Nokea
Which of the following describes a nurse who is “being with” the client?
- A. Answers a call bell
- B. Completes a dressing change
- C. Silently prays with a client when requested to do so
- D. Teaches a client about his or her medication regime
Correct Answer: C
Rationale: Entering the client’s world and praying with him or her when requested to do so exemplifies truly “being with” the client.
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Which individuals have a higher than average risk of homicide?
- A. 33-year-old woman who served 5 years in prison
- B. 20-year-old homeless man
- C. 28-year-old man with a history of bipolar disorder
- D. 24-year-old woman with a female partner
Correct Answer: B
Rationale: Homelessness and a history of violence place individuals at a significantly higher risk of homicide.
To screen for colorectal cancer, colonoscopy should be conducted every 10 years beginning at age:
- A. 30
- B. 40
- C. 50
- D. 60
Correct Answer: C
Rationale: The recommendation is for individuals aged 50 and older to have a colonoscopy every 10 years to screen for colorectal cancer.
A nurse is encouraging parents to immunize their infants. Which of the following strategies would be the best way for the nurse to facilitate this?
- A. Send a reminder for immunizations to the parents.
- B. Talk to the parents about immunizations during office visits.
- C. Track clients who have not been immunized.
- D. Memorize the CDC immunization schedule.
Correct Answer: B
Rationale: Direct communication with parents during office visits is most effective in encouraging immunizations.
A client is scheduled to have open-heart surgery but has not been informed about potential complications. Which ethical concept has been ignored?
- A. Beneficence
- B. Autonomy
- C. Justice
- D. Informed consent
Correct Answer: D
Rationale: Informed consent ensures clients understand the risks and benefits of procedures before agreeing to them.
An overweight woman is in the preparation stage of change. Which of the following interventions would be the most appropriate for the nurse to implement?
- A. Inform her of the health risks associated with being overweight
- B. Prepare her for the setbacks
- C. Develop a low-calorie/low-fat diet with her so she can follow it at home
- D. Praise her for her recent successes
Correct Answer: C
Rationale: In the preparation stage, the woman is ready to make changes, so providing tools like a low-calorie diet plan helps facilitate action.