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A nurse teaching a new mother how to bathe her infant uses the acronym TEACH to maximize the effectiveness of the teaching plan. Which of the following are guidelines based on this acronym? Select all that apply.
- A. Tune out the individual patient.
- B. Edit patient information.
- C. Act on every teaching moment.
- D. Clarify often.
Correct Answer: A
Rationale: TEACH (Tune into patient, Edit info, Act on moments, Clarify, Honor patient) includes editing info, acting on teachable moments, and clarifying often.
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A patient who had a total gastrectomy one year ago reports a sore mouth, indigestion, and tingling in the lower extremities. Which test does the family nurse practitioner order?
- A. Blood urea nitrogen level.
- B. Complete blood count.
- C. Liver function study.
- D. Thyroid function study.
Correct Answer: B
Rationale: These symptoms suggest vitamin B12 deficiency (common post-gastrectomy); a CBC can detect anemia related to this.
Which member should a patient care team always include?
- A. a patient
- B. a chaplain
- C. a social worker
- D. a medical student
Correct Answer: A
Rationale: The patient is the central focus of the care team, making their inclusion essential in all cases.
A patient says, What is that awful smell? What sense is being used?
- A. olfactory
- B. gustatory
- C. tactile
- D. auditory
Correct Answer: A
Rationale: The olfactory sense detects smells, as indicated by the patient’s comment.
A patient who has limited finances and limited capacity for education requires home healthcare for a chronic illness. For the nurse to provide a high level of care to this patient, she must first
- A. Implement critical-thinking skills
- B. Develop a relationship with the patient
- C. Engage the services of a social worker
- D. Determine what care has been provided
Correct Answer: A
Rationale: Critical thinking helps the nurse assess and adapt care to the patient’s unique financial and educational challenges.
A two-month-old patient has a strawberry hemangioma $2 \mathrm{~cm}$ in diameter on the left buttock. When speaking with the patient’s parents, the family nurse practitioner:
- A. advises that the lesion should spontaneously resolve.
- B. asks about any history of gestational diabetes.
- C. investigates any family history of skin disorders.
- D. refers the patient to a dermatologist.
Correct Answer: A
Rationale: Strawberry hemangiomas in infants typically resolve spontaneously by age 5-10; no intervention is usually needed unless complicated.