Nokea
The nurse prepares a care plan for the patient. Based on Ramona Mercer's becoming a mother (BAM) theory, which of the following statements fosters the process of becoming a mother?
- A. The woman becomes comfortable with her identity as a married individual.
- B. It encompasses the dynamic transformation and evolution of a woman's persona.
- C. A woman learns mothering behavior prior as early as a teenager.
- D. It accurately reflects the transitional process from being single to a married relationship.
Correct Answer: B
Rationale: Ramona Mercer's becoming a mother (BAM) theory emphasizes the dynamic transformation and evolution of a woman's persona as she transitions into motherhood. This theory acknowledges that becoming a mother is a process involving significant changes in a woman's identity, roles, and relationships. It goes beyond just the physical aspects of giving birth and delves into the psychological, emotional, and social aspects of motherhood. Therefore, statement B aligns with the core principles of Mercer's BAM theory and fosters the understanding of the process of becoming a mother.
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A patient presents with watery diarrhea, abdominal cramps, and nausea after consuming contaminated water from a stream during a camping trip. Laboratory tests reveal oocysts in the stool sample. Which of the following parasites is most likely responsible for this infection?
- A. Giardia lamblia
- B. Entamoeba histolytica
- C. Cryptosporidium parvum
- D. Cyclospora cayetanensis
Correct Answer: C
Rationale: Cryptosporidium parvum is a protozoan parasite often found in contaminated water sources. This parasite is known to cause watery diarrhea, abdominal cramps, and nausea in infected individuals. The presence of oocysts in the stool sample is characteristic of Cryptosporidium infection. Other parasitic infections may present with similar symptoms, but in this case, the most likely culprit based on the exposure history and laboratory findings is Cryptosporidium parvum.
In handling all information about the famiilies in the community, which of the following principles should the nurse consider ethical?
- A. Confidentialty
- B. Justice
- C. Fair treatment
- D. Beneficence
Correct Answer: A
Rationale: When handling information about families in the community, the nurse should consider the principle of confidentiality as ethical. Confidentiality refers to the obligation of healthcare providers to safeguard the privacy of patient information. By maintaining confidentiality, the nurse upholds trust and respect in the nurse-family relationship. This principle ensures that sensitive information shared by families is kept secure and not disclosed without permission, thus respecting their autonomy and promoting open communication in healthcare settings.
Which of the following manifestation should the nurse APPROPRIATELY observe during generalized seizures?
- A. Loss of Consciousness, dilated pupils, and muscular stiffening
- B. Jerking movements of al1 extremities.
- C. Facial grimace with patting and smacking.
- D. Vacant stare with a brief Loss of consciousness
Correct Answer: A
Rationale: Generalized seizures involve both hemispheres of the brain and can present with various manifestations. The typical features of generalized seizures include loss of consciousness, dilated pupils, and muscular stiffening. These seizures may also involve other symptoms such as tonic-clonic movements, convulsions, and postictal confusion. Jerking movements of all extremities (option B) are more characteristic of tonic-clonic seizures, a subtype of generalized seizures. Facial grimace with patting and smacking (option C) may be seen in focal seizures originating from a certain area of the brain. A vacant stare with a brief loss of consciousness (option D) is more typical of absence seizures rather than generalized seizures.
The patient asks you about goiter. You describe this disorder as ___________-.
- A. A condition produced by excessive endogenous or exogenous thyroid hormone
- B. The enlargement of the thyroid gland and usually caused by an iodine-deficient diet
- C. None of the choices
- D. Inflammation of the thyroid gland that may lead to chronic hypothyroidism
Correct Answer: B
Rationale: Goiter is a condition characterized by the enlargement of the thyroid gland. The most common cause of goiter worldwide is iodine deficiency, which is required for the production of thyroid hormones. When there is insufficient iodine intake, the thyroid gland enlarges in an attempt to produce more hormones, leading to the development of goiter. While other factors can also contribute to the development of goiter, such as autoimmune diseases and certain medications, the primary cause associated with the condition is an iodine-deficient diet.
During the normal postpartum course, when would the nurse expect to note the fundal assessment that will be in line with the umbilicus?
- A. Immediately after the delivery
- B. 4 days after the delivery
- C. When the client's bladder is full
- D. The day after the delivery
Correct Answer: D
Rationale: After childbirth, the uterus undergoes involution, which is the process of returning to its pre-pregnant size and location. Initially, the fundus is firm and located at or just below the level of the umbilicus immediately after delivery. Over the next 24 hours, the fundus should gradually decrease in height as involution progresses. By the day after delivery, the nurse would expect the fundal assessment to be in line with the umbilicus or slightly below it, indicating normal involution of the uterus. If the fundus remains high or deviates from this expected progression, further assessment and intervention may be needed to prevent complications such as postpartum hemorrhage.