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A nurse is making a final home visit with a family to evaluate the nursing care plan. Which of the following actions would the nurse most likely complete during this visit?
- A. Obtain vital signs from all members of the family.
- B. Ask the family members to state the goals that were previously developed.
- C. Collect data similar to that which was collected at the initial visit for comparison.
- D. Educate about the importance of using role relationships to create a healthy family.
Correct Answer: C
Rationale: During evaluation, the nurse compares data from the initial visit with the current data to assess the effectiveness of the interventions.
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A nurse is working with a group of individuals to start an exercise program. Which of the following would require the most attention and assistance?
- A. White man who works 50 to 60 hours a week as a business executive
- B. Unemployed, obese Hispanic woman
- C. Employed White woman with hypertension
- D. White man with a high school diploma
Correct Answer: B
Rationale: The unemployed, obese Hispanic woman faces multiple barriers such as low income, gender, and ethnicity, which put her at greater risk for inactivity.
A 27-year-old woman has not received a Pap test in years. This assessment finding identifies an alteration in which functional pattern?
- A. Health-perception–health-management pattern
- B. Elimination pattern
- C. Activity-rest pattern
- D. Self-perception–self-concept pattern
Correct Answer: A
Rationale: Failing to get a Pap test represents an alteration in health perceptions and management.
Which concept is aimed at interrupting potential ethical problems before they develop?
- A. Feminist ethics
- B. Preventive ethics
- C. Metaethics
- D. Normative ethics
Correct Answer: B
Rationale: Preventive ethics anticipates potential ethical problems and takes steps to prevent them.
A nurse would like to include holistic nursing care in her nursing practice. Which of the following actions must the nurse take first?
- A. Learn the specific therapy method.
- B. Engage in self-exploration.
- C. Explore the various types of complementary therapies available.
- D. Ask the person which type of therapy he or she prefers.
Correct Answer: B
Rationale: The first step to providing holistic care is an exploration of self.
During a health history, a person reports getting 5 hours of sleep a night. What does this information indicate to the nurse?
- A. The person is not receiving enough sleep
- B. The person is receiving adequate sleep
- C. The nurse must determine where the person sleeps
- D. The nurse must ask additional questions
Correct Answer: D
Rationale: Variations in sleep time require further subjective data to assess adequacy and the impact on the person’s health.