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The nurse knows the lithium, a naturally-occurring salt that is excreted by the kidneys, has the potential to adversely affect:
- A. Renal function
- B. Thyroid function
- C. ECG
- D. Polyuria
Correct Answer: A
Rationale: The correct answer is A: Renal function. Lithium is excreted by the kidneys, and its accumulation can lead to renal toxicity, affecting renal function. The other choices are incorrect because lithium primarily affects the kidneys, not the thyroid (B), ECG (C), or causes polyuria (D). Lithium toxicity is commonly associated with renal impairment, making A the most appropriate choice.
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The Montessori classrooms are
- A. Teacher-centered
- B. Child-centered
- C. Curriculum-centered
- D. Activity-centered
Correct Answer: B
Rationale: Montessori classrooms prioritize the child's autonomy and exploration.
Which of the following patient care tasks is coupled with the appropriate member of the nursing care team in terms of their legal scope of practice?
- A. An unlicensed staff member who has been “certified†by the employing agency to monitor telemetry: Monitoring cardiac telemetry
- B. An unlicensed assistive staff member like a nursing assistant who has been “certified†by the employing agency to insert a urinary catheter: Inserting a urinary catheter
- C. A licensed practical nurse: The circulating nurse in the perioperative area
- D. A licensed practical nurse: The first assistant in the perioperative area
Correct Answer: C
Rationale: LPNs are qualified to act as circulating nurses in perioperative settings.
Which comment by the nurse would best support relationship building with a survivor of intimate partner abuse?
- A. You are feeling violated because you thought you could trust your partner.
- B. Im here for you. I want you to tell me about the bad things that happened to you.
- C. I was very worried about you. I knew you were living in a potentially violent situation.
- D. Abusers often target people who are passive. I will refer you to an assertiveness class.
Correct Answer: A
Rationale: The correct option uses the therapeutic technique of reflection. It shows empathy, an important nursing attribute for establishing rapport and building a relationship. None of the other options would help the patient feel accepted.
Children develop a sense of initiative between:
- A. 0-1 year
- B. 1-3 years
- C. 3-5 years
- D. 5-7 years
Correct Answer: C
Rationale: Erikson's initiative vs. guilt stage (3-5 years) fosters a sense of purpose and initiative.
Which of the following is not a component of Bandura's theory
- A. Self-efficacy
- B. Reciprocal determinism
- C. Classical conditioning
- D. Behavioral capability
Correct Answer: C
Rationale: Classical conditioning is Pavlov's, not Bandura's; Bandura focused on social and cognitive factors.