Title: ASN 210 Week 7 Pre-Quiz (Remotely Proctored)
Course: 16SP-ASN-210-GH1A1-ADV NUR THROUGH LIFESPAN I > Section: Week 7

_147223_1e1cd22fcc085c25dabd9268892a4c47c

Q: A home health care nurse assesses an older client for the intake of nutrients needed in larger amounts than in younger adults. Which foods found in an older adult’s kitchen might indicate an adequate intake of these nutrients? <b>(Select all that apply.)</b>
- 1% milk
- Carrots
- Lean ground beef
- Oranges
- Vitamin D supplements
A: 1% milk; Carrots; Oranges; Vitamin D supplements
If right: Older adults need increased amounts of calcium; vitamins A, C, and D; and fiber. Milk has calcium; carrots have vitamin A; the vitamin D supplement has vitamin D; and oranges have vitamin C. Lean ground beef is healthier than more fatty cuts, but does not contain these needed nutrients.
If wrong: Older adults need increased amounts of calcium; vitamins A, C, and D; and fiber. Milk has calcium; carrots have vitamin A; the vitamin D supplement has vitamin D; and oranges have vitamin C. Lean ground beef is healthier than more fatty cuts, but does not contain these needed nutrients.

Q: A client tells the nurse that, even though it has been 4 months since her sister’s death, she frequently finds herself crying uncontrollably. How should the nurse respond?
- “Most people move on within a few months. You should see a grief counselor.”
- “Whenever you start to cry, distract yourself from thoughts of your sister.”
- “You should try not to cry. I’m sure your sister is in a better place now.”
- “Your feelings are completely normal and may continue for a long time.”
A: “Your feelings are completely normal and may continue for a long time.”
If right: Frequent crying is not an abnormal response. The nurse should let the client know that this is normal and okay. Although the client may benefit from talking with a grief counselor, it is not unusual for her to still be grieving after a few months. The other responses are not as therapeutic because they justify or minimize the client’s response.
If wrong: Frequent crying is not an abnormal response. The nurse should let the client know that this is normal and okay. Although the client may benefit from talking with a grief counselor, it is not unusual for her to still be grieving after a few months. The other responses are not as therapeutic because they justify or minimize the client’s response.

Q: A hospice nurse is caring for a dying client and her family members. Which interventions should the nurse implement? <b>(Select all that apply.)</b>
- Teach family members about physical signs of impending death.
- Encourage the management of adverse symptoms.
- Assist family members by offering an explanation for their loss.
- Encourage reminiscence by both client and family members.
- Avoid spirituality because the client’s and the nurse’s beliefs may not be congruent.
A: Teach family members about physical signs of impending death.; Encourage the management of adverse symptoms.; Encourage reminiscence by both client and family members.
If right: The nurse should teach family members about the physical signs of death, because family members often become upset when they see physiologic changes in their loved one. Palliative care includes management of symptoms so that the peaceful death of the client is facilitated. Reminiscence will help both the client and family members cope with the dying process. The nurse is not expected to explain why this is happening to the family’s loved one. The nurse can encourage spirituality if the client is agreeable, regardless of whether the client’s religion is the same.
If wrong: The nurse should teach family members about the physical signs of death, because family members often become upset when they see physiologic changes in their loved one. Palliative care includes management of symptoms so that the peaceful death of the client is facilitated. Reminiscence will help both the client and family members cope with the dying process. The nurse is not expected to explain why this is happening to the family’s loved one. The nurse can encourage spirituality if the client is agreeable, regardless of whether the client’s religion is the same.

Q: A nurse assesses a client recovering from coronary artery bypass graft surgery. Which assessment should the nurse complete to evaluate the client’s activity tolerance?
- Vital signs before, during, and after activity
- Body image and self-care abilities
- Ability to use assistive or adaptive devices
- Client’s electrocardiography readings
A: Vital signs before, during, and after activity
If right: To see whether a client is tolerating activity, vital signs are measured before, during, and after the activity. If the client is not tolerating activity, heart rate may increase more than 20 beats/min, blood pressure may increase over 20 mm Hg, and vital signs will not return to baseline within 5 minutes after the activity. A body image assessment is not necessary before basic activities are performed. Self-care abilities and ability to use assistive or adaptive devices is an important assessment when planning rehabilitation activities, but will not provide essential information about the client’s activity tolerance. Electrocardiography is not used to monitor clients in a rehabilitation setting.
If wrong: To see whether a client is tolerating activity, vital signs are measured before, during, and after the activity. If the client is not tolerating activity, heart rate may increase more than 20 beats/min, blood pressure may increase over 20 mm Hg, and vital signs will not return to baseline within 5 minutes after the activity. A body image assessment is not necessary before basic activities are performed. Self-care abilities and ability to use assistive or adaptive devices is an important assessment when planning rehabilitation activities, but will not provide essential information about the client’s activity tolerance. Electrocardiography is not used to monitor clients in a rehabilitation setting.

Q: A nurse assesses a client who is admitted with hip problems. The client asks, “Why are you asking about my bowels and bladder?” How should the nurse respond?
- “To plan your care based on your normal elimination routine.”
- “So we can help prevent side effects of your medications.”
- “We need to evaluate your ability to function independently.”
- “To schedule your activities around your elimination pattern.”
A: “To plan your care based on your normal elimination routine.”
If right: Bowel elimination varies from client to client and must be evaluated on the basis of the client’s normal routine. The nurse asks about bowel and bladder habits to develop a client-centered plan of care. The other answers are correct but are not the best responses. Oral analgesics may cause constipation, but they do not interfere with bladder control. The client is in rehabilitation to assist his or her ability to function independently. Elimination usually is scheduled around rehabilitation activities but should be taken into consideration when a plan of care is developed.
If wrong: Bowel elimination varies from client to client and must be evaluated on the basis of the client’s normal routine. The nurse asks about bowel and bladder habits to develop a client-centered plan of care. The other answers are correct but are not the best responses. Oral analgesics may cause constipation, but they do not interfere with bladder control. The client is in rehabilitation to assist his or her ability to function independently. Elimination usually is scheduled around rehabilitation activities but should be taken into consideration when a plan of care is developed.