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Which could result in a change in a nurse practitioner’s practice?
- A. Holding a master’s degree or higher
- B. Moving to another state when she gets married
- C. Caring for Medicare clients
- D. Changing to another office within the same practice
Correct Answer: B
Rationale: Nurse practitioners' practice is regulated by state laws, and moving to another state can change the scope of practice due to different state regulations.
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A client is scheduled to have open-heart surgery but has not been informed about potential complications. Which ethical concept has been ignored?
- A. Beneficence
- B. Autonomy
- C. Justice
- D. Informed consent
Correct Answer: D
Rationale: Informed consent ensures clients understand the risks and benefits of procedures before agreeing to them.
Which model of health is most likely used by a person who does not believe in preventive health care?
- A. Clinical model
- B. Role performance model
- C. Adaptive model
- D. Eudaimonistic model
Correct Answer: A
Rationale: The clinical model views the absence of disease as health, and people using this model typically wait until they are very ill to seek care.
Which interventions address both the National Institute of Nursing Research themes and Healthy People 2020 goals?
- A. Establishing a new park with a well-lit track
- B. Establishing a smoking cessation campaign
- C. Providing reduced-cost transportation passes
- D. Providing free condoms at health clinics
Correct Answer: B
Rationale: Smoking cessation aligns with health promotion and disease prevention goals of Healthy People 2020.
During a well-child visit, a father tells the nurse that the preschool-aged child has been enjoying their “road trips” that they take together when the child gets to sit in the front seat of the car with him. Which of the following actions should the nurse take next?
- A. Report the father to the Department of Human Services.
- B. Encourage the father to have the child sit in the back seat instead.
- C. Instruct the father on the dangers of having small children in the front seat.
- D. Provide the parent with educational materials about car seat safety.
Correct Answer: C
Rationale: Children under age 13 should sit in the back seat to avoid injury from airbags in the front seat.
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.