Nokea
A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed?
- A. Assessment
- B. Implementation
- C. Planning
- D. Evaluation
Correct Answer: D
Rationale: The evaluation phase involves determining if the person is moving toward their goals, such as weight loss, after a plan has been implemented.
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A nurse is using the health belief model as a framework when developing a community action campaign to increase the percentage of the population who receives the influenza vaccine. Which of the following considerations will need to be made?
- A. How empowerment can be used to motivate community members
- B. How modeling can be used in the community to increase public awareness
- C. Perceived susceptibility in the community about getting influenza
- D. Perceived stage of behavior change that exists in the community
Correct Answer: C
Rationale: Understanding the community's perceived susceptibility to influenza is key to increasing vaccination rates.
A nurse is using a sweat test to screen people for cystic fibrosis. Which of the following results demonstrates poor sensitivity?
- A. When 6 out of every 10 sweat tests performed are negative, but the six individuals actually have cystic fibrosis
- B. When 6 out of every 10 sweat tests performed are positive, but the six individuals do not actually have cystic fibrosis
- C. When 6 out of every 10 sweat tests performed are negative, and the six individuals really do not have cystic fibrosis
- D. When 6 out of every 10 sweat tests performed are positive, and the six individuals really do have cystic fibrosis
Correct Answer: A
Rationale: Poor sensitivity means that individuals who actually have the condition are missed (false negatives), as seen when the test incorrectly identifies them as negative.
The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam?
- A. Let the child listen to the nurse’s heart with the stethoscope.
- B. Tell him to sit quietly while the nurse examines him.
- C. Ask his parents to leave the room to minimize distractions.
- D. Ask another nurse to hold him while the nurse examines him.
Correct Answer: A
Rationale: Allowing the child to use the stethoscope helps engage them and makes the experience more comfortable.
A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. Which action should the nurse take next?
- A. Develop a plan to address the high rates of alcohol-related motor vehicle accidents.
- B. Partner with high school nurses to educate students about the risks of drinking and driving.
- C. Diagnose the community with ineffective health management patterns related to the high levels of drunk driving.
- D. Establish support groups for teenagers with alcohol abuse.
Correct Answer: C
Rationale: Diagnosing the community with ineffective health management patterns follows the data collection and analysis phase.
A person wishes to participate in a therapy involving energy utilization and dietary design. Which of the following therapies would the nurse recommend to the person?
- A. Polarity therapy
- B. Reiki
- C. Qi gong
- D. Pranic healing
Correct Answer: A
Rationale: Polarity therapy utilizes touch therapy and dietary restructuring.