1. FEAR Face Everything And Respond False Expectations Appearing Real
Frantic Effort to Avoid Reality
Forget Everything And Run
Finding Excuses And Reasons
Forget Everything And Relax

2. While speaking with the client, the nurse notes that she is frowning
While speaking with the client, the nurse notes that she is frowning. The nurse wants to find out about possible concerns by:
Asking why the client is unhappy.
Telling the client that everything is okay.
Identifying that she notices that the client is frowning.
Asking if the client is angry about the health care problem.

3. When the patient states, My back is really hurting today
When the patient states, My back is really hurting today. I can hardly turn over in bed,” and the nurse responds, “I guess we have to expect these little problems when we get older.” The nurse’s response is an example of a communication breakdown problem known as:
Failing to see the uniqueness of the individual.
Failing to recognize levels of meaning.
Failing to report the patients back pain to the appropriate member of the health system.
Using false reassurance.

4. Mr. Smith states that he believes he may have cancer
Mr. Smith states that he believes he may have cancer. The nurse tells him, “I wouldn’t be concerned, Mr. Smith. I’m sure the tests will be negative.” The response by the nurse demonstrates the use of:
Assertiveness
False reassurance
Stereotyping
Advice giving

5. The nurse is caring for a client who has had abdominal surgery
The nurse is caring for a client who has had abdominal surgery. Accurate and complete documentation of the care provided by the nurse is evident by the notation of:
Vital signs taken.
Tylenol with Codeine given for pain.
Provided adequate amount of fluid.
IV fluids D5NS increased to 100ml/hr according to protocol.

6. The nurse conducts an interview and collects data regarding the clients health history. What statement is not appropriate for the nurse to document?
The client appears irritable.
The client takes a daily vitamin.
The client has a history of depressive episodes.
The client has a family history of hypertension.
The client had an appendectomy at the age of 30 years.
The client is apparently having a bad day and responds abruptly to questions asked.

7. A hospitalized client is found lying on the floor next to the bed
A hospitalized client is found lying on the floor next to the bed. Once the client has been cared for, the nurse completes an incident report. Select the written statements that identify incorrect documentation on the report.
The client fell out of bed.
No bruises or injuries are noted on the client.
The client apparently climbed over the side rails when the nurse was out of the room.
The MD was notified that the client was found lying on the floor next to the bed
The client is A & O and stated that he needed to “go to the bathroom and didn’t want to bother the nurse”.
Vital signs are: T 98.6, P 78 and reg, RR 16 and reg, BP 118/78.