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Unformatted text preview: Nursing Process I Exam I 1. A client with Alzheimer's disease is admitted to the hospital with a diagnosis of chronic bladder infection. The skin on the client's upper thighs and perineum is excoriated from urinary incontinence. Which nursing diagnosis is the most appropriate for this client? A. Risk for urinary tract infection related to incontinence B. Impaired skin integrity related to functional incontinence C. Imparied skin integrity related to urinary tract infections D. Urinary incontinnence related to functional incontinence Answer: B 2. Which of the following actions shows the nurse's understanding of a principle of learning? A. The nurse tells the family that the client needs to work at learning about the pathophysiology of the client's health condition. B. The nurse provides instruction while the client in the next bed entertains loud visitors C. The nurse delays teaching until the client's pain subsides D. The nurse does not repeat any medication sede effects that the client should report to the physician Answer: C 3. You say to your adolescent client, "When you said that you were high, did you mean that you had just taken some drugs?" This is an example of which type of therapeutic communication technique? A. restating B. reflecting C. seeking consensual validation D. focusing Answer: C 4. The nurse who is performing a functional assessment of the older adult should ask about which of the following? A. medication history B. health history C. health-seeking behaviors over the lifespan D. activities of daily living Answer: D 5. A definition of sexuality includes which of the following? A. a person's sex, either female or male B. awareness and feelings of being male or female C. being dimorphic D. basic elements of both female and male gonads at birth Answer: B 6. You have been discussing a client's perception and thoughts regarding her recently diagnosed pancreatic cancer. After lengthy discussion, your client becomes silent. You should: A. excuse yourself, as the conversation is obviously over B. ask her what else she would like to discuss C. sit silently for several minutes before doing anything D. change th subject and discuss something of a lighter nature Answer: C 7. A client is being discharged from the hospital after treatment for a newly diagnosed disease. If the client does not receive education about the condition, what will be the most likely result?...
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This note was uploaded on 10/16/2010 for the course NURS 2300 taught by Professor Various during the Spring '10 term at Mid-America.
- Spring '10