Nokea
A nurse is caring for a person with the nursing diagnosis of chronic sorrow related to missed opportunities. Which of the following nursing interventions would be appropriate for this person?
- A. Sharing a personal story with the person to demonstrate empathy
- B. Assuring the person that he or she will be able to cope with the illness
- C. Encouraging the person to discuss his or her fears
- D. Contacting a support group representative for the person
Correct Answer: C
Rationale: Encouraging the person to discuss their fears is an appropriate intervention for facilitating grief work.
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Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. Which of the following recommendations should the nurse give to the parents?
- A. Talk to their daughter at length regarding the dangers associated with drinking.
- B. Tell their daughter she will not be allowed to use her cell phone if this continues.
- C. Enroll their daughter in a peer support group focused on teenage drinking.
- D. Provide their daughter with literature regarding the dangers of drinking.
Correct Answer: C
Rationale: Peer support groups are more effective than parental advice alone for influencing teenage behavior.
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.
For which of the following is Type 2 diabetes mellitus screening recommended?
- A. Overweight woman
- B. Teenager
- C. Man with hypertension
- D. Woman with a family history of Type 2 diabetes mellitus
Correct Answer: C
Rationale: Screening for Type 2 diabetes is recommended for individuals with hypertension.
Which statement is most appropriate when discussing a woman concerned about osteoporosis and menopause?
- A. “The American diet is much better now.”
- B. “You have a strong genetic risk factor.”
- C. “You need about 1000 mg of calcium a day.”
- D. “Tell me about your diet, walking, and medications.”
Correct Answer: D
Rationale: The nurse should gather more information about the client’s lifestyle before providing specific advice, including dietary habits and physical activity.
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.