Nokea
A client with a new diagnosis of hypertension is being taught about lifestyle changes. Which of the following statements should the nurse include in the teaching?
- A. You should limit your alcohol intake to no more than one drink per day.
- B. You should increase your sodium intake to at least 2,300 mg per day.
- C. You should limit your physical activity to avoid increasing your blood pressure.
- D. You should avoid eating dairy products to help lower your blood pressure.
Correct Answer: A
Rationale: The correct statement to include in teaching a client with hypertension is to limit alcohol intake to no more than one drink per day. Excessive alcohol consumption can raise blood pressure and lead to complications. Increasing sodium intake, limiting physical activity, and avoiding dairy products are not recommended for managing hypertension. Clients with hypertension should follow a heart-healthy diet low in sodium, engage in regular physical activity, and monitor their blood pressure regularly to control hypertension effectively.
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Which of the following statements best describes a wellness nursing diagnosis for an individual, family, or community?
- A. clinical judgment of transition to a higher level of wellness
- B. nursing judgment that in some area no pathology exists
- C. a judgment that in some area there is more wellness than illness
- D. statement of an area of family strength to use in interventions
Correct Answer: A
Rationale: A wellness nursing diagnosis best describes a clinical judgment of transitioning to a higher wellness level, focusing on enhancing health beyond mere absence of disease. Unlike pathology-based diagnoses, it identifies potential for growth like improving nutrition in a healthy client reflecting nursing's preventive role. Judging no pathology or more wellness than illness is narrower, missing the forward-looking aspect, while family strengths support interventions but aren't the diagnosis. This perspective encourages proactive care, aligning with wellness models to elevate client health.
Freud postulated that child adopts parental standards and traits through
- A. Imitation
- B. Introjection
- C. Identification
- D. Regression
Correct Answer: C
Rationale: Sigmund Freud's psychoanalytic theory, from the early 1900s, posits children adopt parental standards via identification e.g., mimicking a father's demeanor. Imitation (copying), introjection (internalizing), and regression (reverting) differ. This process shapes superego development, influencing behaviors like empathy in nursing, where early role models affect caregiving styles.
Which of the following statement is TRUE about telemedicine?
- A. Requires in-person visit
- B. Use of technology for remote care
- C. Limited to hospital settings
- D. All of the above
Correct Answer: B
Rationale: Telemedicine uses technology for remote care (B), per definition e.g., virtual consults. Not in-person (A), not hospital-only (C), not all (D) distance-based. B truly defines telemedicine's reach, making it correct.
A client with a new diagnosis of anemia is being taught about dietary management. Which of the following statements should be included in the teaching?
- A. You should increase your intake of foods high in iron.
- B. You should decrease your intake of foods high in calcium.
- C. You should avoid foods that contain gluten.
- D. You should increase your intake of high-fat foods.
Correct Answer: A
Rationale: The correct answer is A: 'You should increase your intake of foods high in iron.' This statement should be included in the teaching because increasing intake of foods high in iron is essential for managing anemia. Iron is a key component for producing hemoglobin, which carries oxygen in the blood. By increasing iron-rich foods like leafy greens, red meat, and fortified cereals, the client can help improve their hemoglobin levels and overall health. Choices B, C, and D are incorrect. Decreasing intake of foods high in calcium is not necessary for anemia management; avoiding foods that contain gluten is relevant for individuals with gluten sensitivity or celiac disease, not anemia; and increasing intake of high-fat foods is not recommended for managing anemia.
The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?
- A. Tremulousness
- B. Slow pulse
- C. Nausea
- D. Flushed skin
Correct Answer: A
Rationale: Tremulousness is a classic sign of hypoglycemia in insulin-dependent diabetes, resulting from the autonomic nervous system's response to low glucose, triggering adrenaline release shakiness signals urgent need for sugar. Slow pulse, nausea, or flushed skin align more with other conditions or hyperglycemia. Nurses teach this symptom for self-recognition, enabling rapid intervention with glucose sources, preventing severe outcomes like seizures, critical for diabetes management.