Nokea
The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individuals is known as:
- A. Health-related quality of life
- B. Evidence-based practice
- C. A Healthy People 2010 goal
- D. The ecological model of health
Correct Answer: B
Rationale: Evidence-based practice integrates clinical expertise with the best available research to make informed care decisions.
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Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person’s function pattern by utilizing which area of focus?
- A. Age-developmental
- B. Functional
- C. Individual-environmental
- D. Pattern
Correct Answer: D
Rationale: Pattern recognition helps identify sequences of behavior, allowing the nurse to analyze health data over time.
Which of the following are symptoms or warning signs of anorexia nervosa?
- A. Lack of menstruation in females
- B. Preoccupation with food
- C. Eating only small amounts of certain foods
- D. Dramatic weight fluctuations
Correct Answer: A
Rationale: Symptoms of anorexia nervosa include extreme preoccupation with food, lack of menstruation, and dramatic weight loss.
A mother comes to the pediatric clinic and says to the nurse, “I am worried about my 11-month-old baby because he is not crawling yet and his brother crawled when he was 11 months old. Is something wrong?” Which of the following statements should the nurse make?
- A. “It is highly unusual for siblings not to reach developmental milestones at the same time. I’ll ask the doctor to assess him.”
- B. “All babies reach developmental milestones at different rates.”
- C. “This may be something to worry about. I’ll have the doctor examine him.”
- D. “Don’t worry; he’ll crawl soon enough.”
Correct Answer: B
Rationale: Each child develops at their own pace, even though milestones follow a general pattern.
A nurse is counseling a 19-year-old person who has recently been diagnosed with Type 1 diabetes mellitus. The person asks if there is anything specific that should be done before going to play tennis with a friend. Which of the following instructions should the nurse give the person to avoid hypoglycemia?
- A. Inject the insulin into the abdomen.
- B. Inject the insulin into the arm.
- C. Inject the insulin into the thigh.
- D. Skip taking any insulin before exercising.
Correct Answer: A
Rationale: Insulin should be injected into the abdomen as it slows down absorption during activity, helping to maintain stable blood glucose levels during exercise.
Which young adult exemplifies Kohlberg’s postconventional level of moral reasoning?
- A. A 28-year-old who helps a friend move despite calling in sick
- B. A 22-year-old man who uses marijuana on weekends
- C. A 30-year-old woman who volunteers at a soup kitchen
- D. A 35-year-old working long hours for a promotion
Correct Answer: C
Rationale: Kohlberg’s postconventional stage involves moral reasoning based on what is considered “right” for the greater good, as exemplified by volunteering at a soup kitchen.