CDM TEST 2023 REAL EXAM 150 QUESTIONS AND CORRECT ANSWERS|AGRADE(VERIFIED ANSWERS)

CDM TEST 2023 REAL EXAM 150 QUESTIONS AND CORRECT

ANSWERS|AGRADE(VERIFIED ANSWERS)

The nurse is planning care for a client who has severe arthritis and has very limited

fine motor hand dexterity. Which of the following would the nurse identify as the

most relevant defining characteristic for this client for the nursing diagnosis of

Self-Care Deficit: Dressing?

Inability to choose clothing

Inability to maintain appearance

Inability to use zippers

Impaired ability to obtain clothing - ANSWER- Inability to use zippersRATIONALE :With limited fine motor dexterity in the hands, the client would

most likely have trouble with using zippers, an action that requires fine motor

skills. There is no information that suggests the client is unable to choose clothing,

maintain appearance, or obtain clothing.

The nurse is developing a plan of care for a client who has advanced dementia. The

nurse recognizes that there is a Self-Care Deficit: Dressing related to which of the

following?

Anxiety

Cognitive impairment

Environmental barriers

Weakness - ANSWER- Cognitive impairment- RATIONALE :A client with

advanced dementia has significant cognitive impairment that could hinder

dressing. There is no information about the client having anxiety, weakness, or

environmental barriers that make dressing difficult.

The nurse is planning care during rehabilitation for a client who experienced left

sided weakness following a stroke. Which of the following outcomes would be the

most desirable for this client's nursing diagnosis of Self-Care Deficit: Dressing?

Client will dress and groom self to optimal potential.

Client will identify types of assistive technology.

Client will be dressed by a caregiver.

Client will explore potential barriers to dressing. - ANSWER- RATIONALE

:Client will dress and groom self to optimal potential- Dressing and grooming

oneself shows the most independence of all the options and therefor is the most

desirable outcome. Identifying asistive technology and exploring barriers to

dressing assists in developing independence. Being dressed by a caregiver is the

least optimal choice as it shows maximal dependence on others.

A client had a recent fall and has residual dizziness. What action by the nurse best

promotes safety for the client during dressing?

Have the client sit for as much dressing as possible.

Perform the majority of dressing for the client.

Teach the client to hold the bed with one hand.

Use a gait belt in case the patient falls during dressing. - ANSWER- Have the

client sit for as much dressing as possible- RATIONALE :For safety, a patient

with dizziness and a history of falls should sit for as much of dressing as possible

as this activity can be tiring. Using a gait belt does help prevent falls, but sitting is

a better option. Holding the bed with one hand limits the amount of self-dressing

the client can do. The nurse performing most of the dressing does not help the

client gain or maintain independence.

The nurse is teaching a client who has right sided weakness due to a stroke

methods for easier dressing. Which of the following interventions should the nurse

include in this teaching session?

Stand while dressing.

Use clothing that fastens in the back.

Use smart machine-based prompting.

Dress the affected side first. - ANSWER- Dress the affected side first

RATIONALE :Dressing the affected side allows for easier manipulation of the

client's clothing. A client with weakness may prefer to sit during dressing.

Machine-based prompting is helpful for clients with cognitive problems. Clothes

that fasten in the back are more difficult to manipulate.

The nurse is developing a plan of care for a right hand dominant client who had a

right rotator cuff repair. The nurse recognizes that there is a Self-Care Deficit:

Feeding related to which of the following?

Environmental barriers

Musculoskeletal impairment

Neuromuscular impairment

Perceptual impairment - ANSWER- Musculoskeletal impairment- RATIONALE

:The musculoskeletal impairment secondary to a surgical procedure on the

dominant side is the most appropriate defining characteristic for this client's

diagnosis. There is no indication that the client is experiencing environmental

barriers, neuromuscular impairment, or perceptual impairment.

The nurse is planning care for a client who has Parkinson's disease with severe

hand tremors. Which of the following would the nurse identify as the most relevant

defining characteristic for this client for the nursing diagnosis of Self-Care Deficit:

Feeding?

Inability to cook food

Inability to chew food

Inability to bring food to mouth

Impaired ability to manipulate food in mouth - ANSWER- Inability to bring food

to mouth- RATIONALE :While all options are possible defining characteristics

for this diagnosis, the severe hand tremors would limit this client's ability to bring

food from a plate or bowl to the mouth.

The nurse is planning care for a client who is left hand dominant and is

experiencing right sided weakness and a frequent cough following a stroke. Which

of the following outcomes would be the most desirable for this client's nursing

diagnosis of Self-Care Deficit: Feeding?

Client will feed self safely.

Client will identify assistive technology for feeding.

Client will use adaptive utensils for feeding.

Client will explore potential barriers to feeding. - ANSWER- Client will feed self

safely- RATIONALE :The client's frequent cough after a stroke can indicate

aspiration. Patient safety is a high priority. The most optimal goal for the client is

to be able to self-feed safely, without aspiration or choking. The client may or may

not need to identify assistive technology and use adaptive utensils. Exploring

barriers to feeding is also useful, but is not as optimal an outcome as being able to

self-feed safely.

The nurse is providing a training session for the staff who participates in assisting

clients with eating. Which of the following timeframes should the nurse convey is

needed per client meal to promote weight gain in at risk clients?

10 minutes

13 minutes

20 minutes

42 minutes - ANSWER- 42 Minutes- RATIONALE :A recent research study

showed that allowing clients at risk for weight loss an average of 42 minutes to eat

meals was associated with better oral intake and weight gain. The other timeframes

are too short.

The nurse is planning care for a client receiving a tube feeding. Which one of the

following interventions for the client should the nurse include for safety to help

prevent aspiration pneumonia?

Swab mouth once each shift with foam toothettes.

Provide regular oral care using toothbrush.

Avoid oral care to reduce oral secretions

RATIONALE :Apply moisturizer to lips every 4 hours. - ANSWER- Provide

regular oral care using toothbrush- Clients on tube feedings have been found to

have poorer oral care than those not on tube feedings, leading to an increased

incidence of aspiration pneumonia. Using foam toothettes once a shift does not

provide adequate hygiene. Applying moisturizer and avoiding oral care will not

help prevent aspiration pneumonia.

During assessment the nurse identifies that a client needs assistance with

ambulation. Which of the following would the nurse identify as the most relevant

defining characteristic for this client's nursing diagnosis Self-Care Deficit:

Toileting?

Inability to manipulate clothing for toileting

Inability to get to toilet or commode

Inability to wash hands after toileting

Inability to carry out proper toilet hygiene - ANSWER- Inability to get to toilet or

commode- RATIONALE :Ambulation difficulties would most likely lead to a

client not being able to get to the bathroom or to the commode easily. There is no

information to suggest the client cannot manipulate clothing, wash hands, or carry

out hygiene activities.