Nokea
Which question should a nurse ask a 26-year-old individual being screened for depression or suicide ideation?
- A. “Tell me about your pets.”
- B. “What do you do for work? How has your work been affected by this disaster?”
- C. “Have you thought of harming yourself?”
- D. “Have you seen your friends since the disaster?”
Correct Answer: C
Rationale: Direct questioning about harm to oneself is critical when screening for depression or suicide ideation.
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An overweight woman joins a support group to help her lose weight. During her first session, the nurse explains the components of a healthy diet and discusses with the woman how she can eat out and still maintain a healthy diet. She asks the woman what her goal is and emphasizes that she herself is the key to success. What is the nurse promoting through the use of this strategy?
- A. Communication
- B. Values
- C. Advanced planning
- D. Empowerment
Correct Answer: D
Rationale: Empowering the individual by involving her in setting her own goal increases the likelihood of sustained behavior change.
A 24-year-old man with severe cognitive impairment, and no relatives participating in his care, needs to make a decision about removal of a brain tumor. Which ethical concept is the client unable to benefit from?
- A. Autonomy
- B. Justice
- C. Beneficence
- D. Advocacy
Correct Answer: A
Rationale: Due to cognitive impairment, the client cannot make autonomous decisions regarding his care.
During a prenatal visit, pregnant parents ask the nurse what they can do to prepare their 4-year-old child for the birth of the new baby. Which of the following actions would be most appropriate for the nurse to suggest?
- A. Discourage any negative comments the child makes about the baby or the pregnancy.
- B. Do not make any plans regarding the baby in front of the 4-year-old child.
- C. Provide him with very detailed information about the pregnancy and the birth.
- D. Ask the 4-year-old boy to help decorate the new baby’s room.
Correct Answer: D
Rationale: Involving the child in preparations for the new baby helps them adjust to the changes and feel included
A nurse is providing education about safe driving with a group of newly licensed teenagers. Which factor would most likely influence a teenager’s decision to drive within the speed limit?
- A. A speed limit sign
- B. Having his parents telling him not to speed
- C. A previous traffic violation for speeding
- D. Seeing someone get pulled over for speeding
Correct Answer: C
Rationale: Previous experiences, like receiving a speeding ticket, are likely to influence behavior more than external factors.
A nurse is completing a well-child assessment of a 6-month-old infant. Which of the following guidelines should be used when assessing the infant’s height and weight?
- A. CDC growth charts
- B. CDC body mass index (BMI) charts
- C. WHO growth standards
- D. Denver Developmental Screening height and weight standards
Correct Answer: C
Rationale: The WHO growth standards are recommended for assessing the growth of infants and children aged 0 to 2 years in the U.S.