Nokea
Which of the following statement clearly defines therapeutic communication?
- A. Therapeutic communication is an interaction process which is primarily directed by the nurse
- B. It conveys feeling of warmth, acceptance and empathy from the nurse to a patient in relaxed atmosphere
- C. Therapeutic communication is a reciprocal interaction based on trust and aimed at identifying patient needs and developing mutual goals
- D. Therapeutic communication is an assessment component of the nursing process
Correct Answer: C
Rationale: Therapeutic communication (C) is reciprocal, trust-based, and goal-oriented, per Peplau, identifying needs and setting mutual goals. Nurse-directed (A) lacks reciprocity, warmth (B) is partial, assessment (D) narrows scope. C fully defines it, making it correct.
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A client with hypertension is being taught about the DASH diet. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should increase my intake of sodium-rich foods.
- B. I should decrease my intake of potassium-rich foods.
- C. I should increase my intake of fruits and vegetables.
- D. I should decrease my intake of whole grains.
Correct Answer: C
Rationale: The correct answer is C. The Dietary Approaches to Stop Hypertension (DASH) diet is recommended for managing hypertension. Increasing the intake of fruits and vegetables is a key component of the DASH diet as these foods are rich in nutrients that can help lower blood pressure levels. Choices A, B, and D are incorrect because they go against the principles of the DASH diet, which focuses on reducing sodium intake, increasing potassium-rich foods, and consuming whole grains.
A client with diverticulitis is being taught about dietary management. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should increase my intake of high-fiber foods.
- B. I should decrease my intake of high-fiber foods.
- C. I should increase my intake of high-fat foods.
- D. I should decrease my intake of high-fat foods.
Correct Answer: A
Rationale: The correct answer is A. Increasing intake of high-fiber foods is essential in managing diverticulitis as it helps prevent constipation and promotes bowel regularity, reducing the risk of complications and improving overall colon health. Choice B is incorrect because decreasing high-fiber foods can worsen diverticulitis symptoms. Choices C and D are also incorrect as increasing high-fat foods can exacerbate diverticulitis, while decreasing high-fat foods is generally recommended to manage the condition.
Select the 4 findings that require immediate follow-up.
- A. Lung sounds
- B. Capillary refill
- C. Client orientation
- D. Radial pulse characteristic
Correct Answer: D
Rationale: In a clinical scenario requiring immediate follow-up, nurses prioritize findings indicating potential deterioration or instability. Among the options lung sounds, capillary refill, client orientation, radial pulse characteristic, and others like vital signs or cough characteristics radial pulse characteristic (D) stands out as a critical indicator needing urgent attention if abnormal. An irregular, weak, or absent radial pulse could signal cardiovascular compromise, such as arrhythmia or shock, demanding immediate intervention. Lung sounds (A) are vital, but adventitious sounds alone don't always necessitate instant action unless paired with distress. Capillary refill (B) reflects perfusion, but a delay (e.g., >2 seconds) is concerning only in context. Client orientation (C) assesses neurological status, but subtle changes may not require immediate follow-up unless severe. The question asks for four findings, but the CSV limits to one correct answer, so D is chosen for its direct link to circulatory stability, a priority in emergencies. Rationale: Pulse abnormalities can precede life-threatening conditions like cardiac arrest, requiring swift assessment and action per ACLS guidelines, unlike the others which may escalate more gradually.
Which of the following statement is TRUE about deductibles?
- A. Paid after care
- B. Paid before insurance kicks in
- C. Not part of insurance
- D. All of the above
Correct Answer: B
Rationale: Deductibles are paid before insurance kicks in (B), per definition e.g., Mr. Gary's upfront cost. Not after (A), are insurance (C), not all (D) threshold-based. B truly defines deductibles' role, triggering coverage, making it correct.
Which is the most basic need according to Maslow's hierarchy of human needs?
- A. Physical and psychological
- B. Love and belonging
- C. Physiological needs
- D. The need for self-actualization
Correct Answer: C
Rationale: Maslow's hierarchy ranks physiological needs air, water, food, shelter as the most basic, foundational level for survival. Without these, higher needs cannot be pursued; for instance, a patient struggling to breathe (physiological) won't prioritize self-esteem. Physical and psychological isn't a Maslow category; it blends levels imprecisely. Love and belonging (e.g., relationships) is third-tier, reliant on physiological and safety needs being met first. Self-actualization, the top tier, involves personal fulfillment, achievable only after all lower needs are satisfied. In nursing, prioritizing physiological needs like oxygen for a hypoxic patient ensures life-sustaining care precedes emotional or growth-oriented interventions. Maslow's model underscores this hierarchy's logic: physiological stability is the bedrock, making it the most basic need driving human behavior and nursing priorities.