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Questions 164

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Question 1 of 5

Following a motor vehicle crash, the nurse stops to help a victim who has a laceration with spurting blood. The nurse giving reasonable assistance could be held liable despite Good Samaritan laws in which situations? Select all that apply.

Correct Answer: A,C

Rationale: Accepting money negates Good Samaritan protection, and failure to apply direct pressure could be considered negligent care.

Question 2 of 5

The nurse is observing a certified nursing assistant move a client. Which action, if observed, indicates that the nursing assistant needs more instruction?

Correct Answer: B

Rationale: Bending from the waist strains the back, indicating improper technique. Wide stance, whole-body turning, and straight back are correct for safe client movement.

Question 3 of 5

In addition to disturbances in mental awareness and orientation, a client with cognitive impairment is also likely to show loss of ability in

Correct Answer: C

Rationale: Learning, creativity, and judgment. Cognitive impairments are due to physiological processes that affect memory and other higher-level cognitive processes.

Question 4 of 5

The nurse is caring for a client who had a surgical excision and biopsy of a tumor. The biopsy results show that the tumor is malignant, but the client has not yet been informed by the health care provider. The client asks the nurse, 'Am I going to die?' Which of the following responses would be appropriate for the nurse to make?

Correct Answer: A

Rationale: Exploring the client's feelings is supportive and appropriate, as the nurse should not disclose results before the provider.

Question 5 of 5

The nurse is discussing management of nocturnal enuresis with the parent of a 10-year-old client who has had little response to behavioral interventions. The parent tells the nurse, 'My child wants to go to overnight camp in several months but is afraid of being teased by other children if an accident occurs.' Which of the following responses would be most appropriate for the nurse to make?

Correct Answer: B

Rationale: Medications like desmopressin may help manage enuresis for events like camp, addressing the child's concerns.

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