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What is the purpose of a nurse providing appropriate feedback?
- A. To give the client good advice
- B. To advise the client on appropriate behaviors
- C. To evaluate the clients behavior
- D. To give the client critical information
Correct Answer: C
Rationale: The purpose of a nurse providing appropriate feedback is to evaluate the client's behavior. This involves assessing the client's actions, understanding their needs, and determining the effectiveness of the care provided. Feedback helps in identifying areas for improvement and guiding the client towards better health outcomes. Choice A is incorrect as feedback is not solely about giving advice. Choice B is incorrect as feedback is not limited to advising on behaviors. Choice D is incorrect as feedback goes beyond just providing critical information to include a holistic evaluation of the client's overall behavior and progress.
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A nursing instructor is presenting content on the provisions of the Nurse Practice Act as it relates to their state. Which student statement indicates a need for further instruction?
- A. The Nurse Practice Act provides a list of definitions of important terms, including the definition of nursing.
- B. The Nurse Practice Act lists education requirements for licensure and reciprocity.
- C. The Nurse Practice Act contains detailed statements that describe the scope of practice for registered nurses (RNs).
- D. The Nurse Practice Act lists the general authority and powers of the state board of nursing.
Correct Answer: B
Rationale: The correct answer is B because education requirements for licensure and reciprocity are typically not included in the Nurse Practice Act. The Act primarily focuses on defining the scope of practice, authority of the state board, regulations, and standards for nursing practice. Education requirements are usually outlined in separate regulations or guidelines by the state board of nursing or accrediting bodies. Therefore, if a student statement mentions education requirements as part of the Nurse Practice Act, it indicates a need for further instruction as it is not accurate.
A: This statement is correct as the Nurse Practice Act often includes definitions of important terms to provide clarity and understanding.
C: This statement is correct as the Act does describe the scope of practice for registered nurses to ensure safe and competent care.
D: This statement is correct as the Act typically outlines the general authority and powers of the state board of nursing to regulate and oversee nursing practice.
When an individuals stress response is sustained over a long period of time, which physiological effect of the endocrine system should a nurse anticipate?
- A. Decreased resistance to disease
- B. Increased libido
- C. Decreased blood pressure
- D. Increased inflammatory response
Correct Answer: A
Rationale: The correct answer is A: Decreased resistance to disease. Prolonged stress can weaken the immune system, making individuals more susceptible to illnesses. Chronic stress suppresses immune functions, leading to decreased resistance to diseases. The other choices are incorrect because increased libido (B) and decreased blood pressure (C) are not typical physiological effects of sustained stress. While stress can lead to increased inflammatory response (D), the primary concern with chronic stress is its negative impact on the immune system, making choice A the most appropriate answer in this context.
According to Eriksons developmental theory, when planning care for a 47-year-old client, which developmental task should a nurse identify as appropriate for this client?
- A. To achieve a sense of self-confidence and recognition from others
- B. To reflect back on life events to derive pleasure and meaning
- C. To achieve established life goals and consider the welfare of future generations
Correct Answer: B
Rationale: In Erikson's theory, the developmental task for a 47-year-old client aligns with the stage of Generativity vs. Stagnation. Choice B, reflecting on life events for pleasure and meaning, corresponds to this stage where individuals assess their accomplishments and seek fulfillment. This phase involves contributing to society and future generations. Choice A pertains to the earlier stage of Identity vs. Role Confusion in adolescence. Choice C aligns with the later stage of Integrity vs. Despair in older adulthood. Choice D is incomplete. Therefore, the correct answer is B as it best fits the age and developmental stage of the client in question.
Which rationale by a nursing instructor best explains why it is challenging to globally classify the Asian American culture?
- A. Extremes of emotional expression prevent accurate assessment of this culture.
- B. Suspicion of Western civilization has resulted in minimal cultural research.
- C. The small size of this subpopulation makes research virtually impossible.
- D. The Asian American culture includes individuals from many different countries.
Correct Answer: D
Rationale: The correct answer is D because the Asian American culture is not monolithic but comprises individuals from diverse Asian countries with unique customs, languages, and traditions. This diversity makes it challenging to globally classify the culture as a whole. Option A is incorrect as emotional expression varies within Asian American communities. Option B is incorrect as there has been cultural research on Asian Americans. Option C is incorrect as the size of the population does not hinder research efforts.
Which of the following behavioral skills should a nurse implement when leading a group that is functioning in the orientation phase of group development? Select all that apply.
- A. Encouraging members to provide feedback to each other about individual progress
- B. Ensuring that rules established by the group do not interfere with goal fulfillment
- C. Working with group members to establish rules that will govern the group
- D. Emphasizing the need for and importance of confidentiality within the group
Correct Answer: A
Rationale: The correct answer is A: Encouraging members to provide feedback to each other about individual progress. In the orientation phase of group development, it is crucial for the nurse leader to foster open communication and trust within the group. Encouraging members to provide feedback helps promote mutual understanding and support, which can enhance cohesion and collaboration. This also helps in identifying individual strengths and areas for improvement.
Explanation of why the other choices are incorrect:
B: Ensuring that rules established by the group do not interfere with goal fulfillment - This choice could be more suitable for the norming or performing phase, where balancing rules with achieving goals is essential.
C: Working with group members to establish rules that will govern the group - This is more relevant for the initial phase of group development, not specifically the orientation phase.
D: Emphasizing the need for and importance of confidentiality within the group - While confidentiality is important throughout group development, it may not be the primary focus during the orientation phase.