Nokea
A legal right to confidentiality of client information is waived when:
- A. a court system subpoenas information.
- B. a family member requests health care information of a client.
- C. a living will takes effect.
- D. the client is declared incompetent by the legal system.
Correct Answer: A
Rationale: The legal right to confidentiality is waived when the court requires information for legal proceedings, when the state requires mandatory reporting, when a client reveals intent to harm, or when a client cannot make safe decisions.
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What is the primary nutritional deficiency of concern for a strict vegetarian?
- A. vitamin C
- B. vitamin B12
- C. vitamin E
- D. magnesium
Correct Answer: B
Rationale: Vitamin B12 is the primary nutritional deficiency of concern for a strict vegetarian.
A newborn baby exhibits a reflex that includes: hand opening, abducted and extended extremities following a jarring motion. Which of the following correctly identifies the reflex?
- A. ATNR reflex
- B. Startle reflex
- C. Grasping reflex
- D. Moro reflex
Correct Answer: D
Rationale: The moro reflex has all of the listed characteristics.
The nurse is preparing a client for surgery who says it is against their religion to accept blood transfusions. Which of the following statements would be most appropriate?
- A. I can ask pastoral care to send someone to speak with you about this concern since it would not be safe to refuse a blood transfusion.'
- B. I understand, and you have the right to refuse blood transfusions.'
- C. While I understand, if there is excessive bleeding during surgery, we may need to transfuse blood to stabilize you.'
- D. I have received a blood transfusion before, and I do not think you understand the risks versus the benefits of refusing this.'
Correct Answer: B
Rationale: The client has the right to refuse treatments or procedures, such as a blood transfusion, for religious reasons, and the nurse should confirm this.
The ethical principle of keeping professional promises or obligations is:
- A. veracity.
- B. autonomy.
- C. fidelity.
- D. beneficence.
Correct Answer: C
Rationale: The ethical principle of veracity is truth-telling. Autonomy is client self-determination (that is, clients making their own decisions). Beneficence is the principle of doing good, which is a foundation of nursing care.
When teaching parents how their children learn sex role identification, the nurse should include which of the following statements?
- A. Sex role identification begins in infancy
- B. Sex role identification begins in the preschool years
- C. Sex role identification begins during the school-age years
- D. Sex role identification begins during early adolescence
Correct Answer: A
Rationale: Sex role identification starts in infancy as children begin to recognize body parts and gender differences, progressing through developmental stages.