Nokea
A patient tells the nurse, My husband lost his job. Hes abusive only when he drinks too much. His family was like that when he was growing up. He always apologizes and regrets hurting me. What risk factor was most predictive for the husband to become abusive?
- A. History of family violence
- B. Loss of employment
- C. Abuse of alcohol
- D. Poverty
Correct Answer: A
Rationale: An abuse-prone individual is an individual who has experienced family violence and was often abused as a child. This phenomenon is part of the cycle of violence. The other options may be present but are not as predictive.
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What is the primary goal of multidisciplinary case conferences?
- A. To fulfill the nurse's role in terms of collaboration
- B. To plan and provide for optimal client outcomes
- C. To solve complex multidisciplinary patient care problems
- D. To provide educational experiences for experienced nurses
Correct Answer: B
Rationale: Optimal client outcomes are the central aim of multidisciplinary conferences.
What is the expected date of delivery for your pregnant client when her last menstrual period was on 10/20/2016?
- A. 7/7/2017
- B. 8/7/2017
- C. 6/7/2017
- D. 8/1/2017
Correct Answer: A
Rationale: Using Naegele's rule, the due date is calculated as July 7, 2017.
Your client had a ruptured appendix and peritonitis. What type of healing would be most likely for this client?
- A. Secondary intention healing
- B. Tertiary intention healing
- C. Primary prevention healing
- D. Secondary prevention healing
Correct Answer: A
Rationale: Secondary intention (A) occurs with open, infected wounds like peritonitis.
The parent of an adolescent diagnosed with mental illness asks the nurse, Why do you want to do a family assessment? My teenager is the patient, not the rest of us. Select the nurses best response.
- A. Family dysfunction might have caused the mental illness.
- B. Family members provide more accurate information than the patient.
- C. Family assessment is part of the protocol for care of all patients with mental illness.
- D. Every family members perception of events is different and adds to the total picture.
Correct Answer: D
Rationale: The identified patient usually bears most of the family systems anxiety and may have come to the attention of parents, teachers, or law enforcement because of poor coping skills. The correct response helps the family understand that the opinions of each will be valued. It allows the nurse to assess individual coping and prepares the family for the experience of working together to set goals and solve problems. The other responses are either incorrect or evasive.
Your client is in the special care area of your hospital with multiple trauma and severe bodily burns. This 45 year old male client has an advance directive that states that the client wants all life saving measures including cardiopulmonary resuscitation and advance cardiac life support, including mechanical ventilation. As you are caring for the client, the client has a complete cardiac and respiratory arrest. This client has little of no chance for survival and they are facing imminent death according to your professional judgement, knowledge of pathophysiology and your critical thinking. You believe that all life saving measures for this client would be futile. What is the first thing that you, as the nurse, should do?
- A. Call the doctor and advise them that the client's physical status has significantly changed and that they have just had a cardiopulmonary arrest.
- B. Begin cardiopulmonary resuscitation other emergency life saving measures.
- C. Notify the family of the client's condition and ask them what they should be done for the client.
- D. Insure that the client is without any distressing signs and symptoms at the end of life.
Correct Answer: A
Rationale: Resuscitation must begin immediately as per the advance directive until further instructions from the doctor.