Nursing Elites

1. A nurse is teaching a client who is obese and has obstructive sleep apnea how to decrease the number of nightly apneic episodes. Which of the following client statements indicates an understanding of the teaching?

• A. "It might help if I tried sleeping only on my back."
• B. "I'll sleep better if I take a sleeping pill at night."
• C. "I'll get a humidifier to run at my bedside at night."
• D. "If I could lose about 50 pounds, I might stop having so many apneic episodes."

Correct answer: D

Rationale:

2. A student asks the faculty to explain best practices when communicating with a person from the LGBTQ community. What answer by the faculty is most accurate?

• A. Avoid embarrassing the individual by asking questions.
• B. Don't make assumptions about their health needs.
• C. Most LGBTQ individuals do not want to share information.
• D. No differences exist in communicating with this group.

Correct answer: B

Rationale: It is essential not to make assumptions about the health needs of individuals from the LGBTQ community. Each person is unique, and assuming their needs based on their sexual orientation or gender identity can lead to incorrect care and communication. By being open-minded and avoiding assumptions, healthcare providers can create a safe and supportive environment for LGBTQ individuals to discuss their health needs openly and honestly.

3. A client has been diagnosed with hypertension but does not take the antihypertensive medications because of a lack of symptoms. What response by the nurse is best?

• A. Do you have trouble affording your medications?
• B. Most people with hypertension do not have symptoms.
• C. You are lucky; most people get severe morning headaches.
• D. You need to take your medicine or you will get kidney failure.

Correct answer: B

Rationale: Most people with hypertension are asymptomatic, although a small percentage do have symptoms such as headache. The nurse should explain this to the client. Asking about paying for medications is not related because the client has already admitted nonadherence. Threatening the client with possible complications will not increase compliance.

4. A client is planning to perform nasotracheal suction for a client who has COPD and an artificial airway. Which of the following actions should the nurse take?

• A. Perform suctioning for up to four passes.
• B. Apply suction to the catheter when advancing it into the trachea.
• C. Preoxygenate the client with 100% oxygen for up to 3 min.
• D. Limit each suction pass to 25 seconds.

Correct answer: C

Rationale:

5. A client with heart failure expresses feelings of burden and thoughts of death to a nurse. How should the nurse respond?

• A. Would you like to talk more about this?
• B. You are lucky to have such a devoted daughter.
• C. It is normal to feel as though you are a burden.
• D. Would you like to meet with the chaplain?

Correct answer: A

Rationale: Depression can occur in clients with heart failure, especially in older adults. When a client expresses thoughts of being a burden and death, it is crucial for the nurse to address these concerns. Offering to talk more about the client's feelings provides an opportunity for open communication and a deeper understanding of the client's emotions. Open-ended questions like the one in choice A encourage the client to express themselves freely, leading to better assessment and client-centered care. Choices B and C fail to address the client's emotional distress directly, and choice D diverts the focus without addressing the client's immediate concerns.

Similar Questions