A nurse is caring for a client who has a recent diagnosis of a terminal
illness. The nurse should identify which of the following as an
indication of hopelessness?
o The client wants to talk about the diagnosis with nursing staff
o The client has a decreased energy level
o The client makes funeral arrangements
o The client requests a second opinion
A nurse is preparing to collect data on a preschooler. Which of the
followingbehaviorsbythechildindicates thatheisready tocooperate?
(Select all that apply)
o Allows the nurse to touch him on the arm
o Plays with toys in
the examining
room
o c. Answers questions asked
by the nurse
o d. Makes eye contact with the
nurse
Sits on his parent’s lap when the nurse enters the room
A nurse on a mental health unit is planning care for a group of
clients.Whichof thefollowingclientsshouldthenursesee
first?
o A client who has bipolar disorder and is displaying flights of ideas
o A client who has ADHD and has an inability to concentrate
o A client who has schizophrenia and is having commandhallucinations
o A client who has depressive disorder and is withdrawn
A nurse is caring for a client who recently gave birth to her first child. The
newborn is crying and the client states, “ I can’t seem to do anything right.
What should I do?” Which of the following responses should the nurse
make?
o “I’ll take him back to the nursery, so you can get some rest.”
o “Babiesneed to cry soon after they are born to develop their lungs.”
o “Let me show you how to swaddle and cuddle him, then you try.”
o “If I turn him on his side, maybe he’ll go back to sleep.”
A nurseisusingaglucometer tomeasureaclient’scapillarybloodglucose
level, Which of the following actions should the nurse take?
o Test the first drop of blood that forms after the puncture
o Wear sterile gloves
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