Nokea
The nurse has formulated a nursing diagnosis for a person with carpal tunnel syndrome of “Energy Field Disturbance r/t Slowing or Blocking of Energy Flow Secondary to Repetitive Motion Injury.” Which of the following actions must the nurse take first when planning interventions for this person?
- A. Move his or her hands over the person.
- B. Obtain permission to use healing touch therapy.
- C. Explain healing touch therapy.
- D. Focus on the area of disturbed energy flow.
Correct Answer: C
Rationale: Before giving informed consent, the person must understand the proposed therapy.
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Within a community there is an elevated high-school dropout rate and its high school students are experiencing a decreased sense of self-worth. Based on this data, the community is at highest risk to experience an alteration in which of the following functional health patterns?
- A. Self-perception–self-concept pattern
- B. Role-relationships pattern
- C. Cognitive-perceptual pattern
- D. Sexuality-reproduction pattern
Correct Answer: A
Rationale: Decreased self-worth in students correlates with issues in the self-perception–self-concept pattern, impacting the community's overall well-being.
A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?
- A. “This is a sign that he is not ready to toilet train yet.”
- B. “This behavior is developmentally normal.”
- C. “Tell him to stop touching himself.”
- D. “Don’t worry about it.”
Correct Answer: B
Rationale: Curiosity about genitals is a normal developmental phase during toilet training.
A nurse believes that it is his responsibility to ensure the safety of the public by administering flu shots to everyone in the community. Which ethical theory is being used by the nurse?
- A. Descriptive value theory
- B. Normative theory
- C. Consequentialism theory
- D. Duty-based theory
Correct Answer: C
Rationale: Consequentialism focuses on actions that aim to produce the greatest benefit for society as a whole.
A mother is concerned because her 13-year-old daughter comes home happy one day and sad the next. Which of the following is the best initial response from the nurse?
- A. The changes during adolescence can be stressful as they struggle to come to terms with who they are. What other types of behaviors has she been displaying?
- B. Changes in affect can be a warning sign for suicide. Has she had any increase in risk-taking behaviors or physical violence?
- C. Is there any history of psychological disorders in your family?
- D. Withdrawal can be a sign of substance abuse. Has she given you any indication she might be using illicit drugs?
Correct Answer: A
Rationale: Mood swings are typical during adolescence, but further investigation is needed if other concerning behaviors are present.
Which of the following women should be screened for breast cancer?
- A. A 35-year-old woman with three children and no family history of breast cancer
- B. A 59-year-old woman with no children who still gets her period every month
- C. A 25-year-old woman with one child whom she gave birth to when she was a teenager
- D. A 17-year-old woman with one child who started menstruating at the age of 13
Correct Answer: B
Rationale: Breast cancer screening is recommended for women over 40, as the incidence increases with age.