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The information that enters the system or data collected during the assessment is considered to be the:
- A. input.
- B. immediate outcome.
- C. throughput.
- D. output.
Correct Answer: A
Rationale: Input is the raw data gathered during assessment, feeding into the nursing process.
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Which health promotion strategy is most appropriate for adolescent patients who are obese?
- A. Individual-based behavior modification.
- B. Motivational interviewing.
- C. Parental regulation of meals.
- D. Presentation of video case studies.
Correct Answer: B
Rationale: Motivational interviewing engages adolescents in behavior change, making it effective for obesity management.
A patient who has limited finances and limited capacity for education requires home healthcare for a chronic illness. For the nurse to provide a high level of care to this patient, she must first
- A. Implement critical-thinking skills
- B. Develop a relationship with the patient
- C. Engage the services of a social worker
- D. Determine what care has been provided
Correct Answer: A
Rationale: Critical thinking helps the nurse assess and adapt care to the patient’s unique financial and educational challenges.
A nurse is using motivational interviewing to find out why a patient refuses to participate in the recommended rehabilitation program. Which of the following is an example of using the skill of reflective listening to help motivate this patient?
- A. So, you feel that you are not ready to start a program this week?
- B. Why do you feel that you are not ready to start rehabilitation?
- C. I understand that you are afraid to start rehabilitation; where do you see yourself in a week?
- D. Remember we discussed what needs to be done to get you back on your feet—How do you feel about getting started?
Correct Answer: A
Rationale: Reflective listening restates the patient’s feelings ('you feel not ready'), encouraging exploration of motivations.
A nurse gives a speech on nutrition to a group of pregnant women. What is the speech itself known as?
- A. stimulus
- B. source
- C. message
- D. channel
Correct Answer: C
Rationale: The speech is the message, the content being communicated to the audience.
A patient comes to the emergency department complaining of severe chest pain. The nurse asks the patient questions and takes vital signs. Which step of the nursing process is the nurse demonstrating?
- A. assessing
- B. diagnosing
- C. planning
- D. implementing
Correct Answer: A
Rationale: Asking questions and taking vital signs collects data, which is the assessing step.