Nokea
The CRIES scale is used to:
- A. Assess motor functioning.
- B. Assess sensory functioning.
- C. Evaluate responses to a tactile stimulation.
- D. Evaluate responses to a pain analgesic.
Correct Answer: D
Rationale: CRIES (D) assesses neonatal pain response to analgesics.
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You are caring for a client whose pressure ulcer is yellow. Which treatment will you most likely employ for this wound?
- A. A barrier film
- B. An alginate dressing
- C. Surgical laser debridement
- D. Autolytic debridement
Correct Answer: B
Rationale: Yellow slough requires an alginate dressing (B) for debridement.
The child's ability to understand reality develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: C
Rationale: Distinguishing reality from fantasy matures in the concrete operational stage (Piaget).
An adult diagnosed with schizophrenia lives with elderly parents. The patient was recently hospitalized with acute psychosis. One parent is very anxious, and the other is ill because of the stress. Which nursing diagnosis is most applicable to this scenario?
- A. Ineffective family coping related to parental role conflict
- B. Caregiver role strain related to the stress of chronic illness
- C. Impaired parenting related to patients repeated hospitalizations
- D. Interrupted family processes related to relapse of acute psychosis
Correct Answer: B
Rationale: Caregiver role strain refers to a caregivers felt or exhibited difficulty in performing a family caregiver role. In this case, one parent exhibits stress-related illness and the other exhibits increased anxiety. The other nursing diagnoses are not substantiated by the information given and are incorrectly formatted [one nursing diagnosis should not be the etiology for another].
The theorist who believes in developmental tasks is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: D
Rationale: Erik Erikson's stages include developmental tasks resolved through social crises.
Which of the following is an advantage of naturalistic observation:
- A. it allows you to immerse yourself in people's daily activities
- B. it allows you to record unspoiled behavior
- C. it helps you verify your observations with interviews
- D. it helps you establish a rapport with the people you are studying
Correct Answer: B
Rationale: Naturalistic observation captures unspoiled, authentic behavior in natural settings.