Nokea
The interface model of disability is being used to plan the care of a patient who is living with the effects of a stroke. Why should the nurse prioritize this model?
- A. It fosters dependency and rapport between the caregiver and the patient.
- B. It encourages the provision of care that is based specifically on the disability.
- C. It promotes interactions with patients focused on the root cause of the disability.
- D. It promotes the idea that patients are capable and responsible.
Correct Answer: D
Rationale: The interface model promotes the view that people with disabilities are capable, responsible people who are able to function effectively despite having a disability. It does not foster dependency, does not encourage giving care based on the patients disability, and does not encourage or promote interactions with patients that are focused on the cause of the disability.
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The staff development nurse is presenting a class on the importance of incorporating people-first language into daily practice as well as documentation. What is an example of the use of people-first language when giving a verbal report?
- A. The schizophrenic
- B. The patient with schizophrenia
- C. The schizophrenic patient
- D. The schizophrenic client
Correct Answer: B
Rationale: Using people-first language means referring to the person first: the patient with diabetes rather than the diabetic, the diabetic patient, or the diabetic client.
A nurse knows that patients with invisible disabilities like chronic pain often feel that their chronic conditions are more challenging to deal with than more visible disabilities. Why would they feel this way?
- A. Invisible disabilities create negative attitudes in the health care community.
- B. Despite appearances, invisible disabilities can be as disabling as visible disabilities.
- C. Disabilities, such as chronic pain, are apparent to the general population.
- D. Disabilities. Such as chronic pain, may not be curable, unlike visible disabilities.
Correct Answer: B
Rationale: Many disabilities are visible, but invisible disabilities are often as disabling as those that can be seen. Invisible disabilities are not noted to create negative attitudes among health care workers, though this is a possibility. Disabilities, such as chronic pain, are considered invisible and are not apparent to the general population.
You are caring for a patient with a history of chronic angina. The patient tells you that after breakfast he usually takes a shower and shaves. It is at this time, the patient says, that he tends to experience chest pain. What might you counsel the patient to do to decrease the likelihood of angina in the morning?
- A. Shower in the evening and shave before breakfast.
- B. Skip breakfast and eat an early lunch.
- C. Take a nitro tab prior to breakfast.
- D. Shower once a week and shave before breakfast.
Correct Answer: A
Rationale: If the nurse determines that one of the situations most likely to precipitate angina is to shower and shave after breakfast, the nurse might counsel the patient to break these activities into different times during the day. Skipping breakfast and eating an early lunch would not decrease the likelihood of angina in the morning. Taking a nitro tablet before breakfast is inappropriate because the event requiring the medication has not yet occurred. Also, suggesting that the patient shower once a week and shave prior to breakfast is an incorrect suggestion because showering and shaving can both be done every day if they are spread out over the course of the day.
The nurse is caring for a young adult male with a traumatic brain injury and severe disabilities caused by a motor vehicle accident when he was an adolescent. Where does the nurse often provide care for patients like this young adult?
- A. Adult day-care facilities
- B. Step-down units
- C. Medical-surgical units
- D. Pediatric units
Correct Answer: C
Rationale: Patients with preexisting disabilities due to conditions that have been present from birth or due to illnesses or injuries experienced as an adolescent or young adult often require health care and nursing care in medical-surgical settings. Step-down units provide care between the ICU setting and the regular units. Pediatric units provide care for patients aged 19 and younger. Adult day care may or may not be appropriate.
You are caring for a young woman who has Down syndrome and who has just been diagnosed with type 2 diabetes. What consideration should you prioritize when planning this patients nursing care?
- A. How her new diagnosis affects her health attitudes
- B. How her diabetes affects the course of her Down syndrome
- C. How her chromosomal disorder affects her glucose metabolism
- D. How her developmental disability influences her health management
Correct Answer: D
Rationale: It is important to consider the interaction between existing disabilities and new diagnoses. Cognitive and motor deficits would greatly affect diabetes management. Diabetes would not likely affect her attitude or the course of her Down syndrome. Chromosomal disorders such as Down syndrome do not affect glucose metabolism.