Nokea
The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?
- A. 6
- B. 8
- C. 12
- D. 16
Correct Answer: C
Rationale: In general, children begin dentition around 6 months of age. During the first 2 years of life, a quick guide to the number of teeth a child should have is as follows: Subtract the number 6 from the number of months in the age of the child. In this example, the child is 18 months old, so the formula is 18 - 6 = 12. An 18-month-old child should have approximately 12 teeth.
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Referral for client education in the community can be accomplished through all of the following except:
- A. community agencies such as the American Heart Association.
- B. parish nurses.
- C. home health care agencies.
- D. unlicensed massage therapists.
Correct Answer: D
Rationale: Client education should be completed by an individual or individuals with acknowledged expertise in the subject area and credentials to support activity within the health care community.
The physician's role in case management includes all of the following except:
- A. participating in interdisciplinary planning for clients.
- B. serving as the expert for resource utilization.
- C. consulting with the case management team to facilitate timely orders as needed.
- D. contributing to the documentation of a client's needs for services.
Correct Answer: B
Rationale: The physician is an integral part of the case-management process in terms of assisting with defining the client's needs and the time frames for movement through the health care system; however, the physician is the expert for medical diagnosis and treatment rather than resource utilization.
Who is responsible for obtaining the signature from the client on the informed consent?
- A. the staff nurse
- B. the charge nurse
- C. the LPN
- D. the physician
Correct Answer: D
Rationale: It is the physician's responsibility to obtain the client's signature. The nurse is responsible for verifying that this occurred.
People-related supervisory tasks include all of the following except:
- A. coaching.
- B. encouraging.
- C. target setting.
- D. rewarding.
Correct Answer: D
Rationale: Target-setting is the projection of goals or objectives to be accomplished and is considered to be a task-centered, supervisory responsibility. Coaching, encouraging, rewarding, evaluating, and facilitating are supervisory activities that are people related as they involve direct interaction with those doing the work.
Which of the following is true of advanced directives?
- A. They should be appropriately documented in the client's chart.
- B. They are only applicable if the client has a terminal illness.
- C. They are required if the client is unconscious.
- D. They are non-legal requests.
Correct Answer: A
Rationale: Advanced directives are legal requests regarding a client's health care regardless of the severity of their illness or level of consciousness. They should be verified on admission and documented in the client's chart.