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What are the nursing implications associated with administering blood and blood products to a client who has a blood type of B negative?
- A. The nurse must be knowledgeable about the fact that this client has A and B agglutinins and lacks the Rh factor
- B. The nurse must be knowledgeable about the fact that this client has B and O agglutinins and lacks the Rh factor
- C. The nurse must be knowledgeable about the fact that this client has B agglutinins and lacks the Rh factor
- D. The nurse must be knowledgeable about the fact that this client has A agglutinins and lacks the Rh factor
Correct Answer: C
Rationale: B negative clients have B agglutinins (C) and lack Rh factor.
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The U.S. health care system gives patients the right to choose their health care providers. How should physicians respond to requests for a provider of a certain gender, race, or ethnicity?
- A. Only take care of patients from certain ethnic groups
- B. Refuse to accommodate these kinds of requests as they reflect a bias or prejudice
- C. Always accommodate every patient's request
- D. Discuss with the patient his/her reasons for this specific preference
Correct Answer: D
Rationale: Discussing preferences respects autonomy while addressing potential biases.
Attempting to calm an angry client by using 'talk therapy' is an example of which of the following clients' rights?
- A. The right to privacy
- B. The right to refuse medication
- C. The right to the least-restrictive treatment alternative
- D. The right to confidentiality
Correct Answer: C
Rationale: Using 'talk therapy' to de-escalate an angry client is a non-intrusive, least-restrictive approach to treatment, prioritizing the client's autonomy and minimizing physical intervention, aligning with option c.
Your new 90-year-old patient is admitted with a broken wrist and multiple bruises. The caregiver reports the patient falls when she wanders. Which of the following would lead you to suspect elder abuse?
- A. Inconsistent explanations about the details of the falls.
- B. The patient tells you she doesnt like the caregiver.
- C. The patient begins crying when her daughter arrives.
- D. The patient has a UTI.
Correct Answer: A
Rationale: Inconsistent explanations of injuries are a common indicator of abuse. All of the other responses would not be indicators on their own, but with other factors may lead you to suspect abuse.
he Montessori approach believes that children should learn through
- A. Competition
- B. Collaboration
- C. Exploration
- D. Instruction
Correct Answer: C
Rationale: Montessori prioritizes exploration as the primary mode of learning.
You assess your family as having a deficit in terms of their instrumental activities of daily living (ADLs). Which healthcare professional would you most likely refer this family to in order to address this deficit?
- A. A social worker
- B. A physical therapist
- C. An occupational therapist
- D. A speech therapist
Correct Answer: C
Rationale: Occupational therapists (C) address instrumental ADLs.