A nurse is working on values clarification with a pregnant smoker. Which statement is appropriate?
- A. “Why do you smoke cigarettes?”
- B. “What do you value most in life?”
- C. “Who influenced your decision to smoke?”
- D. “Is smoking consistent with your values?”
Correct Answer: B
Rationale: Values clarification helps individuals align actions with personal values.
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Which form of managed care restricts providers to caring for individuals who are members of their organization?
- A. Fee-for-service plan
- B. Health maintenance organization (HMO)
- C. Preferred provider organization (PPO)
- D. Independent practice association (IPA)
Correct Answer: B
Rationale: Health maintenance organizations (HMOs) restrict care to members of the organization, focusing on preventative care.
A nurse is asked to provide an expert opinion about the development of an education program for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: C
Rationale: A consultant offers expert advice on a specific area, such as designing an educational program for diabetics.
Which of the following best describes an abnormality in structure or function that occurs during fetal development?
- A. Congenital defect
- B. Genetic defect
- C. Embryonic defect
- D. Chromosomal defect
Correct Answer: A
Rationale: A congenital defect refers to any abnormality in structure or function during fetal development.
A 2-year-old Asian American boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child?
- A. Report the suspected child abuse to the Department of Children and Families
- B. Assume the bruises are the result of a fall
- C. Ask the mother about the bruises
- D. Schedule a follow-up appointment in 2 weeks to see if the bruises are still present
Correct Answer: C
Rationale: The nurse should ask the mother directly about the bruises, considering cultural practices like coining, which may cause bruising.
A nurse believes that it is his responsibility to ensure the safety of the public by administering flu shots to everyone in the community. Which ethical theory is being used by the nurse?
- A. Descriptive value theory
- B. Normative theory
- C. Consequentialism theory
- D. Duty-based theory
Correct Answer: C
Rationale: Consequentialism focuses on actions that aim to produce the greatest benefit for society as a whole.
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