A person has just been admitted to the hospital. In talking with the person, the nurse is able to elicit from her that the reason for her hospitalization is that her husband beat her up. Which characteristic of the therapeutic relationship is being demonstrated?
- A. Empathy
- B. Trust
- C. Rapport
- D. Purposeful communication
Correct Answer: D
Rationale: Purposeful communication focuses on obtaining specific information for the care of the individual.
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A nurse is counseling a person who was recently diagnosed with diabetes about how to prevent the complications of this disease. Which of the following interventions would be stressed the most by the nurse?
- A. Adjusting sliding scale insulin therapy as needed
- B. Taking oral hypoglycemic medication as prescribed
- C. Monitoring blood glucose daily
- D. Adhering to medical nutrition therapy
Correct Answer: D
Rationale: Medical nutrition therapy is essential to prevent complications of diabetes.
A nurse is initiating a discussion about alcohol consumption during a physical exam with a teenager. Which of the following questions would be most appropriate for the nurse to ask?
- A. So, what do you and your friends do for fun and excitement?
- B. Do you have access to alcohol?
- C. Do any of your friends drink?
- D. Do you want to talk about alcohol or drinking?
Correct Answer: C
Rationale: Asking directly about friends' drinking behavior is an appropriate way to start a conversation about alcohol use.
Risk of injury in older adults: Who is most at risk?
- A. "80-year-old with no fan or air conditioning."
- B. "70-year-old with new dentures."
- C. "68-year-old who can't taste salt in food."
- D. "84-year-old who needs hearing aids."
Correct Answer: A
Rationale: Lack of cooling mechanisms in hot weather increases the risk of heat stroke in older adults.
Susceptibility to CA-MRSA
- A. 16-year-old student who plays football
- B. 48-year-old person who has taken antibiotics for sinus infections
- C. 36-year-old man serving 12 months in jail for robbery
- D. 22-year-old woman who shares a towel after a swimming meet
Correct Answer: A
Rationale: Close physical contact during sports, antibiotic use, and shared items like towels increase CA-MRSA risk.
A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process?
- A. Assists in predicting all of the possible consequences of future actions
- B. Facilitates gathering of the most important information to solve the problem
- C. Considers the importance of caring when solving the problem
- D. Highlights salient aspects of future actions
Correct Answer: B
Rationale: Ethical reasoning helps clarify issues, uncover hidden interests, and focus on the most relevant data for decision-making.