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NUR 130 Exam 2 Questions Wwith Answers.
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NUR 130 Exam 2 Questions Wwith Answers.
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NUR 130 Exam 2 Questions WwithAnswers.
When planning care for an older client residing in your skilled nursing facility who is
searching to make life meaningful, which nursing action would be most beneficial? -
ANSWER- Explore with the client desired legacy
A client's wife asks the nurse to pray for her. What would be the best initial response for
a nurse who believes in prayer? - ANSWER- "I'm happy to do that. For what would you
like me to pray?"
A client is experiencing severe pain that cannot be controlled by analgesics. An
appropriate intervention is full presencing, which involves which of the following? -
ANSWER- Physical, mental and emotional presence
A client reports, "Cancer was the best thing that happened to me! It is making me
appreciate life so much more." This statement fits best with which NANDA diagnosis? -
ANSWER- Readiness for Enhanced Spiritual Well-Being
A dying client states, "Part of what makes dying hard is that I don't know for sure where
I'm going. Nurse, what do you believe in the hereafter?" which ethical guideline should
guide your response? - ANSWER- First assess for what prompts the client's question
Research evidence that supports providing spiritual care to older adults suggests that...
- ANSWER- Spiritual health and mental health are correlated
A client in the emergency department needs a transfusion of red blood cells. The client
tells the nurse that, as a Jehovah's Witness, blood transfusions are not permitted.
Which statement would most likely lead to a resolution for this conflict? - ANSWER-
May I please call a representative of your religion so that I can understand your position
better?
An 88 yo woman has just been admitted to a skilled nursing facility. She tells the nurse
that she has been a Sunday school teacher and volunteers for many of her church's
projecfs. Which of the following NANDA diagnoses is most appropriate? - ANSWER-
Risk for Impaired Religiosity
Which of the following thoughts made by a nurse illustrate a 'wounded healer'? -
ANSWER- I felt scared when I had surgery; maybe this client feels similarly.
, The mother of a pediatric client states, "I cant't understand why God would allow this to
happen to my innocent child!" Which NANDA diagnosis is most accurate? - ANSWER-
Spiritual Distress related to search for meaning of child's illness
The nurse provides care for an older adult whose husband died 8 months ago. Which of
the following behaviors indicates that the client is experiencing effective coping? Select
all that apply. - ANSWER- -Shows the nurse photographs of her family
-Visits her husband's grave every 2 weeks
-Attends church on a regular basis
A nurse in a long-term care facility is caring for several older adults with noticeable
hearing losses. Which is the best way for the nurse to communicate with these clients? -
ANSWER- Speak in a low and distinct voice tone
The nurse observes that an 85 yo man at an adult day care center fondly shares stories
about traveling on the 'orphan trains' and his subsequent adoption. Following a
behavioral assessment, the nurse should perform which interventions? - ANSWER-
Listen and ask him questions about his life
The home health nurse evaluates an older adult for depression. The client's daughter is
present and comments, "I don't see the need for this evaluation. Aren't all older people
depressed?" Which is the nurse's best initial response? - ANSWER- Depression is not a
normal part of aging.
While being admitted to a rehabilitation unit, an 82 yo woman mentions to the nurse that
she has 'trouble holding her water,' adding that "if I could have that tube back in me like
I had in the hospital, I wouldn't have so many accidents" What is the nurse's best
response? - ANSWER- Tell me more about your problem.
The nurse notices that when an 80 yo man rises from a seated position, the client uses
both arms to push himself up and also "rocks" back and forth before finally standing.
What is the most appropriate nursing intervention for this client? - ANSWER- Suggest a
referral to physical therapy for strengthening exercises.
A healthy 78 yo woman who is considering marriage to a healthy 79 yo neighbor tells
the nurse that she wonders if they will be able to have sexual intercourse. Which is the
nurse's most appropriate response? - ANSWER- Both of you may have slower
responses to sexual stimulation
The client complains of having difficulty clearly seeing the word in the newspaper unless
he holds the newspaper an arm's length away. The nurse uses which terminology to
document this assessment? - ANSWER- Presbyopia
The nursing student is planning care for an older adult who had a total knee
replacement yesterday evening. Which nursing intervention would be most appropriate?
- ANSWER- Tell the client that he needs to rest and will be given a complete bed bath.
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