Nokea
A client with celiac disease is being taught about dietary management. Which statement by the client indicates an understanding of the teaching?
- A. I should avoid foods that contain gluten.
- B. I should increase my intake of foods high in gluten.
- C. I should avoid foods that contain lactose.
- D. I should increase my intake of foods high in lactose.
Correct Answer: A
Rationale: The correct answer is A: 'I should avoid foods that contain gluten.' Celiac disease requires the avoidance of gluten-containing foods to manage symptoms and prevent complications. Gluten is found in wheat, barley, and rye. Choices B, C, and D are incorrect as they do not align with the dietary requirements for managing celiac disease. Increasing intake of foods high in gluten or lactose would be detrimental for someone with celiac disease.
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Which of the following statement best describe patient rights?
- A. Privileges given by nurses
- B. Legal and ethical entitlements
- C. Temporary benefits
- D. Hospital rules
Correct Answer: B
Rationale: Patient rights are legal and ethical entitlements (B), per standards e.g., consent, privacy. Not nurse-given (A), not temporary (C), not rules (D) inherent protections. B best defines rights' basis, like Mr. Gary's care expectations, making it correct.
During an admission interview, a nurse is assessing a client's personal identity. Which of the following questions should the nurse ask?
- A. What is your marital status?
- B. How would you describe yourself?
- C. Are you employed?
- D. Do you have any children?
Correct Answer: B
Rationale: When assessing personal identity, it is important to ask questions that prompt clients to describe themselves. Question B, 'How would you describe yourself?' is the most appropriate as it allows the client to share their own perceptions and characteristics, aiding in understanding their personal identity. Choices A, C, and D are more focused on specific personal details such as marital status, employment status, and parental status, which do not directly contribute to understanding personal identity.
Which of the following is TRUE about the human needs?
- A. May not be deferred
- B. Are not interrelated
- C. Met in exact and rigid way
- D. Priorities are alterable
Correct Answer: D
Rationale: Maslow's theory (1940s) allows need priorities to shift e.g., delaying hunger for safety in crisis. Needs interrelate (safety affects esteem), aren't rigid, and can be deferred. Nurses adapt care e.g., addressing fear before nutrition in trauma reflecting this alterability, key to responsive patient management.
Which of the following statement is TRUE about case management?
- A. Focuses on one visit
- B. Coordinates care for complex needs
- C. Only for acute care
- D. All of the above
Correct Answer: B
Rationale: Case management coordinates care for complex needs (B), per model e.g., chronic illness. Not one visit (A), not acute-only (C), not all (D) long-term focus. B truly defines case management's role, making it correct.
Mr. Gary is a 67 year old client who is experiencing chronic pain. Which of the following is the best way to assess his pain?
- A. Observe his behavior
- B. Ask him to describe his pain
- C. Perform physical assessment
- D. Use a standardized pain scale
Correct Answer: D
Rationale: For Mr. Gary's chronic pain at 67, a standardized pain scale (D) best assesses intensity, per pain management standards (e.g., numeric scale). Observation (A) misses subjectivity, description (B) lacks precision, physical assessment (C) is secondary. Scales quantify chronic pain reliably, especially in older adults, making D the optimal choice.