Nokea
A nurse is using the explanatory model to determinethe etiology of an illness. Which questions should the nurse ask? (Select all that apply.)
- A. How should your sickness be treated?
- B. What do you call your problem?
- C. How does this illness work inside your body?
- D. What do you fear most about your sickness?
Correct Answer: B
Rationale: The correct answer is B: What do you call your problem? In the explanatory model, this question helps the nurse understand the patient's perspective and cultural beliefs about their illness. By asking how the patient labels their illness, the nurse gains insight into the patient's understanding of the illness, which can influence their treatment adherence and outcomes. The other options are incorrect because:
A: How should your sickness be treated? - This question focuses on treatment preferences rather than understanding the patient's beliefs.
C: How does this illness work inside your body? - This question is more aligned with the biomedical model, seeking physiological explanations rather than patient perspectives.
D: What do you fear most about your sickness? - While important for assessing emotional aspects, this question does not directly address the patient's explanatory model.
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A nurse is teaching the staff about informatics.Which information from the staff indicates the nurse needs to follow up?
- A. To be proficient in informatics, a nurse should be able to discover, retrieve, and use information in practice.
- B. A nurse needs to know how to find, evaluate, and use information effectively.
- C. If a nurse has computer competency, the nurse is competent in informatics
- D. Nursing informatics is a recognized specialty area of nursing practice.
Correct Answer: C
Rationale: The correct answer is C. Computer competency does not equate to informatics competency. Informatics involves more than just basic computer skills; it encompasses the ability to use technology to manage and analyze data for improved healthcare outcomes.
A: This is a correct statement about informatics proficiency.
B: This is also a correct statement about the skills needed for informatics.
D: This is a true statement about nursing informatics being a recognized specialty, but it does not indicate a need for follow-up.
In summary, choice C is incorrect as it oversimplifies the concept of informatics, while choices A, B, and D provide accurate information related to informatics.
A 5-year-old boy has been diagnosed with a severe food allergy. What is an important parameter to address when educating the parents of this child about his allergy and care?
- A. Wear a medical identification bracelet.
- B. Know how to use the antihistamine pen.
- C. Know how to give injections of lidocaine.
- D. Avoid live attenuated vaccinations.
Correct Answer: A
Rationale: The correct answer is A: Wear a medical identification bracelet. This is important because in case of an emergency, such as an allergic reaction, medical professionals need to be aware of the child's severe food allergy quickly. The bracelet provides crucial information that can help in providing timely and appropriate medical care.
B: Knowing how to use the antihistamine pen is also important in managing allergic reactions, but wearing a medical identification bracelet takes precedence as it provides immediate identification of the allergy.
C: Knowing how to give injections of lidocaine is not relevant to managing a food allergy in a child.
D: Avoiding live attenuated vaccinations may be necessary for individuals with certain allergies, but it is not directly related to educating parents about managing the child's food allergy.
A woman is considering breast reduction mammoplasty. When weighing the potential risks and benefits of this surgical procedure, the nurse should confirm that the patient is aware of what potential consequence?
- A. Chronic breast pain
- B. Unclear mammography results
- C. Increased risk of breast cancer
- D. Decreased nipple sensation
Correct Answer: D
Rationale: The correct answer is D: Decreased nipple sensation. During breast reduction mammoplasty, nerves responsible for nipple sensation may be disrupted, leading to decreased sensation in the nipple area. This is an important consequence to consider as it can impact the patient's satisfaction and quality of life post-surgery.
Other choices are incorrect because:
A: Chronic breast pain is a potential risk of surgery but not a consequence directly related to nipple sensation.
B: Unclear mammography results may occur due to breast tissue changes from surgery, but it is not a direct consequence of decreased nipple sensation.
C: Increased risk of breast cancer is not a common consequence of breast reduction mammoplasty and is not directly related to nipple sensation.
Rh incompatibility can occur if the patient is Rh-negative and the
- A. fetus is Rh-negative.
- B. fetus is Rh-positive.
- C. father is Rh-positive.
- D. father and fetus are both Rh-negative.
Correct Answer: B
Rationale: The correct answer is B because Rh incompatibility occurs when an Rh-negative mother carries an Rh-positive fetus. If fetal blood enters the mother's circulation during pregnancy or childbirth, the mother's immune system can produce antibodies against Rh-positive red blood cells, leading to potential harm to future pregnancies. Choices A, C, and D are incorrect because Rh incompatibility does not occur when the fetus is Rh-negative, the father is Rh-positive, or both the father and fetus are Rh-negative.
The clinic nurse is assessing a child who has been brought to the clinic with signs and symptoms that are suggestive of otitis externa. What assessment finding is characteristic of otitis externa?
- A. Tophi on the pinna and ear lobe
- B. Dark yellow cerumen in the external auditory canal
- C. Pain on manipulation of the auricle
- D. Air bubbles visible in the middle ear
Correct Answer: C
Rationale: The correct answer is C: Pain on manipulation of the auricle is characteristic of otitis externa. This is because otitis externa is an infection or inflammation of the outer ear canal, causing pain and tenderness when the ear is touched or manipulated.
A: Tophi on the pinna and ear lobe is characteristic of gout, not otitis externa.
B: Dark yellow cerumen in the external auditory canal is common and not specific to otitis externa.
D: Air bubbles visible in the middle ear are associated with otitis media, not otitis externa.
In summary, pain on manipulation of the auricle is a key assessment finding in otitis externa, distinguishing it from other ear conditions.