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SET A Seat No.____--------------------------------------------------------------------------------------------------------------------------------NURSING PRACTICE 1:FOUNDATION OF PROFESSIONAL NURSING PRACTICEDirection: Choose the letter of the BEST answer by shading the corresponding letter of your choice on the answer sheetprovided. STRICTLY NO ERASURE!Situation 1: Mr. Martin, 71 years old was suddenly rushed to the hospital because of severe chest pain. On admission,he was diagnosed to have acute myocardial infarction and was placed in the ICU.1. While in the ICU, he executes the document tat list the medical treatment he chooses to refuse in case his conditionbecomes severe to a point that he will be unable to make decisions for himself. This document is:A. living will C. last will and testamentB. informed consent D. power of attorney2. After one day, the patient’s condition worsened and feeling hopeless. He requested the nurse to remove the oxygen.The nurse should:A. follow the patient because it is his right to die gracefullyB. follow the patient as it is his right to determine the medical regimen he needsC. refuse the patient and encourage him to verbalize hid feelingsD. refuse the patient since euthanasia is not accepted in the Philippines3. Euthanasia is an ethical dilemma which confronts nurses in the ICU because:A. the choices involved do not appear to be clearly right or wrongB. a clients legal right co-exist with the nurse’s professional obligationC. decisions has to be made based on societal norms.D. decisions has to be mad quickly, often under stressful conditions4. A nurse who supports a patient and family’s need to make decisions that is right for them is practicing which of thefollowing ethical principles?A. Autonomy B. confidentiality C. privacy d. truthfulness5. Mr. Martin felt better after 5 days but recognizing the severity of his illness, he executes a document authorizing thewife to transact any form of business in his behalf in addition to all decisions relative to his confinement his document isreferred to as:A. power f attorney C. informed consentB. living will D. medical recordsSituation 2: Miss Castro was recently appointed chief nurse of a 50-bed government hospital in Valenzuela. On her firstday of duty, she tried to remember the elements of administration she learned from her basic nursing education.6. One of the first things Ms. Castro did was to engage her until in objective writing, formulating goals and philosophy ofnursing service. Which activities are MOST appropriately described to which elements of administration?A. planning B. controlling C. directing d. organizing7. In recognizing the Department of Nursing, she comes up with the organizational structure defining the role andfunction of the different nursing positions and line-up the position with qualified people. This is included in which elementof administration:A. monitoring B. evaluation C. organizing d. planning

8. After one month, she and her management committee assess the regulatory measures taken and correct whateverdiscrepancies are found. This is part of which element of administration:A. monitoring B. organizing C. evaluation d. planning9. Revaluation and administrative process is BEST described as:2A. a continuing process of seeing that performance meets goals and targetsB. obtaining commitment of members to do betterC. informing personnel how well and how much improvement has been madeD. follow-up of activities that have been studied10. In all of the various administrative functions, which of the following management skill is demanded efficiently andeffectively of Ms. Castro?1. Decision making skills 2. Forecasting skills3. Auditing skills 4. Communications skillsA. 2 & 3 B. 1 & 4 C. 1 & 2 D. 2 & 4Situation 3: Meldy. 40 years old. is waiting for her doctor’s appointment at the clinic where you work.11. You are to interview her as an initial nursing action so that you can.A. Document important data in her client records for health team to read.B. Gather data about her lifestyle, health needs, lifestyle, health needs and problems to developplan of careC. provide solutions to her immediate health concernD. identify the most appropriate nurse diagnosis for her heath problem12. During the interview, Meldy experiences a sharp abdominal pain on the right side of her abdomen. She further tellsyou that an hour ago, she ate fatty food and this had happened many times before. You will record this as:A. Client complains of intermittent abdominal pain an hour alter eating fatty foodsB. After eating fatty food the client experienced severe abdominal painC. Client claims to have sharp abdominal pains after eating fatty food unrelieved by pain medicationD. Client reported sharp abdominal pain on the right upper quadrant of abdomen an hour afteringestion of fatty foods.13. Meldy tells you that she has been on a high protein / high fat / low carbohydrate diet order to lose weight and thatshe has successfully lost 8 lbs during the past two weeks. In planning a healthy balanced diet for her, you will:A. Encourage her to eat well-balanced diet with a variety of food from the major food groups andtake plenty of fluids.B. Ask her to shift to a macrobiotic diet rich in complex carbohydrates.C. Encourage her to cleanse her body toxins by changing a vegetarian diet with regular exercise.D. Encourage her to eat a high carbohydrate, low protein diet and low fat diet.14. You learn that Meldy drinks 5-8 cups o coffee a day plus cola drinks. Because she is in her pre-menopausal years, thenurse instructs her to decrease consumption of coffee and cola preparation because:A. these products increase calcium loss from the bonesB. These products have stimulant effect n the bodyC. these products encourage increase in sugar consumptionD. these products are addicting15. Health education plan for Meldy stresses prevention of NCD or Non-communicable diseases that are influenced bylifestyle. These include the following EXCEPT:A. Cancer B. DM C. Osteoporosis D. Cardiovascular diseases

Situation 4: Changes in technology, the nation’s economy and the increasing number of population have brought aboutchanges in the Health Care System.16. At present, government hospitals are expected to offer comprehensive health services to include illness preventionand health promotion. In which of the following unit of services are these services integrated?A. Wellness center C. Rehabilitation CenterC. Intensive Care unit D. newborn screening unit17. Which of the following is the MOST recent government initiative to help subsidize the cost of health services for boththe employed and the unemployed?3A. National Health Insurance Act C. Medicare ActB. Worker’s Compensation Act D. Magna Carta for Public Health Workers18. The top ten morbidity cases in the Phil. Include TB, diarrhea among children to name a few. Many of these conditionsare preventable and have implications are preventable and have implications in the development of which nursingcompetencies?A. Execution of nsg. procedure and techniqueB. Therapeutic use of selfC. Administration of treatment and medicationD. Health education19. The cost of hospitalization is getting more expensive and unaffordable to many of our people. These facts will MOSTLIKELY bring about development in which of the following?A. acute services C. home care servicesB. managed care services D. advance practice nursing20. Which of the following latest trend has expanded health services based on prepaid fees with emphasis on healthpromotion and illness prevention?A. Government Insurance Plan C. Health Maintenance OrganizationB. Preferred Provider Organization D. Private Insurance PlanSituation 5: It is Safety Awareness Week in the Community and the nurse checks on the presence of hazards at home.The nurse plan is to have the residents themselves identify the physical hazards in their own homes.21. Which of the following is NOT a physical hazard in the home?A. unstable and slippery stairwayB. large windows that allow good ventilationC. obstacle people cam trip over like door mats, rugs, electric cordsD. inadequate lighting in and out of the house22. Risk factors exist for each of the different developmental levels. From infancy to preschool age, the most commoncause of death is injury rather than disease. To protect children from harm, that parents should be aware that MOSTinjuries for this age group are due to:A. Accidents at home caused by the swallowed poisonous materials, small objects, exploringelectrical socketsB. Accidents from self inflicted woundsC. accidents from sports related activities at school or the neighborhoodD. accidents in the Playground Park, school and presence of strangers who may abduct of molest the child.23. To promote safety at home, the nurse identifies ways and means of “child proofing” the house. Which of the followingis NOT safe?A. apply child proof caps and medicine bottles and chemicals

B. covering electrical outlets, tying up long and loose electrical and telephone cords, securing cabinetsor doors within reach o the childC. giving colorful grocery bags to play with or to store toys and materialsD. removing objects that the child could easily dismantle and swallow like small parts of a mechanicaltoy, buttons, materials inside, stuffed animals, liquid chemicals.24. The nurse knows that a person’s hygienic practices are influenced family customs and traditions. Which of thefollowing is NOT part of Basic Hygienic Practices?A. bathing practices, frequency and time, care of eyes, ear and noseB. oral hygiene practices such as brushing and flossing teeth, gum careC. care of skin with lesions, cuts with infectionD. hair and skin such as washing hair and face, feet, hand and nail care25. Falls are the common home accident among elderly and these are due to physical limitations imposed by aging andsome hazards in the home setting. The nurse reduces the risk of falling through the following EXCEPT:A. rearranging furniture frequently4B. having the bed or mattress close to the floorC. providing a nonskid and well fitted shoes or slippersD. having a call bell within the persons reach and answering call bells immediatelySituation 6: Eileen, 45 years old is admitted to the hospital with a diagnosis of renal calculi. She is experiencing severeflank pain, nauseated and with a temperature of 39 0C.26. Given the above assessment data, the most immediate goal of the nurse would be which of the following?A. Prevent urinary complicationB. maintains fluid and electrolytesC. Alleviate painD. Alleviating nausea27. After IVP a renal stone was confirmed, a left nephrectomy was done. Her post operative order includes “daily urinespecimen to be sent to the laboratory” . Eileen has a foley catheter attached to a urinary drainage system. How willyou collect the urine specimen?A. remove urine from drainage tube with sterile needle and syringe and empty urine from thesyringe into the specimen containerB. empty a sample urine from the collecting bag into the specimen containerC. disconnect the drainage tube from the indwelling catheter and allow urine to flow from catheter intothe specimen container.D. disconnect the drainage the from the collecting bag and allow the urine to flow from the catheter intothe specimen container.28. Where would the nurse tape Eileen’s indwelling catheter in order to reduce urethral irritation?A. to the patient’s inner thigh C. to the patient’B. to the patient’s lower thigh D. to the patient lower abdomen29. Which of the following menu is appropriate for one with low sodium diet?A. instant noodles, fresh fruits and ice teaB. ham and cheese sandwich, fresh fruits and vegetablesC. white chicken sandwich, vegetable salad and teaD. canned soup, potato salad, and diet soda30. Howe will you prevent ascending infection to Eileen who has an indwelling catheter?A. see to it that the drainage tubing touches the level of the urineB. change he catheter every eight hours

C. see to it that the drainage tubing does not touch the level of the urineD. clean catheter may be used since urethral meatus is not a sterile areaSituation 7: Miss Tingson is assigned to Mang Carlos, a 60 year old newly diagnosed diabetic patient. She is beginningto write objectives of her teaching plan.31. Which of the following objectives is written in behavioral terms?A. Mang Carlos will know about diabetes related to foot care and the techniques and equipments necessary tocarry it outB. Mang Carlos daughter should learn about DM within the weekC. Mang Carlos wife needs to understand the side effects of insulinD. Mang Carlos sister will be able to determine in two days his insulin requirement based onblood glucose levels obtained from glucometer32. Which of the following is the BEST rationale for written objectives?A. ensure communication among staff membersB. facilitate evaluation of the nurse’s performanceC. ensure learning on the part of the nurseD. document the quality of care33. Which of the following behavior BEST contribute to the learning of Mang Carlos regarding his disease condition?A. frequent use of technical terms for familiarizationB. drawing him into discussion about diabetes5C. detailed lengthy explanation about his conditionD. loosely structured teaching session34. Miss Tingson should encourage exercise in the management of diabetes, because it:A. decrease total triglyceride levels C. lowers blood glucoseB. improves insulin utilization D. accomplishes all of the above35. The chief life-threatening hazard for surgical patient with uncontrolled diabetes is:A. dehydration B. hypertension C. hypoglycemia D. glucosuriaSituation 8: Caring for the perioperative patient.36. An appendectomy during a hysterectomy would be classified as:A. Major, emergency, diagnosis C. Minor, elective, ablativeB. major, urgent, palliative D. minor, urgent, reconstructive37. An informed consent is required for:A. closed reduction of a fracture C. irrigation of the external ear canalB. insertion of intravenous catheter D. urethral catheterization38. The circulating nurse’s responsibilities, in contrast to the scrub nurse’s responsibilities, include:A. assisting the surgeon C. setting up the sterile tablesB. monitoring aseptic practices D. all of the above functions39. The primary nursing goal in the immediate postoperative period is maintenance of pulmonary function and preventionof:A. Laryngospasm C. hypoxemia and hypercapneaB. hyperventilation D. pulmonary edema ad embolism40. Unless contraindicated, any unconscious patient should be positioned:A. flat on his of her back, without elevation of the head, to facilitate frequent turning and minimize pulmonarycomplicationsB. in semi-fowlers position, to promote respiratory function and reduce the incidence of orthostatic hypotensionwhen the patient can eventually stand.c. in fowler’s position, which most closely stimulates a sitting position, thus facilitating reparatory as well asgastrointestinal functioning.

D. on his or her side without a pillow at the patient’s back and his or her chin extended to minimizethe danger of aspirationsSituation 9: To prevent further injury to patients with problems of immobility / mobility, the nurse should observecertain principles of body mechanics for herself and her patients.41. Which of the following are appropriate goals for client with positioning and mobility needs?A. developing of contractures C. sensory alterationsB. proper body alignment D. decrease in activity tolerance42. Which for the following would MOST likely cause injury to the nurse when moving the patient from bed to thewheelchair?A. bending at the knees C. using body weight to assist with the movementB. standing with feet together D. standing with feet apart43. Which of the following is the CORRECT guideline when positioning patients?A. put pillows above a joint to immobilize itB. position of the joint should be slightly extendedC. joints of patient to be supported with pillowD. patient’s position should be changed at least three or four times a day644. Which of the following can be used by clients with problem of immobility to enable them raise their body from bed towheelchair or perform some bed exercises?A. sandbag B. side-rail C. trochanter roll D. trapeze bar45. The importance of forcing fluids with an immobilized patient is to:A. prevent pneumonia C. prevent skin breakdownB. prevent urinary stasis D. maintain peristalsis46. Which of the following is the least nursing activity in performing assessment of the patient?A. laboratory test C. Health historyB. physical examination D. systemic review47. One of the responsibilities of Mr. Lata, RN, an industrial nurse, is to conduct physical head-to-toe assessment of anewly hired factory worker. As part of the assessment, he took the vital signs. Which of the four assessment techniquesdid he utilize?1. auscultation 3. palpation2. percussion 4. inspectionA. 1,2 & 3 B. 3 &4 C. 1 & 2 D. 1,3 & 448. Which of the following are the purpose of performing a physical assessment?1. gather baseline data about the client’s health2. confirm and identify nursing diagnosis3. evaluate physiological outcome of care4. make clinical judgment of patients’ diagnosisA. 1,2 & 4 B. 2, 3 & 4 C. 1, 3 & 4 D. 1,2 & 349. Which of the following should be given the HIGHEST PRIORITY before physical examination is done to a patient?A. preparation of the equipment C. preparation of the environmentB. psychological preparation of the client D. physical preparation of the client50. During the assessment phase of the nursing process, the nurse is concerned with:A. interpreting dataB. designing nursing strategiesC. establishing a data baseD. comparing client responses with the anticipated outcomeSituation 11: The nurse is responsible to accurately records and reports patient’s progress. She is able to communicateto the other member of the team by documenting the nursing care plan and the appropriate nursing intervention.51. A main function of the patient’s records is to:

A. prepare the nurse for the shift workedB. serve as a record of financial chargesC. serve as a vehicle for communicationD. ensure that the message is received52. When the nurse writes in the chart and discovers an error has been made, which is the BEST approach?A. erase the erroneous materialB. carefully ink out the erroneous materialC. place as asterisk next to the statement, then footnote itD. draw a straight line through the error and initial it.53. Which of the following persons cannot have the access to the patient record?A. physical therapist C. the patientB. lawyer of the family D. speech therapist54. POMR charting is different from traditional method because of which of the following practices?1. SOAP charting 3. narrative charting2. use of flow sheet 4 . use of checklist7A. 3 & 4 B. 1 & 2 C. 1 & 3 D. 2 & 355. Which of the following qualities are relevant in documenting patients care?1. Accuracy and consciousness2. thoroughness and currentness3. systematic and orderly4. legibly, properly dated and signed5. use of locally accepted abbreviationA. 1,3,4 & 5 B. 2,3,4 & 5 C. 1,2,3 & 5 D. 1,2,3 & 4Situation 12: The practice of primary nurse in primary nursing is preferred by many nurses because it supportsprofessional autonomy and accountability of the nurses>56. What is the function of the primary nurse in primary nursing?A. acts as patient advocate and coordinate the health care team for specific group of patientsB. act as the charge nurse, organizing staff assignments and help in solving problem in the unitC. plans and coordinate the patient care assigned to her from admission to dischargeD. coordinates the care given to a group of patients by support staff57. Primary nursing is MOST advantageous and satisfying to the patient and nurse because of which of the followingprinciples?A. autonomy and authority for planning care are best delegated to a nurseB. accountability is clearest since our nurse is responsible for the overall plan and implementation of careC. the holistic approach provides fro a therapeutic relationship continuity of care and efficientnursing careD. continuity of patients care promotes efficient nursing care.58. Which is the role of the associate nurse in primary nursing?A. over-all manager of the unitB. responsible for the over-all care of the patient during off days of primary nurseC. patient advocate in the health care teamD. coordinator of comprehensive, holistic patient care59. In primary nursing, the nurse is responsible for which of the following group of patient?A. the whole wardB. small group of patient like 3-5 patientsC. big group of patients like 10-15 patientsD. the whole unit60. In primary nursing who among the following is needed to her leadership and quality control in the ward?A. the chief nurse C. the nurse supervisorB. the head nurse D. the service director

Situation 13: Your nursing unit plans to conduct a study on the use of structured preoperative preparation in lesseningthe demand for post-operative pain medications.61. Which of the following research activities should you initially do?A. find out from interview how many patients are willing to participateB. get the permission from the hospital directorC. review literature on the topicD. prepare the tool for collecting data62. Which of the following statements do NOT contribute to the researchabilty of your proposed problem?A. potential use of findings C. well-defined problem statementB. readability of findings D. measurability of variables63. A study /research table should NOT contain which of the following ?A. categories of data collected C. specific title of table8B. relevant rows and columns D. names and sample of the selected64. Which of the following actions will facilitate analysis of research data?A. consult a physician C. consult a complete expertB. consult an adviser D. categorize data collected65. The research methodology that is appropriate for the above problem would be:A. descriptive B. normative C. experimental D. quasi experimentalSituation 14: The nurse meets a new client, Mr. Principe, 50 years old. During the initial interview, the nurse begins tofeel irritated towards the client. Shortly after, he becomes uncomfortable and politely leaves the room. The nurse realizesthe behavior and mannerism of Mr. Principe reminds him of his strict disciplinarian father who abused him physically.66. The recognize that his feeling for the client is known as:A. denial B. counter transference C. revenge D. transference67. Seeing that his negative feelings for Mr. Principe could affect his nursing care, the nurse applies the concept oftherapeutic use of self when:A. the nurse talks about his personal feelings towards the clientB. the nurse suppresses his feelings and continue to take care of the clientC. the nurse uses his awareness and asks to be reassigned to another clientD. the nurse uses self-awareness to manage his feelings and thoughts towards the client68. Mr. Principe is terminally ill and his family is coping with his impending death. The nurse has to deal with his ownthoughts and personal feelings about death and grieving in order to:A. avoid sharing personal thought about their impending loss and feeling of grief since this is very subjectiveB. get self out of the way while he assists the client and his family express their feelings of impending lossC. prevent self from being affected by the family’s grief and remain objectiveD. help the family plan for the funeral arrangement and burial services69. One morning when the nurse enters the client’s room. Mr. Principe asks the nurse to “leave me alone and stopbothering me and I don’t want your pity”. The following response by the nurse would be MOST appropriate?A. “You seem upset this morning” and remains with the clientB. “You are probably upset because you don’t feel well”C. “Why you are angry with me? What did I do anything to upset you?D. “I understand and will leave you for a while”70. The nurse understands that the nurse-client relationship is a therapeutic alliance when:A. the nurse is a role model for a clientB. this is an essential part of the nursing processC. the nurse has to be therapeutic at all times

D. how the nurse thinks and feels affects her actions and behavior towards her client and her workSituation 15: Mr. Ong is for admission to the medical unit and you are his nurse.71. The MOST important initial nursing approach when admitting client is to:A. introduce the client to the ward staffB. orient the client to the physical set up of the unitC. identify the most immediate needs of the client and implement the necessary interventionD. take V/S fro baseline assessment72. When gathering baseline data, the BEST way for you to check if the client has pedal edema is to:A. talk to the relatives C. do auscultationB. interview the client D. do a physical assessment73. You want to know the sleeping pattern of Mr. Ong You will:A. interview the clients and relativesB. take his BP before sleeping and upon waking up9C. observe his sleeping pattern over a period of timeD. perform physical assessment74. Mr. Ong has severe pedal edema. Which accessory device would be appropriate for his condition?A. footboard B. cradle C. bed board D. rolled pillows75. A student nurse is observed putting a standard size cuff on an obese client. The action would probably result in BPreading that is:A. false high B. false low C. normal D. undetectableSituation 16: Health is wealth specifically in this time of the century. The nurse is trained to promote well being of thepeople.76. How does a nurse promote one’s well being?A. periodic travels for rest and recreationB. faithful and observance of healthy simple lifestyleC. run away from polluted, stressful areasD. avoid sleepless, over fatigue nights77. The nurse can be involved with health promotion as a significant person in helping the family:A. become a better familyB. prevent diseaseC. control their symptomsD. modify health promotive behaviors78. The nurse should NOT leave medication at the bedside because:a. the bedside table is not sterileb. it is convenient for the nursec. the nurse will not be able to accurately document that the patient actually took the medicationd. the patient may forget to take it.79. Non-pharmacologic pain management includes all the following EXCEPT:a. relaxation techniques c. use of herbal medicinesb. massage d. body movement80. When assessing a client’s blood pressure, the nurse finds it necessary to recheck the reading. How many secondsafter deflating the cuff should the nurse wait before rechecking the pressure?a. 10 b. 30 c. 45 d. 60Situation 17: Safe nursing practice involves an understanding of the law.81. In the Philippines, this law is :a. The Philippine Nursing Act of 2002 or R.A. 9173b. the Philippine Nursing Act of 1991 or R.A. 7164c. IRR or Resolution 425 of 2003d. Republic Act No. 8981

82. The Philippine Nursing Act delineates the scope of nursing. It specifies that independent practicing nurse isresponsible for:a. health promotion and prevention of illnessb. administration of written prescription for treatment and therapiesc. rehabilitative aspect of cared. Collaborating with other healthcare providers for health restoration and alleviation of suffering83. Standards of care provide the legal basis for evaluation of nursing practice or malpractice. Its functions include allEXCEPT:a. used by nurse experts to define what appropriate nursing practice is in a given situationb. used to measure or evaluate nursing conduct to determine if the nurse acted reasonably as any prudent nursewould under similar circumstancesc. used to delineate the scope, function and role of the nurse10d. use to measure or evaluate the conduct of nurse specialists who are certified in their ownspecialty fields84. As a standard in ethics, this represents an understanding and agreement to respect another person’s right to decide acourse his or her own destiny:a. Autonomy c. Beneficenceb. justice d. nonmalifecence85. The Code of Ethics refers to standards of behavior or ideals of conduct. The ability to answer for and stand by one’saction refers to:a. accountability c. advocacyb. veracity d. responsibilitySituation 18: An understanding of the factors influencing the health care delivery system will enable nurses to adjust tochange, create better ways of providing nursing care and develop new nursing roles.86. Wellness clinics and health education activities have been integrated in government hospitals to render appropriateservices. Which of the following purposes LEAST helps clients in cases of these health promotion activities?A. maintain maximum functions C. promote health habitsB. reduce the costs of health care D. identify disease symptoms87. With regards to illness prevention activities as part of nursing care, which of the following will help clients MOST?A. maintain maximum function C. promote habits related to health careB. reduce risk factor D. manage stress88. By experience, which of the following nursing goals are MOST often overlooked by nurses and other members of thehospital team in the care of their clients in the hospital?A. illness prevention C. diagnosis and treatmentB. health promotion D. rehabilitation of patients89. Which of the following health care agencies is usually family-centered, relatively recent in popularity and oftentimesfocuses on maintenance of comfort and satisfactory lifestyle of clients in the terminal phase of illness?A. non-government organization C. community health centerB. hospice D. support group90. Which of the following is NOT a legally binding document but nonetheless very important in the care of all patients inany setting?A. Bill of rights as provided in the Philippine ConstitutionB. Scope of nursing practice as defined in R.A. 9173

C. Patient’s Bill of Rights ( as adopted by American Nurses Association )D. Board of Nursing resolution adopting the Code of EthicsSituation 19: One of the professional competencies that nurse must always demonstrate is in the area ofcommunication:91. Which communication technique would be MOST effective in eliciting detailed information from the client?A. open-ended questioning C. active listeningB. verbalizing observations D. summarizing clients views92. Which of the following terms refer to the sender’s attitude towards the self, the message and the listener?A. verbal communication C. non-verbal communicationB. double-bind communication D. meta communication93. In interacting with patients, the nurses should remember that a client’s personal space is:A. that which revolves around the clientB. highly mobile depending upon certain situationC. clearly visible to othersD. the same as that of the nurse1194. In interpersonal communication is LEAST threatening during what type of relationship?A. social C. personalB. intimate D. professional95. In demonstrating the method for deep breathing exercises, the nurse places the hands on the client’s abdomen toexplain diaphragmatic movement. This technique involves the use of which element of communication?A. appropriateness C. channelB. feedback D. messageSituation 20: Roy, an adolescent, was diagnosed to have pneumonia. He constantly complains of chest pain and has astanding order of Morphine SO4.96. Which of the following MOST appropriately describe pain sensation that has periods of remission and exacerbation?A. chronic C. acuteB. intractable D. Psychosomatic97. Roy is constantly asking to be relieved from pain. Since morphine is an addicting drug, which of the following is BESTfor the patient?A. administer morphine SO4 PRNB. administer morphine on a routine schedule as orderedC. give instructions on relaxation technique to reduce frequency of pain sensationD. divert the attention by not limiting visitors98. To get accurate information about the quality of pain the patient is experiencing, which of the following statementswould be MOST APPROPRIATE?A. “What cause you the pain?” C. “Have you taken something to relieve the pain?”B. “ Tell me what your pain feels like” D. “Is it stubbing or radiating pain?”99. As the nurse assigned to Ray, which of the following can decrease his chest pain?A. supporting his rib cage when he coughs C. teaching himB. advising him D. encouraging him to breathe deeply100. Which of the following is the nurse’s primary goal in caring for clients with chronic pain?A. change the clients perception of painB. reduce the clients perception of painC. change the clients reaction to painD. enumerate the source of pain--------------------------------------------------------------------------------------------------------------------------------------------------------------12