Nokea
A nurse has started admitting a new person on home care and is beginning to establish a relationship. Which of the following would be the most important thing for the nurse to do?
- A. Complete the paperwork in a timely fashion
- B. Establish open communication
- C. Conduct a complete physical health assessment
- D. Provide feedback to the person’s questions
Correct Answer: B
Rationale: Open communication is the foundation of a professional relationship and is key to building rapport and understanding.
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A nurse working with a Hispanic family is explaining the plan for managing a child’s asthma to the child’s mother, father, and grandmother. To whom should the nurse direct the education?
- A. Mother
- B. Father
- C. Grandmother
- D. Parents and grandmother
Correct Answer: D
Rationale: In Hispanic cultures, all adults, including elders, may play a role in decision-making, so education should be directed to all.
A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as:
- A. Managed care
- B. Gate keeping
- C. Utilization review
- D. Capitation
Correct Answer: C
Rationale: Utilization review evaluates healthcare usage to minimize unnecessary treatments and reduce costs.
Two working adults do not have access to health insurance for their family from their employers and do not meet the financial criteria for Medicaid. For which of the following federal programs may the children in this family be eligible?
- A. Medicare
- B. Civilian Health Medical Program for Uniformed Services (CHAMPUS)
- C. State Children’s Health Insurance Program (SCHIP)
- D. Veteran’s Administration Program
Correct Answer: C
Rationale: SCHIP provides health insurance to children whose families cannot afford private coverage but do not qualify for Medicaid.
An individual reveals to the nurse that he is having an affair with his wife’s best friend. Which of the following statements will enhance effective therapeutic communication between him and the nurse?
- A. “You know that what you are doing is wrong.”
- B. “Why would you want do something like that?”
- C. “How could you do that to your wife and children?”
- D. “This affair seems to be troubling you.”
Correct Answer: D
Rationale: The nurse is focusing on the client's feelings about the affair, which encourages further conversation without judgment.
A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:
- A. Administering and reading the purified protein derivative (PPD) of all close contacts
- B. Providing direct observed therapy (DOT) for the individual with TB
- C. Isolating the person because it is likely drug resistant
- D. Telling the person to wear a mask when leaving the home
Correct Answer: B
Rationale: Direct observed therapy (DOT) ensures the patient takes the full course of medication, preventing the spread of TB.