CRNE Exam Prep - Question List

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186. You are working in a cardiologist’s office. A client has been advised by the cardiologist to stop smoking. Which of the following statements by you would be considered therapeutic?
  1. I know exactly how you feel. I’m trying to stop smoking as well.
  2. I would suggest stopping cold turkey. I’m sure you can do it!
  3. Let me get you some information on different techniques available to help you with the quitting process.
  4. You really need to quit, you know. The nicotine is not good for your heart
187. You are charting information about a client when you suddenly realize you are writing in another client’s chart. Which of the following is the appropriate way to correct this error?
  1. Scratch out the entry with pen.
  2. Use white out to cover up the entry you just made.
  3. Draw a straight line through the entry and write error, followed by your initial and date.
  4. Get rid of the entry by using an eraser designed for removing pen marks.
188. John is to be discharged from the hospital, and he tells you that he is very happy with the support you have given him in his journey to stop drinking. He states that he is sure that, with your continued support, he will be able to stay away from alcohol permanently. He asks if you would meet him for lunch at a public restaurant. Which of the following statements indicates your understanding of the nurse-client boundaries in the therapeutic relationship?
  1. “I am happy I could provide you with the support you have needed thus far. I will provide you with information of therapists and groups who can continue to support you once you leave this hospital.”
  2. “Yes, I would be happy to have lunch with you, just so long as you realize it will be purely as a nurse-client relationship.”
  3. “That is a very nice offer. When and where shall we have lunch?”
  4. “I don’t think so. I don’t see patients after hours.”
189. Your client has been admitted to the psychiatric unit because she has expressed a desire to kill herself. The doctor has ordered her to be under constant supervision. She tells you she needs to go to the bathroom, gets up and attempts to close the door behind her . She seems upset, stating, “I don’t need you to follow me in to the bathroom!” Which of the following is the appropriate response?
  1. “Ok, I’ll just wait outside here until you are done.”
  2. “Sorry, but you are not allowed to go anywhere on your own, not even the bathroom.”
  3. “While you’re in there, I’ll just pop out to the bathroom myself.”
  4. “I’m sorry, I realize this may feel uncomfortable for you, but for your own safety I must stay with you at all times.”
190. You are working on a surgical unit. During coffee break in the hospital cafeteria you overhear that a coworker has been admitted to the medical floor. When you return to your unit, you access her chart on the computer. You and this coworker have been becoming friends, so you are concerned about her admission and just want to check to see if she will be ok. How will your actions be construed?
  1. Since you are friends with this coworker, it will be ok to look in to her chart.
  2. Your actions will be seen as a breach of confidentiality, and you could be reprimanded.
  3. As a nurse, you are entitled to look at any chart of any client in the hospital.
  4. So long as you ask first, you will be permitted to look at the coworker’s chart.

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