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A nurse is planning a home visit for a family. Which of the following actions would be most appropriate for the nurse to take?
- A. Study information regarding the family from agency records and other sources.
- B. Make a contract with the family that states specific goals and objectives.
- C. Identify how the home visit will be financed.
- D. Understand the situation from the family’s perspective.
Correct Answer: A
Rationale: Studying the family’s information helps the nurse prepare for the visit, ensuring that the interventions are relevant to the family’s specific needs.
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When providing preoperative teaching for a client who will be undergoing total knee arthroplasty, the nurse asks the client questions to assess his understanding of the surgery. Which type of ethics is the nurse implementing?
- A. Duty-based ethics
- B. Normative ethics
- C. Metaethics
- D. Preventive ethics
Correct Answer: D
Rationale: Preventive ethics aims to address ethical issues before they arise, ensuring informed consent and understanding.
According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?
- A. 16%
- B. 26%
- C. 36%
- D. 46%
Correct Answer: D
Rationale: According to the report, 36% of adults 18 years and older report no leisure-time physical activity.
A nurse assesses that the task of development of affection for and from others has been met or is in the process of being met by an infant. Which of the following observations has the nurse made?
- A. The infant smiles at mirror images.
- B. The infant makes cooing noises.
- C. The infant begins to smile socially.
- D. The infant likes to be picked up.
Correct Answer: D
Rationale: Infants who enjoy being picked up are displaying affection for others, which is an important developmental task.
Which of the following teenagers is exhibiting a behavior that causes concern and requires further evaluation?
- A. Is always very happy
- B. Is agitated and has trouble sleeping
- C. Has a lot of homework and stays up late to finish it
- D. Values his friend’s opinion more than his parent’s opinion
Correct Answer: B
Rationale: Agitation and insomnia are signs of potential substance abuse, requiring further evaluation.
Which is a violation of the Health Insurance Portability and Accountability Act of 1996?
- A. Nurse reporting a case of TB to the health department
- B. Nurse reporting a case of child abuse to the Department of Human Services
- C. Nurse discussing the person’s case with his or her physician
- D. Nurse discussing the person’s case with his or her school nurse
Correct Answer: D
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy standard that requires safeguards to protect the security and confidentiality of health information. Disclosures without individual authorization are allowed only to public health authorities authorized by law to collect and receive information for the purpose of preventing or controlling disease, injury, or disability. Before speaking to the school nurse, the nurse must obtain authorization from the client’s parents.