Nokea
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: Decreased visual acuity is critical for individuals with diabetes who need to administer insulin, so it directly affects the nursing plan.
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A nurse assesses that the task of development of affection for and from others has been met or is in the process of being met by an infant. Which of the following observations has the nurse made?
- A. The infant smiles at mirror images.
- B. The infant makes cooing noises.
- C. The infant begins to smile socially.
- D. The infant likes to be picked up.
Correct Answer: D
Rationale: Infants who enjoy being picked up are displaying affection for others, which is an important developmental task.
A nurse is developing learning objectives for an individual who has been placed on a low-fat, low-cholesterol diet. Which is an example of an appropriately written cognitive learning objective?
- A. The individual will understand the importance of a low-fat, low-cholesterol diet
- B. The individual will correctly identify and purchase low-fat, low-cholesterol foods
- C. The individual will believe that his heart will benefit from a low-fat, low-cholesterol diet
- D. The individual will feel healthier if he follows a low-fat, low-cholesterol diet
Correct Answer: B
Rationale: Cognitive learning focuses on the application of knowledge, and identifying and purchasing the correct foods shows this in action.
Which of the following types of ethical theories tells us how people act toward each other and their environments and what they believe are good or moral actions?
- A. Descriptive value theories
- B. Normative theories
- C. Consequentialism theory
- D. Duty-based theories
Correct Answer: A
Rationale: Descriptive theories describe how people act, not how they should act.
An 18-month-old toddler is being seen for a well-child visit. Which of the following strategies would the nurse use to enlist the toddler’s cooperation?
- A. Ask the toddler if he wants to be examined today.
- B. Ask his mother leave the room while the nurse examines him.
- C. Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest.
- D. Have his mother hold him down while the nurse examines him.
Correct Answer: C
Rationale: Toddlers are more cooperative when they can actively participate, like holding the stethoscope.
A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a woman who is pregnant. Which of the following statements made by the woman indicates a need for further teaching?
- A. “It is safe to eat up to 12 ounces of cooked fish weekly.”
- B. “I should avoid using caffeine during pregnancy.”
- C. “Consumption of one drink per day will not cause any harm to my unborn baby.”
- D. “Use of nicotine during pregnancy may cause my child to be born prematurely.”
Correct Answer: C
Rationale: No level of alcohol use is safe during pregnancy, so the mother should avoid alcohol entirely.