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What is the purpose of the standards of care for nurses?
- A. to guide hospital administration to promote nurses
- B. to ensure nurses are assessing patients
- C. to protect the public's safety
- D. to protect the health-care providers
Correct Answer: C
Rationale: The purpose of the standards of care for nurses is to protect the public's safety. These standards outline the expected level of care and practice to ensure patients receive safe and effective care. By adhering to these standards, nurses can prevent harm and promote positive outcomes for patients. Hospital administration promotion (A) is not the primary purpose, assessing patients (B) is just one aspect of care, and protecting healthcare providers (D) is not the main focus of standards of care.
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What must the woman do to ensure the effectiveness of the diaphragm?
- A. Does not use any cream or jelly with it.
- B. Douches promptly after its removal.
- C. Leaves it in place for 6 hours following intercourse.
- D. Inserts it at least 5 hours prior to having intercourse.
Correct Answer: C
Rationale: Leaving the diaphragm in place for 6 hours ensures spermicide effectiveness.
What is the most appropriate response by the nurse to a young woman stating she is pregnant and wants to do something about it?
- A. You can take medicine to abort the pregnancy so your parents won't know.
- B. Let's talk about your options.
- C. The best thing for you to do is to have the baby and to give it up for adoption.
- D. I can help you tell your parents.
Correct Answer: B
Rationale: Exploring options empowers the client to make informed decisions.
When assessing a family for barriers to health care, the nurse documents the psychosocial barriers. What is an example of this type of health care deficit?
- A. Academic difficulties
- B. Respiratory illness
- C. Poor sanitation
- D. Inherited diseases
Correct Answer: A
Rationale: Environmental and psychosocial factors are now an identified area of concern in children. They include academic differences, complex psychiatric disorders, self-harm and harm to others, use of firearms, hostility at school, substance use disorder, HIV/AIDS, and adverse effects of the media.
An assessment of the newborn includes the differentiation between cephalhematoma and caput succedaneum. When making this assessment, the nurse understands that with caput succedaneum the:
- A. Edema crosses the suture line
- B. Swelling increases within 24 hours
- C. Scalp over the swelling becomes ecchymotic
- D. Area surrounding the swelling will be tender
Correct Answer: A
Rationale: Caput succedaneum involves edema that crosses suture lines.
To prevent the kidnapping of newborns from the hospital, the nurse should:
- A. instruct the mother not to give her infant to anyone except the one nurse assigned to her that day.
- B. question anyone who is seen walking in the hallways carrying an infant.
- C. allow no visitors in the maternity area except those who have identification bracelets.
- D. restrict the amount of time infants are out of the nursery.
Correct Answer: B
Rationale: Questioning individuals carrying infants ensures security.