Which of the following statement best describes blood pressure?
- A. It is the force exerted by the blood against the walls of the blood vessels
- B. The lowest pressure is called systolic pressure
- C. BP is controlled by the sympathetic nervous system alone
- D. BP is measured using sphygmomanometer on the forearm
Correct Answer: A
Rationale: Blood pressure is the force of blood against vessel walls (A), per its definition in physiology. Systolic is the highest pressure (B), not lowest false. BP involves sympathetic and parasympathetic systems (C), not just one. Sphygmomanometers measure at the upper arm, not forearm (D). A accurately captures BP's essence, validated by clinical practice, making it the best and correct description.
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Which of the following statement best describe cultural competence?
- A. Ignoring client's cultural beliefs
- B. Providing care that respects cultural differences
- C. Forcing client to follow hospital culture
- D. Treating all clients the same way
Correct Answer: B
Rationale: Cultural competence is providing care respecting cultural differences (B), per nursing standards tailoring to beliefs (e.g., diet, rituals). Ignoring (A), forcing (C), or sameness (D) dismiss diversity. B best defines competence as culturally sensitive care, aligning with Purnell's model, making it correct.
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.
Which of the following actions should the nurse take to use a wide base support when assisting a client to get up in a chair?
- A. Bend at the waist and place arms under the client's arms and lift
- B. Face the client, bend knees and place hands on client's forearm and lift
- C. Spread his or her feet apart
- D. Tighten his or her pelvic muscles
Correct Answer: B
Rationale: Facing the client, bending knees, and using forearms provides a wide base and proper body mechanics for safe lifting.
The nurse is caring for an elderly woman who has had a fractured hip repaired. In the first few days following the surgical repair, which of the following nursing measures will best facilitate the resumption of activities for this client?
- A. Arranging for the wheelchair
- B. Asking her family to visit
- C. Assisting her to sit out of bed in a chair qid
- D. Encouraging the use of an overhead trapeze
Correct Answer: D
Rationale: The trapeze promotes upper body strength and mobility, aiding recovery.
Your assigned client seems to be getting a lot of attention from his mother when he complains of pain. The mother may be encouraging which of the following types of gains?
- A. primary gains
- B. secondary gains
- C. narcissistic gains
- D. egocentric gains
Correct Answer: B
Rationale: Maternal attention for pain suggests secondary gains external benefits beyond primary relief or other gains. Nurses address this in behavioral pain management.
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