PROFESSIONAL ADJUSTMENT AND NURSING CARE MANAGEMENT PRACTICE EXAM 1. The nurse is explaining the Bill of Rights for psychiatric patients to a client who has voluntarily sought admission to an inpatient psychiatric facility. Which of the following rights should t he nurse include in the discussion? Select all that apply:
__Right to select health care team members __Right to refuse treatment __Right to a written treatment plan __Right to obtain disability __Right to confidentiality confidentiality __Right to personal mail 2. In the emergency department, a client reveals to the nurse a lethal plan for committing suicide and agrees to a voluntary admission to the psychiatric unit. Which information will the nurse discuss with the client to answer the question, "How long do I have to stay here?" Select all that apply:
__"You may leave the hospital at any time unless you are suicidal." __"Let's talk more after the health team has assessed you." __"Once you've signed the papers, you have no say." __"Because you could hurt yourself, you must be safe before being discharged." discharged." __"You need a lawyer to help you make that decision." __"There must be a court hearing before you leave the hospital." 3. The nurse has developed a relationship with a client who has an addiction problem. Which information would indicate that the therapeutic interaction is in the working stage? Select all that apply:
__The client addresses how the addiction has contributed to family distress. __The client reluctantly shares the family history of addiction. __The client verbalizes difficulty identifying personal strengths. __The client discusses the financial problems related to the addiction. __The client expresses uncertainty about meeting with the nurse. __The client acknowledges the addiction's effects on the children. 4. If parents or legal guardians aren't available to give consent for treatment of a life-threatening situation in a minor child, which of the following statements is most accurate?
A. onsent may be obtained from a neighbor or close friend of the family. family. B. Consent may not be needed in a life-threatening situation. situation. C. Consent must be in the form of a signed document; therefore, therefore, parents or guardians must be contacted. D. Consent may be given by the family physician. 5. You're You're admitting a 15-month-old boy who has bilateral otitis media and bacterial meningitis. Which room arrangements would be best for this client?
A. In isolation off a side hallway B. A private room near the nurses' station C. A room with another child who also has meningitis D. A room with two toddlers who have croup
6. Which of the following points should a team leader consider when delegating work to team members in order to conserve time?
A. Assign unfinished work to other team members. B. Explain to each team member what needs to be done. C. Relinquish Relinquish responsibility for the outcome of the work. D. Assign each team member the responsibility to obtain dietary trays. 7. The nurse is caring for a client admitted to the emergency department after a motor vehi cle accident. Under the law, the nurse must obtain informed consent before treatment unless:
A. the client is mentally ill. B. the client refuses to give informed consent. C. the client is in an emergency situation. situation. D. the client asks the nurse to give substituted consent. 8. The nurse is assigned to care for an elderly client who is confused and repeatedly attempts to climb out of bed. The nurse asks the client to lie quietly and leaves her unsupervised to take a quick break. While the nurse is away, away, the client falls out of bed. She sustains no injuries from the fall. Initially, the nurse should treat this occurrence as:
A. a quality improvement issue. B. an ethical dilemma. C. an informed consent problem. D. a risk-management risk-management incident. 9. The nurse receives an assignment to provide care to 10 clients. Two of them have had kidney transplantation surgery within the last 36 hours. The nurse feels overwhelmed with the number of clients. In addition, the nurse has never cared for a client who has undergone recent transplantation surgery. What's the appropriate action for the nurse t o take?
A. Speak to the manager and document in writing all concerns related to the assignment. B. Refuse the assignment. C. Ignore the assignment and leave the unit. D. Trade assignments with another nurse. 10. The nurse works with a colleague who consistently fails to use standard precautions or wear gloves when caring for clients. The nurse calls the colleague's attention to these oversights. The colleague tells the nurse that standard precautions and gloves aren't necessary unless the client is known to have tested positive for the human immunodeficiency virus. What's the most appropriate action for the nurse t o take?
A. Ignore it because it isn't directly the nurse's problem. B. Document the problem in writing for the manager. manager. C. Talk to other staff members to ascertain their practices. D. Instruct the clients to remind this colleague to wear gloves. 11. An adult client is diagnosed with acquired immunodeficiency syndrome. The nurse who is caring for the client is also his friend. The nurse tells the client's parents about the diagnosis; after all, they know their son is the nurse's friend. Several weeks l ater, ater, the nurse receives a letter from the client's attorney stating that the nurse has committed an intentional tort. Which intentional tort has this nurse committed?
A. Fraud B. Defamation of character C. Assault and battery D. Breach of confidentiality
12. A nurse accidentally administers 40 mg of propranolol (Inderal) to a client instead of 10 mg. Although the client exhibits no adverse reactions to the larger dose, the nurse should:
A. call the facility's attorney. B. inform the client's family. C. complete an incident report. D. do nothing because the client's condition is stable. 13. The nurse is assigned to care for a postoperative client who has diabetes mellitus. During the assessment interv iew, the client reports that he's impotent and says that he's concerned about its effect on his marriage. In planning this client's care, the most appropriate intervention would be to:
A. encourage the client to ask questions about personal sexuality. B. provide time for privacy. C. provide support for the spouse or significant other. other. D. suggest referral to a sex counselor or other appropriate professional. 14. The nurse is assigned to care for eight clients. Two Two nonprofessionals are assigned to work with the nurse. Which statement is valid in this situation?
A. The nurse may assign the two nonprofessionals to work independently with a client assignment. B. The nurse is responsible to supervise assistive personnel. C. Nonprofessionals aren't responsible responsible for their own actions. D. Nonprofessionals don't require training before they work with clients. 15. Each state has guidelines that regulate the different levels of nursing : licensed practical or vocational nurse, registered nurse, or advanced practice nurse. Legal guidelines outlining the scope of practice for nurses are known as:
A. consent to treatment. B. client's bill of rights. C. nurse practice acts. D. licensure requirements. 16. A client is dissatisfied with his hospitalization. He decides to leave against medical advice and refuses to sign the paperwork. The nurse's next course of action is to:
A. detain him until he signs the paperwork. B. detain him until his physician arrives. C. call security for assistance. D. let him leave. 17. A nurse needs assistance transferring an elderly, confused client to bed. The nurse leaves the client to find someone to assist her with the transfer. While the nurse is gone, the client falls and hurts herself. The nurse is at fault because she hasn't:
A. properly educated this client about safety measures. B. restrained the client. C. documented that she left the client. D. arranged for continual care of the client.
18. When prioritizing a client's care plan based on Maslow's hierarchy of needs, the nurse's first priority would be:
A. allowing the family to see a newly admitted client. B. ambulating the client in the hallway. C. administering pain medication. D. placing wrist restraints on the client. 19. When developing a therapeutic relationship with a client, the nurse should begin preparing the client for termination of the relationship:
A. at discharge. B. during the first meeting. C. at the midpoint of the relationship. D. when the client demonstrates the ability to function independently. 20. To To be effective, a clinical cli nical nurse-manager in a managed care environment must:
A. expect all staff to accept change. B. go along with a proposed change. C. be a catalyst for change. D. document staff nurses' reactions to change. 21. In community-based nursing, primary responsibility for decisions related to health care belongs to the:
A. nurse. B. client. C. health care team. D. physician. 22. A client became seriously ill after a nurse gave him the wrong medication. After his recovery, he files a lawsuit. Who is most likely to be held liable?
A. No one because it was an accident B. The hospital C. The nurse D. The nurse and the hospital 23. The nurse is providing care for a client who underwent mitral valve replacement. The best example of a measurable client outcome goal is to:
A. change his own dressing. B. walk in the hallway. C. walk from his room to the end of the hall and back before discharge. D. eat a special diet. 24. A client with end-stage liver cancer tells the nurse he doesn't want extraordinary measures used to prolong his life. He asks what he must do to make these wishes known and legally binding. How should the nurse respond to the client?
A. B. C. D.
Tell him that it's a legal question question beyond the scope of nursing practice. practice. Give him a copy of the client's client's bill bill of rights. rights. Provide Provide informati information on on activ active e euthana euthanasia. sia. Discuss Discuss documenti documenting ng his wishes wishes in an advance advance directi directive. ve.
25. While admitting a client with pneumonia, the nurse notes multiple bruises in various stages of healing. The client has Alzheimer's disease and a history of multiple fractures. Legall y, the most important action for the nurse to take is to:
A. B. C. D.
document document findings findings thoroughl thoroughly y. question question the the clien clientt about about the the bruising bruising.. inform inform approp appropriate riate local local authori authorities ties.. tell tell the clie client's nt's phys physici ician. an.
26. The nurse is providing care for a client with multiple myeloma, a disorder characterized by episodes of remissions and exacerbations. Which resource can best help the client adapt to the disease?
A. B. C. D.
The The cli clien ent's t's fami family ly Pasto astora rall car care Supp Suppor ortt grou group p Hosp Hospic ice e car care e
27. A client wi th brain cancer is deteriorati ng and the prognosis is poor. poor. The client meets brain-death criteria. Which nursing intervention is most appropriate at this time?
A. B. C. D.
Approach Approach the the client' client's s family family about about organ organ donation donation.. Make Make the decision decision to withdra withdraw w life life support. support. Seda Sedate te the the cli clien ent. t. Talk to the the staff staff about their their feelin feelings. gs.
28. A client i s scheduled to have a descending colostomy. He's very anxious and has many questions concerning the surgical procedure, care of a stoma, and lifestyle changes. It would be most appropriate for the nurse to make a referral to which member of the health care team?
A. B. C. D.
Soci Social al work worker er Registe egistere red d dieti dietitia tian n Occupa Occupatio tional nal therap therapist ist Enter Enterost ostoma omall nurse thera therapis pistt
29. A 92-year-old client with prostate cancer and multiple metastases is in respiratory distress and is admitted to a medical unit from a skilled nursing facility. facility. His advance directive states that he doesn't want to be placed on a ventilator or receive cardiopulmonary resuscitation. B ased on the client's advance directive, which intervention should the nursing care plan include?
A. B. C. D.
Check Check on the the clien clientt once once per per shift. shift. Provide Provide mouth mouth and skin skin care only only if the family family reques requests ts it. Turn the the client client only if if he's uncomfo uncomfortabl rtable. e. Provide Provide emotion emotional al support support and pain pain relief relief..
30. The registered nurse has an unlicensed assistant working with her for the shift. When delegating tasks, the registered nurse understands that the unlicensed assistant:
A. B. C. D.
interp interpre rets ts clin clinica icall data. data. colle collects cts clinic clinical al data. data. is train trained ed in the the nursing nursing pro proces cess. s. can function function independe independently ntly..
31. A nurse on a medical-surgical floor is making assignments for an 8hour shift. Which of the following considerations has the highest priority?
A. B. C. D.
Comple Complexit xity y of care care requ requir ired ed Age Age of the the cli clien ents ts Skills Skills of of the assig assigned ned perso personne nnell The number number of client clients s
32. The nurse is caring for a homeless client with active tuberculosis. The client is almost ready for discharge; however, however, the nurse is concerned about the client's ability to follow the medical regimen. Which intervention will best ensure that the client complies with treatment? A. Re Referr ferring ing the client client to a social social worke workerr for discharge discharge planning planning B. Providi Providing ng individu individualiz alized ed client client education education C. Having Having the clien clientt attend attend a formal formal educati education on session session D. Attemptin Attempting g to contact contact a member of the the client's client's family family to provide provide assistance 33. The nurse is following a critical pathway to help a client who underwent hip replacement surgery meet specific objectives. What's a critical pathway?
A. A nursing nursing care plan plan that that helps the the nurse to decide decide which which intervent intervention ion to perform first B. A multidisciplinary multidisciplinary care care plan that helps the nurse to use a variety of critical interventions C. A standardiz standardized ed care plan plan that lists lists basic interven interventions tions for the nurse nurse to use with every client D. A clinical clinical manageme management nt tool that organiz organizes es the major major interventio interventions ns for a multidisciplinary multidisciplinary health care team 34. A train accident sends a large number of injured passengers to the hospital. The hospital's disaster plan is put into effect. Which one of the following nursing actions will best serve the hospital in a disaster situation?
A. The nurse should should know the hospita hospital's l's disaster disaster plan plan and what's what's expected expected of her during a disaster. B. During During a disaster, disaster, the the nurse should should voluntee volunteerr to help where where she thinks thinks assistance is most needed. C. The nurse nurse should should offer advice advice about about how to keep keep the operat operation ion running running smoothly. D. If told to do so, the nurse nurse should should perform perform tasks tasks that that are beyond beyond her scope scope of practice. 35. The nurse-manager of a hospital unit holds monthly staff meetings. During these meetings, she maintains control over the meeting and agenda, resists consensus decision making, and uses discipline and coercion to elicit desired behavior from staff. This manager uses what type of leadership style?
A. B. C. D.
Aut Autocra ocrati tic c Demo Democ crati ratic c Parti artici cipa pati tive ve Lais Laisse sezz-fa fair ire e
36. The registered nurse of a hospital unit is acting as charge nurse. The charge nurse's responsibility is to delegate client care appropriately to the licensed practical nurse (LPN) and the nurse's aide. Delegation of activities should be primarily based on which factors? A. Whether Whether the LPN or nurse's nurse's aide aide provided provided care care for the client client before before B. The staff staff member member whose turn turn it is to perform perform certain, certain, less less pleasa pleasant nt tasks C. The job descri description ption and experi experience ence level level of the LPN LPN and the aide aide
D. The staff staff member member who volunteers volunteers to to perform the the various various tasks tasks 37. A task force is formed to analyze institutional problems, such as inadequate staffing and a rise in the number of negative evaluations from clients. During the meeting, members express their concerns, disagree over the most significant factors contributing to these problems, and compete for influence over the group. Which of the following four stages of group development does t heir behavior represent?
A. B. C. D.
Forming Storming ing Norming Perfo erforrming ming
38. A client in the final stages of terminal cancer tells his nurse, "I wish I could just be allowed to die. I'm tired of fighting this illness. I've lived a good life. I continue my chemotherapy and radiation treatments only because my family wants me to." What's the nurse's best response?
A. "Would "Would you like like to talk talk to a psychologi psychologist st about your your thoughts thoughts and feelings?" B. "Would "Would you like like to talk to your minister minister about the the significan significance ce of death?" death?" C. "Would "Would you like like to meet meet with your your family family and your physici physician an about this this matter?" D. "I know you you are tired of fighting this illness, but death will will come in due time." 39. The nurse works in a managed-care environment. The nurse is expected to be oriented to which of the following criteria?
A. B. C. D.
Perform Performing ing tasks tasks in in the shorte shortest st time time possible possible Adher Adhering ing to clien clientt prefer preferenc ences es Problem Problem solving solving and time managemen managementt Quality Quality of of care care and cost-c cost-contai ontainment nment
40. A client asks to be discharged from the health care facility against medical advice (AMA). What should the nurse do?
A. B. C. D.
Take ake measures measures to prevent prevent the client client from from leaving. leaving. Ask the the clien clientt to sign sign an AMA AMA form form.. Call a security security guard guard to help help detain detain the client. client. Notif Notify y the the physi physicia cian. n.
41. The nurse is caring for a client with renal failure who requires peritoneal dialysis. The nurse doesn't feel comfortable performing the procedure. What would be the most appropriate action for the nurse to take?
A. Omit the proce procedure dure and and tell the the next nurse nurse in report report that she'll she'll need need to perform the dialysis. B. Ask the nursing nursing supervi supervisor sor for assista assistance nce in using using the equipmen equipment. t. C. Ask the the client client how to use the the equipm equipment. ent. D. Perform the procedure procedure to the the best of her ability, ability, utilizing her knowledge knowledge of basic health principles. 42. A registered nurse suspects that another nurse has been drinking. She smells alcohol on the nurse's breath and notes slurred speech. What's the best course of action for the registered nurse to take?
A. Cover Cover for the nurse becau because se the profess profession ion depends depends on loyalty loyalty from from colleagues.
B. Call the the police police and ask them them to arrest arrest the nurse nurse because because she's she's endangering the lives of clients. C. Tell the nurse she has one more chance, chance, but if she drinks on duty again again she'll be reported. D. Immediate Immediately ly notify notify the nursing nursing superviso supervisorr. 43. When documenting care in a client's medical record, the nurse should:
A. B. C. D.
record record the the nurse's nurse's interpre interpretati tation on of data. data. correct correct a mistak mistake e using using a corre correcting cting fluid. fluid. record record the the time time and and date date for all entrie entries. s. leave blank spaces to record record information information at a later later time, if necessary necessary..
44. The nurse is completing a change-of-shift report. Which statement wouldn't be appropriate for a nurse to include in the report?
A. B. C. D.
The client client was admitted admitted with with a diagnosis diagnosis of myocardial myocardial infarcti infarction. on. The client client lives lives at home home with with his wife wife and and two childre children. n. The client client had chest pain pain relieved relieved with with one sublingual nitroglycerin tablet. The client is scheduled scheduled for a cardiac catheterization in the morning and will be nothing by mouth after midnight.
45. A 19-year-old male client is diagnosed with prostate cancer. cancer. Which nursing action constitutes an invasion of the client's pri vacy?
A. Covering Covering the client client with a blank blanket et before before transporting transporting him throug through h the hospital corridors B. Pulling a curtain around the the bed before performing a prostate examination C. Re Refusin fusing g to discuss discuss the details details of the young young man's man's condition condition with with coworkers in an elevator filled with staff D. Telling the family family that the client client has cancer cancer without the client's knowledge knowledge 46. The parents of a 4-year-old with sickle cell anemia tell the nurse that they would like to have other children, but they're concerned about passing sickle cell anemia on to them. Which health care team member would be the most appropriate person for the nurse to refer them to?
A. B. C. D.
Clergy Soci Social al work worker er Certif Cer tified ied nurse nurse midwif midwife e Gene Geneti tic c couns counsel elor or
47. The family of a child dying from leukemia asks the nurse about organ donation. Who must give consent for the child's organs to be donated?
A. B. C. D.
Member Memb er of of the the cler clergy gy Phy Physic sician ian Parents Court-appointed surrogate, as designated under the Uniform Anatomical Gift Act
48. Parents whose first child has celiac disease ask the nurse if all of their children will have the disease. To To whom should the nurse refer them?
A. B. C. D.
Registe egistere red d dieti dietitia tian n Gene Geneti tic c cou couns nsel elor or Certif Cer tified ied nurse nurse midwif midwife e Soci Social al work worker er
49. The nurse is caring for a school-age child with cerebral palsy. The child has difficulty eating using regular utensils and requires a lot of assistance. Which of the following referrals is most appropriate?
A. B. C. D.
Registe egistere red d dieti dietitia tian n Phys Physic ical al the thera rapi pist st Occupa Occupatio tional nal therap therapist ist Nurs Nurse' e's s aid aide e
50. An 18-year-old pregnant woman tells the nurse that she's concerned that she may not be able to take care of herself during her pregnancy. pregnancy. She states that prenatal care is expensive and her job doesn't provide insurance. The nurse should recognize that she:
A. B. C. D.
may not not take take car care e of herse herself lf.. may not not be fit to take take care care of of a child. child. needs needs to take take up a second second job. job. should be referred referred to community community resources resources available for pregnant women.
51.The nurse is caring for a client with hyperemesis gravidarum who will need close monitoring at home. When should the nurse begin discharge planning?
A. B. C. D.
On the the day day of of disc discha harg rge e When the the client client expr expresse esses s readine readiness ss to learn learn When the client's client's vomiting vomiting has stopped stopped On admi admiss ssion ion to to the hospit hospital al
52. The parents of a 5-year-old call the clinic to tell the nurse that they think their child has been abused by her day-care provider. provider. What should the nurse advise them to do?
A. B. C. D.
Take the child to the emergency emergency department department of the local hospital. hospital. Schedule Schedule an immediate immediate appointme appointment nt with their health health care provide providerr. Call the the child child protecti protective ve services services to to file a compla complaint. int. Talk to their their attorney to file charges charges against against the accused.
53. The nurse is concerned about another nurse's relationship with the members of a family and their ill preschooler. preschooler. Which of the following behaviors would be most worrisome and should be brought to the attention of the nursemanager?
A. The nurse keeps keeps communic communication ation channe channels ls open among among herself, herself, the family, family, physicians, and other health care providers. B. The nurse attempt attempts s to influence influence the family's family's decision decisions s by presenting presenting her own thoughts and opinions. C. The nurse nurse works with with the family family members members to find find ways to decrea decrease se their their dependence on health care providers. D. The nurse has developed developed teaching teaching skills skills to instruct the family members members so they can accomplish tasks independently. 54. When meeting with parents who will learn that their 3-year-old is seriously ill, which action demonstrates the nurse's role as collaborator of care?
A. Provide the parents parents with information information about financial financial assistance assistance programs. programs. B. Inform Inform the family family of the diagnosis diagnosis and recently recently discove discovered red findings findings.. C. Coordinat Coordinate e the multidiscipl multidisciplinar inary y services services and provide informati information on about them. D. Refer Refer and consult consult with other other specialties specialties to help help in treating treating the diagnosis. 55. In planning a presentation that advocates a decrease in the clientto-nurse ratio from 8:1 to 6:1, a nurse should emphasize its effect on:
A. B. C. D.
instit instituti utiona onall reso resourc urces. es. standa standard rds s of practi practice. ce. client client-ca -care re qual quality ity. nursin nursing g recru recruitm itment ent..
56. The employer of a client on the psychiatric unit calls the nursing station inquiring about the client's progress. T he nurse doesn't know if the client has given consent to allow the staff to give information out to callers on the phone. Which of the following would be the nurse's best response?
A. B. C. D.
"I'm not not permitte permitted d to discu discuss ss her her progre progress." ss." "I'll give give you the name name and telepho telephone ne number number of her physician physician." ." "I'll "I'll have have her her call call you." you." "I can't can't confirm confirm whether whether your employe employee e is a client client here." here."
57.Based on multiple referrals, the nurse determines that childhood injuries are increasing in the community in which she practices. The first step the nurse would take in developing an educational program is:
A. assessing for a decrease decrease in referrals following a pediatric pediatric safety class. B. assessing assessing the the strengths strengths and needs needs of the community community while while identify identifying ing barriers to learning. C. choosing choosing a health health promotion promotion or health health belief belief model model as a framewor framework. k. D. developin developing g and implementin implementing g a specific specific plan to decrease decrease childhoo childhood d injuries. 58. A registered nurse who usually works on a medical-surgical unit is told to report to the cardiac care unit (CCU) for the day because the CCU is short staffed and needs additional help to care for the clients. The nurse has never worked in the CCU. Which of the following responses is the most appropriate nursing action?
A. B. C. D.
Call Call the the hospit hospital al law lawyer yer.. Report to the CCU CCU and identify identify tasks tasks that she she feels she can safely perform. Speak Speak to the nursing nursing superv supervisor isor.. Refuse efuse to go go to the CCU. CCU.
59. A nurse-manager is explaining the unit's performance improvement (PI) program to a newly hired nurse. Which of the following should she include as one of the primary purposes of the PI program?
A. B. C. D.
Evalua Evaluatio tion n of clie client nt outco outcomes mes Evaluati Evaluation on of staff staff member member performance performance Improvem Improvement ent in in the the effici efficiency ency of care care Preparat Preparation ion for accredit accreditation ation
60. Two Two family members are arguing in a child's room. They start to hit each other and the child is crying. What's the most appropriate nursing action?
A. B. C. D.
Call security security to come come and intervene intervene.. Remove emove the the child child from from the the room. room. Ask one one of the family family members members to leave leave the room. Try to reason reason with with both family family member members. s.
61. The nursing supervisor is called to the emergency department to assist with a 10-month-old infant with injuries consistent with child abuse. The nursing supervisor confers with the emergency department physician. To To whom must she report the incident?
A. B. C. D.
A soc socia iall wor work ker The medica medicall director director of of the emerg emergency ency depart department ment A Children's Children's Prote Protectiv ctive e Services Services (CPS) (CPS) representa representative tive A publ public ic health health nurse nurse
62. The nurse-manager has noticed a sharp increase in the mediation errors with I.V. antibiotics over the last month. She discusses the situation with each nurse involved. What other action should she take?
A. B. C. D.
Docume Document nt it on on their their evalu evaluati ation. on. Ask them to attend inservice training for administration of I.V. I.V. medications. medications. Report eport them them to the supe supervi rvisor sor.. Report Re port the incidents incidents to the hospita hospitall attorney attorney..
63. When reporting to the surgeon that a chest tube is malfunctioning, the nurse is ordered to reposition the tube and obtain a chest radiograph. The nurse should:
A. B. C. D.
inform inform the surgeon surgeon this this isn't isn't within within her scope scope of practic practice. e. report report the surgeon surgeon to the Ethic Ethics s Committe Committee. e. report report the surge surgeon on to the the nursing nursing supervi supervisor sor.. follow follow the order order as as request requested ed by the the surgeon. surgeon.
64. An Iranian mother and father admit their 14-month-old son to the pediatric unit for treatment of leukemia. When the female pediatric oncologist, who isn't Muslim, introduces herself, they became uncooperative and refused treatment. The nurse should be aware that this change of behavior is probably related to:
A. the gender gender of the the phys physici ician an.. B. fear of being being accused accused of child child abuse abuse and neglect neglect by an authori authority ty figure. figure. C. religiou religious s barriers barriers that preven preventt the family family from accepting accepting care care from someone who isn't of their religion. D. aggressi aggressivene veness ss of Middle Middle Easter Easterners ners.. 65. Which of the following clients would be a priority for the nurse to evaluate when assuming responsibility for their care at the beginning of the day shift?
A. B. C. D.
The client client who who had a total total larynge laryngectomy ctomy the the previou previous s day The client client with with diabetes diabetes who who had a fasting fasting blood glucos glucose e of 150 mg/dl An elderly elderly client client who has Alzheime Alzheimer's r's disease disease and periods periods of confusion confusion A client client with a pneumoth pneumothorax orax who who had a chest chest tube inserted inserted earlie earlierr in the day
End of PROFESSIONAL ADJUSTMENT AND NURSING CARE MANAGEMENT PRACTICE EXAM
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