Nokea
A nurse observes a new mother tenderly holding and softly talking to her baby. What does this observation tell the nurse about the babys strengths?
- A. Nothing; this observation is not important.
- B. The mother is just behaving as all mothers do.
- C. A baby is not capable of having strengths.
- D. Nurturing is a strength for developing infants.
Correct Answer: D
Rationale: Positive maternal interaction, such as nurturing, supports the infant's emotional and developmental strengths.
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Which of the following are examples of nursing responsibilities? Select all that apply.
- A. recognizing the signs and symptoms of pancreatitis when it presents in a patient
- B. making a diagnosis of uterine cancer following diagnostic testing
- C. referring a patient diagnosed with lung cancer to a smoke-cessation group
- D. researching and prescribing medication for an adolescent with uncontrolled asthma
- E. performing range-of-motion exercises on an elderly patient who is in a wheelchair
- F. teaching a group of high school students about the dangers of having unprotected sex
Correct Answer: A,C,E,F
Rationale: Nursing responsibilities include recognizing symptoms, referring patients, performing exercises, and educating, but not diagnosing cancer or prescribing medications, which are medical roles.
Of all the benefits of using nursing diagnoses, which one is probably the most important to nurses?
- A. defining the domain of nursing practice
- B. informing patients of their care
- C. improving communication among nurses
- D. structuring curricular content
Correct Answer: C
Rationale: Improved communication among nurses is a key benefit, as nursing diagnoses provide a standardized language for care.
Which of the following patient care concerns is clearly a nursing responsibility?
- A. prescribing medications
- B. monitoring health status changes
- C. ordering diagnostic examinations
- D. performing surgical procedures
Correct Answer: B
Rationale: Monitoring health status changes is a core nursing responsibility, as it involves assessing and tracking patient conditions, unlike prescribing medications or performing surgeries, which are medical responsibilities.
Of the following types of nursing diagnoses, which one is validated by the presence of major defining characteristics?
- A. risk nursing diagnosis
- B. actual nursing diagnosis
- C. possible nursing diagnosis
- D. wellness diagnosis
Correct Answer: B
Rationale: An actual nursing diagnosis is validated by the presence of major defining characteristics observed in the patient.
A nurse is formulating a diagnosis for a patient who is reliving a brutal mugging that took place several months ago. The patient is crying uncontrollably and states that he cant live with this fear. Which of the following diagnoses for this patient is correctly written?
- A. post-trauma syndrome related to being attacked
- B. psychological overreaction related to being attacked
- C. needs assistance coping with attack
- D. mental distress related to being attacked
Correct Answer: A
Rationale: Post-trauma syndrome related to being attacked' is a correctly formatted nursing diagnosis, identifying the problem and its cause.