Nokea
Which of the following patient care tasks is coupled with the appropriate member of the nursing care team in terms of their legal scope of practice?
- A. An unlicensed staff member who has been “certified†by the employing agency to monitor telemetry: Monitoring cardiac telemetry
- B. An unlicensed assistive staff member like a nursing assistant who has been “certified†by the employing agency to insert a urinary catheter: Inserting a urinary catheter
- C. A licensed practical nurse: The circulating nurse in the perioperative area
- D. A licensed practical nurse: The first assistant in the perioperative area
Correct Answer: C
Rationale: LPNs are qualified to act as circulating nurses in perioperative settings.
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Which comment by the nurse would best support relationship building with a survivor of intimate partner abuse?
- A. You are feeling violated because you thought you could trust your partner.
- B. Im here for you. I want you to tell me about the bad things that happened to you.
- C. I was very worried about you. I knew you were living in a potentially violent situation.
- D. Abusers often target people who are passive. I will refer you to an assertiveness class.
Correct Answer: A
Rationale: The correct option uses the therapeutic technique of reflection. It shows empathy, an important nursing attribute for establishing rapport and building a relationship. None of the other options would help the patient feel accepted.
he theorist who believes that human have dignity is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: B
Rationale: Carl Rogers' humanistic approach values human dignity and worth.
A person is considered intellectually disabled if he or she has an IQ of less than
- A. 70 to 75
- B. 80 to 85
- C. 90 to 95
- D. 60 to 65
Correct Answer: A
Rationale: An IQ below 70-75, with adaptive deficits, defines intellectual disability, per DSM-5.
A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:
- A. slurred speech, excessive drowsiness, and bradycardia
- B. paranoid delusions, tactile hallucinations, and panic
- C. runny nose, yawning, insomnia, and chills
- D. anxiety, agitation, and aggression
Correct Answer: C
Rationale: Rationale:
- Choice C is correct as the patient is exhibiting symptoms of heroin withdrawal, including runny nose, yawning, insomnia, and chills.
- Choice A is incorrect because it describes symptoms of central nervous system depressants, not heroin withdrawal.
- Choice B is incorrect as it describes symptoms of hallucinogens, not heroin withdrawal.
- Choice D is incorrect as it describes symptoms of stimulants, not heroin withdrawal.
A recently widowed patient tells the health care provider, I have so much epigastric discomfort. I wonder if I have an ulcer. Diagnostic tests are negative. The symptom demonstrates:
- A. early reorganization behavior.
- B. disorganization and depression.
- C. preoccupation with the deceased.
- D. normal phenomenon of mourning.
Correct Answer: D
Rationale: Sensations of somatic distress are often experienced during the acute stage of grieving. They include tightness in the throat, shortness of breath, exhaustion, and pain or sensations such as those experienced by the dead person.