Nokea
What statement by a health-care provider is an example of shared decision making between a health-care provider and a patient?
- A. I'm going to start this medication because it is best for your baby.
- B. Can you agree with me because I am your health-care provider?â€
- C. I understand how the hospital works, and it will be easier for you to just do what is easy for the nurses.â€
- D. Do you feel ready to make a decision after we talked about this medication?â€
Correct Answer: D
Rationale: The correct answer is D because it involves the patient in the decision-making process by asking for their readiness to make a decision after discussing the medication. This approach respects the patient's autonomy and encourages them to actively participate in their healthcare choices.
A is incorrect as it does not involve the patient in the decision-making process but rather imposes the provider's choice. B is incorrect as it uses authority to influence the patient's decision, which is not in line with shared decision making. C is incorrect as it focuses on convenience rather than involving the patient in the decision-making process.
You may also like to solve these questions
What is an advantage of the internal condom?
- A. It can be used by those who have a latex allergy.
- B. It can be used for repeated acts of intercourse.
- C. It has a lower failure rate than external condoms.
- D. It can be used for pleasure purposes.
Correct Answer: A
Rationale: The correct answer is A because the internal condom is made of nitrile, which is a non-latex material. This makes it suitable for individuals with latex allergies. Choice B is incorrect because both internal and external condoms can be used for repeated acts of intercourse. Choice C is incorrect because internal condoms do not necessarily have a lower failure rate than external condoms. Choice D is incorrect because while condoms can enhance pleasure during intercourse, the primary purpose of the internal condom is for protection rather than pleasure.
A client at 28 weeks' gestation is undergoing a glucose tolerance test. What is the purpose of this test?
- A. To detect anemia.
- B. To screen for gestational diabetes.
- C. To assess fetal growth.
- D. To evaluate placental function.
Correct Answer: B
Rationale: The correct answer is B: To screen for gestational diabetes. The glucose tolerance test during pregnancy helps to identify women at risk for developing gestational diabetes, a condition that can lead to complications for both the mother and baby. By measuring blood sugar levels after consuming a glucose solution, healthcare providers can assess how the body processes sugar during pregnancy. This test is specifically designed to detect abnormalities in glucose metabolism during pregnancy.
Choice A: To detect anemia - Anemia is not typically identified through a glucose tolerance test. Anemia is usually diagnosed through a blood test that measures hemoglobin levels.
Choice C: To assess fetal growth - Fetal growth is usually monitored through ultrasound scans and measurements, not through a glucose tolerance test.
Choice D: To evaluate placental function - Placental function is evaluated through other tests like Doppler ultrasound, not through a glucose tolerance test.
A nurse is assessing a newborn who was born Post term. Which of the following findings should the nurse expect?
- A. A Rh-negative mother who has an Rh- positive infant
- B. A Rh "“positive mother who has an Rh- negative infant
- C. A Rh-positive mother who has an Rh- positive infant
- D. A Rh- negative mother who has an Rh- negative infant
Correct Answer: A
Rationale: The correct answer is A: A Rh-negative mother who has an Rh-positive infant. Post-term infants are at higher risk for conditions such as Rh incompatibility. Since the mother is Rh-negative and the infant is Rh-positive, there is a potential for Rh incompatibility, leading to hemolytic disease of the newborn. This occurs when the mother's antibodies attack the infant's red blood cells.
Choice B is incorrect because Rh incompatibility occurs when the mother is Rh-negative and the infant is Rh-positive. Choice C is incorrect as both mother and infant being Rh-positive do not lead to Rh incompatibility. Choice D is incorrect because Rh incompatibility does not occur when both mother and infant are Rh-negative.
The nurse is performing a nonstress test. What result indicates a reactive test?
- A. No fetal movements noted.
- B. Two accelerations in 20 minutes.
- C. Baseline fetal heart rate of 170 beats/minute.
- D. Variable decelerations.
Correct Answer: B
Rationale: The correct answer is B because two accelerations in 20 minutes are indicative of a reactive nonstress test. This pattern suggests that the fetal heart rate is reacting appropriately to fetal movement, indicating good oxygenation and neurologic integrity. Choice A is incorrect as fetal movements are essential for the test. Choice C is incorrect as a baseline heart rate of 170 bpm is considered high. Choice D is incorrect as variable decelerations are concerning for fetal distress.
The nurse understands vitamin k is for?
- A. Not initially synthesized because of sterile bowel at birth (so they don't have enough clothing factors)
- B. Necessary for the production of platelets
- C. Important for production red blood cells
- D. Responsible for the breakdown of bilirubin and the prevention of jaundice
Correct Answer: D
Rationale: The correct answer is D because vitamin K is responsible for the breakdown of bilirubin in the liver, which helps prevent jaundice in newborns. Bilirubin is a product of the breakdown of old red blood cells, and vitamin K plays a crucial role in this process. Choice A is incorrect as sterile bowel does not affect vitamin K synthesis. Choice B is incorrect because platelet production is not directly related to vitamin K. Choice C is incorrect as red blood cell production is mainly regulated by other nutrients like iron, vitamin B12, and folate, not vitamin K.