Nokea
Select the complication of a blood transfusion that is accurately paired with its preventive measure.
- A. Hemolysis: Typing and cross matching the blood and checking for ABO compatibility prior to administration
- B. Hemolysis: Insuring that the client does not have a prior history of hemolysis in the past
- C. Febrile reactions: Insuring that the client does not have a prior history of hemolysis in the past
- D. Febrile reactions: Typing and cross matching the blood and checking for ABO compatibility prior to administration
Correct Answer: A
Rationale: Hemolysis prevention (A) requires typing and cross-matching.
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Which documentation of family assessment indicates a healthy and functional family?
- A. Members provide mutual support.
- B. Power is distributed equally among all members.
- C. Members believe there are specific causes for events.
- D. Under stress, members turn inward and become enmeshed.
Correct Answer: A
Rationale: Healthy families nurture and support their members, buffer against stress, and provide stability and cohesion. The distracters are unrelated or incorrect.
Anna, age 72, has been grieving the death of her dog, Lucky, for 3 years. She is not able to take care of her activities of daily living and wants only to make daily visits to Lucky's grave. Her daughter has likely put off seeking help for Anna because
- A. Women are less likely than men to seek help for emotional problems.
- B. Relatives often try to 'normalize' the behavior rather than label it mental illness.
- C. She knows that all older people are expected to be a little depressed.
- D. She is afraid that the neighbors 'will think her mother is crazy.'
Correct Answer: B
Rationale: Anna's daughter likely perceives her mother's behavior as a normal part of grieving, especially given Anna's age and the loss of a long-time pet, rather than recognizing it as a mental illness, which aligns with option b.
The theorist who believes that children actively construct knowledge is
- A. Jean Piaget
- B. B.F. Skinner
- C. Albert Bandura
- D. John Dewey
Correct Answer: A
Rationale: Piaget's constructivism views children as active knowledge builders.
The LEARN acronym is a useful tool for treating patients from diverse backgrounds. What does the 'A' stand for?
- A. Acknowledge and discuss differences and similarities
- B. Admit personal shortcomings regarding patients' cultural backgrounds
- C. Advocate treatment
- D. Argue for medical perceptions and understandings of the problem
Correct Answer: A
Rationale: Acknowledge' in LEARN promotes understanding of cultural differences and similarities.
An 11-year-old says, My parents dont like me. They call me stupid and say they wish I were never born. It doesn't matter what they think because I already know Im dumb. Which nursing diagnosis applies to this child?
- A. Chronic low self-esteem related to negative feedback from parents
- B. Deficient knowledge related to interpersonal skills with parents
- C. Disturbed personal identity related to negative self-evaluation
- D. Complicated grieving related to poor academic performance
Correct Answer: A
Rationale: The child has indicated a belief in being too dumb to learn. The child receives negative and demeaning feedback from the parents. The child has internalized these messages, resulting in a low self-esteem. Deficient knowledge refers to knowledge of health care measures. Disturbed personal identity refers to an alteration in the ability to distinguish between self and non-self. Grieving may apply, but a specific loss is not evident in the scenario. Low self-esteem is more relevant to the childs statements.