Nokea
Which of the following is the primary force in sex education in a child's life?
- A. school nurse
- B. peers
- C. parents
- D. media
Correct Answer: C
Rationale: Parents are the primary force in sex education in a child's life. The school nurse is involved with formal sex education and counseling. Peers become more important in sex education during adolescence but might lack correct information. The media play a powerful role in what children learn about sex through movies, TV, and video games.
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The ethical principle of keeping professional promises or obligations is:
- A. veracity.
- B. autonomy.
- C. fidelity.
- D. beneficence.
Correct Answer: C
Rationale: The ethical principle of veracity is truth-telling. Autonomy is client self-determination (that is, clients making their own decisions). Beneficence is the principle of doing good, which is a foundation of nursing care.
Which of the following provides the framework for confidentiality and the client's right to privacy?
- A. Health Insurance Portability and Accountability Act
- B. CDC Surveillance Programs
- C. American Nurses Association Code of Ethics
- D. durable power of attorney for health care
Correct Answer: A
Rationale: HIPAA is the federal statute that outlines client confidentiality and the client's right to privacy.
When documenting in the client's record, what type of information should be recorded?
- A. educated predictions of outcomes
- B. personal opinions
- C. objective information
- D. subjective information
Correct Answer: C
Rationale: Objective, factual information should be recorded in the client's chart.
An LPN is talking with a client scheduled to undergo a vasectomy in the next few minutes. He states, 'I know I signed the form and all, but I'm not feeling so sure of this. It can be reversed pretty easily, right?' What is the LPN's best response?
- A. Yes, vasectomies can be reversed, but I'm sure once you have it you won't regret it.'
- B. It's normal to feel a little nervous before a procedure like this one.'
- C. It sounds like you have a few more questions you'd like answered. Let me grab the doctor to answer them for you.'
- D. It sounds like you might be a little nervous. Don't worry, this is a pretty minor procedure, and the doctor doing it is the best we have. You're in great hands.'
Correct Answer: C
Rationale: This is the only option that validates the client's concerns and also respects his right to informed consent.
Which is the best way to position a client's neck for palpation of the thyroid?
- A. flexed toward the side being examined
- B. hyperextended directly backward
- C. flexed away from the side being examined
- D. flexed directly forward
Correct Answer: A
Rationale: Flexing the neck toward the side being examined relaxes the sternocleidomastoid muscle, making the thyroid gland more accessible for palpation.