Nokea
Nursing priority for incontinence: What should be the focus?
- A. "Risk for social isolation."
- B. "Risk for impaired skin integrity."
- C. "Risk for inadequate fluid intake."
- D. "Risk for impaired coping."
Correct Answer: B
Rationale: Impaired skin integrity is a primary concern due to the risk of skin breakdown from incontinence.
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Any combination of planned experiences based on sound theories that provide individuals, groups, and communities the opportunity to acquire the information and skills needed to make quality health decisions is known as health:
- A. Promotion
- B. Counseling
- C. Education
- D. Knowledge
Correct Answer: C
Rationale: Health education is about providing individuals, groups, and communities the opportunity to acquire information and skills for better health decisions.
A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed?
- A. Assessment
- B. Implementation
- C. Planning
- D. Evaluation
Correct Answer: D
Rationale: Weighing the person to assess progress toward goals is part of the evaluation phase of nursing care.
During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?
- A. Encourage the addition of a few more toys to the playpen.
- B. Suggest keeping the infant in the playpen as much as possible to promote safe play.
- C. Encourage providing the infant with supervised time outside of the playpen.
- D. Suggest removing all toys from the playpen.
Correct Answer: C
Rationale: At 9 months, the infant should be encouraged to explore outside the playpen to aid in physical development and motor skills.
A nurse who is new to the area wants to get a "feel for the community she will be working with." Which of the following would be the best way for the nurse to start learning about the community?
- A. Driving around the neighborhood
- B. Going door to door asking people about the community
- C. Searching online to obtain population statistics
- D. Talking to the police captain at the local police department
Correct Answer: A
Rationale: Driving around allows the nurse to observe the community firsthand and gain insights into its needs and health concerns.
Which of the following describes a nurse who is “being with” the client?
- A. Answers a call bell
- B. Completes a dressing change
- C. Silently prays with a client when requested to do so
- D. Teaches a client about his or her medication regime
Correct Answer: C
Rationale: Entering the client’s world and praying with him or her when requested to do so exemplifies truly “being with” the client.