Nokea
An individual reveals to the nurse that he is having an affair with his wife’s best friend. Which of the following statements will enhance effective therapeutic communication between him and the nurse?
- A. “You know that what you are doing is wrong.”
- B. “Why would you want do something like that?”
- C. “How could you do that to your wife and children?”
- D. “This affair seems to be troubling you.”
Correct Answer: D
Rationale: The nurse is focusing on the client's feelings about the affair, which encourages further conversation without judgment.
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Two working adults do not have access to health insurance for their family from their employers and do not meet the financial criteria for Medicaid. For which of the following federal programs may the children in this family be eligible?
- A. Medicare
- B. Civilian Health Medical Program for Uniformed Services (CHAMPUS)
- C. State Children’s Health Insurance Program (SCHIP)
- D. Veteran’s Administration Program
Correct Answer: C
Rationale: SCHIP provides health insurance to children whose families cannot afford private coverage but do not qualify for Medicaid.
The nurse is caring for a person who donated a kidney to a stranger in need. According to Gilligan’s stages of moral development, the person who donated the kidney is in which of the following stages?
- A. Preconventional
- B. Conventional
- C. Postconventional
- D. Midconventional
Correct Answer: B
Rationale: In the conventional stage, individuals make sacrifices to meet the needs of others.
An occupational health nurse is trying to promote regular activity at her institution. Which of the following interventions would most likely be the most successful?
- A. Educate all employees regarding the benefits of exercise.
- B. Initiate a lunchtime walking group that employees can join.
- C. Provide all employees with an exercise prescription.
- D. Recommend that employees who do not exercise be terminated from their positions.
Correct Answer: B
Rationale: Lunchtime walking groups are effective as they are convenient, social, and easy to access, promoting physical activity.
A nurse is working at a women’s health clinic and is asked by a client when she should return for her next Pap smear. Which of the following resources would the nurse use to find the most current recommendations?
- A. National Health Information Center
- B. Healthy People 2020
- C. U.S. Preventive Services Task Force (USPSTF) website
- D. Centers for Disease Control and Prevention (CDC) website
Correct Answer: C
Rationale: The USPSTF website provides the most current recommendations based on scientific evidence.
A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: D
Rationale: Not taking insulin regularly may reflect conflicts in personal beliefs about medication adherence.