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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.
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The nurse is providing care to a 75-year-old female patient diagnosed with osteoporosis. Which of the following would be the priority nursing diagnosis?
- A. At risk for falls related to impaired balance
- B. Knowledge deficit related to new medication regimen
- C. Impaired physical mobility related to pain and skeletal changes
- D. Ineffective health maintenance related to continued immobility
Correct Answer: A
Rationale: The correct answer is A: At risk for falls related to impaired balance. This is the priority nursing diagnosis because falls can lead to serious injury in elderly patients with osteoporosis. Impaired balance is a significant risk factor for falls in this population. Choice B is not the priority as safety takes precedence over knowledge deficit. Choice C may be secondary to the risk of falls. Choice D is not the priority as preventing falls and ensuring patient safety are more critical in this case.
A 62-year-old woman has not been to the clinic for an annual examination for 5 years. What should the nurse do to facilitate a positive health care experience for this client?
- A. Remind the woman that she is long overdue for her examination.
- B. Carefully listen, and allow extra time for this woman's health history interview.
- C. Reassure the woman that a nurse practitioner is just as good as her old physician.
- D. Encourage the woman to talk about the death of her husband and her fears about her own death.
Correct Answer: B
Rationale: The nurse should listen carefully and allow extra time, as older women may have longer health histories or emotional needs.
A nurse is entering information on the patient’s electronic health record (EHR) and is called to assist in an emergency situation with regard to another patient in the labor and birth suite. The nurse rushes to the scene to assist; however, she leaves the chart open on the computer screen. The emergent patient situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager’s concerns?
- A. The nurse acknowledges that she should have made sure that her patient was safe before assisting with the emergency.
- B. The nurse states that she should have logged out of the EHR prior to attending to the emergency.
- C. The nurse indicates that the unit was understaffed.
- D. The nurse indicates that the she changed her password following the clinical emergency to maintain confidentiality.
Correct Answer: B
Rationale: Step-by-step rationale:
1. The correct answer is B because logging out of the EHR prior to attending to the emergency is crucial to maintain patient confidentiality.
2. By leaving the EHR open, the nurse exposed sensitive patient information to potential unauthorized access.
3. This action violates patient privacy rights and is a breach of confidentiality.
4. Choice A is incorrect as it does not address the specific issue of breaching patient confidentiality by leaving the EHR open.
5. Choice C is irrelevant as understaffing does not excuse the breach of patient confidentiality.
6. Choice D is incorrect as changing the password after the breach does not rectify the initial mistake of leaving the EHR open.
Summary: Choice B is the correct response as it directly addresses the breach of confidentiality by acknowledging the importance of logging out of the EHR to protect patient information. Choices A, C, and D are incorrect as they do not effectively address the issue of breaching patient confidentiality.
Which statement about the development of cultural competence is inaccurate?
- A. Local health care workers and community advocates can help extend health care to underserved populations.
- B. Nursing care is delivered in the context of the client's culture but not in the context of the nurse's culture.
- C. Nurses must develop an awareness of and a sensitivity to various cultures.
- D. Culture's economic, religious, and political structures influence practices that affect childbearing.
Correct Answer: B
Rationale: Nurses' cultural context also influences the care they provide. Cultural competence involves both understanding the client's culture and being aware of the nurse's own cultural background, along with the impact of economic, religious, and political factors.
The United States ranks poorly in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?
- A. Providing more women’sN sheRlterIs G B.C M U S N T O
- B. Ensuring early and adequate prenatal care
- C. Resolving all language and cultural differences
- D. Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy
Correct Answer: B
Rationale: The correct answer is B: Ensuring early and adequate prenatal care. Early and adequate prenatal care is crucial in identifying and addressing any potential health issues for both the mother and the baby, leading to healthier outcomes and a decrease in infant mortality rates. Providing more women's shelters (A) may help with social support but does not directly impact infant mortality rates. Resolving all language and cultural differences (C) is important for effective communication but does not directly impact infant mortality rates. Enrolling pregnant women in the Medicaid program (D) is beneficial for access to healthcare, but ensuring early and adequate prenatal care is more directly linked to decreasing infant mortality rates.