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A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?
- A. “I have been feeling more tired lately.”
- B. “My husband complains every time I ask him to do something for me.”
- C. “Sometimes, the smell of food makes me nauseous.”
- D. “I need to get up two times a night to go to the bathroom.”
Correct Answer: B
Rationale: Complaints of the husband’s behavior suggest possible domestic issues that require further assessment.
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An infant is going through the toys in his toy box. He looks at each one before dropping it to the floor and picking the next toy out of the box. Using a growth and development perspective, which of the following conclusions can the nurse draw by assessing this behavior?
- A. The infant is testing his limits.
- B. The infant is exploring his environment.
- C. The infant is expressing his emotions.
- D. The infant is developing fine motor skills.
Correct Answer: B
Rationale: The infant is exploring his environment by interacting with objects, a key developmental task at this stage.
An 18-year-old woman asks the nurse not to tell her mother about her STD diagnosis. Which action should the nurse take?
- A. Follow the principle of veracity and tell the mother the diagnosis.
- B. Respect the principle of confidentiality and support the client’s request.
- C. Tell the mother the client has a UTI.
- D. Ignore the mother’s request for information.
Correct Answer: B
Rationale: Confidentiality ensures the client’s privacy, and the client must authorize disclosure to others.
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 impartial and nondiscriminatory, ensuring care is provided to everyone equally.
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: The stress of losing a job could lead to ineffective coping, representing a potentially dysfunctional pattern that needs intervention.
During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: D
Rationale: Health education is part of primary prevention, aiming to educate individuals on avoiding harmful behaviors.