单选题The nurse is assessing a pregnant woman in the clinic. In the course
of the assessment, the nurse learns that this woman smokes one pack of
cigarettes per day. Which of the following is the first step the nurse should
take to help the woman stop smoking?
A. Assess the client's readiness to stop.
B. Suggest that the client reduce the daily number of cigarettes smoked by
one-half.
C. Provide the client with the telephone number of a formal
smoking-cessation program.
D. Help the client develop a plan to stop.
单选题A client with schizophrenia hears a voice telling him he is evil and must die. The nurse understands that the client is experiencing A. a delusion. B. flight of ideas. C. ideas of reference. D. a hallucination.
单选题A client is admitted for detoxification after a cocaine overdose. The client tells the nurse that he frequently uses cocaine but that he can control his use if he chooses. Which coping mechanism is he using ？（）
单选题A client with pneumonia is receiving supplemental oxygen, 2 L/minute via nasal cannuta. The client's history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Because of these findings, the nurse closely monitors the oxygen flow and the client's respiratory status. Which complication may arise if the client receives a high oxygen concentration? A. Apnea. B. Anginal pain. C. Respiratory alkalosis. D. Metabolic acidosis.
单选题The multidisciplinary team decides to employ a behavior modification approach to a young female's problem with anorexia nervosa. A planned nursing intervention that would follow this approach would he to A．Have client role play interactions with her parents B．Provide client with a high-calorie, high-protein diet C．Restrict the client to her room until she gains 2 pounds D．Force the client to talk about her favorite foods for 1 hour a day
单选题One morning a client tells the nurse, "my legs are turning to rubber because I have an incurable disease called schizophrenia. " The nurse recognizes that this is an example of A．A hallucination B．Paranoid thinking C．Depersonalization D．Autistic verbalization
单选题Which event may trigger pain in the client with trigeminal neuralgia? A. Walking in the mall. B. Sitting in the sun. C. Eating lunch. D. Sleeping.
单选题A client is admitted for an overdose of amphetamines. When assessing this client, the nurse should expect to have which of the following findings? A. Tension and irritability. B. Slow pulse. C. Hypotension. D. Constipation.
单选题A client with ulcerative colitis is chatting with the nurse. Which of the following statements indicates the client understands the lifestyle modifications he needs to make? A. "I will have to stop smoking. " B. "I can eat popcorn for an evening snack. " C. "I may have coffee with my meals. " D. "I am allowed to have alcohol as long as I only drink wine. /
单选题The nurse is interviewing a client who is currently under the influence of a controlled substance and shows signs of becoming agitated. What should the nurse do? A. Use confrontation. B. Express disgust with the client's behavior. C. Be aware of hospital security. D. Communicate a scolding attitude to intimidate the client.
单选题A client has been placed on levodopa to treat his Parkinson's disease.
Which of the following is a common side effect of levodopa that the nurse should
include in the client's teaching plan?
A. Pancytopenia.
B. Peptic ulcer.
C. Orthostatic hypotension.
D. Weight loss.
单选题A woman who is firmly committed to natural childbirth and who has attended each natural childbirth class in preparation for her experience of labour and delivery undergoes a caesarean delivery when her fetus displays signs of distress. Inconsolable, she cries and calls herself a failure as a mother. Her loss may best be described as A．Actual B．Perceived C．Psychological D．Combination of above
单选题The nurse is planning care for a female client diagnosed with acute hepatitis A virus (HAV). What’s the primary mode of transmission for HAV（）
单选题A 3288. 5g baby boy is born by spontaneous vaginal delivery. During the initial assessment at 1 hour postpartum, the nurse notices lanugo, acrocyanosis, mongolian spots, and hemangiomas. Which of these is an abnormal finding in a neonate? A. Lanugo. B. Acroeyanosis. C. Mongolian spots. D. Hemangiomas.
单选题A hospitalized client taking 30 mg of tranylcypromine (Parnate) twice per day complains of a stiff neck and headache. Which action would be best for the nurse to take? A. Note the complaints as usual adverse effects. B. Withhold the next dose of medication. C. Administer an analgesic, as needed and as prescribed. D. Help the client relax.
单选题Encouragement and praise should be given to hyperactive clients to help them increase their feelings of self-esteem. When they have behaved welt, the best way to let them know the staffis aware of their improvement is for the nurse to say A．"You behaved well today. " B．"We knew you could behave. " C．"Everyone likes you better when you behave like this. " D．"Your behavior today was much better than yesterday. /
单选题At what gestational age would a primigravida expect to feel "quickening"
单选题To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instructions? A. Lie down after meals to promote digestion. B. Avoid coffee and alcoholic beverages. C. Take antacids before meals. D. Limit fluids with meals.
单选题When developing a teaching plan for the family of a child with
seizures, which of the following would the nurse include when discussing
pharmacologic treatment?
A. Medication is adjusted independently when side effects occur.
B. Abrupt cessation of the medication must be avoided.
C. Dosages will be decreased as the child grows older.
D. Medication therapy is necessary for the rest of the child's
life.
单选题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. Autocratic. B. Democratic. C. Participative. D. Laissez-faire.