NUR 112 Practice Assessment Mental Health Proctored Exam 2023

"Please explain what you mean by the word 'nervous'." - A nurse asks a client how he is feeling. The client states, "I'm feeling a bit nervous today." Which of the following responses should the nurse make? Cranberry juice - A nurse is caring for a client who is postoperative following abdominal surgery. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse include on the lunch tray? A. The client faces the direction of movement when sliding an object across the floor (sliding an object across the floor rather than lifting it prevents strain on the lower back muscles and facing the direction prevents from twisting his back) - A nurse is assessing a client at a follow-up clinic for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this goal? a. The client faces the direction of movement when sliding an object across the floor b. When pushing an object the client moves his front foot backward c. When moving an object to one side, the client pushes his weight on his heels d. The client stands with his feet close together when lifting an object c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must question the provider) - 4. When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. Which of the following actions should this nurse take? a. Contact the pharmacy and confirm that the dosage is safe to administer b. Ask another nurse to verify that the dosage is appropriate for the client c. Contact the provider to question the dosage d. Inform the charge nurse and administer the dose of the medication the provider prescribed a. Occupational therapist (an occupational therapist assists clients who have physical challenges to use adaptive devices and strategies to help with self-care activities such as feeding) - 5. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. The nurse should initiate a referral with which of the following members of the interprofessional health care team? a. Occupational therapist b. Social worker c. Registered dietician d. Speech pathologist c. Interpersonal (interpersonal communication is face-to-face interaction with another person. It results in an exchange of ideas, problem solving expression of feelings, decision making, and personal growth) - 6. A nurse receives a client care assignment from the charge nurse that he believes is unfair. The nurse voices his concern to the charge nurse. The nurse is using which level of communication at this time? a. Transpersonal b. Intrapersonal c. Interpersonal d. Public b. Determine the client's level of fluency in his primary language (it is important to determine the client's level of fluency in her primary language and the nurse's language to provide teaching the client can understand) - 7. A nurse is developing a plan of care for a client who does not speak the same language as the nurse. Which of the following interventions should the nurse include? a. Make sure a family member is present to interpret for the staff. b. Determine the client's level of fluency in his primary language c. Speak directly to the interpreter when teaching the client d. Encourage the client to nod to indicate understanding c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed consent from the client) - 8. A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure? a. Nurse b. Anesthesiologist c. Surgeon d. Surgical suite nurse a. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion) - 9. A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). which of the following actions should the nurse perform? a. Complete a neurological check b. Administer the prescribed PRN antihypertensive medication c. Increase the fluid intake d. Hold the client's evening dose of digoxin a. Documentation is a communication tool for the interprofessional health care team - 10. A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? a. Documentation is a communication tool for the interprofessional health care team b. Documentation provides information to the client about financial charges for care provided c. Documentation provides information for a client audit d. Documentation allows providers to monitor the nurse's activities