Nurse Assessing Their Explained for Students (Easy Guide)

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Original Question

1. A nurse is assessing their client for social isolation. Which statement best reflects an assessment finding that the nurse would be concerned about? A. A client living with a chronic illness, who reports having 15 social contacts including friends and neighbours who are helpful B. A client living with osteoarthritis, whose adult child visits weekly but who is unable to visit her peers at their religious institution due to hip and knee pain C. A client living with rheumatoid arthritis, has 2 children and appreciates her time to read novels and take walks in the park D. A client living with chronic pain, whose 5 children visit every Saturday and values the quality of every family gathering 2. Which of the following are potential barriers to successful self-management for clients with chronic illnesses that nurses should be aware of? Select all that apply. A. low socioeconomic status B. Persistent depressive symptoms C. Proficient health literacy D. being marginalized 3. How may support of self-management and the development of personal skills for health and wellness be accomplished in the Expanded Chronic Care Model (ECCM)? a. Striving for legislative changes in government that foster societal equity b. Working with community groups to set priorities and achieve goals c. Encouraging health care providers to move beyond cure-focused services d. Providing information to clients and enhancing life skills 4. In which of the following situations should the nurse advise the parents to be particularly alert for risk of dehydration when caring for a child with sickle cell anemia A. 4-year-old playing in the shade on a warm day for 30 minutes B. 15-month-old with one wet diaper in 12 hours on a warm day. C. 2-year-old drinking homogenized milk (3.25%) with meals D. 6-year-old playing in the snow for 10 minutes 5. What are the key findings from the Labore et al. (20170 article: Exploring transition to self- management within the culture of sickle cell disease? A. Participants felt that parental relationships evolved over time for the worst. B. Participants felt as If hospitals were an unfamiliar place. C. Participants grew to understand the limits of their disease. D. Participants did not describe a strong maternal relationship as essential to their transition to self-management. 6. Methotrexate is prescribed for a client with a new diagnosis of rheumatoid arthritis. The nurse is teaching the client about this medication. Which statement indicates a good understanding of the heath teaching? A. I will take this medication weekly by mouth.” B. This medication protects me from an infection.” C. This medication will be most effective after an hour.” D. . I will need to have my thyroid checked.” 7. What strategies can a nurse suggest to promote supportive therapies during a vasa-occlusive sickle cell crisis? a. Apply heat b. Apply cold c. I.V. therapy d. Administer high-flow oxygen therapy e. Rest 1) A,B,C 2) A,C,D,E 3) B,D,E 4) B,C,D,E 8. When assessing the family with a child that has a severe complex condition, which will the nurse document as characteristics of parental approach behaviours? Select all that apply. a. Hiding the severity of illness from family members b. Planning for the child’s future educational needs c. The mother sharing her feelings of anger with a friend d. The family is monopolizing the child’s time e. The father being unwilling to talk about possible need for palliative care for the child f. The family clarifying the treatment plan with the healthcare team 9. A client is 81 years old, who is seen routinely in an out-patient clinic, has a chronic Illness and lives with her cat All her close family members have passed away and she does not Know her neighbours. What interventions could help this woman to become less socially isolated? A. Ensure she gives her cat up for adoption B. Suggest that she keep emergency numbers near her phone C. Tell her to watch more television D. The nurse offers to connect the patient to a support group 10. The nurse is teaching the client about the clinical manifestations of rheumatoid arthritis. Which statement indicates the need for further teaching? A. I may experience a great deal of fatigue.” B. My hands can become deformed due to swelling. C. I will experience swelling and tenderness in my calf.” D. My joints can feel stiff which can last 1 hour or more in the morning. 11. Which of the following reflect the themes identified in the article, Client-centred rehabilitation.: Client perspectives (Cott, 2004)? A. Clients want to be actively involved in defining their needs, goals and outcomes B. Clients felt that control of knowledge by professionals helped support decision-making C. Clients felt well prepared to manage interpersonal relationships and emotional challenges D. Clients found routine group work helpful in fostering client-centred individualization 12. A client with hip pain is diagnosed with osteoarthritis. The nurse may need to teach the client about the use of which of the following? A. Adalimuab (Humira) B. Phenytoin (Dilantin) C. Ibuprofen (Motrin) D. Interferon beta-1a (Avonex) E. Sulphasalazine (Salazopyrin) 13. According to the article “Canadian guideline for opioid therapy and chronic non-cancer pain” (Busse et al., 2017), which of the following statements by a client osteoarthritis indicates good understanding of the health teaching? Select all that apply. A. ” I Know I need to work with my physiotherapist when learning therapeutic exercises.” B. “This codeine medication will eliminate my pain.” C. “I should take my ibuprofen as prescribed.” D. My doctor wants to slowly reduce the amount of morphine I am taking due to the side effects.” 14. common parental reaction to a child with chronic illness is overprotection. Which action is suggestive of this behaviour? A. A parent assists in the administration of their 3-year-old child’s asthma inhaler daily. B. A parent encourages their 10-year-old child with asthma to join the school baseball team. C. A parent prevents their 12-year-old from learning to self-administer insulin. D. A parent enforces consistent rules for all children in the family. 15. Strategies to support siblings of chronically ill children include which of the following? A. Encourage parents to be fair in giving time and attention to both children B. Ensure the sibling receives age-appropriate information about the ill child’s chronic condition. C. Provide siblings opportunities to verbalize their concerns. D. Have the sibling babysit the ill child whenever possible. i. A,C ii. A,B,C,D iii. B,D iv. A,B,C v. 16. Which statements best reflect nursing care that is focused on rehabilitation goals, based on Mauk & KI intervention chapter? Select all that apply. A. Work with client experiencing coronary artery disease to prevent complications B. Support client empowerment efforts to live independently with multiple sclerosis C. Teach client that the goal of rehabilitation is facilitating their financial independence D. Support client following a spinal cord injury to enhance quality of life 17. Assessment of a nine (9) year old child experiencing chronic pain should include which of the following? Select all that apply. A. Use a pain diary to aid in assessment. B. Assess how pain is affecting the child’s attendance at school. C. Ask the family about other symptoms that occur concurrently. D. Use of a questionnaire is the most effective method of assessment. 18. A rehabilitation nurse is conducting an assessment of a newly admitted client using the Functional Independence Measure (FIM). Which items will the nurse assess? A. Toileting B. Stairs C. Pain Scale D. Memory E. Bladder Management F. Skin Integrity 1. A,B,D,E 2. A,C,E,F 3. B,D,F 4. A,B,C,D,E 5. C,D,E,F 19. Which of the following best describes chronic illness? a. A sudden manifestation of signs and symptoms of a medical condition that the client experiences and the nurse observes b. THE practitioner’s observation of the manifestation of a medical condition c. The client’s experience of a medical condition that requires long-term management d. A dysfunction in the state of physical, mental, and social health and wellness e. The client’s experience of a sudden manifestation of signs and symptoms of a medical condition 20. Which statement best represents rehabilitation care? A. Assuring client that pressure sores are inevitable in the rehabilitation setting B. Ensure a team approach is available daily to complete all client care needs C. Use a team approach to maximize client independence in meeting care needs D. Goal is to ensure clients return to baseline functional status 21. According to the World Health Organization, which of the following characterize “best buys”? A. The most effective means of preventing chronic Illness B. Raising taxes on tobacco and alcohol C. Promoting public awareness about diet and physical activity D. Educating the public about the transmission of infectious disease E. The most effective means of preventing communicable and chronic Illness 1. B,C,D 2. A,B,D 3. A,D 4. A,B,C,D 5. B,C,D,E 22. Based on the Illness Trajectory phases by Corbin (2002), which statement best reflects an understanding of this model? A. Each person’s illness trajectory is unique B. Each person’s Illness trajectory is predictable C. Each person’s illness trajectory encompasses all nine phases D. Each person’s illness trajectory is linear 23. Which of the following factors can influence the client’s sense of self-efficacy when they wish to make a change in their health behaviours, such as quitting smoking? A. The client believes they have what it takes to succeed B. The client is learning from others who have tried to quit smoking C. A health care provider encourages the client that they are capable of quitting smoking D. The client experiences a low amount of stress in their daily life 1. A,C,D 2. A,B,C,D 3. A,D 4. B,C,D 24. Which of the following reflect the World Health Organization’s (2014) nine voluntary global targets for non-communicable diseases (NCD’s)? A. To reduce the prevalence of insufficient physical activity B. To accelerate action against the leading risk factors for NCDs C. To limit national health system interference in change initiatives D. To reduce premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory disease 1) B,D 2) A,B,D 3) B,C,D 4) A,B,C,D 25. Which of the following noncommunicable diseases rank highest in the world? A. Lung disease, cancer, diabetes, arthritis B. Arthritis, Chronic heart disease, diabetes, and cancer C. Chronic heart disease, kidney disease, lung disease, cancer D. Chronic heart disease, lung diseases, cancer, and diabetes E. Cancer, diabetes, arthritis, kidney disease 26. A client is 50 years old and lives with a chronic illness in a rural area. The client’s family members live hours away in the city, and their best friends have all passed away. They have made attempts to meet some new neighbours from their building but have yet to make contact. Which concept does this best reflect? A. Not an immediate concern given that the client has neighbours nearby B. Social isolation C. An expected finding with chronic Illness and aging D. Solitude 27. A client is 81 years old, who is seen routinely in an out-patient clinic, has a chronic illness and lives with her cat. All her close family members have passed away and she does not know her neighbours. What interventions could help this woman to become less socially isolated? A. Ensure she gives her cat up for adoption B. Suggest that she keep emergency numbers near her phone C. Tell her to watch more television D. The nurse offers to connect the patient to a support group 28. Which of the following best reflect the concept of disability according to world health organization world Report on Disability (2011) Chapter 1- Understanding disability? A. Health conditions that result in impairments mean disability is a characteristic of the person B. Implementation of specialized schools that segregate and meet unique needs reduce disability C. Interaction between health conditions, and personal and environmental factors shape disability D. Implementation of policies focused on community and educational inclusion reduce disability 1. A,B,c 2. A,B 3. C,D 4. B,C,D 29. Which of the following has been experienced by adults who are prescribed opioids for chronic non-cancer pain according to the article by Brooks et al (2015), “Exploring the lived experience of adults using prescription opioids to manage chronic non-cancer pain.” Select all that apply. A. The clients did not share with others that they were taking opioids and they felt more isolated. B. Some clients started taking opioids after other treatment options were exhausted C. The clients felt that health care providers stigmatized them for taking opioids. D. All clients achieved pain relief without any adverse effects. 30. A 48-year-old male recently experienced vision loss resulting from an accident. Which component of The International Classification of Functioning, Disability and Health (IF) would describe this issue? A. Activity limitation B. Participation restriction C. Impairment D. Ocular deficit E. System related challenge 31. Which of the following best reflect the concept of disability according to the World Health Organization World Report on Disability (2011) Chapter 1- Understanding disability? A. Health conditions that result in impairments mean disability is a characteristic of the person B. Implementation of specialized schools that segregate and meet unique needs reduce disability C. Interaction between health conditions, and personal and environmental factors shape disability D. Implementation of policies focused on community and educational inclusion reduce disability 1. A,B,C 2. A,B 3. C,D 4. B,C,D 32. The nurse is assisting a client with rheumatoid arthritis (RA) to plan a daily routine to help protect their joints. This plan should include which of the following? A. A warm bath followed by a short rest B. A short routine of isometric exercises C. Use of splints with inflamed joints D. Avoid repetitious movements E. Limit changing of positions 1. A,B,E 2. B,D,E 3. A,C,D 4. A,B,D 33. Froehlich-Grobe, Jones, Businelle, Kendzor, & Balasubramanian, (2016) reported which of the following findings in the Impact of disability and chronic conditions on health? A. Promoting health for people living with disabilities is a growing public health concern B. People with disabilities have sufficient access to health promotion programs that are feasible to adopt C. Sustained healthy behaviors are less effective in people with a disability as a result of functional impairment D. People with a chronic condition and a disability reported significantly more unhealthy days than those without a disability 1. A,D 2. B,C,D 3. A,B,C,D 4. A,B,D 5. B,D 34. Which of the following diagnostic studies for rheumatoid arthritis are indicative of the inflammatory process? A. Creatinine levels B. Erythrocyte sedimentation rate C. Potassium levels D. Red blood cell count E. Platelet count 35. Which of the following is true of disability in Canada as cited by Statistics Canada (2018)? A. Disabilities related to mobility and mental health were the least common type B. Employment likelihood is impacted by disability severity C. Men have a higher prevalence of disability in most age groups D. The most prevalent disability in Canada is hearing impairment 36. The nurse is teaching the client about the clinical manifestations of rheumatoid arthritis. Which statement indicates the need for further teaching? A. “I will experience swelling and tenderness in my calf.” B. My hands can become deformed due to swelling. C. My joints can feel stiff which can last 1 hour or more in the morning. D. may experience a great deal of fatigue.” 37. According to the article “Canadian guideline for opioid therapy and chronic non-cancer pain” (Busse et al., 2017), which of the following statements by a client with osteoarthritis indicates good understanding of the health teaching? Select all that apply A. My doctor wants to slowly reduce the amount of morphine I am taking due to the side effects.” B. This codeine medication will eliminate my pain. C. I should take my ibuprofen as prescribed.” D. I know I need to work with my physiotherapist when learning therapeutic exercises.” 38. A client is 50 years old and lives with a chronic illness in a rural area. The client’s family members live hours away in the city, and their best friends have all passed away. They have some new neighbours from their building but have yet to make contact. Which concept does this best reflect? a. Social isolation b. Not an immediate concern given that the client has neighbours nearby c. An expected finding with chronic illness and aging d. Solitude 39. According to the article “Canadian guideline for opioid therapy and chronic non-cancer pain” (Busse et al., 2017), which of the following statements by a client with osteoarthritis indicates good understanding of the health teaching? Select all that apply A. My doctor wants to slowly reduce the amount of morphine I am taking due to the side effects.” B. This codeine medication will eliminate my pain. C. I should take my ibuprofen as prescribed.” D. know I need to work with my physiotherapist when learning therapeutic exercises

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