Nokea
A patient about to undergo abdominal inspection is best placed in which of the following positions?
- A. Prone
- B. Trendelenburg
- C. Supine
- D. Side-lying
Correct Answer: C
Rationale: Supine allows full abdominal exposure for inspection.
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Caring is healing, it is communicated through the consciousness of the nurse to the individual being cared for. It allows access to higher human spirit.
- A. Benner
- B. Watson
- C. Leininger
- D. Swanson
Correct Answer: B
Rationale: Jean Watson's Human Caring Theory, developed in the 1970s, defines caring as a healing force transmitted through the nurse's consciousness, connecting to the patient's spirit. She sees nursing as transcending physical acts, fostering openness to a higher human essence. Unlike Benner's skill progression, Leininger's cultural focus, or Swanson's process model, Watson's approach is deeply philosophical, emphasizing transpersonal caring moments like a nurse's empathy soothing a dying patient's fear. Her 10 Carative Factors (e.g., instilling hope) guide this spiritual exchange, influencing holistic nursing practices globally, particularly in palliative care, where emotional and existential support is paramount.
Which of the following statement clearly defines therapeutic communication?
- A. Therapeutic communication is an interaction process which is primarily directed by the nurse
- B. It conveys feeling of warmth, acceptance and empathy from the nurse to a patient in relaxed atmosphere
- C. Therapeutic communication is a reciprocal interaction based on trust and aimed at identifying patient needs and developing mutual goals
- D. Therapeutic communication is an assessment component of the nursing process
Correct Answer: C
Rationale: Therapeutic communication (C) is reciprocal, trust-based, and goal-oriented, per Peplau, identifying needs and setting mutual goals. Nurse-directed (A) lacks reciprocity, warmth (B) is partial, assessment (D) narrows scope. C fully defines it, making it correct.
Culture media is sterilized by which of the following method?
- A. Autoclaving
- B. Boiling
- C. Hot air oven
- D. Ionizing radiation
Correct Answer: A
Rationale: Sterilization of culture media is critical in microbiology to eliminate contaminants. Autoclaving (choice A) uses moist heat under pressure (typically 121°C at 15 psi for 15-20 minutes) to kill bacteria, spores, and viruses, making it the gold standard for sterilizing liquid media like agar or broth. Boiling (choice B) at 100°C can kill vegetative bacteria but not heat-resistant spores, rendering it inadequate for complete sterilization. Hot air oven (choice C) employs dry heat (160-170°C for 2 hours) and is suitable for glassware, not liquid media, as it may evaporate or degrade nutrients. Ionizing radiation (choice D) is effective for heat-sensitive materials (e.g., plastics), but it's less common for routine media preparation due to cost and equipment needs. Autoclaving is the correct answer (A) because it ensures thorough sterilization of culture media, a process nurses and lab personnel rely on to maintain aseptic conditions for accurate diagnostic cultures.
When is the best time to collect urine specimen for routine urinalysis and C/S?
- A. Early morning
- B. Later afternoon
- C. Midnight
- D. Before breakfast
Correct Answer: A
Rationale: Early morning urine first void e.g., concentrated is best for urinalysis/C&S, detecting glucose, bacteria. Later dilutes; midnight, pre-breakfast vary. Nurses collect e.g., 6 AM for accuracy, per protocols.
When assisting a client with bilateral casts on her hands with feeding, what action should the nurse take?
- A. Sit at the bedside when feeding the client
- B. Provide pureed foods
- C. Ensure feedings are provided at room temperature
- D. Offer the client a drink of fluid after every bite
Correct Answer: A
Rationale: When assisting a client with bilateral casts on her hands with feeding, the nurse should sit at the bedside. This action is crucial to provide the client with the nurse's full attention during the feeding process. Sitting at the bedside helps avoid appearing rushed and ensures a safe and comfortable environment for the client. Choices B, C, and D are incorrect because while they may be relevant in other situations, the priority when assisting a client with bilateral casts on her hands is to ensure proper attention and a comfortable setting during feeding.