Nokea
A person reports that she has been seeking care from an acupuncturist to help relieve the chronic pain that she has been experiencing. Which of the following statements would be the most appropriate response from the nurse?
- A. “You should have told me that the current treatments were helping your pain.”
- B. “Tell me more about your treatments from the acupuncturist.”
- C. “Tell me why you decided to not continue with your treatment plan.”
- D. “You should not be seeing an acupuncturist while receiving professional care.”
Correct Answer: B
Rationale: The nurse should seek to understand the patient's use of alternative treatments and their potential impact on prescribed care.
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A nurse is assessing the cognitive-perceptual pattern of a toddler. Which of the following findings would be cause for concern for the nurse?
- A. Uses the word blanky to mean both that he wants to go to bed and that he is cold
- B. Refuses to eat something he ate and enjoyed the day before
- C. Has visual acuity that is not 20/20
- D. Has a history of recurrent ear infections
Correct Answer: D
Rationale: Recurrent ear infections in toddlers are a concern because they may lead to hearing loss, which can affect speech and language development.
The nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding has the potential to trigger an asthma exacerbation?
- A. Radiator heating system
- B. Air conditioner
- C. Hardwood flooring
- D. Leaky roof
Correct Answer: D
Rationale: A leaky roof can lead to mold growth, which is a known asthma trigger.
A mother asks her toddler if she is tired. The toddler responds by saying, “Sammy bed.” Based on her expressive language and speech pattern, the nurse determines that this child is likely how old?
- A. 18 months
- B. 24 months
- C. 30 months
- D. 36 months
Correct Answer: B
Rationale: By 24 months, toddlers begin to speak in two- to three-word sentences.
The nurse shares with her client the news that she, the nurse, is going to be married soon and tells the client about her wedding plans. Which of the following best describes the nurse’s actions?
- A. The nurse is sharing inappropriate personal information with her client.
- B. The nurse is exhibiting a communication technique called self-disclosure.
- C. The nurse is attempting to show empathy with her client.
- D. The nurse is violating client confidentiality rights of the Health Insurance Portability and Accountability Act (HIPAA).
Correct Answer: B
Rationale: Self-disclosure involves sharing aspects of oneself in communication.
A nurse is reviewing the chart of a preschool child who has been diagnosed with Asperger’s syndrome. Which of the following findings is the nurse most likely to discover?
- A. Eating finger foods at 10 months old
- B. Absent crawling at 10 months old
- C. Separation anxiety at 10 months old
- D. Saying “ma-ma” at 10 months old
Correct Answer: B
Rationale: Children with Asperger’s syndrome may show early signs of developmental delays such as absent or brief crawling phases.