Chapter Quiz

1. The LPN/LVN is caring for the client in the pediatric unit. The client’s parents, whom the nurse has not met, approach the nurse at the nursing station. Arrange the following steps in the order that the LPN/LVN should perform them. All options must be used.
   1. The nurse documents the significant parts of the conversation.
   2. The nurse brings the parents to a private area to talk.
   3. The nurse affirms the parents’ ability to take care of their child at home.
   4. The nurse invites the parents to talk about their questions on home care.
   5. The nurse follows up with literature about home care instructions.
   6. The nurse and the parents introduce themselves.
2. The LPN/LVN is having a long discussion with a client diagnosed with diabetes who requires an amputation. At times during the conversation, the LPN/LVN continues looking at the client but becomes silent. Which of the following is the best advantage of this approach?
   1. It gives the client time to think and reflect on what was said.
   2. It gives the client the opportunity to end the conversation.
   3. It allows the client to recall other tasks needing attention.
   4. It prompts the client to fill in the silence with information.
3. The client says to the LPN/LVN, “I really like you and I think you really like me. Would you like to go on a date with me after I am discharged?” What is the most appropriate response by the LPN/LVN?
   1. “This is a hospital, and I am here to take care of you during your illness.”
   2. “Why do you think I am available? I have been married for 10 years.”
   3. “Our policy requires that I report this comment to the hospital administrator.”
   4. “I have been asked out by clients before. I am not sure what I do to cause it.”
4. The LPN/LVN is caring for a client recently diagnosed with type 1 diabetes mellitus. The client says, “I just can’t believe that I am going to have to give myself shots every day.” What is the priority statement for the LPN/LVN to make?
   1. “I have cared for people who had to learn how to inject insulin. They adapted well after time.”
   2. “Do you have any family members who can help you with the daily insulin injections?”
   3. “I have to go see another client, but I want to talk with you about this. I will be right back.”
   4. “Tell me more about how you plan to take care of yourself when you return home.”
5. The LPN/LVN is working in the hospice unit. The client’s partner approaches the nurse and says, “I won’t be able to face life without my partner of over 50 years.” Which of the following would be an appropriate response by the LPN/LVN? Select all that apply.
   1. “Fifty years! That’s a wonderful accomplishment!”
   2. “Make every moment you have together really count.”
   3. “You seem to be upset, anticipating your partner’s death.”
   4. “We'll make sure quality time is allotted for your goodbyes.”
   5. “You should focus on the good years you have had.”
   6. “I sense that you are looking ahead, to being alone.”
6. The LPN/LVN is obtaining a medical history from the client with several chronic gastrointestinal conditions. Which of the following questions would best elicit the client’s current emotional state?
   1. “How many surgeries have you had in the past 5 years?”
   2. “What are the pain medications you have been prescribed?”
   3. “How do you handle your frequent insomnia?”
   4. “Why haven’t you consulted with a nutritionist?”
7. The unlicensed assistive personnel (UAP) tells the LPN/LVN, “I want to change my assignment for today. I will not take care of a client diagnosed with AIDS.” What is the most appropriate statement for the LPN/LVN to make?
   1. “Haven’t you taken care of clients diagnosed with AIDS before?”
   2. “Don’t worry. I have taken care of clients diagnosed with AIDS with no problem.”
   3. “This is your assignment for today and you have to go through with it.”
   4. “What is your understanding about care of clients diagnosed with AIDS?”
8. The client in the adolescent psychiatric unit asks the LPN/LVN, “Do you hear those voices? They sound so frightening.” Which of the following responses by the LNP/LVN would be the most appropriate?
   1. “The voices around here sound friendly to me.”
   2. “Are they men’s voices or women’s voices?”
   3. “I don’t hear voices, but I can understand why that would scare you.”
   4. “Let’s turn up the volume of the music, and that will distract you.”
9. Family members of the client with dementia are visiting the memory care unit for the first time. They express concern to the LPN/LVN caring for their relative about the client’s unobserved wandering. Which of the following responses by the LPN/LVN would be most appropriate?
   1. “It’s all right. We will take care of your relative’s safety.”
   2. “We use wrist bands that signal if clients exit our doors.”
   3. “I worried about the same thing with my parent for years.”
   4. “We have a superb staff-to-client ratio, so that can’t happen.”
10.  The LPN/LVN is caring for a client 5 days after a colostomy procedure. During colostomy care, the LPN/LVN observes the client vigorously rubbing the skin around the stoma before applying the colostomy pouch. What is the most appropriate statement for the LPN/LVN to make?
    1. “Do you think you are ready to care for the colostomy after you go home?”
    2. “Is there a family member who can help you care for the colostomy at home?”
    3. “There is a step of colostomy care we need to review. Start at the beginning and show me how you do the care.”
    4. “Do you think that you should read the written instructions about colostomy care before you try again?”