Nokea
Which of the following is not true about the human needs?
- A. Certain needs are common to all people
- B. Needs should be followed exactly in accordance with their hierarchy
- C. Needs are stimulated by internal factors
- D. Needs are stimulated by external factors
Correct Answer: B
Rationale: Maslow's hierarchy (1940s) outlines needs physiological to self-actualization but they aren't rigidly sequential e.g., skipping food for a concert. Common needs (air, water), internal stimuli (hunger), and external triggers (stress) hold true. Nursing recognizes this flexibility, prioritizing patient-specific needs over strict order, enhancing individualized care planning.
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A client has a prescription for a 24-hour urine collection. Which of the following actions should be taken by the healthcare provider?
- A. Discard the first voiding.
- B. Keep the urine at room temperature.
- C. Collect the first voiding.
- D. Keep the urine in a sterile container.
Correct Answer: A
Rationale: Discarding the first voiding is necessary when initiating a 24-hour urine collection to ensure that the collection starts with an empty bladder. This step helps in obtaining an accurate measurement of substances excreted over the 24-hour period without any carryover from the previous voids. Keeping the urine at room temperature or in a sterile container is not specific to the initiation of the collection. Therefore, the correct action is to discard the first voiding.
Contraindications to Lumbar puncture include all except:
- A. Raised ICP
- B. Neoplasm
- C. Hematoma
- D. Headache
Correct Answer: D
Rationale: Lumbar puncture (LP) risks complications if contraindicated. Raised intracranial pressure (ICP) (choice A) can cause herniation post-LP, a fatal risk. Neoplasm (choice B) or hematoma (choice C) may increase ICP or bleeding risk, making LP dangerous. Headache (choice D) is a symptom, not a contraindication, and may even prompt LP (e.g., meningitis diagnosis). D is correct, as headache doesn't preclude LP. Nurses assess for ICP signs (e.g., papilledema), ensure safety, and manage post-LP headaches, supporting diagnostic accuracy.
When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:
- A. Cherry-red urine that gradually becomes clearer
- B. Orange-tinged urine containing particles of calculi
- C. Dark red urine that becomes cloudy in appearance
- D. Dark, smoky-colored urine with high specific gravity
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Mr. Gary stayed positive despite his illness. This is an example of?
- A. Resilience
- B. Coping
- C. Self-esteem
- D. Illness behavior
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is educating a client with osteoporosis about dietary management. Which of the following foods should the professional recommend?
- A. Green beans
- B. Fortified cereal
- C. Red meat
- D. White bread
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.