Nokea
Under what circumstances should an 18-year-old patient be excluded from the decision-making process regarding his/her health?
- A. Never; by law, patients 18 years and older make their own health care decisions
- B. If the parents think that the patient is too immature to make appropriate decisions about his/her care
- C. If the patient's parents choose to represent the patient
- D. Only if the patient lacks the capacity to make medical decisions
Correct Answer: D
Rationale: Legal adulthood grants decision-making rights unless capacity is impaired.
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Generally, what is the most appropriate response when a patient asks an offensive question?
- A. Remove oneself from the room to regain control of emotions
- B. Tactfully defend one's position by involving another colleague
- C. Initiate a respectful discussion to prevent a defensive counterreaction
- D. Confront the patient with a defensive response
Correct Answer: C
Rationale: Respectful discussion de-escalates tension and maintains rapport.
Your incontinent client is incontinent of urine and stool. Which of the following products would you recommend for this client when cost is a major consideration in this decision?
- A. Any solid skin barrier
- B. A hydrocolloid solid skin barrier
- C. Hollister's Flextend
- D. A skin sealant
Correct Answer: A
Rationale: A solid skin barrier (A) is cost-effective for incontinence protection.
Joe is very restless and is pacing a lot. The nurse says to Joe, 'If you don't sit down in the chair and be still, I'm going to put you in restraints!' With which of the following legal actions might the nurse be charged because of this nursing action?
- A. Defamation of character
- B. Battery
- C. Breach of confidentiality
- D. Assault
Correct Answer: D
Rationale: Threatening to use restraints if Joe does not comply constitutes a threat of harmful or offensive contact, which is legally defined as assault, aligning with option d.
All the following are SLFT intervention strategies except...
- A. Cognitive restructuring
- B. Structuring a case plan
- C. Coping skills training
- D. Problem-solving skills training
Correct Answer: B
Rationale: Case planning is case management, not a direct SLFT intervention.
Select the ethical term that is accurately paired with it brief description.
- A. Deontology: The school of ethical of thought that requires that only the means to the goal must be ethical.
- B. Utilitarianism: The school of ethical of thought that requires that only the end goal must be ethical.
- C. Deontology: The school of ethical of thought that requires that only the end goal must be ethical.
- D. Utilitarianism: The school of ethical of thought that requires that only the means to the goal must be ethical.
Correct Answer: A
Rationale: Deontology focuses on ethical means, while utilitarianism emphasizes the end goal.