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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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A nurse is providing follow-up care for a family who has recently had a baby. Which of the following topics should the nurse anticipate discussing with the family?
- A. Type 1 diabetes
- B. Fetal alcohol syndrome
- C. Communicable diseases
- D. SIDS
Correct Answer: D
Rationale: Families of newborns need education on Sudden Infant Death Syndrome (SIDS) prevention to ensure the safety of their infants.
Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis?
- A. A 66-year-old White woman
- B. A 66-year-old African American woman
- C. A 66-year-old White man
- D. A 66-year-old African American man
Correct Answer: A
Rationale: White postmenopausal women are at the greatest risk for osteoporosis and hip fractures
A nurse is discussing resistance training with a 24-year-old woman. The woman is resistant to weight lifting because she does not want to get too muscular. She prefers a program that is strictly aerobic. Which of the following would be the most appropriate response from the nurse?
- A. “Ok, just make sure you perform one hour of aerobics every day.”
- B. “Lifting weights is a necessary part of exercise.”
- C. “Weight lifting has many purposes and benefits; can we talk about them?”
- D. “Looking muscular at your age is attractive.”
Correct Answer: C
Rationale: Weight training helps develop healthy muscles and stimulates bone health. The nurse should offer the opportunity to discuss the benefits and address concerns.
A 24-year-old man with severe cognitive impairment, and no relatives participating in his care, needs to make a decision about removal of a brain tumor. Which ethical concept is the client unable to benefit from?
- A. Autonomy
- B. Justice
- C. Beneficence
- D. Advocacy
Correct Answer: A
Rationale: Due to cognitive impairment, the client cannot make autonomous decisions regarding his care.
Susceptibility to CA-MRSA
- A. 16-year-old student who plays football
- B. 48-year-old person who has taken antibiotics for sinus infections
- C. 36-year-old man serving 12 months in jail for robbery
- D. 22-year-old woman who shares a towel after a swimming meet
Correct Answer: A
Rationale: Sports and antibiotic use, especially in crowded living conditions, contribute to a higher risk for CA-MRSA