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The nurse states to the newly pregnant patient, “Tell me how you feel about being pregnant.” Which communication technique is the nurse using with this patient?
- A. Clarifying
- B. Paraphrasing
- C. Reflection
- D. Structuring
Correct Answer: C
Rationale: The correct answer is C: Reflection. The nurse is using the communication technique of reflection by restating the patient's feelings back to her. This technique helps the patient feel heard and understood, promoting a therapeutic relationship. Clarifying (A) involves seeking further information, paraphrasing (B) involves restating the patient's words, and structuring (D) involves organizing the conversation - none of which are demonstrated in the scenario.
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The nurse at a family practice clinic is providing care to a 47-year-old obese patient. The patient
states that she realizes that she has put on extra weight but is reluctant to go to any exercise
classes. She states that she often has to cross her legs when she sneezes and cannot do any
exercises with her legs crossed. The health care provider has prescribed tolterodine (Detrol). What
is the rationale for this medication?
- A. Tolterodine is used to treat overactive bladders and to decrease urinary frequency,
urgency, and urge incontinence. - B. Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas.
- C. Tolterodine is used to facilitate weight loss by acting as an appetite suppressant.
- D. Tolterodine is used to improve blood flow to the pelvic muscles to decrease
urinary tract infections.
Correct Answer: B
Rationale: The correct answer is B: Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas. Tolterodine is a medication used to treat overactive bladders by relaxing the bladder muscles, reducing urinary urgency, frequency, and urge incontinence. Improving tone and tissue in the urethral and vaginal areas can help in controlling bladder function. Choices A, C, and D are incorrect because tolterodine does not act as an appetite suppressant, facilitate weight loss, or improve blood flow to pelvic muscles to decrease urinary tract infections. The primary mechanism of action of tolterodine is related to bladder muscle relaxation rather than weight loss or blood flow improvement.
What is the primary role of practicing nurses in the research process?
- A. Designing research studies
- B. Collecting data for other researchers
- C. Identifying researchable problems
- D. Seeking funding to support research studies
Correct Answer: C
Rationale: When problems are identified, research can be properly conducteResearch of healthcare issues leads to evidence-based practice guidelines.
After delivery, excess hypertrophied tissue in the uterus undergoes a period of self-destruction. What is the correct term for this process?
- A. Autolysis
- B. Subinvolution
- C. Afterpains
- D. Diastasis
Correct Answer: A
Rationale: Autolysis is caused by a decrease in hormone levels, leading to the self-destruction of excess uterine tissue.
A nurse is entering information on the patient’s electronic health record (EHR) and is called to assist in an emergency situation with regard to another patient in the labor and birth suite. The nurse rushes to the scene to assist; however, she leaves the chart open on the computer screen. The emergent patient situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager’s concerns?
- A. The nurse acknowledges that she should have made sure that her patient was safe before assisting with the emergency.
- B. The nurse states that she should have logged out of the EHR prior to attending to the emergency.
- C. The nurse indicates that the unit was understaffed.
- D. The nurse indicates that the she changed her password following the clinical emergency to maintain confidentiality.
Correct Answer: B
Rationale: The correct answer is B. The nurse should have logged out of the EHR prior to attending to the emergency. By leaving the EHR open and unattended, the nurse exposed patient information to potential unauthorized access, violating patient confidentiality. Logging out would have prevented this breach.
Choice A is incorrect because the priority in an emergency is to address the immediate patient needs. Choice C is irrelevant to the breach of confidentiality. Choice D, changing the password after the incident, does not address the initial breach and is not a sufficient response to the nurse manager's concerns about maintaining confidentiality.
What is the primary theme of the feminist perspective regarding violence against women?
- A. Role of testosterone as the underlying cause of men's violent behavior
- B. Basic human instinctual drive toward aggression
- C. Male dominance and coercive control over women
- D. Cultural norm of violence in Western society
Correct Answer: C
Rationale: The contemporary social view of violence is derived from the feminist theory. With the primary theme of male dominance and coercive control, this view enhances an understanding of all forms of violence against women.