Nokea
Which of the following is the first step in the valuing process?
- A. Acting out the choice
- B. Selecting from alternatives
- C. Being happy with personal beliefs and actions
- D. Choosing freely
Correct Answer: D
Rationale: The valuing process begins by freely choosing from alternatives, followed by careful consideration of the outcomes.
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A client who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?
- A. “Vitamin E supplements are unnecessary, so I don’t recommend you use this supplement.”
- B. “Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin.”
- C. “Vitamin E supplements can interfere with the absorption of iron and create additional health problems.”
- D. “Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient.”
Correct Answer: B
Rationale: Vitamin E can interact with Coumadin and affect clotting, which is a concern for individuals on blood thinners.
A community health nurse is presenting information about the current health of the nation in 2011. What would be included?
- A. Funding of public health programs
- B. Provision of health care
- C. Advances in technology
- D. Consumer education
Correct Answer: A
Rationale: Substantial funding of public health programs improves health outcomes.
Which is a violation of the Health Insurance Portability and Accountability Act of 1996?
- A. Nurse reporting a case of TB to the health department
- B. Nurse reporting a case of child abuse to the Department of Human Services
- C. Nurse discussing the person’s case with his or her physician
- D. Nurse discussing the person’s case with his or her school nurse
Correct Answer: D
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy standard that requires safeguards to protect the security and confidentiality of health information. Disclosures without individual authorization are allowed only to public health authorities authorized by law to collect and receive information for the purpose of preventing or controlling disease, injury, or disability. Before speaking to the school nurse, the nurse must obtain authorization from the client’s parents.
A nurse is implementing a test that screens for hypercholesterolemia. Which of the following parameters should this test have?
- A. No cutoff point
- B. Low cutoff point
- C. Intermediate cutoff point
- D. High cutoff point
Correct Answer: B
Rationale: A low cutoff point helps identify individuals at risk for hypercholesterolemia early, promoting early intervention and treatment.
A nurse is working with a family that is experiencing food insecurity. Which of the following statements best describes this family?
- A. Members of this family are susceptible to food-borne illness.
- B. This family’s access to adequate food is limited by lack of money.
- C. This family is unable to purchase fresh fruits and vegetables.
- D. Members of this family are obese.
Correct Answer: B
Rationale: Food insecurity occurs when a family has limited access to adequate food due to financial constraints.