Nokea
Mr. Gary's wife wanted to see the body before it is removed from the room. Which of the following is the most appropriate response by the nurse?
- A. I'm sorry but you can't see him now'
- B. Let me prepare the body first then you can see him'
- C. It's better if you don't see him'
- D. You can see him but only for a minute'
Correct Answer: B
Rationale: Let me prepare the body first (B) is most appropriate respects Mrs. Gary's wish while ensuring dignity, per care standards. Denying (A) or discouraging (C) dismisses, time-limiting (D) restricts. B balances support and preparation, making it correct.
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A client has a new diagnosis of GERD. Which of the following statements should the nurse include in the teaching about dietary management?
- A. You should increase your intake of high-fat foods.
- B. You should decrease your intake of high-fat foods.
- C. You should avoid foods that contain gluten.
- D. You should increase your intake of dairy products.
Correct Answer: B
Rationale: The correct answer is to decrease the intake of high-fat foods. High-fat foods can exacerbate symptoms of GERD by delaying stomach emptying and increasing the risk of reflux. By reducing high-fat foods in the diet, the client can help manage symptoms of GERD and decrease the likelihood of complications. Choice A is incorrect because increasing high-fat foods can worsen GERD symptoms. Choice C is unrelated as gluten is not a specific concern for GERD. Choice D is incorrect as increasing dairy products may lead to increased fat intake, which is not recommended for GERD.
Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?
- A. Tell me where you hurt.'
- B. Other children like having their blood pressure taken.'
- C. This will be like having a little stick in your arm.'
- D. Anything you tell me is confidential.'
Correct Answer: A
Rationale: For a 4-year-old, 'Tell me where you hurt' is most effective simple, direct, and age-appropriate, encouraging the child to express pain in their own words, aligning with their concrete thinking stage per Piaget. Option B uses peer pressure, ineffective for this age; C's metaphor may confuse rather than clarify; and D's confidentiality concept is too abstract.
A client has a new diagnosis of hypertension and is being taught about dietary management. Which of the following statements should be included by the healthcare provider?
- A. Increase your intake of sodium-rich foods.
- B. Decrease your intake of sodium-rich foods.
- C. Avoid foods that contain lactose.
- D. Increase your intake of dairy products.
Correct Answer: B
Rationale: The correct answer is B: 'Decrease your intake of sodium-rich foods.' When managing hypertension, reducing the intake of sodium-rich foods is essential. Excessive sodium can contribute to increased blood pressure, which is why limiting its consumption is crucial to prevent complications. Choices A, C, and D are incorrect. Increasing sodium intake would exacerbate hypertension, avoiding lactose is unrelated to managing hypertension, and increasing dairy product intake does not specifically address the issue of sodium intake in hypertension management.
The nurse encouraged Mr. Gary to make his own care decisions. This is an example of?
- A. Empowerment
- B. Advocacy
- C. Coping
- D. Quality improvement
Correct Answer: A
Rationale: Encouraging care decisions is empowerment (A) control to patient, per definition. Advocacy (B) supports, coping (C) manages, QI (D) enhances not decision-specific. A fits patient autonomy, making it correct.
Which of the following statement is TRUE about the Patient's Bill of Rights?
- A. Only applies to emergencies
- B. Ensures respectful care
- C. Excludes information rights
- D. All of the above
Correct Answer: B
Rationale: The Patient's Bill of Rights ensures respectful care (B), per ANA e.g., dignity, info access. Not emergency-only (A), includes info (C), not all (D) broad scope. B truly defines its protective role for patients like Mr. Gary, making it correct.