Nokea
A person has just been admitted to the hospital. In talking with the person, the nurse is able to elicit from her that the reason for her hospitalization is that her husband beat her up. Which characteristic of the therapeutic relationship is being demonstrated?
- A. Empathy
- B. Trust
- C. Rapport
- D. Purposeful communication
Correct Answer: D
Rationale: Purposeful communication focuses on obtaining specific information for the care of the individual.
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A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this teenager?
- A. Increased energy level
- B. Improved coping
- C. Enhanced self-esteem
- D. Accomplished activities of daily living
Correct Answer: C
Rationale: Enhancing self-esteem is crucial for a teenager with anorexia nervosa to overcome body image issues.
A 2-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic reaction?
- A. Apple juice
- B. Oatmeal raisin cookies
- C. Jelly sandwich
- D. Banana
Correct Answer: B
Rationale: Oatmeal raisin cookies often contain nuts, which are common allergens for young children.
Which scenario represents a dysfunctional pattern?
- A. Sexually active teenager who does not use condoms
- B. Salesman who sleeps only 5 hours a night
- C. Single mother of three children
- D. Woman with a small extended family
Correct Answer: A
Rationale: A sexually active teenager who does not use condoms has a dysfunctional sexual-reproductive pattern, leading to risks.
The nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding has the potential to trigger an asthma exacerbation?
- A. Radiator heating system
- B. Air conditioner
- C. Hardwood flooring
- D. Leaky roof
Correct Answer: D
Rationale: A leaky roof can lead to mold growth, which is a known asthma trigger.
The nurse is working with a middle-age married couple whose son has just graduated from college. Which developmental tasks would the nurse expect to find in this family?
- A. Attending activities for their son
- B. Strengthening their marital relationship for future family stages
- C. Acting as a launching center for their son
- D. Responding to the prospect of changing careers
Correct Answer: C
Rationale: Families with young adults often serve as launching centers, supporting their children as they leave home and become independent.