Nokea
Which of the following recommendations to combat diabetes may be unfeasible in very urban environments?
- A. Eat more fresh fruit
- B. Do 25 jumping-jacks every morning
- C. Go out for a walk every day
- D. See your dietitian at least twice a year
Correct Answer: C
Rationale: Walking may be limited by safety or space in dense urban settings.
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You are caring for a hospice client who is at the end of life. Based on this client's signs and symptoms, the client is comatose, dehydrated, free of pain, constipated, without distress and expected to die in a day or two. Which of the following is an appropriate client outcome or an appropriate intervention for this client?
- A. The client will be free of constipation
- B. The client will remain free of pain and distress
- C. The administration of an antiemetic to prevent vomiting and further dehydration
- D. The administration of an enema to correct the constipation
Correct Answer: B
Rationale: Maintaining comfort (B) is appropriate given the client's state and prognosis.
Parents of a mentally ill teenager say, We have never known anyone who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing. Select the nurses most helpful intervention.
- A. Refer the parents to a support group.
- B. Build the parents self-concept as coping parents.
- C. Teach the parents techniques of therapeutic communication.
- D. Facilitate achievement of normal developmental tasks of the family.
Correct Answer: A
Rationale: The need for support is evident. Referrals are made when working with families whose needs are unmet. A support group, such as through the National Alliance on Mentally Illness (NAMI), will provide the parents with support of others with similar experiences and with whom they can share feelings and experiences. The distracters are less relevant to providing a network of support.
The referral of patients to the GP. Which is TRUE?
- A. The patient has just been discharged from IMH.
- B. The patient needs close monitoring and frequent changes to drug dosages.
- C. The patient is prepared to pay the slight difference for continuation of care at the GP.
- D. Unemployed patients.
Correct Answer: C
Rationale: Patients willing to pay a slight difference for continued care at a GP are suitable for referral, aligning with the programme's goals.
The child's ability to use symbols abstractly develops during
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: B
Rationale: Abstract symbol use, like pretend play, begins in the preoperational stage (Piaget).
Which these case management methods employs the intrinsic use of multidisciplinary plans of care that are based on the client's current condition, and reflect interventions and expected outcomes within a pre-established time line?
- A. The Case Manager Model
- B. The ProACT Model
- C. The Collaborative Practice Model
- D. The Triad Model of Case Management
Correct Answer: C
Rationale: Multidisciplinary planning is a key feature of collaborative practice models.