Nokea
Which of the following approaches is most effective in helping patients change their diet and lifestyle?
- A. Taking a diet and exercise history
- B. Telling patients to eat five servings of vegetables a day
- C. Recommending daily exercise for at least 30 minutes
- D. Emphasizing the importance of weight reduction
Correct Answer: A
Rationale: A history identifies specific habits for targeted change strategies.
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Which of the following questions may help identify social factors that would impact a patient's adherence?
- A. Do you ever consume alternative medications?
- B. Do you remember the last time you took your medications?
- C. Aside from your health, what else in your life is worrying you?
- D. Why wouldn't you want to take your medication?
Correct Answer: C
Rationale: This question uncovers stressors that may affect adherence beyond medical factors.
A married couple has two children living in the home. Recently, the wifes mother moved in. This family should be assessed as:
- A. nuclear.
- B. blended.
- C. extended.
- D. alternative.
Correct Answer: C
Rationale: An extended family has members from three or more generations living together. Nuclear family refers to a couple and their children. A blended family is one made up of members from two or more unrelated families. An alternative family can consist of a same-sex couple or an unmarried couple and children.
Which of the following parts of the brain integrates all sensory input (except smell) on the way to the cortex?
- A. Temporal lobe
- B. Thalamus
- C. Limbic system
- D. Hypothalamus
Correct Answer: B
Rationale: The thalamus acts as a relay station, integrating and processing sensory information (except smell) before sending it to the cortex, aligning with option b.
A nurse working with a person whose spouse recently died uses cheer and humor to lift the persons spirits. At one point, the widowed person smiles briefly. What analysis of this scenario is correct?
- A. The nurses technique was effective.
- B. Use of humor should be added to the plan of care.
- C. This approach may prove useful in other, similar situations.
- D. The nurse needs supervision; the communication technique was not appropriate.
Correct Answer: D
Rationale: Clinical supervision will review the nurses actions and thoughts and help the nurse arrive at a more therapeutic approach. Attempts at cheering up a patient who is depressed serve only to emphasize the disparity between the patients mood and that of others. Active listening should be the technique used by the nurse. The incorrect options suggest the approach is therapeutic when it is not.
Place the following steps for mixing NPH and regular insulin in the proper sequential order from # 1 to # 6 below. #1 - Prep the top of the shorter acting insulin with an alcohol swab #2 - Inject air that is equal to the ordered dosage of the shorter acting insulin using the same insulin syringe. #3 - Withdraw the ordered dosage of the shorter acting insulin using the same insulin syringe. #4 - Prep the top of the longer acting insulin vial with an alcohol swab. #5 - Inject air that is equal to the ordered dosage of the longer acting insulin using the insulin syringe. #6 Withdraw the ordered dosage of the longer acting insulin using the same insulin syringe.
- A. 1,5,4,2,3,6
- B. 4,3,2,6,1,5
- C. 4,2,5,3,1,6
- D. 1,2,3,4,5,6
Correct Answer: D
Rationale: Correct order (D: 1,2,3,4,5,6) ensures sterility and accuracy.