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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 a reflection communication technique by restating the patient's feelings to show understanding and empathy. This helps the patient feel heard and validated. Clarifying (A) involves seeking more information, paraphrasing (B) involves restating the patient's words, and structuring (D) involves providing organization or direction. In this scenario, the nurse is not seeking more details (Clarifying), restating the patient's words exactly (Paraphrasing), or providing organization/direction (Structuring), but rather reflecting the patient's emotions back to them.
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A client's oncologist has just finished explaining the diagnostic workup results to her, and she still has questions. The woman states, 'The physician says I have a slow-growing cancer. Very few cells are dividing. How does she know this?' What is the name of the test that gave the health care provider this information?
- A. Tumor ploidy
- B. S-phase index
- C. Nuclear grade
- D. Estrogen-receptor assay
Correct Answer: B
Rationale: The S-phase index measures the number of cells in the synthesis phase of cell development. If the number of cells noted is high the cancer is growing quickly. In this case the low index suggests slow growth.
Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
- A. The nurse posts an update about a patient on Facebook.
- B. The nurse gives the report to the oncoming nurse in a private area.
- C. The nurse gives information about the patient’s status over the phone to the patient’s friend.
- D. The nurse logs off any computer screen showing patient data before leaving the computer unattended.
Correct Answer: B
Rationale: The correct answer is B because giving the report to the oncoming nurse in a private area ensures patient information is shared securely, maintaining patient confidentiality as required by HIPAA. Posting patient updates on social media (A) violates patient privacy. Sharing patient information with a friend (C) breaches confidentiality. Leaving computer screens unattended with patient data visible (D) risks unauthorized access. B is the only choice that aligns with HIPAA regulations by prioritizing patient privacy and security.
Which type of genetic tests in clinical practice are most often offered to clients with a family history of disease?
- A. Single-gene disorders
- B. Carrier screening
- C. Predictive value testing
- D. Predispositional testing
Correct Answer: A
Rationale: Most tests now offered are tests for single-gene disorders in clients with clinical symptoms or clients who have a family history of a genetic disease. Carrier screening is used to identify individuals who have a gene mutation for a genetic condition but do not display symptoms. Predictive value testing is used only to clarify the genetic status of asymptomatic family members. Predispositional testing differs from the other types of genetic screening in that a positive result does not indicate a 100% chance of developing the condition.
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.
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.