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Mr. Gary said he doesn't feel well because of his disease. This is an example of?
- A. Health
- B. Illness
- C. Wellness
- D. Disability
Correct Answer: B
Rationale: Not feeling well due to disease is illness (B) altered state, per definition. Health (A) and wellness (C) imply well-being, disability (D) permanent loss. B fits disease impact, making it correct.
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Which of the following statement best describe battery in nursing?
- A. A verbal threat
- B. Unconsented physical contact
- C. A legal fine
- D. A care plan
Correct Answer: B
Rationale: Battery is unconsented physical contact (B), per law e.g., touching without permission. Not threat (A, assault), not fine (C), not plan (D) contact-based. B best defines battery's violation, like touching Mr. Gary against will, making it correct.
When providing holistic care to a client, the nurse recognizes that which behaviors are necessary?
- A. Understand and respect each person's definition of health
- B. Understand and respect each person's responses to illness
- C. Focus on a standard definition of health and beliefs
- D. Instruct the client that health is an inactive process
Correct Answer: A
Rationale: Holistic care in nursing embraces the whole person mind, body, spirit requiring tailored approaches. Understanding and respecting each person's definition of health acknowledges their unique values, like viewing wellness as independence or spiritual peace, shaping care plans. Respecting responses to illness honors individual coping like stoicism or seeking support fostering trust. A standard health definition ignores this diversity, risking alienation, while calling health inactive contradicts its dynamic nature people actively pursue it. Holistic nursing uses models like the wellness wheel to integrate dimensions, ensuring care fits the client, not a mold. This flexibility enhances engagement, as when a nurse adapts teaching for a client valuing herbal remedies, strengthening outcomes by aligning with personal beliefs and experiences.
Which of the following statement is TRUE about evaluation in nursing process?
- A. First step of the process
- B. Determines if goals are met
- C. Only done once
- D. All of the above
Correct Answer: B
Rationale: Evaluation determines if goals are met (B), per process e.g., pain reduced? Not first (A, assessment), not once (C, ongoing), not all (D) outcome-focused. B truly defines evaluation's role, making it correct.
A woman in labor is receiving an antibiotic. She suddenly complains of trouble breathing, weakness and nausea. The nurse should recognize that these signs are usually indicative of impending:
- A. Pulmonary egophony
- B. Amniotic fluid embolism
- C. Anaphylaxis
- D. Bronchospasm
Correct Answer: C
Rationale: Sudden breathing difficulty, weakness, and nausea during antibiotic administration suggest a severe allergic reaction, known as anaphylaxis. This life-threatening condition involves systemic histamine release, causing airway constriction, hypotension, and gastrointestinal distress. Pulmonary egophony relates to lung sound changes, not systemic symptoms. Amniotic fluid embolism presents with cardiovascular collapse and bleeding, not primarily nausea. Bronchospasm is airway narrowing but lacks the broader symptoms here. Immediate recognition of anaphylaxis prompts epinephrine administration and airway support, critical for maternal and fetal survival in labor.
What equipment would be necessary to complete an evaluation of cranial nerves 9 and 10 during a physical assessment?
- A. A cotton ball
- B. A penlight
- C. An ophthalmoscope
- D. A tongue depressor and flashlight
Correct Answer: D
Rationale: Cranial nerves 9 and 10 (glossopharyngeal and vagus) are assessed with a gag reflex, requiring a tongue depressor and light.