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Which nurse is functioning as a care manager?
- A. Nurse working with a family to coordinate care after their child experiences a second hospitalization for an asthma exacerbation
- B. Nurse providing asthma education in the office setting to a child with moderate, persistent asthma
- C. Nurse administering the appropriate antiinflammatory medication to a child admitted to the hospital with an asthma exacerbation
- D. Nurse making a home visit for a respiratory assessment to a child following an admission for an asthma exacerbation
Correct Answer: A
Rationale: Care managers help determine what medical care is necessary, monitor care, and arrange for individuals to receive the most cost-effective care in the most appropriate settings. They must collaborate with providers and with the client/family. Care managers are especially helpful following a client after discharge and clients with complex needs. A nurse working with a family to coordinate service after a hospitalization is a good example of services provided by a care manager.
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An emergency department provides care for all individuals regardless of circumstances and ability to pay. This is an example of:
- A. Ethic of justice
- B. Ethic of care
- C. Applied ethics
- D. Metaethics
Correct Answer: A
Rationale: The ethic of justice is impartial and nondiscriminatory, ensuring care is provided to everyone equally.
A mother comments to the school nurse that her child has poor hygiene habits and asks the nurse for suggestions as to how to teach her child to improve on his hygiene. Which of the following recommendations would the nurse give the mother?
- A. Have him learn it at school.
- B. Model the behavior at home.
- C. Lecture him about hygiene.
- D. Punish him when he forgets to brush his teeth.
Correct Answer: B
Rationale: Modeling behavior at home is the most effective way to teach a child good hygiene.
Which individual is at risk for a dysfunction in elimination pattern?
- A. 46-year-old mother of two
- B. 72-year-old white woman
- C. 32-year-old African American man
- D. 15-year-old girl
Correct Answer: B
Rationale: Age-related issues, such as incontinence, put elderly individuals at risk for elimination dysfunction.
A 30-year-old woman with a BMI of 36 is being counseled on weight reduction. In what order should interventions be discussed?
- A. 4, 3, 2, 1
- B. 4, 2, 3, 1
- C. 3, 4, 2, 1
- D. 3, 2, 1, 4
Correct Answer: A
Rationale: The nurse should start with a full assessment (lipid profile and blood pressure), followed by education on diet and exercise, then medication, and finally surgery if needed.
Older adult sleep disturbances: What should the nurse ask?
- A. "Older adults need as much sleep as younger adults."
- B. "I’ll ask the nurse practitioner to prescribe a sleeping pill."
- C. "Taking naps during the day can help relieve fatigue."
- D. "Let’s talk about your sleep schedule and potential barriers."
Correct Answer: D
Rationale: Sleep patterns should be assessed to understand underlying issues, and medication should not be the first solution.