Which of the following communication skill is most effective in dealing with covert communication?
- A. Validation
- B. Listening
- C. Evaluation
- D. Clarification
Correct Answer: B
Rationale: Listening (B) is most effective for covert communication hidden feelings per Rogers, detecting subtle cues. Validation (A) confirms, evaluation (C) judges, clarification (D) seeks overt meaning. Listening uncovers the unspoken, making it correct.
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Which of the following statement best describe patient advocacy?
- A. Ignoring patient needs
- B. Supporting patient rights
- C. A routine task
- D. A medical treatment
Correct Answer: B
Rationale: Patient advocacy is supporting patient rights (B), per nursing e.g., voicing wishes. Not ignoring (A), not routine (C), not treatment (D) rights-focused. B best defines advocacy's protective role, making it correct.
It is best described as a systematic, rational method of planning and providing nursing care for individuals, families, group and community
- A. Assessment
- B. Nursing Process
- C. Diagnosis
- D. Implementation
Correct Answer: B
Rationale: The nursing process (B) is a comprehensive, systematic framework used by nurses to deliver patient-centered care. It encompasses five steps: assessment (data collection), diagnosis (identifying health problems), planning (setting goals and interventions), implementation (carrying out the plan), and evaluation (assessing outcomes). This definition matches the description in the question as a rational, organized method applicable to individuals, families, groups, and communities. Assessment (A) is only the first step, not the entire method. Diagnosis (C) is a single phase focused on problem identification, while implementation (D) is the action phase, neither encompassing the full scope described. The nursing process integrates critical thinking and evidence-based practice to ensure holistic care, making B the accurate answer reflecting its broad, systematic nature.
During a Romberg test, the nurse asks the patient to assume which position?
- A. Sitting
- B. Standing
- C. Genupectoral
- D. Trendelenburg
Correct Answer: B
Rationale: The Romberg test assesses balance while standing with eyes open and closed.
The nurse notices that the client has a hematocrit of 70 percent. This level of hematocrit will most likely affect the vital signs in which of the following ways?
- A. The blood pressure will be elevated.
- B. The pulse will be low.
- C. Temperature will be elevated.
- D. Blood pressure will be low.
Correct Answer: A
Rationale: A 70% hematocrit, abnormally high, increases blood viscosity, elevating blood pressure, not lowering pulse or raising temperature. Nurses monitor this for circulatory strain.
Mr. Gary's wife wanted to see the body before it is removed from the room. Which of the following is the most appropriate response by the nurse?
- A. I'm sorry but you can't see him now'
- B. Let me prepare the body first then you can see him'
- C. It's better if you don't see him'
- D. You can see him but only for a minute'
Correct Answer: B
Rationale: Let me prepare the body first (B) is most appropriate respects Mrs. Gary's wish while ensuring dignity, per care standards. Denying (A) or discouraging (C) dismisses, time-limiting (D) restricts. B balances support and preparation, making it correct.