Nokea
The nurse suspects a 5-year-old child has asthma. Which information from the child’s past medical history is a risk factor?
- A. The child was breast-fed.
- B. The child had respiratory infections as an infant.
- C. The child was born via a C-section.
- D. The child had pressure equalizer tubes as an infant.
Correct Answer: B
Rationale: Respiratory infections as an infant, such as RSV, are a known risk factor for asthma.
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Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
- A. Erikson
- B. Gordon
- C. Newman
- D. Nightingale
Correct Answer: B
Rationale: Gordon's framework is the basis for nursing diagnoses using functional health patterns.
A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this family?
- A. Increased energy level
- B. Improved coping
- C. Enhanced self-esteem
- D. Facilitated family conversation
Correct Answer: B
Rationale: The family needs to improve coping skills as they adjust to the impact of the teenager's illness.
The inability of a toddler to put him- or herself in another’s shoes is known as:
- A. Autonomy
- B. Egocentrism
- C. Self-perception
- D. Integrity
Correct Answer: B
Rationale: Egocentrism refers to the inability to understand or consider another person’s perspective, which is common in toddlers.
A school nurse is planning to assess the visual acuity of the preschool students at the school. Which of the following tests would be used?
- A. Snellen Screening test
- B. Denver Eye Screening test
- C. Ishihara’s test
- D. Cover test
Correct Answer: A
Rationale: The Snellen Screening test is commonly used to assess visual acuity in children.
A nurse and her client are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective client-centered communication, the nurse should:
- A. ask the person what he is thinking, so they can understand each other.
- B. restate what the person said before silence ensued, to get clarification.
- C. change the subject to one that is more pleasant for the person to discuss.
- D. wait quietly to give the person time to reflect where he wants to lead the conversation.
Correct Answer: D
Rationale: Silence allows the person to reflect on what is being discussed or experienced and lets the nurse know that they are ready to continue when the client is ready.