Nclex-Rn Practice Questions-Health Promotıon And Maıntenance - Part 3
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During a yearly physical examination, a client tells the nurse that the client “is stressed to the max” by work and family obligations. First, the nurse:
Encourages the client to speak with the physician.
Suggests the client obtain a prescription for sleep aid medication.
Discusses positive options for stress reduction.
Counsels the client to consider a career change.
A young, adult client has a family history of chronic lung disease. He wants to avoid these processes and asks the nurse for information. The nurse replies:
There is nothing that can alter your genetic makeup.
Chronic lung disease affects the elderly.
You will not have lung disease if you do not smoke cigarettes.
Occupational exposure to inhaled toxic agents leads to lung disease.
A nurse works in a clinic where the nurse is responsible for client education. Which principle is a factor in client education?
Every client is a learner throughout life.
Learning is difficult for the very young and very old client.
Middle-aged clients are busy with work and family and cannot focus on learning.
Clients learn best when they are faced with a serious illness.
The nurse understands that one of the most vital aspects of teaching includes:
Relaying accurate information to the client.
Asking the client what the client feels and needs to know.
Identifying the way a client learns best.
Having the client take a short pre- and post-test on the material.
The nurse is most likely to be an effective educator of clients when:
The nurse has complete content expertise.
The nurse displays listening skills and receives feedback.
The relationship between nurse and client is formal and impersonal.
The nurse understands that good educators are born, not made.
The nurse educator knows that a client will understand and recall material better if the learning environment includes problem-based as well as knowledge-based activities. Which is an example of a problem-based activity?
The client recalls the symptoms of the client’s disease.
The client comprehends the client’s medication regimen.
The client can analyze the client’s glucometer value and determine what action is needed.
The client performs a self-care activity accurately.
A client has asthma. The nurse is aware that:
A written asthma plan and peak expiratory flow measurements foster self-care.
Asthma education (information) improves health outcomes in adults.
Regular, ongoing reviews of client education are not necessary or beneficial.
Clients with asthma have the same incidence of hospital admissions, unscheduled physician visits, and missed days of work as clients without asthma.
As winter approaches, the nurse counsels an elderly client:
To remain indoors as much as possible.
That he needs thermal protection when outdoors.
To consider spending the winter in a milder climate.
That he will likely become ill if he does not remain in an environment with a constant temperature.
Self-monitoring of blood glucose is an important part of diabetes management because:
An elevated blood glucose level prompts the client to exercise and thus lower the value.
An abnormal blood glucose value indicates the client is ingesting too many carbohydrates.
It enables the client to make self-management decisions.
Monitoring alerts the client that his insulin is not effective, and he should open a new vial.
As clients age, the nurse should remember that self-care practices by the client:
Result in a failure of the client to utilize medical services.
Have little or no effect on mortality, but do reduce the overall rate of illness.
Are limited in the ability to influence health and well-being.
Promote health of the client now and in the future.
A student nurse is having difficulty determining the liver span of a client. The experienced nurse educates the student:
Since the liver span varies considerably between individuals, its measurement is of little value.
To percuss in the midclavicular line from the nipple line downward and the iliac crest upward.
To palpate the position of the liver first, and then attempt to percuss its position.
That having the client flex his knees will relax the abdominal musculature.
When assessing the cardiovascular system the nurse inspects and palpates blood vessels. A rigid (hard) blood vessel will vibrate. The correct term for a palpable vibration of a blood vessel is:
When performing a physical examination on an elderly client, the nurse:
Assesses the musculoskeletal system by asking the client to hop on one foot and perform deep knee bends.
Limits distractions because of the client’s sensory deficits in vision and hearing.
Evaluates the pulmonary status with deep breaths, breath holding, and forced expirations.
Focuses on different walking maneuvers (heelto-toe, tandem, heel walking) to evaluate neuromuscular function.
When performing a physical examination on a 2-year-old client, the nurse:
Performs a head-to-toe examination in the same manner as a physical examination performed on an adult client.
Sedates the client to achieve cooperation.
Performs the minimally invasive maneuvers such as the examination of the ears and eyes at the beginning of the exam.
Listens to the heart, lungs, and bowel sounds first.
A 75-year-old client exhibits diminished but equal peripheral pulses and cool hands and feet. The nurse’s most appropriate action is to:
Immediately notify the physician.
Place the client on a cardiorespiratory monitor and assess the client for possible atriaventricular block.
Understand these are normal gerontological changes caused by diminished inotrophy and arterial rigidity.
Initiate oxygen therapy and call the code team.
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