According to Maslow, which of the following is NOT TRUE about a self actualized person?
- A. Understands poetry, music, philosophy, science etc.
- B. Desires privacy, autonomous
- C. Follows the decision of the majority, uphold justice and truth
- D. Problem centered
Correct Answer: C
Rationale: Maslow's self-actualized person (1940s) is autonomous and problem-focused e.g., pursuing personal goals over majority views while valuing privacy and insight (poetry, science). Following the crowd contradicts this; justice is personal. Nurses support this e.g., unique patient goals per psychological growth.
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He proposed the theory of morality based on PRINCIPLES
- A. Freud
- B. Erikson
- C. Kohlberg
- D. Peters
Correct Answer: D
Rationale: R.S. Peters' moral theory (1960s) centers on principles justice, honesty e.g., a nurse acts kindly from habit. Freud's drives, Erikson's stages, and Kohlberg's trust differ. Peters' view of morality as emotion, judgment, and behavior guides ethical consistency e.g., reporting errors impacting nursing's professional conduct and standards.
A client with a new diagnosis of hypertension is receiving teaching from a healthcare provider. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will decrease my intake of potassium.
- B. I will increase my intake of vitamin K.
- C. I will decrease my intake of sodium.
- D. I will increase my intake of magnesium.
Correct Answer: C
Rationale: The correct answer is C: 'I will decrease my intake of sodium.' Lowering sodium intake is essential in managing hypertension as it helps reduce blood pressure levels. Excess sodium can lead to fluid retention and increased blood volume, putting more strain on the heart and blood vessels. Therefore, this response indicates an understanding of the teaching provided.
The nurse is providing endotracheal suctioning to a client who is mechanically ventilated, when the client becomes restless and tachycardic. Which action should the nurse take?
- A. Notify the health care provider as soon as possible.
- B. Contact the respiratory department to suction the client.
- C. Hyperoxygenate and hyperventilate the client with an Ambu bag and resuction.
- D. Monitor vital signs and discontinue attempts at suctioning until the client is stabilized.
Correct Answer: D
Rationale: Restlessness and tachycardia during suctioning suggest hypoxia or distress; discontinuing suctioning and monitoring vital signs (D) is the priority to stabilize the client. Notifying the provider (A) or respiratory (B) delays immediate action. Hyperoxygenating and resuctioning (C) risks worsening hypoxia. D is correct. Rationale: Stopping suctioning halts oxygen depletion, allowing recovery, while monitoring guides further intervention, a standard response per airway management protocols. This prevents complications like arrhythmias or desaturation, prioritizing patient safety over premature escalation or repeated procedures in an unstable state.
Mr. Gary's heart rate increased when he heard about his surgery. This is an example of which stage of GAS?
- A. Alarm
- B. Resistance
- C. Exhaustion
- D. Recovery
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?
- A. To promote health
- B. To prevent illness
- C. To restore health
- D. To facilitate coping with death and/or disability
Correct Answer: C
Rationale: Nursing practice is guided by four broad goals that shape interventions based on client needs. In this scenario, the nurse's coordination with a physical therapist to address the client's weakened right side post-stroke aligns with the goal of restoring health. This involves efforts to regain lost function, improve strength, and enhance the client's physical capacity following an illness or injury. Promoting health focuses on maintaining wellness before illness occurs, such as through lifestyle education, while preventing illness aims to stop disease onset, like via vaccinations. Facilitating coping with death or disability pertains to supporting clients and families through terminal conditions or permanent impairments, not necessarily recovery. Here, the emphasis is on rehabilitation and recovery, targeting the restoration of the client's pre-stroke abilities as much as possible. This collaborative approach underscores nursing's role in helping clients reclaim their health after a significant medical event, aligning with the restorative aim.