Nokea
A nurse is working with a person to increase his daily exercise and activity. Which of the following statements by the nurse best demonstrates the use of reflection?
- A. “I have also struggled with finding time to exercise on a regular basis.”
- B. “Regular exercise plays an important role in preventing many health problems.”
- C. “You said that you have difficulty making time in your day for exercise.”
- D. “It may be helpful if we developed a goal related to daily exercise.”
Correct Answer: C
Rationale: Reflection involves paraphrasing or summarizing the person's words to indicate interest and focus the discussion.
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A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old adolescent in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?
- A. Advocate for Client B because he is the younger of the two and will live longer.
- B. Use feminist moral theory to advocate for Client A in spite of his alcohol use.
- C. Use a guided set of moral principles in decision-making before advocating for either.
- D. Advocate for Client A because he has 15 to 20 years of productive life left.
Correct Answer: C
Rationale: Using moral principles systematically can help resolve ethical dilemmas and guide decision-making.
A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a “shot” to keep her baby alive. Which of the following statements would be the best response by the nurse?
- A. “Yes, you will need an injection of RhoGAM at 28 weeks gestation and within 72 hours after birth.”
- B. “Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection.”
- C. “Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies.”
- D. “No, you will not need the injection because you are White. Rh incompatibility affects only Black women.”
Correct Answer: B
Rationale: Since both the mother and father are Rh negative, there is no risk for Rh incompatibility, so RhoGAM is not necessary.
Which of the following best describes the primary goal of community nurses?
- A. Create charts/graphs of data collected.
- B. Create plans for community health promotion programs.
- C. Create evaluation tools for health promotion programs.
- D. Create a culture of health promotion/health protection with the community.
Correct Answer: D
Rationale: The primary goal of community nurses is to create a culture of health promotion and protection within the community to improve health behaviors.
The country with the lowest infant mortality rate in 2011 was:
- A. Canada
- B. Mexico
- C. Sweden
- D. The United States
Correct Answer: C
Rationale: Sweden had the lowest infant mortality rate in 2011, with a rate of 2.74 per 1000 live births.
Which of the following best describes person-centered communication?
- A. The nurse says to the person seeking care, “Why do you continue to drink when you know it is not good for you?”
- B. The nurse responds to person seeking care’s request for pain medicine by saying, “It is not time for your pain medicine. You had it hours ago.”
- C. The client says to the nurse, “I think my husband is cheating on me.” The nurse responds by saying, “You think your husband is cheating on you?”
- D. The client says to the nurse, “I can’t believe I have cancer.” The nurse responds by saying, “One of my closest friends had cancer and had to have chemotherapy.”
Correct Answer: C
Rationale: Person-centered communication focuses on recognizing and clarifying the person's concerns, allowing the person to elaborate.