Which classification system fulfills needs that are exclusive to nursing?
- A. The International Classification of Nursing Practice (ICNP)
- B. The International Classification of Functioning, Disability, and Health (ICF)
- C. The International Nursing Diagnoses Classification (NANDA-I)
- D. The Nursing Diagnostic System (NDS)
Correct Answer: C
Rationale: The NANDA-I system is specific to nursing, providing diagnoses and related criteria for nursing practice.
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Which of the following would be described as a family structural component?
- A. Income earner of the house
- B. Socialization for the family
- C. Immunization of infants
- D. Launching of children
Correct Answer: A
Rationale: The income earner is a structural component related to family roles and relationships.
Which of the following best describes a client who has an illness?
- A. Someone who has well-controlled diabetes
- B. Someone with hypercholesterolemia
- C. Someone with a headache
- D. Someone with coronary artery disease without angina
Correct Answer: C
Rationale: An illness involves subjective experiences like pain or discomfort, such as a headache.
Which adult has transitioned to Erikson’s intimacy vs isolation stage of development?
- A. A 21-year-old man with numerous short-term intimate relationships
- B. A 25-year-old woman focused on peer perception
- C. A 30-year-old man looking for his first full-time job
- D. A 26-year-old woman in a long-term relationship
Correct Answer: D
Rationale: Erikson’s intimacy vs isolation involves forming deep, meaningful relationships, which is exemplified by the 26-year-old woman in a long-term relationship.
During a health history, a person reports getting 5 hours of sleep a night. What does this information indicate to the nurse?
- A. The person is not receiving enough sleep.
- B. The person is receiving adequate sleep.
- C. The nurse must determine where the person sleeps.
- D. The nurse must ask additional questions.
Correct Answer: D
Rationale: Further subjective data is needed to determine whether 5 hours of sleep is adequate for the individual.
Violence Education for High School Students
- A. Violent behavior happens when someone bullies another person
- B. Withholding food from a child as a punishment is violent behavior
- C. Collective violence occurs during an argument between two people
- D. Painting a racial slur on a building is violent behavior
Correct Answer: A
Rationale: Violent behavior includes physical or psychological harm, and collective violence has specific political or social goals.