Nokea
Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?
- A. Females, after the age 65 tends to have lower BP than males
- B. Disease process like Diabetes increase BP
- C. BP is highest in the morning, and lowest during the night
- D. Africans, have a greater risk of hypertension than Caucasian and Asians.
Correct Answer: A
Rationale: Females over 65 often have higher BP e.g., post-menopause than males, not lower, contradicting Aida's rise. Diabetes (vessel damage), morning peaks (circadian), and African risk (genetics) align. Nurses note this e.g., in elderly diabetics for accurate hypertension management.
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A patient is characterized with a #16 indwelling urinary (Foley) catheter to determine if:
- A. Trauma has occurred
- B. His 24-hour output is adequate
- C. He has a urinary tract infection
- D. Residual urine remains in the bladder after voiding
Correct Answer: B
Rationale: A Foley catheter monitors 24-hour urine output for adequacy.
The parents of a healthy 6-year-old ask the nurse for advice about preventing obesity in their child. Which response reflects health promotion?
- A. Limit screen time and encourage outdoor play.'
- B. Weigh your child monthly to monitor for weight gain.'
- C. Give your child a multivitamin daily to prevent obesity.'
- D. Have your child's cholesterol checked annually.'
Correct Answer: A
Rationale: For a healthy 6-year-old, health promotion prevents obesity by fostering active habits limiting screen time and encouraging outdoor play boosts physical activity, burning calories and building muscle, key to avoiding weight gain at this age. Evidence links sedentary screen hours to childhood obesity; play counters it, aligning with nursing's focus on lifestyle over surveillance. Monthly weighing is secondary, tracking not preventing, and may stress the child. Multivitamins don't prevent obesity caloric balance does while annual cholesterol checks detect, not avert, issues. The nurse's reply promotes wellness through fun, practical steps like biking or tag tailored to a child's energy, ensuring long-term health without medicalizing a well kid, a cornerstone of pediatric nursing's preventive approach.
Myra told Budek 'I cannot sleep, I stay away all night' Budek told her 'You have difficulty sleeping' This is what type of therapeutic communication technique?
- A. Reflecting
- B. Restating
- C. Exploring
- D. Seeking clarification
Correct Answer: B
Rationale: Budek's 'You have difficulty sleeping' is restating (B), rephrasing Myra's 'I cannot sleep' to show listening. Reflecting (A) echoes feelings (e.g., 'You're restless?'). Exploring (C) probes (e.g., 'Why can't you?'). Clarification (D) seeks meaning (e.g., 'What keeps you awake?'). Restating validates Myra's issue, per communication theory, making B correct.
Which of the following statement is TRUE about evaluation in nursing process?
- A. First step of the process
- B. Determines if goals are met
- C. Only done once
- D. All of the above
Correct Answer: B
Rationale: Evaluation determines if goals are met (B), per process e.g., pain reduced? Not first (A, assessment), not once (C, ongoing), not all (D) outcome-focused. B truly defines evaluation's role, making it correct.
The nurse adapted care to Mr. Gary's cultural diet. This is an example of?
- A. Cultural competence
- B. Trust
- C. Health promotion
- D. Nursing informatics
Correct Answer: A
Rationale: Adapting to cultural diet is cultural competence (A) diversity respect, per definition. Trust (B) bond, promotion (C) well-being, informatics (D) tech not culture-specific. A fits the nurse's sensitivity to Mr. Gary's needs, making it correct.