Nokea
Which of the following best describes the nurse’s role in health promotion and disease prevention?
- A. Educating about home safety measures
- B. Identifying areas for family improvement
- C. Implementing the nursing process using a systems perspective
- D. Acting as a role model for the family
Correct Answer: D
Rationale: The nurse’s role involves acting as a role model to encourage healthier behaviors and guide the family through health promotion efforts.
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Which is a violation of the Health Insurance Portability and Accountability Act of 1996?
- A. Nurse reporting a case of TB to the health department
- B. Nurse reporting a case of child abuse to the Department of Human Services
- C. Nurse discussing the person’s case with his or her physician
- D. Nurse discussing the person’s case with his or her school nurse
Correct Answer: D
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy standard that requires safeguards to protect the security and confidentiality of health information. Disclosures without individual authorization are allowed only to public health authorities authorized by law to collect and receive information for the purpose of preventing or controlling disease, injury, or disability. Before speaking to the school nurse, the nurse must obtain authorization from the client’s parents.
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.
Which of the following statements about nonverbal communication is true?
- A. Nonverbal behavior is not usually contextual.
- B. Nonverbal behavior is culturally and situationally bound.
- C. Nonverbal communication is the most important type of communication.
- D. Nonverbal communication is easy to interpret.
Correct Answer: B
Rationale: Nonverbal communication is influenced by cultural and situational factors, which affect its interpretation.
An 18-month-old toddler is being seen for a well-child visit. Which of the following strategies would the nurse use to enlist the toddler’s cooperation?
- A. Ask the toddler if he wants to be examined today.
- B. Ask his mother leave the room while the nurse examines him.
- C. Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest.
- D. Have his mother hold him down while the nurse examines him.
Correct Answer: C
Rationale: Toddlers are more cooperative when they can actively participate, like holding the stethoscope.
By what age is an infant’s retina fully developed?
- A. Birth
- B. 2 months
- C. 4 months
- D. 6 months
Correct Answer: C
Rationale: The retina of an infant is fully developed by around 4 months of age.