Which of the following statement best describe nursing code of ethics?
- A. Hospital-specific rules
- B. Moral guidelines for nurses
- C. A legal contract
- D. A patient request
Correct Answer: B
Rationale: Nursing code of ethics is moral guidelines for nurses (B), per ANA e.g., duty, respect. Not hospital (A), not contract (C), not request (D) profession-wide. B best defines its ethical framework, guiding Mr. Gary's nurse, making it correct.
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The nurse forgot to give Mr. Gary his medication, causing harm. This is an example of?
- A. Negligence
- B. Malpractice
- C. Assault
- D. Battery
Correct Answer: A
Rationale: Forgetting meds causing harm is negligence (A) care standard failure, per law. Malpractice (B) professional-specific, assault (C) threat, battery (D) touch not general lapse. A fits the nurse's unintentional error impacting Mr. Gary, making it correct.
Kenneth, 25 year old diagnosed with HIV felt that he had not lived up with God's expectation. He fears that in the course of his illness, God will be punitive and not be supportive. What kind of spiritual crisis is Kenneth experiencing? 1. Spiritual Pain 2. Spiritual Anxiety 3. Spiritual Guilt 4. Spiritual Despair
- A. 1,2
- B. 2,3
- C. 3,4
- D. 1,4
Correct Answer: B
Rationale: Kenneth faces spiritual anxiety (2) and guilt (3). Anxiety stems from fear of divine punishment, and guilt from feeling he failed God's expectations, per spiritual distress frameworks. Spiritual pain (1) involves loss or meaning, not fear-based here. Despair (4) is hopelessness, not evident as he fears, not resigns. HIV's stigma amplifies 2 and 3, making B (2,3) correct.
Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?
- A. Tell me where you hurt.'
- B. Other children like having their blood pressure taken.'
- C. This will be like having a little stick in your arm.'
- D. Anything you tell me is confidential.'
Correct Answer: A
Rationale: For a 4-year-old, 'Tell me where you hurt' is most effective simple, direct, and age-appropriate, encouraging the child to express pain in their own words, aligning with their concrete thinking stage per Piaget. Option B uses peer pressure, ineffective for this age; C's metaphor may confuse rather than clarify; and D's confidentiality concept is too abstract.
A client with a new diagnosis of pancreatitis is being taught about dietary management. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of high-fat foods.
- B. You should decrease your intake of high-fat foods.
- C. You should avoid foods that contain lactose.
- D. You should increase your intake of dairy products.
Correct Answer: B
Rationale: The correct statement the nurse should include in teaching a client with pancreatitis is to decrease the intake of high-fat foods. This dietary modification is crucial in managing symptoms and preventing exacerbations of pancreatitis. High-fat foods can put a strain on the pancreas, potentially leading to further complications. Choice A is incorrect because increasing intake of high-fat foods can worsen pancreatitis. Choice C is unrelated to pancreatitis management, as lactose intolerance is not directly linked to pancreatitis. Choice D is also incorrect, as increasing dairy product intake may not be suitable for all individuals with pancreatitis due to the fat content in many dairy products.
Nephrotic syndrome is characterised by:
- A. Proteinuria
- B. Edema
- C. Hyperlipidemia
- D. All of the above
Correct Answer: D
Rationale: Nephrotic syndrome disrupts kidney filtration. Proteinuria (choice A) exceeds 3.5 g/day, causing hypoalbuminemia. Edema (choice B) results from low oncotic pressure, fluid shifting to tissues. Hyperlipidemia (choice C) occurs as the liver compensates for protein loss. All (choice D) are hallmarks, correct per definition. Nurses monitor urine protein, manage swelling, and educate on diet, addressing this triad.