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: NANDA-I is specific to nursing and includes diagnostic criteria and related etiologies for nursing diagnoses.
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Any combination of planned experiences based on sound theories that provide individuals, groups, and communities the opportunity to acquire the information and skills needed to make quality health decisions is known as health:
- A. Promotion
- B. Counseling
- C. Education
- D. Knowledge
Correct Answer: C
Rationale: Health education is about providing individuals, groups, and communities the opportunity to acquire information and skills for better health decisions.
A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: A
Rationale: Failure to take insulin regularly indicates issues with health management and understanding the need for treatment.
A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?
- A. First
- B. Second
- C. Third
- D. Fourth
Correct Answer: B
Rationale: The second stage of labor is marked by fetal descent into the lower birth canal.
Which sleep ritual is age-appropriate for a preschooler?
- A. Asking for every light in the home to be turned on at bedtime
- B. Saying good night to all 20 stuffed animals in the room before going to sleep
- C. Going right to sleep
- D. Asking the parent to read all books on the bookshelf before going to bed
Correct Answer: B
Rationale: Preschoolers have longer and more rigid bedtime rituals, which may include saying good night to their toys.
A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D as well as exercise for this woman. This recommendation is important because by the time the client is 56, she will have experienced another bone loss of:
- A. 3%
- B. 7%
- C. 10%
- D. 15%
Correct Answer: D
Rationale: Postmenopausal women experience rapid bone loss, especially during the first 5 years, with losses of 15% or more.