During a well-child visit, a parent tells the nurse that their preschooler occasionally wakes up during the middle of the night. Based on growth and development, which of the following would be the most common reason for the preschooler to wake up?
- A. Nightmares
- B. Night terrors
- C. Enuresis
- D. Hunger
Correct Answer: A
Rationale: Nightmares are common in preschoolers and often cause nighttime awakenings.
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Which scenario indicates a potentially dysfunctional pattern?
- A. Adult with frequent urination
- B. Woman who lost her job
- C. Elderly person with blurred vision
- D. Overweight adult with a sweet tooth
Correct Answer: B
Rationale: The stress of losing a job could lead to ineffective coping, representing a potentially dysfunctional pattern that needs intervention.
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.
During a prenatal visit, pregnant parents ask the nurse what they can do to prepare their 4-year-old child for the birth of the new baby. Which of the following actions would be most appropriate for the nurse to suggest?
- A. Discourage any negative comments the child makes about the baby or the pregnancy.
- B. Do not make any plans regarding the baby in front of the 4-year-old child.
- C. Provide him with very detailed information about the pregnancy and the birth.
- D. Ask the 4-year-old boy to help decorate the new baby’s room.
Correct Answer: D
Rationale: Involving the child in preparations for the new baby helps them adjust to the changes and feel included
An emergency department provides care for all individuals regardless of circumstances and ability to pay. This is an example of:
- A. Ethic of justice
- B. Ethic of care
- C. Applied ethics
- D. Metaethics
Correct Answer: A
Rationale: The ethic of justice is impartial and nondiscriminatory, ensuring care is provided to everyone equally.
A nurse is developing a program about culturally diverse populations. Which organization could provide information?
- A. American Nurses Association
- B. Sigma Theta Tau International
- C. National League for Nursing
- D. American Association of Colleges of Nursing
Correct Answer: A
Rationale: The ANA provides guidance on culturally competent care in nursing practice.