Nokea
Before a child undergoes a tonsillectomy, what information should the nurse collect?
- A. The child's birth weight
- B. The age at which they crawled
- C. Whether they have had the measles
- D. Reactions to previous hospitalizations
Correct Answer: D
Rationale: Before a child undergoes a tonsillectomy, it is crucial for the nurse to gather information on the child's reactions to previous hospitalizations. This data helps in assessing potential fears or anxiety and in providing the necessary support and preparation for the upcoming tonsillectomy. Understanding the child's past reactions is vital for ensuring their comfort and well-being during the hospital admission and procedure. The other options provided are not directly relevant to the child's upcoming tonsillectomy procedure. Birth weight (Choice A) is not typically a factor considered before a tonsillectomy. The age at which a child crawled (Choice B) is a developmental milestone but not pertinent to the tonsillectomy. Having had measles (Choice C) is important for overall health history but not specifically crucial before a tonsillectomy.
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When communicating with a patient who has a hearing impairment, what technique would be most beneficial?
- A. Determine the communication method he prefers.
- B. Avoid using facial and hand gestures as they can be degrading to most hearing-impaired individuals.
- C. Request a sign language interpreter before meeting to facilitate communication.
- D. Speak loudly and with exaggerated facial movement, as this helps with lip reading.
Correct Answer: A
Rationale: When communicating with a patient who has a hearing impairment, it is crucial to determine the preferred communication method, whether it involves signing, lip reading, or writing. By directly asking the patient for their preferred method of communication, the healthcare provider can ensure effective and respectful interaction tailored to the individual's specific needs and preferences. Option B is incorrect because using facial and hand gestures can actually aid in communication for some individuals with hearing impairments. Option C is not always necessary and may not be the preferred method for all patients. Option D is incorrect because speaking loudly and with exaggerated facial movements is not necessary and may not be preferred by the patient.
During an interview, the interviewer is using open-ended questions. Which of the following statements are true regarding open-ended questions? Select all that apply.
- A. They elicit cold facts.
- B. They allow for self-expression.
- C. They build and enhance deviation from topic
- D. They leave interactions neutral.
Correct Answer: B
Rationale: Open-ended questions are designed to encourage the interviewee to express themselves freely, leading to more detailed and insightful responses. These questions help build rapport by showing interest in the interviewee's thoughts and feelings. By allowing for self-expression, open-ended questions facilitate a deeper and more meaningful conversation, making them a valuable tool in conducting interviews. Choice A is incorrect because open-ended questions aim to gather detailed and subjective information, not just cold facts. Choice D is incorrect as open-ended questions often lead to more engaging interactions rather than leaving them neutral.
When recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate?
- A. Patient denies usual childhood illnesses.
- B. Patient states he was a 'very healthy' child.
- C. Patient states sister had measles, but he didn't.
- D. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.
Correct Answer: D
Rationale: Choice D is the most accurate note by the nurse as it lists specific childhood illnesses commonly experienced by children. By documenting that the patient denies having had these specific illnesses, the healthcare provider establishes a clear medical history record regarding these common childhood illnesses. This detailed documentation is essential for providing comprehensive care and evaluating potential risks or complications associated with these illnesses in the future. Choices A, B, and C are not as accurate as they do not provide a comprehensive list of common childhood illnesses that are routinely evaluated by healthcare providers. Choice A is too vague, Choice B focuses on the patient's perception of their health rather than specific illnesses, and Choice C only mentions measles, lacking the breadth of information provided in Choice D.
When a nurse is performing a health interview on a patient with a language barrier and no interpreter is available, which of the following is the best example of an appropriate question for the nurse to ask?
- A. Do you take medicine?
- B. Do you sterilize the bottles?
- C. Do you have nausea and vomiting?
- D. You have been taking your medicine, haven't you?
Correct Answer: A
Rationale: The best example of an appropriate question for the nurse to ask in this situation is 'Do you take medicine?' This question is clear, simple, and focused on one topic at a time, which is essential when there is a language barrier and no interpreter available. It follows the recommendation to use simple words, avoid medical jargon, contractions, and pronouns in such situations. Choices B, C, and D involve more complex language, unrelated topics, or assumptions about the patient's actions, making them less suitable for effective communication in this context.
When providing culturally competent care, how should nurses incorporate cultural assessments into health assessments? Which statement is most appropriate when initiating an assessment of cultural beliefs with an elderly American Indian patient?
- A. "Are you of the Christian faith?"
- B. "Do you want to see a medicine man?"
- C. "How often do you seek help from medical providers?"
- D. "What cultural or spiritual beliefs are important to you?"
Correct Answer: D
Rationale: The most appropriate statement to initiate an assessment of cultural beliefs with an elderly American Indian patient is to ask, "What cultural or spiritual beliefs are important to you?" This question encourages the patient to share their personal beliefs without assuming stereotypes or making generalizations. It allows the patient to express their individual cultural and spiritual practices, enabling nurses to deliver more personalized and culturally competent care. Choices A, B, and C are not as suitable. Choice A assumes a specific faith without considering the patient's actual beliefs. Choice B relies on a stereotype about American Indian culture, and Choice C focuses more on seeking medical help rather than exploring cultural beliefs.