111. A client is seen in the clinic for treatment of chronic back pain.

The
client mentions to the clinic nurse that at home he applies an ointment
prepared from several different herbs that relieves his lower back pain. He
asks the nurse, Should I continue using it? Which of the following
responses by the
nurse would be BEST?
1. No. It might do you more harm than good.
2. Yes. Continue using it but I dont see how it could help your condition.
3. You may think it works, but I dont believe home remedies work.
4. Pain can be relieved in several ways. Consult your physician regarding this home
remedy.
Strategy: Remember therapeutic communication.
(1) closed statement
(2) closed statement, casts doubt on efficiency of alternative therapy
(3) focus should be on client, not on nurses beliefs
(4) correctpain affects people from different cultures in different ways
112. Which of the following techniques is correct for the nurse to use when
changing a large abdominal dressing on an incision with a Penrose drain?
1.
2.
3.
4.

Remove the dressing layers one at a time.

Clean the wound with Betadine solution and hydrogen peroxide.
Clean the drain area first.
If the dressing adheres to the wound, pull gently and firmly.

Strategy: All answers are implementations. Determine the outcome of each

answer choice. Is it desired?
(1) correctto avoid dislodging drain, remove the dressing layers one at a time
(2) do not clean a wound with both a Betadine solution and hydrogen peroxide
(3) cleansing of the wound is from the center outward to the edges and from the top
to the bottom
(4) incorrect, may dislodge drain
113. Which of the following assessments would a nurse expect to make
regarding the developmental stage of a 40-year-old male?
1.
2.
3.
4.

Cognitive skills are starting to decline.

A balance is found among work, family, and social life.
Bone mass begins to increase at this age.
The client starts to measure life accomplishments against goals.

Strategy: Think about each answer choice.

(1) does not occur
(2) occurs earlier in development
(3) at age 40, bone mass begins to decrease
(4) correctis characteristic of midlife crisis