Nokea
Which of the following statement best describe health care financing?
- A. Patient-only payment
- B. Funding care services
- C. A one-time fee
- D. A nursing skill
Correct Answer: B
Rationale: Health care financing is funding care services (B), per definition e.g., insurance for Mr. Gary. Not patient-only (A), not one-time (C), not skill (D) system-based. B best defines its role, supporting care access, making it correct.
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The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?
- A. Apical
- B. Radial
- C. Pedal
- D. Femoral
Correct Answer: C
Rationale: Pedal pulse absence is normal in 10-20% of people and less critical initially.
Which standards are monitored by the Quality and Safety Education for Nurses (QSEN)?
- A. Evidence-based practice
- B. Client-centered care
- C. Informatics
- D. Nursing certification
Correct Answer: A
Rationale: The Quality and Safety Education for Nurses (QSEN) initiative defines key competencies to ensure nurses deliver safe, high-quality care, addressing modern healthcare demands. Evidence-based practice integrates the best research with clinical expertise, guiding decisions for effective outcomes. Client-centered care prioritizes individual needs and preferences, balancing advocacy with safety. Informatics leverages technology for accurate documentation and care evaluation, enhancing efficiency. Quality improvement drives ongoing assessment and refinement of practices, while teamwork and collaboration ensure coordinated care delivery. Safety minimizes risks, a core QSEN focus. Nursing certification, though valuable, isn't a QSEN competency, as it's an individual credential, not a universal standard. These standards collectively equip nurses to improve care quality and safety across settings, reflecting a comprehensive approach to professional development and patient well-being.
The nurse is providing dietary teaching for a client with a history of nephrotic syndrome. Which food should the client be instructed to avoid?
- A. Baked chicken breast
- B. Canned chicken noodle soup
- C. Fresh apple slices
- D. Steamed broccoli
Correct Answer: B
Rationale: Canned chicken noodle soup, high in sodium, worsens edema in nephrotic syndrome baked chicken, apples, and broccoli are low-sodium and protein-friendly. Nurses teach sodium restriction, reducing fluid retention, supporting kidney function in this protein-losing condition.
A patient is characterized with a #16 indwelling urinary (Foley) catheter to determine if:
- A. Trauma has occurred
- B. His 24-hour output is adequate
- C. He has a urinary tract infection
- D. Residual urine remains in the bladder after voiding
Correct Answer: B
Rationale: A Foley catheter monitors 24-hour urine output for adequacy.
Myra told Budek 'I cannot sleep, I stay away all night' Budek told her 'You have difficulty sleeping' This is what type of therapeutic communication technique?
- A. Reflecting
- B. Restating
- C. Exploring
- D. Seeking clarification
Correct Answer: B
Rationale: Budek's 'You have difficulty sleeping' is restating (B), rephrasing Myra's 'I cannot sleep' to show listening. Reflecting (A) echoes feelings (e.g., 'You're restless?'). Exploring (C) probes (e.g., 'Why can't you?'). Clarification (D) seeks meaning (e.g., 'What keeps you awake?'). Restating validates Myra's issue, per communication theory, making B correct.