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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A client is scheduled to have open-heart surgery but has not been informed about potential complications. Which ethical concept has been ignored?
- A. Beneficence
- B. Autonomy
- C. Justice
- D. Informed consent
Correct Answer: D
Rationale: Informed consent ensures clients understand the risks and benefits of procedures before agreeing to them.
A nurse is providing anticipatory guidance to parents about the self-perception–self-concept pattern of a toddler. Which of the following statements would the nurse most likely make?
- A. “Temper tantrums are expected, so always give in to them.”
- B. “Put your toddler in time out if he has a temper tantrum.”
- C. “Childproof your home.”
- D. “Always provide your toddler with challenging toys.”
Correct Answer: C
Rationale: Childproofing the home is essential for safety as toddlers explore their environment, often leading to risky behavior.
When assessing a person’s nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?
- A. The person’s 24-hour diet diary
- B. The person’s dentition
- C. The person’s food preferences
- D. The person’s financial status
Correct Answer: B
Rationale: Dentition is an objective measure, which can be validated during a physical exam and influences nutritional care.
According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity?
- A. 16%
- B. 26%
- C. 36%
- D. 46%
Correct Answer: D
Rationale: According to the report, 36% of adults 18 years and older report no leisure-time physical activity.
A client is experiencing an alteration in the health-perception–health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?
- A. Never sees a physician
- B. Only sees a physician if not feeling well
- C. Sees a physician for screenings only
- D. Sees a physician for follow-up care of a chronic disease
Correct Answer: B
Rationale: This person likely only sees a physician when unwell, reflecting an altered health perception and values.