Nokea
A nurse and her client are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective client-centered communication, the nurse should:
- A. ask the person what he is thinking, so they can understand each other.
- B. restate what the person said before silence ensued, to get clarification.
- C. change the subject to one that is more pleasant for the person to discuss.
- D. wait quietly to give the person time to reflect where he wants to lead the conversation.
Correct Answer: D
Rationale: Silence allows the person to reflect on what is being discussed or experienced and lets the nurse know that they are ready to continue when the client is ready.
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Which of the following foods will a 5-year-old child need help eating?
- A. Pudding
- B. Macaroni and cheese
- C. Chicken
- D. Jelly sandwich
Correct Answer: C
Rationale: A 5-year-old will need help cutting meats like chicken, especially as they lack the dexterity for cutting at this age.
An example of a Hispanic American nurse promoting cultural competency is:
- A. Providing translation services for all Hispanic Americans
- B. Focusing on episodic care of illnesses with Hispanic Americans
- C. Taking a class about the Hispanic American culture
- D. Providing care for all Hispanic American persons in her clinic
Correct Answer: C
Rationale: Cultural competency involves understanding and respecting diverse cultures, and taking a class about the culture broadens the nurse’s educational base.
An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have?
- A. High deductible health insurance plan (HDHP)
- B. Point-of-service plan (POS)
- C. Health maintenance organization (HMO)
- D. Preferred provider organization (PPO)
Correct Answer: A
Rationale: High deductible health insurance plans have high out-of-pocket costs before insurance coverage kicks in, making routine care expensive.
Interpersonal Violence
- A. A 16-year-old female who hides in her apartment due to civil unrest in the country
- B. A 32-year-old male whose co-worker sends him insulting e-mails at work
- C. A 19-year-old male who has attempted suicide
- D. A 78-year-old female living in a nursing home who is force-fed by aides
Correct Answer: D
Rationale: Interpersonal violence involves harm from others, including emotional abuse (insulting e-mails) and physical abuse (force-feeding).
The school nurse conducting an in-service program for teachers is asked about general growth and development of school-age children. Which of the following statements would be the best response by the nurse?
- A. “By age 11, blood pressure readings are the same as for an adult.”
- B. “Because of the rapid growth pattern in this age group, snacks are important to ensure sufficient caloric intake.”
- C. “Children in this age group have some difficulty with coordination and balance, so playground supervision is important.”
- D. “Overall growth in school-age children is slower than during infancy and adolescence.”
Correct Answer: D
Rationale: Growth in school-age children slows compared to infancy and adolescence, making this the most accurate response.