Nokea
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.
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A nurse is caring for a Hispanic individual. Which question should the nurse ask the person during the assessment process?
- A. “How many herbal medicines do you take?”
- B. “You cannot use any herbal products in the hospital. Did you bring any?”
- C. “Herbal products interact with medicine, so you cannot continue to use the herbal products. Which ones do you use?”
- D. “Tell me how you treat your asthma at home. What treatments work especially well for you?”
Correct Answer: D
Rationale: Many in the Hispanic culture use herbal products and alternative therapy. Asking open-ended questions encourages the person to share their experiences.
A nurse is conducting a health promotion assessment for a family with a 9-month-old. Which of the following should be of most concern to the nurse?
- A. The age of the house in which the family lives
- B. Genetic diseases in the family
- C. Driving practices in the family
- D. Toilet training for the child
Correct Answer: A
Rationale: Homes built before 1974 may contain lead-based paint, which poses a risk to a crawling baby, leading to neurological damage.
Which of the following people is at greatest risk for injury prevention in a work environment?
- A. Using a pre-set list of topics
- B. Relying on printed materials
- C. Asking for a list of topics
- D. Beginning each session with a 2-mile walk
Correct Answer: C
Rationale: Allowing workers to choose the topics of discussion ensures greater engagement and better safety outcomes.
Suspicion of Bioterrorism
- A. Two people from a restaurant with nausea and vomiting
- B. Lab worker with a headache
- C. 13 people with ascending muscle paralysis
- D. Five people with upper respiratory infections
Correct Answer: C
Rationale: Ascending paralysis is a hallmark sign of botulism, a potential bioterrorism event.
The proportion of people with a condition who correctly test positive when screened is known as:
- A. Sensitivity
- B. Specificity
- C. Validity
- D. Efficacy
Correct Answer: A
Rationale: Sensitivity is the proportion of true positives correctly identified by a screening test.