Nokea
The stages of conflict and conflict resolution in the correct sequential order are:
- A. Conceptualization
- B. Frustration
- C. Resolution
- D. Taking action
Correct Answer: B,A,D,C
Rationale: The correct sequence of conflict stages is Frustration (B, emotional response), Conceptualization (A, understanding the conflict), Taking action (D, implementing solutions), and Resolution (C, resolving the conflict).
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Which action by the nursing student, caring for a child who sustained a head injury from a fall, indicates a need for further teaching?
- A. Forcing fluids
- B. Performing neurological assessments
- C. Keeping the child in a sitting-up position
- D. Keeping the child awake as much as possible
Correct Answer: A
Rationale: A child with a head injury is at risk for increased intracranial pressure (ICP). Forcing fluids may cause fluid overload and increased ICP. Additionally, the nurse should not 'force' the client to do something. Neurological assessments must be performed to monitor for increased ICP. Sitting up will decrease fluid retention in cerebral tissue and promote drainage. Keeping the child awake will assist in accurate evaluation of any cerebral edema that is present and will detect early coma.
A client with a history of atrial fibrillation is admitted with a heart rate of 160 beats per minute. The nurse should prioritize which of the following interventions?
- A. Administer diltiazem as prescribed.
- B. Obtain a 12-lead ECG.
- C. Administer aspirin.
- D. Apply oxygen via nasal cannula.
Correct Answer: A
Rationale: Diltiazem, a calcium channel blocker, is prioritized to control rapid heart rate in atrial fibrillation.
Select the ethical term that is accurately paired with its brief description.
- A. Deontology: The school of ethical thought that requires that only the means to the goal must be ethical.
- B. Utilitarianism: The school of ethical thought that requires that only the end goal must be ethical.
- C. Deontology: The school of ethical thought that requires that only the end goal must be ethical.
- D. Utilitarianism: The school of ethical thought that requires that only the means to the goal must be ethical.
Correct Answer: B
Rationale: Utilitarianism focuses on the outcomes, requiring that the end goal be ethical (maximizing overall good). Deontology emphasizes the ethics of the means, not the end (contrary to A and C).
The nurse is assessing a client who has had a myocardial infarction. The nurse notes the cardiac rhythm shown below. The nurse identifies that this rhythm is:
- A. Atrial fi brillation
- B. Ventricular tachycardia
- C. Premature ventricular contractions.
- D. Third-degree heart block.
Correct Answer: D
Rationale: Third-degree heart block occurs when atrial stimuli are blocked at the atrioventricular junction. Impulses from the atria and ventricles are conducted independently of each other. The atrial rate is 60 to 100 bpm; the ventricular rate is usually 10 to 60 bpm.
A nurse is assessing an 82-year-old for depression, because of the client's age, the nurses' assessment should be guided by the fact that:
- A. Sadness of mood is usually present but it is masked by other symptoms.
- B. Impairment of cognition usually is not present.
- C. Psychosomatic tendencies do not tend to dominate.
- D. Antidepressant therapies are less effective in older adults.
Correct Answer: A
Rationale: In older adults, depression may present with atypical symptoms, such as somatic complaints or irritability, rather than overt sadness, which can mask the condition.