Nokea
Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
- A. Erikson
- B. Gordon
- C. Newman
- D. Nightingale
Correct Answer: B
Rationale: Gordon’s framework is foundational for nursing assessments and diagnoses using functional health patterns.
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An 18-year-old woman in whom a sexually transmitted disease (STD) was recently diagnosed asks the nurse not to tell her mother that she has an STD. Her mother asks the nurse what is causing her daughter’s vaginal discharge. Which of the following actions should the nurse take?
- A. Follow the principle of veracity and tell the mother the diagnosis.
- B. Respect the principle of confidentiality and support the client’s request not to tell her mother the diagnosis.
- C. Tell the client’s mother that she has a urinary tract infection, to protect the client’s privacy and honor the mother’s request.
- D. Ignore the mother’s request for information.
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) guarantees client confidentiality. The nurse must maintain confidentiality unless the client permits disclosure.
The proportion of people with a condition who correctly test positive when screened is known as:
- A. Sensitivity
- B. Specificity
- C. Validity
- D. Efficacy
Correct Answer: A
Rationale: Sensitivity is the proportion of true positives correctly identified by a screening test.
A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care?
- A. Decreased sense of hearing
- B. Decreased sense of smell
- C. Decreased sense of taste
- D. Decreased visual acuity
Correct Answer: D
Rationale: Visual acuity is essential for administering insulin and for monitoring health in a person with Type 1 diabetes.
At 1 minute of age, an infant has a heart rate of 95, a strong cry, some flexion of extremities, a cry reflex, and is completely pink. Which of the following is a correct assessment of the infant’s Apgar score?
- A. 4
- B. 6
- C. 8
- D. 10
Correct Answer: C
Rationale: The Apgar score is calculated by adding the scores for heart rate, cry, reflex, extremity movement, and color: 1 + 2 + 1 + 2 + 2 = 8.
Which factor may have the most influence in changing the health behavior of a single, adult woman who smokes and is the care provider for her mother, her own children, and granddaughter?
- A. Education regarding effects of smoking on her health
- B. The satisfaction that she will not contribute to secondhand smoke
- C. The availability of a weekly support group
- D. A gift card for $10 to a local grocery store for every week she is smoke-free
Correct Answer: D
Rationale: Motivational factors like financial incentives play a significant role, especially when the individual is financially responsible for others.