Nokea
Each time a nurse administers an insulin injection to a patient with diabetes, she tells the patient what she is doing and demonstrates each step of preparing and giving the injection. What is the nurse promoting?
- A. self-care
- B. dependence
- C. coping with disability
- D. nursepatient relationship
Correct Answer: A
Rationale: By explaining and demonstrating the injection process, the nurse is teaching the patient how to manage their condition, promoting self-care.
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The researchers developing classifications for interventions are also committed to developing a classification of which of the following?
- A. diagnoses
- B. outcomes
- C. goals
- D. data clusters
Correct Answer: B
Rationale: Researchers focus on classifying outcomes alongside interventions to measure the effectiveness of nursing actions and ensure patient-centered care.
A nurse is catheterizing a patient. What action illustrates respect for the patients privacy?
- A. explaining the procedure to the family
- B. leaving the patients pajamas on
- C. closing the door to the room
- D. asking another nurse if he wants to watch
Correct Answer: C
Rationale: Closing the door to the room ensures privacy by limiting exposure to others, a key aspect of respecting patient dignity during invasive procedures.
A nurse is changing a sterile pressure ulcer dressing based on an established protocol. What does this mean?
- A. The nurse is using critical thinking to implement the dressing change.
- B. The patient has specified how the dressing should be changed.
- C. Written plans are developed that specify nursing activities for this skill.
- D. The physician verbally requested specific steps of the dressing change.
Correct Answer: C
Rationale: An established protocol means written plans specify the nursing activities for the procedure, ensuring standardized and evidence-based practice.
A student is ambulating a patient for the first time after surgery. What would the student do to anticipate and plan for an unexpected outcome?
- A. Take the patients vital signs after ambulation.
- B. Ask the patients wife to assist with ambulation.
- C. Delay ambulation until the following shift.
- D. Ask another student to help with ambulation.
Correct Answer: D
Rationale: Asking another student to help anticipates potential complications (e.g., falls) by ensuring additional support is available during ambulation.
The staff in a long-term care facility often plays loud rock music on the radio and designs childrens games as exercise. What is the staff doing in this situation?
- A. considering the hearing level of older adults
- B. failing to consider visual deficits that occur with aging
- C. ignoring the developmental needs of older adults
- D. meeting needs for sensory input and exercise
Correct Answer: C
Rationale: Playing loud rock music and using children's games ignores the developmental needs of older adults, as these activities may not align with their preferences or cognitive and physical capabilities.