Nokea
Which of the following scenarios best describes a nurse using metacommunication?
- A. Using both touch and silence when counseling an individual
- B. Practicing reflection when interacting with an individual
- C. Discussing with an individual how to solve a problem
- D. Understanding that an individual needs a break before proceeding
Correct Answer: D
Rationale: Metacommunication is about understanding the relationship and context of the message being communicated.
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Which nurse is functioning as a care manager?
- A. Nurse working with a family to coordinate care after their child experiences a second hospitalization for an asthma exacerbation
- B. Nurse providing asthma education in the office setting to a child with moderate, persistent asthma
- C. Nurse administering the appropriate antiinflammatory medication to a child admitted to the hospital with an asthma exacerbation
- D. Nurse making a home visit for a respiratory assessment to a child following an admission for an asthma exacerbation
Correct Answer: A
Rationale: Care managers help determine what medical care is necessary, monitor care, and arrange for individuals to receive the most cost-effective care in the most appropriate settings. They must collaborate with providers and with the client/family. Care managers are especially helpful following a client after discharge and clients with complex needs. A nurse working with a family to coordinate service after a hospitalization is a good example of services provided by a care manager.
Anthrax
- A. Anthrax is a viral infection
- B. Anthrax causes skin lesions or pneumonia
- C. Anthrax is spread by person-to-person contact
- D. Anthrax is treated by IV penicillin for 30 days
Correct Answer: B
Rationale: Anthrax is caused by bacteria, not a virus, and can cause skin lesions or pneumonia.
A nurse is providing education about safety precautions for people to take when using complementary/alternative medicine (CAM). Which of the following information would be included in this presentation?
- A. Most treatments are covered by insurance.
- B. The U.S. Food and Drug Administration regulates the quality of dietary supplements.
- C. It is important to research and understand the treatment before starting to use it.
- D. There are minimal interactions between the treatments prescribed by allopathic and holistic medicine providers.
Correct Answer: C
Rationale: It is important to research and understand the treatment and ensure it is appropriate for the individual and the purpose.
A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?
- A. Providing constant reinforcement and education about the labor process and assisting the woman with pushing
- B. Explaining unusual interventions such as the use of a fetal heart monitor
- C. Assisting with labor discomfort by modeling breathing
- D. Teaching the new mother positioning of the infant to assist with breast-feeding
Correct Answer: D
Rationale: In the fourth stage of labor, the nurse supports breastfeeding and assists with positioning the infant.
A nurse administers the T-ACE test to a pregnant woman. The woman’s responses result in a score of 3. This score indicates that the woman:
- A. requires interventions for problem drinking.
- B. lacks evidence of problem drinking.
- C. requires interventions for sexually transmitted disease risks.
- D. lacks evidence of sexually transmitted disease risks.
Correct Answer: A
Rationale: A score of 2 or higher on the T-ACE indicates the need for intervention for problem drinking in pregnant women.