Reference no: EM133521933

Question

1. A client who was admitted to a nursing home two weeks ago is depressed and refuses to participate in the unit's activities. Which action should a nurse take?

Allow the client to stay in the client's room.

Accompany the client to the activity.

Inform the client that the unit's routine is being upset.

Tell the client that food will be withheld until the client attends

2. A client in a nursing home is sometimes incontinent but at other times indicates the need to urinate. Which comment by a nurse would be appropriate when the client does make this request?

I'm glad you're beginning to understand the importance of staying clean."

'We like you when you let us know in time."

'This time, you were able to ask to go to the toilet."

"You should all the time."

3. A nurse is interviewing a newly admitted client to determine the client's support system. Which statement made by the nurse will generate the most information?

'Tell me about your family."

'Tell me who else lives in your home."

Give me a list of all of your family members."

'Give me the name and phone number of your next of kin.

4. A client does not make eye contact with a nurse during the initial interview. Which response, made by the nurse is appropriate?

Remind the client that eye contact is important when speaking.

Ask the client why he/she does not make eye contact.

Observe if the client makes eye contact when speaking with others.

Understand that the lack of eye contact is a manifestation of a psychiatric problem.

5. A client on a surgical unit is in padded wrist restraints. Which measure should the nurse include in the client's care plan?

Removing the restraints once on each shift.

Providing range-of-motion exercises to all extremities bid.

Assessing circulation in the upper extremities at 30-minute intervals.

6. Which measure should a nurse include when planning to use a behavioral therapy approach with a client?

Confronting the client's inappropriate behaviors.

Observing the client's behaviors on a continual basis.

Providing reinforcers for the desired behaviors.

Ignoring the client's inappropriate behaviors.