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Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person’s function pattern by utilizing which area of focus?
- A. Age-developmental
- B. Functional
- C. Individual-environmental
- D. Pattern
Correct Answer: D
Rationale: Pattern recognition helps identify sequences of behavior, allowing the nurse to analyze health data over time.
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An example of a Hispanic American nurse promoting cultural competency is:
- A. Providing translation services for all Hispanic Americans
- B. Focusing on episodic care of illnesses with Hispanic Americans
- C. Taking a class about the Hispanic American culture
- D. Providing care for all Hispanic American persons in her clinic
Correct Answer: C
Rationale: Cultural competency involves understanding and respecting diverse cultures, and taking a class about the culture broadens the nurse’s educational base.
The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individuals is known as:
- A. Health-related quality of life
- B. Evidence-based practice
- C. A Healthy People 2010 goal
- D. The ecological model of health
Correct Answer: B
Rationale: Evidence-based practice integrates clinical expertise with the best available research to make informed care decisions.
What is the most effective policy a staff nurse can implement to help decrease medical errors on the unit?
- A. Forgo opportunities for continuing education so the unit is never understaffed.
- B. Foster a collaborative working environment on the unit.
- C. Check all medications a minimum of three times before administering them.
- D. Develop a policy that mandates the firing of any nurse who commits an error.
Correct Answer: B
Rationale: A collaborative working environment improves communication and reduces errors by addressing systemic issues.
Which young adult exemplifies Kohlberg’s postconventional level of moral reasoning?
- A. A 28-year-old who helps a friend move despite calling in sick
- B. A 22-year-old man who uses marijuana on weekends
- C. A 30-year-old woman who volunteers at a soup kitchen
- D. A 35-year-old working long hours for a promotion
Correct Answer: C
Rationale: Kohlberg’s postconventional stage involves moral reasoning based on what is considered “right” for the greater good, as exemplified by volunteering at a soup kitchen.
A nurse is assessing the language development of a 6-month-old infant. Which of the following findings would the nurse anticipate?
- A. The infant forms two-syllable sounds.
- B. The infant coos and makes vowel sounds.
- C. The infant babbles.
- D. The infant says “ma-ma” and “bye-bye.”
Correct Answer: C
Rationale: At 6 months, infants typically begin babbling. Two-syllable sounds emerge closer to 9-10 months.