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ISPN考试模拟试题(十六)


Questions

1. While awaiting the biopsy report before removal of a tumor, the client reports being afraid of a diagnosis of cancer. How should the nurse respond?

A. “Worrying is not going to help the situation.”

B. “Let’s wait until we hear what the biopsy report says.”

C. “It is very upsetting to have to wait for a biopsy report.”

D. “Operations are not performed unless there are no other options.”


2. A client is admitted for surgery. Although not physically distressed, the client appears apprehensive and withdrawn. What is the nurse’s best action?

A. Orient the client to the unit environment.

B. Have a copy of hospital regulations available.

C. Explain that that there is no reason to be concerned.

D. Reassure the client that the staff is available to answer questions.


3. In today’s health care delivery system, a nurse as a teacher is confronted with multiple stressors. What is the major stressor that detracts from the effectiveness of the teaching effort?

A. Extent of informed consumerism

B. Limited time to engage in teaching

C. Variety of cultural beliefs that exist 

D. Deficient motivation of adult learners


4. A nurse in a long-term health care setting is assigned to introduce a client who has a Ph.D. to the other clients. The client tells the nurse, “I wish to be called Doctor.” How should the nurse respond?

A. “Your wish will be respected.”

B. “Why do you want to be called Doctor?”

C. “Residents here call one another by their first names.”

D. “Wouldn’t it be better if the others do not know you are a doctor?”


5. “But you don’t understand” is a common statement associated with adolescents. What is the nurse’s best response when hearing this?

A. “I don’t understand what you mean.”

B. “I do understand; I was a teenager once too.”

C. “It would be helpful to understand; let’s talk.”

D. “It’s you who should try to understand others.”

Rationales

1.C 

This addresses the fact that the client’s feelings of anxiety are valid.

A, B, This does not address the client’s concerns and may inhibit the expression of feelings.

D, This is irrelevant and does not address the client’s concerns.

Client Need: Psychosocial Integrity;

Cognitive Level: Application;

Integrated Process: Caring;

Nursing Process: Planning/Implementation;

Reference: Ch 2, The Nurse-Client Relationship


2.A

Orienting the client to the hospital unit provides knowledge that may reduce the strangeness of the environment.

B,This is part of orienting the client to the unit. This alone is not enough when orienting a client to the hospital.

C,This may be false reassurance, because no one can guarantee that there is no reason to be concerned.

D,This implies that staff members are available only if the client has specific questions.

Client Need: Psychosocial Integrity;

Cognitive Level: Application;

Integrated Process: Communication/Documentation;

Nursing Process:Planning/Implementation;

Reference: Ch 2, The Nurse-Client Relationship


3.B 

Because of the variety of factors vying for the nurse’s time, efficient use of the time available for teaching is essential to meet the standards of care and legal responsibilities of the nurse.

A, The increased awareness and knowledge of health issues by consumers may provide a foundation on which the teaching plan may be built; informed consumerism should be viewed as positive, not negative.

C,Assessing cultural beliefs is part of the initial and continuing assessment of clients; this should not cause additional stress when teaching.

D,Generally, adults are motivated,independent learners, and the nurse teacher should be a facilitator of learning.

Client Need: Health Promotion and Maintenance;

Cognitive Level:Comprehension;

Integrated Process: Teaching/Learning;

Nursing Process:Evaluation/Outcomes;

Reference: Ch 2, Teaching-Learning


4.A 

The client has the right to make this decision, and the staff should accept the client’s wishes.

B,The client is a doctor, and the nurse’s statement attacks the client’s self-concept.

C,The informality of using first names is not encouraged unless it is the client’s choice.

D,The nurse can and should honor the client’s request.

Client Need: Psychosocial Integrity;

Cognitive Level: Application;

Integrated Process:Communication/Documentation;

Nursing Process:Planning/Implementation;

Reference: Ch 2, The Nurse-Client Relationship


5.C 

This response attempts to open the communication process.

A,Reflecting the words, not the feelings, serves to entrench the communicant’s position and does little to open the flow of communication.

B, This shifts the focus away from the client.

D,This is authoritative and closes the flow of communication.

Client Need: Psychosocial Integrity;

Cognitive Level: Application;

Integrated Process: Communication/Documentation;

Nursing Process:Planning/Implementation;

Reference: Ch 2, The Nurse-Client Relationship

小编寄语:越努力,越幸运!Fighting!

时间:2019/5/23 15:21:29
 
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