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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When assessing a person’s nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?
- A. The person’s 24-hour diet diary
- B. The person’s dentition
- C. The person’s food preferences
- D. The person’s financial status
Correct Answer: B
Rationale: Dentition is an objective factor that impacts nutritional care and can be assessed physically.
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.
Which of the following scenarios best describes a nurse using metacommunication?
- A. Using both touch and silence when counseling an individual
- B. Practicing reflection when interacting with an individual
- C. Discussing with an individual how to solve a problem
- D. Understanding that an individual needs a break before proceeding
Correct Answer: D
Rationale: Metacommunication is about understanding the relationship and context of the message being communicated.
During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: D
Rationale: Health education is part of primary prevention, aiming to educate individuals on avoiding harmful behaviors.
A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?
- A. Providing constant reinforcement and education about the labor process and assisting the woman with pushing
- B. Explaining unusual interventions such as the use of a fetal heart monitor
- C. Assisting with labor discomfort by modeling breathing
- D. Teaching the new mother positioning of the infant to assist with breast-feeding
Correct Answer: D
Rationale: In the fourth stage of labor, the nurse supports breastfeeding and assists with positioning the infant.