Nokea
Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? The nurse should respond with which statement?
- A. Family-centered care reduces the effect of cultural diversity on the family.
- B. Family-centered care encourages family dependence on the health care system.
- C. Family-centered care recognizes that the family is the constant in a childs life.
- D. Family-centered care avoids expecting families to be part of the decision-making process.
Correct Answer: C
Rationale: The three key components of family-centered care are respect, collaboration, and support. Family-centered care recognizes the family as the constant in the childs life. The family should be enabled and empowered to work with the health care system and is expected to be part of the decision-making process. The nurse should also support the familys cultural diversity, not reduce its effect.
You may also like to solve these questions
The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should the nurse include in the session with regard to deaths caused by injuries?
- A. More deaths occur in males.
- B. More deaths occur in females.
- C. The pattern of deaths does not vary according to age and sex.
- D. The pattern of deaths does not vary widely among different ethnic groups.
Correct Answer: A
Rationale: The majority of deaths from unintentional injuries occur in males. The pattern of death does vary greatly among different ethnic groups, and the causes of unintentional deaths vary with age and gender.
Which situation denotes a nontherapeutic nursepatientfamily relationship?
- A. The nurse is planning to read a favorite fairy tale to a patient.
- B. During shift report, the nurse is criticizing parents for not visiting their child.
- C. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
- D. The nurse is working with a family to find ways to decrease the familys dependence on health care providers.
Correct Answer: B
Rationale: Criticizing parents for not visiting in shift report is nontherapeutic and shows an underinvolvement with the parents. Reading a fairy tale is a therapeutic and age appropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a willingness to understand feelings. Working with parents to decrease dependence on health care providers is therapeutic and helps to empower the family.
Which best describes signs and symptoms as part of a nursing diagnosis?
- A. Description of potential risk factors
- B. Identification of actual health problems
- C. Human response to state of illness or health
- D. Cues and clusters derived from patient assessment
Correct Answer: D
Rationale: Signs and symptoms are the cues and clusters of defining characteristics that are derived from a patient assessment and indicate actual health problems. The first part of the nursing diagnosis is the problem statement, also known as the human response to the state of illness or health. The identification of actual health problems may be part of the medical diagnosis. The nursing diagnosis is based on the human response to these problems. The human response is therefore a component of the nursing diagnostic statement. Potential risk factors are used to identify nursing care needs to avoid the development of an actual health problem when a potential one exists.
Which is the leading cause of death in infants younger than 1 year in the United States?
- A. Congenital anomalies
- B. Sudden infant death syndrome
- C. Disorders related to short gestation and low birth weight
- D. Maternal complications specific to the perinatal period
Correct Answer: A
Rationale: Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation and unspecified low birth weight, which account for 16.5%; and maternal complications such as infections specific to the perinatal period, which account for 6.1% of deaths in infants younger than 1 year of age.
The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning?
- A. Purposeful and goal directed
- B. A simple developmental process
- C. Based on deliberate and irrational thought
- D. Assists individuals in guessing what is most appropriate
Correct Answer: A
Rationale: Clinical reasoning is a complex developmental process based on rational and deliberate thought. When thinking is clear, precise, accurate, relevant, consistent, and fair, a logical connection develops between the elements of thought and the problem at hand.