Nokea
Ovarian function and hormone production decline during which transitional phase?
- A. Climacteric
- B. Menarche
- C. Menopause
- D. Puberty
Correct Answer: A
Rationale: The climacteric phase is when ovarian function and hormone production decline, leading into menopause.
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Which statement best exemplifies contemporary maternity nursing?
- A. Use of midwives for all vaginal deliveries
- B. Family-centered care
- C. Free-standing birth clinics
- D. Physician-driven care
Correct Answer: B
Rationale: Contemporary maternity nursing focuses on the family's needs and desires, with both midwives and physicians providing care.
Using the family stress theory as an interventional approach for working with families experiencing parenting challenges, the nurse can assist the family in selecting and altering internal context factors. Which statement best describes the components of an internal context?
- A. Biologic and genetic makeup
- B. Maturation of family members
- C. Family's perception of the event
- D. Prevailing cultural beliefs of society
Correct Answer: C
Rationale: The family stress theory focuses on a family's reaction to stressful events. Internal context factors include elements that the family can control, like perceptions, family structure, and values. The family's perception of the event directly influences how they cope with it.
A nurse is reviewing evidence-based teaching and learning principles. Which situation is most conducive to learning with patients of other cultures?
- A. An auditorium is being used as a classroom for 300 students.
- B. A teacher who speaks very little Spanish is teaching a class of Hispanic students.
- C. A class is composed of students of various ages and educational backgrounds.
- D. An Asian nurse provides nutritional information to a group of pregnant Asian women.
Correct Answer: D
Rationale: The correct answer is D because it demonstrates cultural competence by matching the nurse's background with the patients'. This helps establish trust, understanding, and effective communication. The nurse is more likely to be familiar with cultural norms and preferences, making the teaching more culturally relevant and impactful.
A: An auditorium setting with a large number of students may not allow for individualized cultural considerations.
B: Language barriers can hinder effective communication and understanding, impacting learning outcomes.
C: While diversity can enrich learning, the varying backgrounds may not necessarily address specific cultural needs as effectively as a tailored approach.
Which menopausal discomfort would the nurse anticipate when evaluating a woman for signs and symptoms of the climacteric?
- A. Headaches
- B. Hot flashes
- C. Mood swings
- D. Vaginal dryness with dyspareunia
Correct Answer: B
Rationale: Hot flashes are the most common discomfort caused by fluctuating estrogen levels in perimenopausal women. Other symptoms like headaches or mood swings may occur but are less common.
A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
- A. There is stratification of communication in a directed manner between nursing staff and administration.
- B. There is increased job satisfaction of nurses, with a lower staff turnover rate.
- C. Physicians are certified in their respective specialty areas.
- D. All nurses have baccalaureate degrees and certification in their clinical specialty area.
Correct Answer: B
Rationale: The correct answer is B because increased job satisfaction and lower staff turnover are key indicators of Magnet status, which focuses on nursing excellence and quality care. This is supported by research showing a correlation between Magnet hospitals and positive nurse outcomes. Choices A, C, and D are incorrect as they do not directly align with the criteria for Magnet status, which primarily emphasizes nursing excellence rather than physician certification or educational requirements for nurses.