Nokea
A 27-year-old woman has not received a Pap test in years. This assessment finding identifies an alteration in which functional pattern?
- A. Health-perception–health-management pattern
- B. Elimination pattern
- C. Activity-rest pattern
- D. Self-perception–self-concept pattern
Correct Answer: A
Rationale: The health-perception-health-management pattern involves health practices, including preventive measures like Pap tests.
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A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old adolescent in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?
- A. Advocate for Client B because he is the younger of the two and will live longer.
- B. Use feminist moral theory to advocate for Client A in spite of his alcohol use.
- C. Use a guided set of moral principles in decision-making before advocating for either.
- D. Advocate for Client A because he has 15 to 20 years of productive life left.
Correct Answer: C
Rationale: Using moral principles systematically can help resolve ethical dilemmas and guide decision-making.
Reducing Constipation in Older Adults
- A. Offering pureed foods that are easy to digest
- B. Encouraging fluids between meals
- C. Administering laxatives daily
- D. Assisting with ambulation
Correct Answer: B
Rationale: Encouraging fluids and assisting with ambulation are key strategies for preventing constipation in older adults.
Which of the following best describes person-centered communication?
- A. The nurse says to the person seeking care, “Why do you continue to drink when you know it is not good for you?”
- B. The nurse responds to person seeking care’s request for pain medicine by saying, “It is not time for your pain medicine. You had it hours ago.”
- C. The client says to the nurse, “I think my husband is cheating on me.” The nurse responds by saying, “You think your husband is cheating on you?”
- D. The client says to the nurse, “I can’t believe I have cancer.” The nurse responds by saying, “One of my closest friends had cancer and had to have chemotherapy.”
Correct Answer: C
Rationale: Person-centered communication focuses on recognizing and clarifying the person's concerns, allowing the person to elaborate.
A nurse consultant is helping redesign a pediatric unit which is undergoing renovation. Which actions by the nurse consultant are congruent with creating a positive energy force in the unit?
- A. Selecting energizing colors for the playroom and soothing colors for the exam rooms
- B. Planning for a music source for all rooms
- C. Reducing the amount of natural light on the unit to promote relaxation
- D. Planning for an atrium garden in the center of the unit
Correct Answer: B
Rationale: Music, light, and color are positive energy forces that can enhance the healing environment, while limiting natural light has a depressive effect.
A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child?
- A. A fenced-in pool in the backyard
- B. An entertainment center with the remote control on the top shelf
- C. A closed window in the child’s bedroom
- D. A toy box overflowing with toys
Correct Answer: B
Rationale: Toddlers are at high risk for injury from climbing, and reaching for items like a remote control could lead to the entertainment center falling on them.