A nurse would like to include holistic nursing care in her nursing practice. Which of the following actions must the nurse take first?
- A. Learn the specific therapy method.
- B. Engage in self-exploration.
- C. Explore the various types of complementary therapies available.
- D. Ask the person which type of therapy he or she prefers.
Correct Answer: B
Rationale: The first step to providing holistic care is an exploration of self.
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A nurse is counseling a teenager who smokes one pack of cigarettes a day. The teenager states he likes to smoke with his friends and does not recognize the connection between his smoking and his asthma. When planning an intervention for this person, the nurse must first recognize that the teenager is in the:
- A. Precontemplation stage of change
- B. Preparation stage of change
- C. Action stage of change
- D. Maintenance stage of change
Correct Answer: A
Rationale: In the precontemplation stage, the individual is not yet considering change or recognizing the need to change.
What should the nurse include in a program about STDs for young adults?
- A. STDs are the third most common infection in young adults.
- B. STDs can only be transmitted through sexual intercourse.
- C. STDs usually occur as a single infection.
- D. STDs are the most common reason for health center visits.
Correct Answer: B
Rationale: STDs can be transmitted by all forms of intimate contact, including oral and anal sex.
Which of the following “investment” themes has been identified by the National Institute of Nursing Research?
- A. Interprofessional collaboration
- B. Improving quality of life
- C. End-of-life care
- D. Increasing physical activity among Americans
Correct Answer: B
Rationale: The National Institute of Nursing Research focuses on improving quality of life and managing symptoms.
Which of the following teenagers is at risk for not meeting his developmental task?
- A. Arrested for petty theft
- B. Decided he wants to major in accounting
- C. Has recently broke up with his girlfriend
- D. Is a member of the varsity basketball team
Correct Answer: A
Rationale: Delinquent behavior, such as petty theft, can interfere with achieving Erikson’s task of establishing identity.
A 63-year-old woman complains of insomnia. Which response is appropriate?
- A. "Do you want a sleeping pill?"
- B. "Make sure that you do not nap during the day even if you are tired."
- C. "Do you feel excessively tired during the day?"
- D. "The nurse practitioner may want to run some simple tests to find out why you are having trouble sleeping."
Correct Answer: C
Rationale: The nurse should assess the quality of sleep and how it affects daily activities before suggesting interventions.