Nokea
Which nursing approach is most appropriate to encourage the maximum level of independence possible?
- A. Allowing the teen to select the foods for his or her diet
- B. Answering all the teen's medical questions
- C. Exaggerating the teen's accomplishments
- D. Assuming blame for the teen's condition
Correct Answer: A
Rationale: Allowing food choices promotes autonomy within safe boundaries.
You may also like to solve these questions
If ruminations about suicide are present, which observation by the nurse is most significant?
- A. The teen is not attending school regularly.
- B. The teen is hoarding sharp objects in the bedroom.
- C. The teen is not completing homework assignments.
- D. The teen is not participating in extracurricular activities.
Correct Answer: B
Rationale: Hoarding sharp objects indicates a high risk for self-harm.
If the 3-year-old child is typical of other autistic children, how would the nurse expect that child to respond to its parents?
- A. Indifference
- B. Playfulness
- C. Impatience
- D. None of the above
Correct Answer: A
Rationale: Autistic children often show indifference to social interactions.
As the infant's growth continues, which physical characteristic of Down syndrome is the nurse correct in describing to the parents?
- A. Large head and curved index fingers
- B. Long fingers and protruding tongue
- C. Small head and upward-slanting eyes
- D. Simian creases on the soles of the feet
Correct Answer: C
Rationale: Down syndrome is characterized by a small head and upward-slanting eyes, among other features.
When the nurse documents this incident, which wording is most appropriate?
- A. Became angry for no reason and an assault occurred.
- B. Hit caregiver unexpectedly even though not provoked.
- C. Struck nursing assistant when being helped from bed.
- D. Attacked nursing assistant without prior warning.
Correct Answer: C
Rationale: Objective language like 'struck' accurately describes the incident without bias.
During the initial physical examination, the nurse is most likely to detect which finding related to anorexia?
- A. Growth of fine body hair
- B. Bruises over the upper torso
- C. Hyperactive bowel sounds
- D. Club-shaped fingertips
Correct Answer: A
Rationale: Lanugo (fine body hair) develops in anorexia due to malnutrition.