B: Use shower chairs and raised toilet seats C: Keep stairs free of clutter D: (correct) Go upstairs swiftly Motor vehicle accidents are the leading cause of accidental deaths in individuals between the ages of 35-64. OSHA's mission is to prevent work-related injuries, illnesses, and deaths. true The American Nurses Association publishes the National Patient Safety Goals. Joint commission All of the following are nursing education points to avoid motor vehicle injuries except: A: do not change the music while driving B: do not drive over the speed limit C: be cautious when bicycling on the roadway D: (correct) it is safe to eat while driving All of the following are nursing interventions to promote mobility except: A: Teach the client to do AROM exercises every 2 hours B: Evaluate if patient needs ambulatory aids C: (correct) Keep patient's skin clean and dry D: Encourage ambulation A priority nursing intervention for a patient with narcolepsy would include: A: Stop drinking caffeine after 12pm B: Drink two cups of regular coffee C: Participate in normal activities D: (correct) Educate patient not to drive A patient had an above-the-knee amputation. The patient has pain distal to the amputation, this is called visceral pain. False Pain reassessment occurs 10 to 60 minutes after medication administration (pending route of administration). true Which of the following complication may cause decreased mobility? A: (correct) Pressure injuries B: Diarrhea C: Euphoria D: Increased energy Bathing promotes all of the following except: A: circulation B: relaxation C: delayed healing D: enhanced healing Which herbal product does not correctly match its effect? A: echinacea enhances immunity B: (correct) chamomile enhances the immune response to influenza a C: ginseng increases physical endurance D: aloe promotes wound healing The student nurse is assigned an undocumented immigrant injured while crossing the border into the United States. The student tells you, "I do not know what to put for race, and he probably can't tell me." What is your best response? A. "Leave it blank and I will try to get this information." B. "Your response demonstrates that you do not understand the difference between race and ethnicity." C. "You should be able to determine race from his skin color. Let's discuss race, skin color, and appearances." D.(correct) "Let's discuss approaches to obtaining data on race from patients The most important concept about vulnerable subcultures guiding nursing care is that persons belonging to these groups Receive different healthcare. B. (correct) Have difficulty complying with their therapy. C. Never have insurance. D. Often have limited access to healthcare. The nurse notes that the client's grandmother is looked to for input whenever questions arise about the client's care choices. Which cultural specific will guide the nurse's plan of care? Communication B.(correct) Social organization C. Environmental control D. Biological variations The charge nurse of a unit tries, as a rule, to admit Hispanic clients to a room at the end of the hall so that "the noise from the family will not disturb others." This nurse is exhibiting A: Racism B. Prejudice C. (correct) Discrimination D. Sexism A child has had hiccups for 2 hr. Is this a sign of suspected ingestion of poison? A. Yes B.(correct) No When implementing the use of restraints on a hospitalized client, the nurse should A. Restrain all confused clients so that they do not sustain a fall injury. B. Tie the restraint to the bottom of the siderail so the client cannot reach it. C. Ensure that the primary care provider renews the order for restraints once every 24 hr. D. (correct) Release the restraints and provide skin care at least once every shift. How would you, as the nurse, support a culture of safety? Select all that apply. 1. Completing incident reports when appropriate 2.(correct) Completing incident reports for a near miss 3.( Correct)Communicating product concerns to an immediate supervisor 4. (correct) Identifying the person responsible for an incident During the communication process, "decoding" is A. The selection of words by the sender B. (correct) The interpretation of the message by the receiver C. The method by which the message is given D. The way in which feedback is interpreted The nurse is teaching the client about his upcoming procedure, and the client is very stressed. What is most important for the nurse to do? A. Use humor first to decrease the client's stress level. B. (correct) Determine if the teaching should take place at a different time. C. Introduce himself as the RN to give credibility to his message. D. Speak to the client when family members are there so they can teach the client. Use of the statements "Tell me more about ..." or "I see" encourages clients to continue talking and expressing themselves. This is called Summarizing B. Open-ended questions C. Focusing D. (correct) Encouraging elaboration

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