Nokea
The A, B, C, and Ds of a complete and comprehensive nutritional assessment includes:
- A. Assessment data, biochemical data, clinical data and dietary data
- B. Ancestral cultural data, biochemical data, clinical data and dietary data
- C. Anthropometric data, biological data, chemical data and dietary data
- D. Anthropometric data, biochemical data, clinical data and dietary data
Correct Answer: D
Rationale: Nutritional assessment (D) includes Anthropometric, Biochemical, Clinical, Dietary data.
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You have loosely applied a bed sheet around your client's waist to prevent a fall from the chair. What have you done?
- A. Ensured the client's safety which is a high patient care priority
- B. Violated Respondeat Superior
- C. Violated the client's right to dignity
- D. Committed a crime
Correct Answer: A
Rationale: Using a bed sheet for safety does not constitute a violation or crime.
Which of the following may be the most effective approach to ensure good communication with a large family of a hospitalized patient?
- A. Ask the family to choose an individual to be the point of contact with the health care team
- B. Appoint the person who spends the most time at the patient's bedside to be the point of contact with the health care team
- C. Listen to each family member's individual concerns
- D. Arrange a daily meeting with the entire family to discuss the patient's health care
Correct Answer: A
Rationale: A single point of contact streamlines communication while respecting family involvement.
The nurse demonstrates an appropriate use of outcome measurements on a mental health unit when:
- A. Requiring a client's caregiver to attend a discharge planning meeting prior to the client's release to home.
- B. Reassigning a client's activity level based on his demonstration of disregard of appropriate social boundaries.
- C. Providing the client with clean linen according to the schedule established by the facility.
- D. Permitting the son of an Asian-American client to bring some ethnic foods to his father.
Correct Answer: B
Rationale: The correct answer is B because reassigning a client's activity level based on his demonstration of disregard of appropriate social boundaries demonstrates using outcome measurements effectively in mental health care. This shows that the nurse is monitoring the client's behavior and adjusting the care plan accordingly to promote positive outcomes.
A is incorrect because requiring a caregiver to attend a discharge planning meeting does not directly relate to outcome measurements for the client's mental health progress.
C is incorrect because providing clean linen according to a schedule does not demonstrate the use of outcome measurements for mental health assessment and intervention.
D is incorrect because permitting the son to bring ethnic foods does not directly relate to monitoring and adjusting the client's care plan based on observed behaviors.
Which nursing intervention best demonstrates an understanding of the effects of mental illness in the creation of secondary at-risk populations?
- A. Educating junior high school students concerning the dangers of drug and alcohol abuse
- B. Assessing the parenting skills of a father diagnosed with obsessive-compulsive disorder (OCD)
- C. Assessing the friends of a teenager who was recently hospitalized for an eating disorder for signs of the same disorder
- D. Providing the parents of a child diagnosed with obsessive-compulsive disorder (OCD) with information on behavior modification
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. Mental illness can impact parenting skills.
2. Assessing parenting skills of a father with OCD is crucial to understand potential risks to the child.
3. OCD may affect parenting abilities, leading to neglect or inappropriate care.
4. By assessing parenting skills, nurses can identify and address risks to the child's well-being.
Summary of why other choices are incorrect:
A: Educating junior high students on drug abuse is important but does not directly address at-risk populations created by mental illness.
C: Assessing friends for signs of eating disorders is relevant but does not focus on understanding the impact of mental illness on caregiving roles.
D: Providing information on behavior modification to parents is helpful but does not directly assess the impact of mental illness on parenting skills.
The child's ability to understand cause and effect develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: A
Rationale: Cause-and-effect understanding begins in the sensorimotor stage through actions (Piaget).