Nokea
Which of the following statement best describe a health belief model?
- A. Explains why people get sick
- B. Explains health behavior based on belief
- C. Focuses on disease treatment
- D. Based on medical diagnosis
Correct Answer: B
Rationale: Health belief model explains health behavior via beliefs (B), per theory e.g., perceived risk drives action. Sickness (A) and treatment (C) aren't focus, diagnosis (D) medical. B best defines HBM's psychological basis, making it correct.
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All of the following characteristics would indicate to the nurse that an elder client might experience undesirable effects of medicines except:
- A. Increased oxidative enzyme levels
- B. Alcohol taken with medication
- C. Medications containing magnesium
- D. Decreased serum albumin
Correct Answer: A
Rationale: Oxidative enzyme levels decrease with age, not increase, affecting drug metabolism.
Which of the following statement is NOT true about active listening?
- A. Involves feedback
- B. Shows empathy
- C. Ignores patient
- D. Part of communication
Correct Answer: C
Rationale: Active listening involves feedback (A), shows empathy (B), is communication (D) 'ignores patient' (C) isn't true, focuses on them, per technique. C's neglect contradicts listening's intent, like with Mr. Gary, making it untrue.
Which of the following statement best describe patient rights?
- A. Privileges given by nurses
- B. Legal and ethical entitlements
- C. Temporary benefits
- D. Hospital rules
Correct Answer: B
Rationale: Patient rights are legal and ethical entitlements (B), per standards e.g., consent, privacy. Not nurse-given (A), not temporary (C), not rules (D) inherent protections. B best defines rights' basis, like Mr. Gary's care expectations, making it correct.
The nurse is providing care for a client with a chest tube. If the chest tube becomes disconnected from the drainage system, the nurse should:
- A. Secure the chest tube with tape and notify the physician
- B. Clamp the chest tube near the insertion site
- C. Submerge the end of the tube in sterile water
- D. Insert the tube into the drainage system without cleansing
Correct Answer: C
Rationale: Submerging the chest tube end in sterile water creates a water seal, preventing pneumothorax if disconnected taping delays, clamping risks tension pneumothorax, and reinserting uncleaned spreads infection. Nurses act quickly, ensuring lung re-expansion, critical in chest tube care.
The nurse is assisting in caring for the client immediately after removal of the endotracheal tube following radical neck dissection. The nurse interprets that which sign experienced by the client should be reported immediately to the registered nurse (RN)?
- A. Stridor
- B. Lung congestion
- C. Occasional pink-tinged sputum
- D. Respiratory rate of 26 breaths per minute
Correct Answer: A
Rationale: Post-extubation after radical neck dissection, stridor (A) indicates airway obstruction (e.g., edema, laryngospasm), requiring immediate RN reporting. Lung congestion (B) or pink sputum (C) suggest fluid but are less urgent. A rate of 26 (D) is elevated but not critical alone. A is correct. Rationale: Stridor signals potential airway compromise, a life-threatening emergency post-neck surgery due to swelling or structural changes, necessitating rapid intervention like reintubation or steroids, per post-operative care standards, unlike less acute findings.