TEST BANK EXAM MEDICAL SURGICAL NURSING |HESI – Medical Surgical TEST EXAM 11TH EDITION IGNATAVICIUS EXAM WITH QUESTIONS AND RATIONLESS ANSWERS ALREADY VERIFIED AND GUARANTEED PASS

TEST BANK EXAM MEDICAL
SURGICAL NURSING |HESI –
Medical Surgical TEST EXAM
11TH EDITION IGNATAVICIUS
EXAM WITH QUESTIONS AND
RATIONLESS ANSWERS
ALREADY VERIFIED AND
GUARANTEED PASS
The nurse is assessing a group of clients.
Which clients are at greater risk for
hypothermia or frostbite? (select all that apply)
a. an older woman with hypertension
b. a young man with a body mass index of 42
c. a young many who has just consumed six
martinis
d. an older man who smokes a pack of
cigarettes a day
e. a young woman who is anorexic
f. a young woman who is diabetic - CORRECT
ANSW-C, D, E, F
clients with poor nutrition, fatigue, and
multiple chronic illnesses are at greater risk
for hypothermia. Clients who smoke, consume
alcohol, or have impaired peripheral circulation
have a higher incidence of frostbite.
The nurse is caring for four clients. Which
client assessment is the most indicative of
having pain?
A) Client stating that he is "anxious"
B) Heart rate of 105 beats/min and
restlessness
C) Blood pressure 150/70 mm Hg and sleeping
D) Postoperative client with a neck incision -
CORRECT ANSW-B
At times clients are unable to verbalize that
they are in pain but there are indicators that
the client may have acute pain such as
increased heart rate, increased blood
pressure, increased respirations, sweating,
restlessness, and overall distress. All the other
distractors could indicate clients who have the
potential for being in pain, but restlessness
with tachycardia is the most indicative.
When describing patient education
approaches, the nurse educator would explain
that informal teaching is an approach that
a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs - CORRECT ANSW-C.
Informal teaching is individualized one on one
teaching which represents the majority of
patient education done by nurses that occurs
when an intervention is explained or a
question is answered. Group needs are often
the focus of formal patient education courses
or classes. Informal teaching does not
necessarily follow a specific formalized plan. It
may be planned with specific content, but it is
individualized responses to patient needs.
Formal teaching involves the use of a
curriculum/course plan with standardized
content.
A patient expresses a strong interest in
returning to their work, family, and hobbies
after having a stroke. Which theory type would
the nurse use to develop a plan of care for the
best results of this patient's motivation style?
a. field
b. biological
c. cognitive
d. sociologic - CORRECT ANSW-C. Cognitive
theorists believe that attention, relevance,
confidence, and satisfaction (ARCS) are the
conditions that, when integrated, motivate
someone to learn. Field theorists place
significance on how achievement, power, the
need for affiliation, and avoidance motives
influence individual behavior. Sociologic
theories are not involved in motivation