Chapter 18 Practice Questions
1. The nurse in a clinic located in a high-rise building on a university campus has
noted that many clients who are supposed to receive care for HIV/AIDS have missed
their appointments. When questioned, several of the clients stated to the nurse that
the clinic is difficult to find and in an intimidating environment for a client
experiencing homelessness. Which variable does the nurse identify as being
inadequately addressed for these clients?
A. psychosocial background and culture
B. developmental stage of the clients
C. ethical and legal guides to practice
D. resources
2. A hospitalized client has become constipated in recent days, in spite of
maintaining a high fluid intake and taking oral stool softeners. The client reports
feeling mortified to attempt a bowel movement on a commode at the bedside,
where staff and other clients can hear. The nurse should respond by modifying
which resource?
A. Environment
B. Personnel
C. Equipment
D. Client and visitors
3. The nurse is delegating a task to the assistive personnel (AP). What is the best
instruction by the nurse?
A. "Notify me right away if the client's systolic blood pressure is 170 or greater."
B. "Let me know if the client's blood pressure becomes elevated."
C. "If the client's blood pressure falls outside normal limits, come get me."
D. "I need to know if the client's blood pressure changes from the normal baseline."
4. The charge nurse overhears two nurses talking about nursing interventions.
Which statement by one of the nurses indicates that further education is required?
A. "Nursing interventions must be consistent with standards of care and research
findings."
B. "Nursing interventions must be culturally sensitive and individualized for the
client."
C. "Nursing interventions must be compatible with other therapies planned for the
client."
D. "Nursing interventions must be approved by other members of the health care
team."
5. The nurse administers an insulin injection to a client with diabetes and informs
the client what is being done, demonstrating each step of preparing and giving the
injection. The nurse is promoting:
A. client self-care.
B. dependence of the client on the nurse.
C. client competence.
D. discipline of the client.
6. What role of the nurse is crucial to the prevention of fragmentation of care?
