Nokea
What is the primary theory that explains a family's concept of health and illness?
- A. Health Belief Model
- B. Education-School-Completing Factor
- C. Family Health Expert Factor
- D. Disconnected Family Factor
Correct Answer: A
Rationale: The Health Belief Model describes readiness factors; the perceived feelings of susceptibility and seriousness of the health problem (the threat); and positive motivation to maintain, regain, or attain wellness.
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Which of the following values should the nurse monitor closely while a client is on total parenteral nutrition?
- A. calcium
- B. magnesium
- C. glucose
- D. cholesterol
Correct Answer: C
Rationale: Glucose is monitored closely when a client is on total parenteral nutrition, due to high glucose concentration in the solutions. The other values are not monitored as closely.
Which of the following scenarios are considered violations of HIPAA laws?
- A. Discussing discharge plans with a client in a multi-bed recovery room with the curtain drawn around the client's bed.
- B. Looking up the medical information of a friend not in your care but who gave you permission.
- C. Checking on your spouse's medical record because you are listed as her power of attorney.
- D. Avoiding conversations about clients while in line in the cafeteria with a mutual caregiver of that client.
- E. Looking up only the address of a co-worker who delivered a baby so you can surprise her with a gift.
Correct Answer: D
Rationale: Reviewing or obtaining any information regarding clients not in your care or discussing sensitive client information in non-secure environments are violations of HIPAA. Discussing discharge plans in a multi-bed recovery room is considered an 'incidental disclosure' and is not considered a HIPAA violation.
Which of the following activities is not part of client advocacy?
- A. involving the client in treatment and decision making
- B. standing up for what is right for the client
- C. sharing your personal opinions to help provide additional information
- D. encouraging the client to advocate for themselves
Correct Answer: C
Rationale: To be a good client advocate, the nurse should not tell the client what they personally think about a decision the client is making.
Which of the following tasks are appropriate for an LPN to perform?
- A. Adjust the cervical traction device of a 68-year-old client as instructed by the charge nurse.
- B. Teaching a 24-year-old first-time mother how to properly care for her new baby.
- C. Assess a 36-year-old man newly admitted for chest pain.
- D. Obtain an occult blood sample from a 16-year-old client with ulcerative colitis.
- E. Document the administration of acetaminophen to a 43-year-old, status post-op knee arthroplasty.
Correct Answer: A
Rationale: While LPNs are expected to perform assessments, initial assessments should always be performed by a registered nurse or attending physician. LPNs should take orders for client care and equipment adjustment from prescribing providers directly, not the charge nurse. Teaching, obtaining stool samples, and documenting medication administration are all within the scope of practice of an LPN.
While performing a physical assessment on a 6-month-old infant, the nurse observes head lag. Which of the following nursing actions should the nurse perform first?
- A. Ask the parents to allow the infant to lay on her stomach to promote muscle development
- B. Notify the physician because a developmental or neurological evaluation is indicated
- C. Document the findings as normal in the nurse's notes
- D. Explain to the parents that their child is likely to be mentally retarded
Correct Answer: B
Rationale: Persistent head lag at 6 months suggests developmental or neurological issues, warranting immediate physician referral for evaluation.