Nokea
Which of the following is least effective in enabling patients to adhere to a healthy diet?
- A. Bringing patients back frequently for follow-up visits
- B. Asking patients to complete food and activity records
- C. Telling patients to eliminate certain foods without follow-up
- D. Setting goals that target the problem areas in diet
Correct Answer: C
Rationale: Elimination without follow-up lacks support, reducing adherence.
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What is the expected date of delivery for your pregnant client when her last menstrual period was on 10/20/2016?
- A. 7/7/2017
- B. 8/7/2017
- C. 6/7/2017
- D. 8/1/2017
Correct Answer: A
Rationale: Using Naegele's rule, the due date is calculated as July 7, 2017.
After your assessment of your client and the need to transfer your client from the bed to the chair, what is the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client's first transfer out of bed?
- A. Use a slide board.
- B. Use a mechanical lift.
- C. Use a gait belt.
- D. Notify the client's doctor that the client cannot be safely transferred by you.
Correct Answer: B
Rationale: Mechanical lifts are safest for transferring paralyzed clients.
Your client had a ruptured appendix and peritonitis. What type of healing would be most likely for this client?
- A. Secondary intention healing
- B. Tertiary intention healing
- C. Primary prevention healing
- D. Secondary prevention healing
Correct Answer: A
Rationale: Secondary intention (A) occurs with open, infected wounds like peritonitis.
At the exosystem level, we should consider:
- A. Social network linkages of school, health & church
- B. Access to work
- C. Access to affordable housing
- D. Availability of public transport for access to jobs, schools etc.
Correct Answer: D
Rationale: Public transport affects access to resources, a key exosystem factor for family functioning.
Shortly after a mans wife dies, the man approaches the nurse who cared for his wife during her final hours of life and says angrily, If you had given your undivided attention, she would still be alive. Which analysis applies?
- A. The comment summarizes the nurses inadequacies.
- B. Anger is a phenomenon experienced during grieving.
- C. The patient had ambivalent feelings about his spouse.
- D. In some cultures, grief is expressed solely through anger.
Correct Answer: B
Rationale: Anger may protect the bereaved from facing the devastating reality of the loss. Anger expressed during mourning is not directed toward the nurse, personally, although accusations and blame may make him or her feel as though it is.