Nokea
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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A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: A
Rationale: Failure to take insulin regularly indicates issues with health management and understanding the need for treatment.
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.
A nurse is discussing genetic disorders with a local community group. Which of the following statements would the nurse make during the presentation?
- A. Downs syndrome is most likely to appear during the preschool years.
- B. Hemophilia is most likely to appear during the preschool years.
- C. Cystic fibrosis is most likely to appear during the preschool years.
- D. Multiple sclerosis is most likely to appear during the preschool years.
Correct Answer: C
Rationale: Cystic fibrosis and other genetic disorders like Duchenne muscular dystrophy typically present in preschool years.
Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
- A. Erikson
- B. Gordon
- C. Newman
- D. Nightingale
Correct Answer: B
Rationale: Gordon developed the framework for functional health patterns, which is foundational for nursing assessment.
A nurse who is new to the area wants to get a "feel for the community she will be working with." Which of the following would be the best way for the nurse to start learning about the community?
- A. Driving around the neighborhood
- B. Going door to door asking people about the community
- C. Searching online to obtain population statistics
- D. Talking to the police captain at the local police department
Correct Answer: A
Rationale: Driving around allows the nurse to observe the community firsthand and gain insights into its needs and health concerns.