A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care?
- A. Decreased sense of hearing
- B. Decreased sense of smell
- C. Decreased sense of taste
- D. Decreased visual acuity
Correct Answer: D
Rationale: Visual acuity is essential for insulin administration and monitoring blood glucose, impacting the nursing plan of care.
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Which of the following changes is experienced by the urinary system during pregnancy?
- A. Increased urinary output secondary to total body water increase
- B. Decreased bladder capacity
- C. Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge
- D. Increased renal excretion of acidic drugs
Correct Answer: A
Rationale: Pregnancy causes an increase in GFR and urinary output due to a higher body water volume and increased bladder capacity.
The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individuals is known as:
- A. Health-related quality of life
- B. Evidence-based practice
- C. A Healthy People 2010 goal
- D. The ecological model of health
Correct Answer: B
Rationale: Evidence-based practice integrates clinical expertise with the best available research to make informed care decisions.
A nurse is conducting an environmental assessment as part of a family assessment. Which of the following would the nurse assess?
- A. Convenience stores in the neighborhood
- B. Garbage collection in the neighborhood
- C. Safety of the home
- D. Climate of the home
Correct Answer: C
Rationale: Environmental assessments should evaluate home safety to ensure the family’s living conditions support their health.
An emergency department provides care for all individuals regardless of circumstances and ability to pay. This is an example of:
- A. Ethic of justice
- B. Ethic of care
- C. Applied ethics
- D. Metaethics
Correct Answer: A
Rationale: The ethic of justice is characterized by impartial, nondiscriminatory care.
Which scenario indicates a potentially dysfunctional pattern?
- A. Adult with frequent urination
- B. Woman who lost her job
- C. Elderly person with blurred vision
- D. Overweight adult with a sweet tooth
Correct Answer: B
Rationale: Losing a job can lead to stress and poor coping, indicating a potential dysfunctional pattern needing intervention.