Which is the correct technique for using the bell portion of the stethoscope?
1) Avoid touching the bell during auscultation
2) Hold the bell lightly on the chest wall
3) Apply light pressure with the bell slightly tilted up
4) Hold the bell firmly against the chest wall
ANS: 2
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A 74-year-old healthy and happy retired attorney who complains that she is getting very forgetful but is still able to beat her 49-year-old son doing crossword puzzles asks if this is normal. The nurse tells her:
A) The loss of memory and intelligence is progressive and sometime in the future your son will most likely begin to win more games. B) Crossword puzzles are a great way to spend time with your son; he must care about you. C) That seems normal; we seem to lose short-term memory as we age but our problem-solving skills remain unchanged. D) We often lose short-term memory when we have a stroke; do you think you have had a stroke?
The nurse has a strong personal value system and is concerned that these values may conflict with the values of a newly assigned nursing unit. What should the nurse do? (Select all that apply.)
1. Identify personal values. 2. Be watchful for situations in which there may be a values conflict. 3. Hold personal values in check if it is still possible to provide effective care. 4. Refuse to be transferred to this unit. 5. Discuss the situation with the nursing supervisor.
The nurse is assessing a client who is diagnosed with borderline personality disorder. Which client statement indicates the client is at risk for self-injurious behavior?
A) "I have felt so down lately. I don't enjoy doing anything anymore." B) "I do what I do because others tell me to do so." C) "When I feel extremely anxious, it is like my mind goes somewhere else." D) "It is almost as if as soon as I think of doing something, I immediately do it."
Which of the following should the nurse be aware of when practising cultural aspects of nurse caring behaviours?
a. Maintaining eye contact b. Avoiding use of idioms c. Disregarding gender-congruent caregivers d. Continuing prolonged use of touch to convey caring