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In reviewing a person’s medical claims, a nurse realizes that the individual with moderate persistent asthma has had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma management guidelines. The nurse discusses this with the person’s primary care provider. In this scenario, the nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: B
Rationale: Care managers focus on reducing costs, preventing service duplication, and ensuring appropriate care according to guidelines.
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Which of the following “investment” themes has been identified by the National Institute of Nursing Research?
- A. Interprofessional collaboration
- B. Improving quality of life
- C. End-of-life care
- D. Increasing physical activity among Americans
Correct Answer: B
Rationale: The National Institute of Nursing Research focuses on improving quality of life and managing symptoms.
A 4-year-old girl asks her mother for a second cup of yogurt before starting to eat the first cup she was given. What will the child most likely do with the extra helping?
- A. Eat it herself.
- B. Ask her brother if he wants it.
- C. Feed it to her dog.
- D. Give it to her imaginary friend.
Correct Answer: D
Rationale: Preschoolers often have imaginary friends, and this extra yogurt might be for them.
A nurse is counseling someone who has recently been diagnosed with diabetes. The nurse says, “Tell me more about how this diagnosis has affected your daily activities.” Which of the following best describes the type of communication the nurse is using?
- A. Verbal communication
- B. Nonverbal communication
- C. Metacommunication
- D. Functional communication
Correct Answer: A
Rationale: The nurse's use of words to ask for more information from the client is an example of verbal communication.
A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools?
- A. The number of questions asked on the assessment tool
- B. The linkages of the assessment to Healthy People 2020
- C. The amount of involvement that the family has in completing the tool
- D. The capability of the tool to assess goals and outcomes
Correct Answer: C
Rationale: The family’s involvement in completing the tool is essential for understanding their needs and fostering active participation in health promotion.
The nurse has determined that a person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take?
- A. Weigh the person.
- B. Set a goal weight with the person.
- C. Ask the person what her favorite foods are.
- D. Develop a plan for weight loss.
Correct Answer: B
Rationale: Setting a goal weight is essential before developing an intervention plan for weight loss.