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An overweight woman joins a support group to help her lose weight. During her first session, the nurse explains the components of a healthy diet and discusses with the woman how she can eat out and still maintain a healthy diet. She asks the woman what her goal is and emphasizes that she herself is the key to success. What is the nurse promoting through the use of this strategy?
- A. Communication
- B. Values
- C. Advanced planning
- D. Empowerment
Correct Answer: D
Rationale: Empowering the individual by involving her in setting her own goal increases the likelihood of sustained behavior change.
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A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?
- A. Providing constant reinforcement and education about the labor process and assisting the woman with pushing
- B. Explaining unusual interventions such as the use of a fetal heart monitor
- C. Assisting with labor discomfort by modeling breathing
- D. Teaching the new mother positioning of the infant to assist with breast-feeding
Correct Answer: D
Rationale: In the fourth stage of labor, the nurse supports breastfeeding and assists with positioning the infant.
Which of the following statements about financing health care in the US is accurate?
- A. Insurance premiums increased minimally
- B. State tax dollars fund 50% of Medicaid
- C. Largest spending is on hospital care
- D. Most workers enroll in PPOs
Correct Answer: C
Rationale: In 2010, a third of health care spending was on hospital care.
What is the main focus of the National Institutes of Health (NIH)?
- A. Addressing and reducing health disparities
- B. Outlining nationwide health promotion and disease prevention
- C. Protecting minority populations through the development of health policies
- D. Supporting communities in addressing health disparities
Correct Answer: A
Rationale: The NIH primarily works on reducing health disparities by focusing on diseases that disproportionately affect minority populations.
A nurse includes the statement, “Treat others the way you would like to be treated.” when teaching a group of adolescents about bullying. Which type of ethical theory is being used in this example?
- A. Descriptive value theory
- B. Normative theory
- C. Consequentialism theory
- D. Duty-based theory
Correct Answer: B
Rationale: Normative theories provide reasoned explanations of moral behavior and the moral purpose of human interactions.
The nurse makes sure that the distance between himself and the client is at least 6 feet before he begins to ask questions related to the client’s health history. Which of the following statements is true?
- A. This is the ideal space for intimate communication.
- B. This distance is too far for the nurse to build a therapeutic relationship while obtaining the information.
- C. This is the recommended distance between client and nurse for effective therapeutic communication.
- D. The nurse should position himself an additional foot away to facilitate the conversation.
Correct Answer: B
Rationale: Personal space of 18 inches to 4 feet is appropriate for close relationships, and 6 feet is too far for effective therapeutic communication.