Nokea
A nurse wants to present information about fluimmunizations to the older adults in the community. Which type of communication should the nurse use?
- A. Public
- B. Small group
- C. Interpersonal
- D. Intrapersonal
Correct Answer: B
Rationale: The correct answer is B: Small group. When presenting information about flu immunizations to older adults in the community, using small group communication is most effective. In small group settings, the nurse can engage with the audience, encourage discussions, answer questions, and address individual concerns. This approach allows for personalized interaction, fosters trust, and facilitates better understanding and retention of information. Public communication (choice A) may not provide the same level of individualized attention. Interpersonal communication (choice C) typically refers to one-on-one interactions, which may not reach a larger audience efficiently. Intrapersonal communication (choice D) involves self-reflection and is not suitable for disseminating information to a group.
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A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a personal story about the care that has been received. Which interaction is the nurse using?
- A. Nonjudgmental
- B. Socializing
- C. Narrative
- D. SBAR
Correct Answer: C
Rationale: The correct answer is C: Narrative. The nurse is using a narrative interaction by asking the patient to share a personal story. This helps the patient express their experiences, emotions, and perspectives, promoting a deeper understanding of their care needs. A: Nonjudgmental is incorrect as it focuses on avoiding biases. B: Socializing is incorrect as it implies casual conversation. D: SBAR is incorrect as it stands for Situation, Background, Assessment, and Recommendation, used for concise communication in healthcare settings.
A nurse is planning care for a group of patients.Which task will the nurse assign to the nursing assistive personnel?
- A. Obtaining a midstream urine specimen
- B. Interpreting a bladder scan result
- C. Inserting a straight catheter
- D. Irrigating a catheter
Correct Answer: A
Rationale: The correct answer is A: Obtaining a midstream urine specimen. This task is within the scope of practice for nursing assistive personnel as it involves collecting a specimen, which is a routine and non-invasive procedure. Nursing assistive personnel are trained to perform basic tasks like specimen collection. Choices B, C, and D involve more complex skills and procedures that require specialized training and knowledge, which are typically performed by licensed nurses. Interpreting bladder scan results (B), inserting a straight catheter (C), and irrigating a catheter (D) all require a higher level of expertise and assessment that nursing assistive personnel are not qualified to do.
A patient has been brought to the emergency department by EMS after being found unresponsive. Rapid assessment reveals anaphylaxis as a potential cause of the patients condition. The care team should attempt to assess for what potential causes of anaphylaxis? Select all that apply.
- A. Foods
- B. Medications
- C. Insect stings
- D. Autoimmunity E) Environmental pollutants
Correct Answer: A
Rationale: The correct answer is A: Foods. Anaphylaxis is a severe allergic reaction that can be triggered by foods, medications, insect stings, and other allergens. In this scenario, assessing for potential food allergies is crucial as food is one of the most common triggers for anaphylaxis. Foods like nuts, shellfish, and eggs are common culprits. Medications and insect stings (choices B and C) are also important triggers to consider in the assessment. Autoimmunity (choice D) is not a direct cause of anaphylaxis, as it involves the immune system attacking the body's own tissues rather than reacting to external allergens. Environmental pollutants (choice E) may trigger respiratory symptoms but are not typically associated with anaphylaxis.
A nurse is teaching about the energy needed at rest to maintain life-sustaining activities for a specific period of time. What is the nurse discussing?
- A. Resting energy expenditure (REE)
- B. Basal metabolic rate (BMR)
- C. Nutrient density
- D. Nutrients
Correct Answer: B
Rationale: The correct answer is B: Basal metabolic rate (BMR). BMR refers to the minimum amount of energy required to maintain basic physiological functions at rest. It accounts for about 60-75% of total energy expenditure. It is essential for sustaining life-sustaining activities such as breathing, circulating blood, and maintaining body temperature.
Incorrect Choices:
A: Resting energy expenditure (REE) is the total amount of energy expended by the body while at rest, including BMR and additional energy for daily activities.
C: Nutrient density refers to the amount of nutrients per calorie in a food item, not the energy needed at rest.
D: Nutrients are essential substances in food required for growth, maintenance, and repair, but they do not specifically refer to the energy needed at rest.
The nurse in a pediatric ICU is caring for a child who is dying of sickle cell anemia. The childs mother has been unable to eat or sleep and can talk only about her impending loss and the guilt she feels about the childs pain and suffering. What intervention has the highest priority?
- A. Allowing the patient to express her feelings without judging her
- B. Helping the patient to understand the phases of the grieving process
- C. Reassuring the patient that the childs death is not her fault
- D. Arranging for genetic counseling to inform the patient of her chances of having another child with the disease
Correct Answer: A
Rationale: The correct answer is A: Allowing the patient to express her feelings without judging her. This intervention has the highest priority as it focuses on providing emotional support and creating a safe space for the mother to express her emotions without feeling judged. In this situation, the mother is experiencing intense guilt and grief, and allowing her to talk about her feelings can help her process her emotions and cope with the impending loss. By listening actively and without judgment, the nurse can demonstrate empathy and compassion, which are crucial in supporting the mother through this difficult time.
Summary:
B: Helping the patient to understand the phases of the grieving process may be helpful, but it is not the highest priority at this moment.
C: Reassuring the patient that the child's death is not her fault is important, but the priority is to address the mother's emotional needs first.
D: Arranging for genetic counseling is not the highest priority at this time as the immediate focus should be on providing emotional support to the mother