Nokea
A nurse caring for a female patient with TB who is in isolation is aware that the patients love and belonging needs may not be properly met. Which of the following nursing action would help to meet these needs?
- A. respecting the patients values and beliefs
- B. focusing on the patients strengths rather than problems
- C. using hand hygiene and sterile technique to prevent infection
- D. encouraging family to visit and help in the care of the patient
Correct Answer: D
Rationale: Encouraging family visits helps meet love and belonging needs by fostering social connections, which are critical for a patient in isolation.
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Which of the following is a tenant of Maslows basic human needs hierarchy?
- A. A need that is unmet prompts a person to seek a higher level of wellness.
- B. A person feels ambivalence when a need is successfully met.
- C. Certain needs are more basic than others and must be met first.
- D. People have many needs and should strive to meet them simultaneously.
Correct Answer: C
Rationale: Maslow's theory posits that certain needs, starting with physiologic needs, are more basic and must be satisfied before higher-level needs can be addressed.
A 2-year-old boy arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. Which of the following would be the priority nursing intervention?
- A. giving him his favorite stuffed animal to hold
- B. assessing respirations and administering oxygen
- C. raising the side rails and restraining his arms
- D. asking his mother what are his favorite foods
Correct Answer: B
Rationale: Assessing respirations and administering oxygen addresses the child's physiologic need for air, which is the most urgent priority in Maslow's hierarchy during an asthmatic attack.
Jim and Alice were recently married. Each has previously been married and had two children. What name is given to this type of family?
- A. extended family
- B. nuclear family
- C. blended family
- D. cohabiting family
Correct Answer: C
Rationale: A blended family consists of two adults, each with children from previous relationships, forming a new family unit.
Which of the following is an example of a community factor that may affect health?
- A. rural setting
- B. air and water quality
- C. number of residents
- D. educational level
Correct Answer: B
Rationale: Air and water quality directly impact community health by affecting residents' physical well-being.
Mrs. Dunn has cared for her husband with Alzheimer disease for 2 years. She comes to a local health center because she is feeling worn out and stressed. What might be an appropriate nursing diagnosis for Mrs. Dunn?
- A. Dysfunctional Family Processes
- B. Health-Seeking Behaviors
- C. Risk for Caregiver Burden
- D. Risk for Anxiety
Correct Answer: C
Rationale: Risk for Caregiver Burden is appropriate, as Mrs. Dunn's stress and exhaustion indicate the strain of caregiving.