Nokea
A 24-year-old man with severe cognitive impairment, and no relatives participating in his care, needs to make a decision about removal of a brain tumor. Which ethical concept is the client unable to benefit from?
- A. Autonomy
- B. Justice
- C. Beneficence
- D. Advocacy
Correct Answer: A
Rationale: Due to cognitive impairment, the client cannot make autonomous decisions regarding his care.
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The mother of a 2-year-old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information?
- A. Give the mother information about local support groups
- B. Provide the mother the name of a prominent local attorney
- C. Do not offer any advice unless the mother asks
- D. Help the mother find a job
Correct Answer: A
Rationale: The nurse should offer information about support groups to help the mother cope with her current stressors and reduce the risk of child abuse.
The nurse makes sure that the distance between himself and the client is at least 6 feet before he begins to ask questions related to the client’s health history. Which of the following statements is true?
- A. This is the ideal space for intimate communication.
- B. This distance is too far for the nurse to build a therapeutic relationship while obtaining the information.
- C. This is the recommended distance between client and nurse for effective therapeutic communication.
- D. The nurse should position himself an additional foot away to facilitate the conversation.
Correct Answer: B
Rationale: Personal space of 18 inches to 4 feet is appropriate for close relationships, and 6 feet is too far for effective therapeutic communication.
A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?
- A. “I have been feeling more tired lately.”
- B. “My husband complains every time I ask him to do something for me.”
- C. “Sometimes, the smell of food makes me nauseous.”
- D. “I need to get up two times a night to go to the bathroom.”
Correct Answer: B
Rationale: Complaints of the husband’s behavior suggest possible domestic issues that require further assessment.
A mainstay of therapy for the management of chronic diseases is:
- A. Lifestyle changes
- B. Occupational and physical therapy
- C. Medications
- D. Surgery
Correct Answer: A
Rationale: Lifestyle changes, including diet and exercise, are crucial in managing chronic diseases effectively.
Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. Which of the following recommendations should the nurse give to the parents?
- A. Talk to their daughter at length regarding the dangers associated with drinking.
- B. Tell their daughter she will not be allowed to use her cell phone if this continues.
- C. Enroll their daughter in a peer support group focused on teenage drinking.
- D. Provide their daughter with literature regarding the dangers of drinking.
Correct Answer: C
Rationale: Peer support groups are more effective than parental advice alone for influencing teenage behavior.