Nokea
Which of the following describes a nurse who is “being with” the client?
- A. Answers a call bell
- B. Completes a dressing change
- C. Silently prays with a client when requested to do so
- D. Teaches a client about his or her medication regime
Correct Answer: C
Rationale: Entering the client’s world and praying with him or her when requested to do so exemplifies truly “being with” the client.
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A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D as well as exercise for this woman. This recommendation is important because by the time the client is 56, she will have experienced another bone loss of:
- A. 3%
- B. 7%
- C. 10%
- D. 15%
Correct Answer: D
Rationale: Postmenopausal women experience rapid bone loss, especially during the first 5 years, with losses of 15% or more.
Psychosocial Assessment of Older Adults
- A. Have you thought about harming yourself?
- B. Are you still playing bridge every Thursday?
- C. How does your congestive heart failure affect your life?
- D. Has your financial situation changed since last year?
Correct Answer: A
Rationale: Mental health is crucial in older adults, so asking about suicide risk is essential for early intervention.
Which of the following actions should parents take to help their teenager meet his developmental task?
- A. Set strict rules to prevent the teenager from getting into any trouble.
- B. Maintain an ongoing dialogue about important issues and upcoming challenges.
- C. Maintain a friendship with the teenager, so he views parents as peers.
- D. Be very lenient with the teenager so that he can figure out who he is as a person.
Correct Answer: B
Rationale: Ongoing dialogue about challenges and listening to teenagers supports their development of a healthy identity.
Which of the following is the first step in the valuing process?
- A. Acting out the choice
- B. Selecting from alternatives
- C. Being happy with personal beliefs and actions
- D. Choosing freely
Correct Answer: D
Rationale: The valuing process begins by freely choosing from alternatives, followed by careful consideration of the outcomes.
Nursing priority for incontinence: What should be the focus?
- A. "Risk for social isolation."
- B. "Risk for impaired skin integrity."
- C. "Risk for inadequate fluid intake."
- D. "Risk for impaired coping."
Correct Answer: B
Rationale: Impaired skin integrity is a primary concern due to the risk of skin breakdown from incontinence.