Nokea
Which statement about environmental safety is accurate?
- A. The nurse should advise clients in a smoke filled room to open the windows.
- B. The first thing that the nurse should do when using a fire extinguisher to put out a small fire is to aim the fire extinguisher at the base of the fire.
- C. Rapidly lift and move a client away from the source of the fire when their slippers are on fire.
- D. The home health care nurse should advise the client that the best fire extinguisher to have in the home is an ABC fire extinguisher.
Correct Answer: D
Rationale: ABC fire extinguishers are versatile and suitable for home use.
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You are caring for a group of clients who are adversely affected with phobias. Which form of group therapy will you most likely employ to treat these clients?
- A. Cognitive psychotherapy
- B. Behavioral psychotherapy
- C. Cognitive behavioral psychotherapy
- D. Psychoanalysis
Correct Answer: C
Rationale: Cognitive behavioral therapy (C) is effective for phobias.
You will be administering packed red blood cells to your client. Which of the following principles should you apply to this blood administration?
- A. You must insure that the client has a patent intravenous catheter that is at least 20 gauge.
- B. You will need the help of another nurse prior to the administration of these packed red blood cells.
- C. The unit of packed red blood cells should start no more than 1 hour after it is picked up.
- D. You must remain with the client and monitor the client for at least 30 minutes after the transfusion begins.
Correct Answer: C
Rationale: Blood must be started within 1 hour (C) to prevent spoilage.
You are caring for a client at the end of life. The client tells you that they are grateful for having considered and decided upon some end of life decisions and the appointments of those who they wish to make decisions for them when they are no longer able to do so. During this discussion with the client and the client's wife, the client states that “my wife and I are legally married so I am so glad that she can automatically make all healthcare decisions on my behalf without a legal durable power of attorney when I am no longer able to do so myself†and the wife responds to this statement with, “that is not completely true. I can only make decisions for you and on your behalf when these decisions are not already documented on your advance directive.†How should you, as the nurse, respond to and address this conversation between the husband and wife and the end of life?
- A. You should respond to the couple by stating that only unanticipated treatments and procedures that are not included in the advance directive can be made by the legally appointed durable power of attorney for healthcare decisions.
- B. You should be aware of the fact that the wife of the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
- C. You should be aware of the fact that the client has a knowledge deficit relating to advance directives and durable powers of attorney for healthcare decisions and plan an educational activity to meet this learning need.
- D. You should reinforce the wife's belief that legally married spouses automatically serve for the other spouse's durable power of attorney for health care decisions and that others than the spouse cannot be legally appointed while people are married
Correct Answer: B
Rationale: The wife demonstrates a knowledge deficit regarding advance directives and durable powers of attorney, necessitating education.
In classical conditioning, US stands for:
- A. Unintentional stimulus
- B. Unconditioned stimulus
- C. Unconnected stimulus
- D. None of the above
Correct Answer: B
Rationale: US (Pavlov) is the unconditioned stimulus, naturally eliciting a response without prior learning.
A person whose spouse died two years earlier tells friends, I think I'll start going out socially, maybe even take someone to dinner. This comment best demonstrates that the individual is:
- A. denying the significance of the loss.
- B. in a period of resolution of grief.
- C. actively working through grief.
- D. experiencing intrusion.
Correct Answer: B
Rationale: Toward the end of the grief process, the person renews his or her interest in people and activities. This behavior indicates resolution. At the same time, the person is released from the relationship with the deceased. The patient has progressed beyond grief. The patient is seeking to move into new relationships so that he or she is not alone.