The nurse is performing a developmental assessment on an 8 month-old. Which
finding should be reported to the health care provider?
A) Lifts head from the prone position
B) Rolls from abdomen to back
C) Responds to parents' voices
D) Falls forward when sitting
A client tells the nurse, "I have something very important to tell you if you promise not
to tell." The best response by the nurse is
A) "I must document and report any information."
2
B) "I can't make such a promise."
C) "That depends on what you tell me."
D) "I must report everything to the treatment team."
, Which task could be safely delegated by the nurse to an unlicensed assistive personnel
(UAP)?
A) Be with a client who self-administers insulin
3
B) Cleanse and dress a small decubitus ulcer
C) Monitor a client's response to passive range of motion exercises
D) Apply and care for a client's rectal pouch
Which of these statements by the nurse reflects the best use of therapeutic interaction
techniques?
A) "You look upset. Would you like to talk about it?
4 "B) "I'd like to know more about your family. Tell me about them."
C) "I understand that you lost your partner. I don't think I could go on if that happened
to me."
D) "You look very sad. How long have you been this way?"
Don't know?
Terms in this set (150)
,A 2 year-old child has just C) "Thin, tenacious secretions from the lungs are a
been diagnosed with cystic constant struggle in cystic fibrosis."
fibrosis. The child's father
asks the nurse "What is our
major concern now, and
what will we have to deal
with in the future?" Which of
the following is the best
response?
A) "There is a probability of
life-long complications."
B) "Cystic fibrosis results in
nutritional concerns that
can be dealt with."
C) "Thin, tenacious
secretions from the lungs
are a constant struggle in
cystic fibrosis."
D) "You will work with a
team of experts and also
have access to a support
group that the family can
attend."
, A 20 year-old client has an C) Visitors should wash their hands before and after
infected leg wound from a touching the client
motorcycle accident, and
the client has returned
home from the hospital. The
client is to keep the
affected leg elevated and is
on contact precautions. The
client wants to know if
visitors can come. The
appropriate response from
the home health nurse is
that:
A) Visitors must wear a mask
and a gown
B) There are no special
requirements for visitors of
clients on contact
precautions
C) Visitors should wash their
hands before and after
touching the client
D) Visitors
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