Nokea
Grasping the pencil represents a child's
- A. Gross motor skills
- B. Fine motor skills
- C. Large motor skills
- D. None of these
Correct Answer: B
Rationale: Grasping a pencil requires fine motor precision.
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Which statement made by a nurse who manages care for a number of culturally diverse Hispanic clients demonstrates an understanding of the challenges this assignment presents?
- A. I find the Hispanic language very difficult to master.'
- B. There are many differences between Hispanic subcultures.'
- C. Addressing the Hispanic culture's religious needs can be challenging.'
- D. I find Hispanic children to be very dependent upon their elders.'
Correct Answer: B
Rationale: The correct answer is B: "There are many differences between Hispanic subcultures." This answer demonstrates an understanding of the complexity and diversity within the Hispanic community, emphasizing that there is not a monolithic Hispanic culture but rather various subcultures with distinct customs, traditions, and beliefs. Understanding these differences is crucial for providing culturally competent care.
Rationale:
1. Option A focuses on language proficiency, not cultural diversity.
2. Option C mentions religious needs but does not address the broader complexity of Hispanic culture.
3. Option D makes a generalization about Hispanic children, not addressing the diversity within Hispanic communities.
In summary, the correct answer acknowledges and respects the diverse nature of Hispanic subcultures, highlighting the importance of recognizing and understanding these differences to provide effective care.
A client has been voluntarily admitted to a mental health unit for treatment of acute depression. Which client request will the nurse deny based on this type of commitment?
- A. Notifying his wife to bring him his personal cell phone
- B. Arranging for him to cast his absentee vote for a city election
- C. Mailing out his driver's license renewal form as a registered letter
- D. Arranging for a private space where he can meet with his attorney
Correct Answer: A
Rationale: The correct answer is A because in a voluntary admission for acute depression, the client retains their basic rights, such as making personal phone calls. However, the nurse may deny the request to have the personal cell phone brought in due to concerns about safety, privacy, and potential access to harmful content. Choice B is incorrect as the client has the right to participate in civic activities like casting a vote. Choice C is incorrect as it involves maintaining personal documentation. Choice D is incorrect as the client has the right to meet with their attorney in a private space.
Words are powerful and language can stigmatize the individual dealing with mental illness. How can a nurse personally advocate for such individuals with this in mind?
- A. Encouraging all clients to be aware of their communication so as to not offend others
- B. Teaching the client diagnosed with schizophrenia to avoid pressured speech
- C. Role modeling language that is respectful to those with mental illnesses
- D. Engaging in communication that is always therapeutic
Correct Answer: C
Rationale: The correct answer is C: Role modeling language that is respectful to those with mental illnesses. Nurses can advocate for individuals with mental illness by demonstrating and promoting respectful language use, which helps reduce stigma and promote understanding. This approach empowers both the individual and others to use language that is sensitive and non-discriminatory. By setting an example through their own communication, nurses can positively influence interactions with individuals dealing with mental illness.
Choices A, B, and D are incorrect because:
A: Encouraging all clients to be aware of their communication may not directly address the issue of stigma and may inadvertently place the responsibility solely on the individual with mental illness.
B: Teaching a client diagnosed with schizophrenia to avoid pressured speech is important for their well-being but does not directly address advocating for individuals with mental illness in the context of stigma and language use.
D: Engaging in therapeutic communication is essential in nursing practice but does not specifically focus on advocating for individuals with mental illness regarding language and stigma.
A patient with HIV asks the nurse if thinking about dying frequently is common with HIV. What is an appropriate response by the nurse?
- A. HIV is a serious disease that results in death.'
- B. Thinking about death will not change the prognosis.'
- C. HIV is now considered a chronic disease with treatment.'
- D. HIV has a very high mortality rate, so it is realistic to plan for death.'
Correct Answer: C
Rationale: Rationale for Correct Answer C:
1. HIV is now considered a chronic disease with treatment, meaning many individuals can live long and healthy lives with proper medical care.
2. By informing the patient that HIV is a chronic disease, the nurse can provide reassurance and hope.
3. Acknowledging the patient's concerns while highlighting the positive advancements in HIV care can help alleviate anxiety and provide comfort.
Summary of Incorrect Choices:
A: This answer instills fear without providing accurate information about the current state of HIV treatment.
B: This answer dismisses the patient's concerns and does not offer any constructive information or support.
D: This answer is misleading as HIV mortality rates have significantly decreased with advancements in treatment, and planning for death should not be the primary focus for individuals living with HIV.
Your pediatric client weighs 48 pounds. How many mg of a medication would you administer to this client with each dose when the doctor has ordered 5 mg/kg/day in two equally divided doses?
- A. 45 mg
- B. 60 mg
- C. 52 mg
- D. 55 mg
Correct Answer: C
Rationale: 48 lbs = 21.8 kg; 5 mg/kg x 21.8 kg = 109 mg/day; 109 / 2 = 54.5 mg, closest to 52 mg (C).