You are caring for a hospice client who is at the end of life. Based on this client's signs and symptoms, the client is comatose, dehydrated, free of pain, constipated, without distress and expected to die in a day or two. Which of the following is an appropriate client outcome or an appropriate intervention for this client?
- A. The client will be free of constipation
- B. The client will remain free of pain and distress
- C. The administration of an antiemetic to prevent vomiting and further dehydration
- D. The administration of an enema to correct the constipation
Correct Answer: B
Rationale: Maintaining comfort (B) is appropriate given the client's state and prognosis.
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Which site or technique would you expect to use to administer ferrous sulfate?
- A. A subcutaneous injection site
- B. The PQRST technique
- C. The Z track technique
- D. The sublingual site
Correct Answer: C
Rationale: Z-track (C) is used for iron to prevent staining.
Parents of a mentally ill teenager say, We have never known anyone who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing. Select the nurses most helpful intervention.
- A. Refer the parents to a support group.
- B. Build the parents self-concept as coping parents.
- C. Teach the parents techniques of therapeutic communication.
- D. Facilitate achievement of normal developmental tasks of the family.
Correct Answer: A
Rationale: The need for support is evident. Referrals are made when working with families whose needs are unmet. A support group, such as through the National Alliance on Mentally Illness (NAMI), will provide the parents with support of others with similar experiences and with whom they can share feelings and experiences. The distracters are less relevant to providing a network of support.
ee sex role stereotypes changing?
- A. No, they are the same
- B. Yes, they are completely gone
- C. Research is inconsistent
- D. Yes, but slowly
Correct Answer: D
Rationale: Sex role stereotypes are evolving, but gradually, as societal norms shift over time.
Which question is asked more than any other root cause analysis activity?
- A. What?
- B. Why?
- C. Who?
- D. When?
Correct Answer: B
Rationale: Why?' is central to understanding the root causes of incidents.
A -..---is a graphic drawing using certain symbols and marks to indicate the pattern of social acceptance and rejection among members of a social group:
- A. Sociogram
- B. Sociometer
- C. Socio graphic
- D. Sociometric
Correct Answer: A
Rationale: A sociogram visually maps social relationships within a group, per Moreno.