CRNE Exam Prep - Question List

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161. A 25-year-old female was admitted to a facility for the treatment of substance abuse. The admission was ordered by the court after the client attempted to harm her daughter and planned a (second) suicide attempt. A central part of the treatment program is to complete a series of group meetings. On the fifth day of the treatment, the client tells the nurse, “You cannot make me go to this group thing today. I am not going. I am getting out of here.” Which of the following is the most appropriate response made by the nurse?
  1. “I understand, but I would like to inform you that you may choose not to attend 10% of treatment activities without any consequences.”
  2. “You are required to stay in the facility; however, you have the right to informed consent in regard to group treatment participation.”
  3. “You have the right to leave the facility any time you want; however, you need to sign a form stating that you are leaving the facility against medical advice.”
  4. “You are required by law to attend the meetings. You need to attend the meeting as scheduled.”
162. Brad, a male client, was admitted to the nursing unit. During the admission, he was diagnosed with human immunodeficiency virus or HIV. A physician has just ordered the client for discharge. The nurse emphasizes which of the following home instructions to the client as the topmost priority at this stage of the disease?
  1. Compliance with prescribed medications
  2. Compliance with nutritional recommendations
  3. Compliance with safe sex
  4. Compliance with follow-up visits
163. Mary Lou is an 85-year-old female client who is brought to the emergency department due to a fractured clavicle. On physical assessment, the nurse notes bruises in varying coloration on the upper arms, thorax, and upper legs. The client informs the nurse that her daughter hits her every time she fails to quiet down her granddaughter. Which of the following is the most appropriate response of the nurse?
  1. “This is not right. As your advocate, I need to talk to your daughter about this.”
  2. “Let me discuss with you how you can quiet down your granddaughter.”
  3. “Violence at home is a legal issue. I have to report this, but I am assuring you that the information will be kept confidential.”
  4. “Why is your daughter doing this to you? Tell me. You are safe here.”
164. Carla is a 13-year-old girl who has just been diagnosed with diabetes mellitus type 1. Before discharge, the nurse conducts a teaching session that mainly focuses on blood sugarcontrol. As a nurse educator, the nurse makes use of which of the following methods of instruction when teaching Carla about diabetes care?
  1. Interactive computer software that discusses diabetes mellitus type 1 management
  2. A book that discusses diabetes care; the book is written by a celebrity with diabetes type 1
  3. Group discussion that focuses on diabetes management; the group consists of teen-agers with diabetes type 1
  4. A pamphlet that contains steps and tips on how to manage diabetes mellitus type 2
165. A nurse is working with Marieta, a Hispanic immigrant who speaks little English. Marieta is referred to thenurse to discuss reproductive health. Which of the following interventions by the nurse is the least therapeutic when working with the client?
  1. Provide education materials written in Spanish.
  2. Provide a language interpreter.
  3. Include a Hispanic member of the health care team in the teaching session.
  4. Use conversational pacing during the teaching session.

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