Nokea
A nurse is establishing a therapeutic relationship. Which technique should be used?
- A. Learn about interests
- B. Sit close to the person
- C. Show interest in concerns
- D. Define relationship parameters
Correct Answer: C
Rationale: Showing interest builds rapport and trust.
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A community is considering banning smoking in all schools. Based on the community’s current stage of change, which action should the nurse take next?
- A. Provide the community with statistics regarding childhood smoking rates.
- B. Point out positive outcomes associated with banning smoking such as maintenance of lung function.
- C. Help the community develop a plan to implement the ban.
- D. Praise the members of the community for their actions.
Correct Answer: B
Rationale: The community is in the contemplation stage. In this stage, interventions should focus on discussing the benefits of change, like improved lung function.
A 14-year-old female is in for a physical exam. Which finding requires further investigation?
- A. A height spurt since her last visit
- B. Facial acne
- C. The lack of breast buds
- D. Noticeable sweating and body odor with activity
Correct Answer: C
Rationale: Lack of breast buds by age 14 requires further investigation, as puberty should have begun by this age.
Which of the following analyses is used to determine the optimal use of resources to reach a predetermined constant end point or the desired health outcome?
- A. Cost-benefit ratio analysis
- B. Cost-effectiveness analysis
- C. Cost-efficiency analysis
- D. Cost-disease analysis
Correct Answer: B
Rationale: Cost-effectiveness analysis determines the best use of resources to achieve desired health outcomes.
A nurse is determining caloric needs for a preschooler who weighs 18 kilograms. Which of the following represents the daily caloric needs for this child?
- A. 1360 calories
- B. 1540 calories
- C. 1620 calories
- D. 1800 calories
Correct Answer: C
Rationale: A preschooler requires approximately 90 kcal/kg of body weight per day, which amounts to 1620 calories for an 18 kg child.
A nurse is explaining the concept of “presence.” The nurse should include that presence means that the person:
- A. is in the same room as another.
- B. multitasks in order to examine all aspects of a situation.
- C. sets goals in response to what another is saying.
- D. practices active listening and focuses on what is being said.
Correct Answer: D
Rationale: The concept of “presence” means that a person’s full attention is focused on the situation at hand. Multitasking produces the opposite effect because focus is lost.