A nurse administers IV morphine to a post-operative patient. Thirty minutes later, the patient is difficult to arouse and the respiratory rate = 8/min. What is the nurse’s priority action?  

A nurse is working with a patient who continues to smoke despite having chronic obstructive pulmonary disease (COPD). Which approach best demonstrates motivational interviewing?  

A nurse is using the LEARN model with a 60-year-old patient newly diagnosed with type 2 diabetes. After listening to the patient explain that being overweight is a sign of health and prosperity in his culture, which action by the nurse best represents the “A” step of the LEARN model?  

A nurse is planning care to promote sleep for patients on a medical-surgical unit. Which interventions should the nurse implement to improve sleep quality in the hospital setting? Select all that apply.  

A nurse enters the room of a 45-year-old patient newly diagnosed with diabetes. The patient states, “I just don’t understand how I’m supposed to manage all of this at home.” The nurse responds, “Managing diabetes can be overwhelming at first. Tell me what concerns you most about going home.” The patient replies, “Well, my work schedule is crazy, and I’m not sure when I’m supposed to check my blood sugar.” Which response by the nurse best demonstrates active listening?

A nurse is conducting a home visit for a 72-year-old patient with progressive hearing loss. The patient’s daughter reports, “Mom used to love going to church and playing cards with her friends, but now she refuses to leave the house. She says people think she’s stupid because she can’t hear them.” Which nursing diagnosis should the nurse prioritize for this patient?  

A patient reports taking 3,000 mg/day of acetaminophen for the past week and drinking several alcoholic beverages nightly. Which action should the nurse take first?  

A 58-year-old patient was recently diagnosed with stage III lung cancer. The oncologist recommends palliative care in addition to chemotherapy. The patient states, “I don’t understand. Isn’t palliative care just for people who are dying?” Which response by the nurse best demonstrates understanding of palliative care?

A nurse has just completed postmortem care for a patient who died peacefully with family at the bedside. Which action best demonstrates proper postmortem documentation?

A 48-year-old patient tells the nurse, “I used to be able to read the newspaper easily, but now I have to hold it at arm’s length to see the words clearly. Is something wrong with my eyes?” Which response by the nurse is most appropriate?