Nokea
Rommel told Budek, 'Do you think Im crazy?' Budek responded, 'Do you think your crazy?' Budek uses what example of therapeutic communication?
- A. Reflecting
- B. Restating
- C. Exploring
- D. Seeking clarification
Correct Answer: A
Rationale: Budek's 'Do you think you're crazy?' is reflecting (A), redirecting Rommel's question to explore his feelings or self-perception. Restating (B) repeats verbatim (e.g., 'You think you're crazy?'). Exploring (C) digs deeper (e.g., 'Why do you ask?'). Clarification (D) seeks meaning. Reflecting, per Peplau, fosters self-reflection, apt for Rommel's doubt, making A correct.
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When recording blood pressure, the sounds which can be heard with a stethoscope placed over the artery is termed as:
- A. Wheeze
- B. Murmurs
- C. Crackle sounds
- D. Korotkoff sounds
Correct Answer: D
Rationale: Blood pressure measurement involves listening to arterial sounds via a stethoscope as the cuff deflates. These sounds, known as Korotkoff sounds, occur in five phases, starting with a tapping (systolic pressure) and fading to silence (diastolic pressure). Wheezes are respiratory sounds, murmurs relate to heart valves, and crackles indicate lung fluid none apply to blood pressure. Named after Nikolai Korotkoff, these sounds are a cornerstone of manual blood pressure assessment, ensuring accurate readings essential for diagnosing hypertension or hypotension, reflecting cardiovascular health.
Which of the following statement best describe autonomy?
- A. Doing good for the client
- B. Fairness and equality
- C. Respecting client's decision
- D. Keeping promises
Correct Answer: C
Rationale: Autonomy is respecting client decisions (C), per ethics self-determination (e.g., refusing care). Doing good (A) is beneficence, fairness (B) justice, promises (D) fidelity. C best defines autonomy's focus, making it correct.
Mr. Gary refuses pork-based medication because of his religious belief. This is an example of?
- A. Culture
- B. Illness
- C. Disability
- D. Risk factor
Correct Answer: A
Rationale: Refusing pork-based meds due to religion is culture (A) beliefs shaping health choices, per cultural competence. Illness (B) is disease, disability (C) function loss, risk factor (D) predisposition not belief-based. A reflects how culture influences care decisions, making it correct.
When John has been given paracetamol, his fever was brought down dramatically from 40 degrees Celsius to 36.7 degrees in a matter of 10 minutes. The nurse would assess this event as:
- A. The goal of reducing john's fever has been met with full satisfaction of the outcome criteria
- B. The desired goal has been partially met
- C. The goal is not completely met
- D. The goal has been met but not with the desired outcome criteria
Correct Answer: A
Rationale: Paracetamol dropping fever from 40°C to 36.7°C in 10 minutes fully meets the goal of fever reduction e.g., normal range (36.6-38°C) achieved. Partial or unmet goals imply residual fever; undesired criteria suggest side effects (none here). Nurses document this success, per outcome evaluation standards.
A community health nurse is assessing client's urine using the Acetic Acid solution. Which of the following, if done by a nurse, indicates lack of correct knowledge with the procedure?
- A. The nurse added the Urine as the 2/3 part of the solution
- B. The nurse heats the test tube after adding 1/3 part acetic acid
- C. The nurse heats the test tube after adding 2/3 part of Urine
- D. The nurse determines abnormal result if she noticed that the test tube becomes cloudy
Correct Answer: B
Rationale: Acetic acid tests protein cloudiness not glucose; heating only acid (no urine) is wrong. Urine (2/3), heating with urine, cloudiness (protein) are correct. Nurses need correction e.g., purpose for accuracy, per procedure.