Nokea
Which standardized nursing terminologies specifically relate to the steps of the nursing process (select all that apply)?
- A. Omaha System
- B. Nursing Outcomes Classification (NOC)
- C. Nursing Interventions Classification (NIC)
- D. NANDA International: Nursing Diagnoses
Correct Answer: B
Rationale: NOC, NIC, and NANDA International directly correspond to the steps of the nursing process: outcomes, interventions, and diagnoses.
You may also like to solve these questions
Which of the following describes task-oriented touch?
- A. It is used to demonstrate concern or affection.
- B. It involves the contact required for nursing procedures.
- C. The nurse uses task-oriented touch therapeutically when a client is lonesome.
- D. It involves the touch used for sensory-deprived clients.
Correct Answer: B
Rationale: Task-oriented touch is necessary for performing nursing procedures and ensuring client safety.
Following a cocaine high, the user commonly experiences an extremely unpleasant feeling called:
- A. Craving.
- B. Crashing.
- C. Outward bound.
- D. Nodding out.
Correct Answer: B
Rationale: Crashing refers to the intense fatigue and depression following cocaine use.
The charge nurse assigned the care of a client with acute renal failure and hypernatremia to you, a newly graduated RN. Which actions can you delegate to the nursing assistant? (Choose all that apply.)
- A. Provide oral care every 3-4 hours
- B. Monitor for indications of dehydration
- C. Administer 0.45% saline by IV line
- D. Assess daily weights for trends
Correct Answer: A
Rationale: Oral care and assessing daily weights are tasks that can be delegated to a nursing assistant. Monitoring for dehydration and administering IV fluids require more advanced clinical skills.
Why is it important to acknowledge the 'comfort zone' of a client? How can a nurse relieve a client’s anxiety about physical closeness?
- A. To ensure the client feels respected and safe.
- B. To maintain professional distance.
- C. To facilitate quicker recovery.
- D. To comply with hospital policies.
Correct Answer: A
Rationale: Acknowledging a client's comfort zone respects their personal boundaries, reducing anxiety and promoting a trusting environment.
Which term describes a nurse’s inability to differentiate between the beliefs of clients in the same culture?
- A. Generalization
- B. Stereotyping
- C. Ethnocentrism
- D. Cultural imposition
Correct Answer: B
Rationale: Stereotyping involves oversimplifying and applying generalized beliefs to individuals within a culture, hindering effective care.