Nokea
The nurse makes sure that the distance between himself and the client is at least 6 feet before he begins to ask questions related to the client’s health history. Which of the following statements is true?
- A. This is the ideal space for intimate communication.
- B. This distance is too far for the nurse to build a therapeutic relationship while obtaining the information.
- C. This is the recommended distance between client and nurse for effective therapeutic communication.
- D. The nurse should position himself an additional foot away to facilitate the conversation.
Correct Answer: B
Rationale: Personal space of 18 inches to 4 feet is appropriate for close relationships, and 6 feet is too far for effective therapeutic communication.
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A nurse is caring for a person with the nursing diagnosis of chronic sorrow related to missed opportunities. Which of the following nursing interventions would be appropriate for this person?
- A. Sharing a personal story with the person to demonstrate empathy
- B. Assuring the person that he or she will be able to cope with the illness
- C. Encouraging the person to discuss his or her fears
- D. Contacting a support group representative for the person
Correct Answer: C
Rationale: Encouraging the person to discuss their fears is an appropriate intervention for facilitating grief work.
Healthy People 2020 objectives provide a framework for:
- A. assessment
- B. diagnosis
- C. prevention
- D. treatment
Correct Answer: C
Rationale: Healthy People 2020 provides a framework focused on prevention to improve the health of the population.
A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents?
- A. Do not read to the child while sitting on the sofa in front of the fireplace.
- B. Do not cook on a gas grill until the child is a teenager.
- C. Do not leave cigarettes and matches on the kitchen counter.
- D. Do not cook with the child in the kitchen.
Correct Answer: C
Rationale: The most important recommendation is to avoid leaving cigarettes and matches accessible to children, as they like to imitate adults.
A blended family has six children, ages 2, 4, 4, 5, 7, and 10. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation?
- A. This child has most likely been abused.
- B. This child is one of multiple children closely spaced in age.
- C. This family suffers from low self-esteem.
- D. This family provides harsh punishment for their children.
Correct Answer: B
Rationale: Risks in blended families include multiple closely spaced children, which can make it difficult for parents to attend to each child’s individual needs.
When assessing a person’s nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?
- A. The person’s 24-hour diet diary
- B. The person’s dentition
- C. The person’s food preferences
- D. The person’s financial status
Correct Answer: B
Rationale: Dentition is an objective factor that impacts nutritional care and can be assessed physically.