Nokea
Which statement about sleep is accurate?
- A. Lack of sleep causes medical and psychiatric disorders.
- B. Adults generally require at least 5 hours of sleep every 24 hours.
- C. During sleep an individual is not consciously aware of his or her environment.
- D. Less than 10% of adults report at least one sleep problem, such as difficulty falling asleep.
Correct Answer: C
Rationale: The correct answer is C because during sleep, an individual's conscious awareness of the environment diminishes. Option A is incorrect because lack of sleep exacerbates but does not directly cause disorders. Option B underestimates the recommended sleep duration, and Option D overestimates the prevalence of sleep problems.
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Mrs. Smith asks about treatment options for sensorineural deafness. To counsel Mrs. Smith appropriately, the nurse knows that the only type of organically caused deafness that can be effectively treated at this time is
- A. conductive deafness
- B. sensorineural deafness
- C. central deafness
- D. mixed-type deafness
Correct Answer: A
Rationale: Conductive deafness often responds well to surgical or medical interventions, unlike other types of hearing loss where treatment options are limited.
Which statement best describes emmetropia?
- A. Difficulty with near vision
- B. Difficulty with far vision
- C. Visual distortion caused by an irregularly shaped cornea
- D. Normal vision
Correct Answer: D
Rationale: Emmetropia refers to normal vision where light focuses correctly on the retina without refractive error.
When selecting audiovisual and written materials as teaching strategies, what is important for the nurse to do?
- A. Provide the patient with these materials before the planned learning experience.
- B. Ensure that the materials include all the information the patient will need to learn.
- C. Review the materials before use for accuracy and appropriateness to learning needs and goals.
- D. Assess the patient’s auditory and visual ability because these functions are necessary for these strategies to be effective.
Correct Answer: C
Rationale: The correct answer is 'Review the materials before use for accuracy and appropriateness to learning needs and goals.' Ensuring the materials are accurate and appropriate is critical to effective teaching. Providing materials beforehand or ensuring they cover all needed information may not always be feasible or necessary.
Who should ideally do discharge planning?
- A. Practical nurse
- B. Professional nurse and the patient
- C. Patient and his family
- D. Public health nurse
Correct Answer: B
Rationale: Collaboration between the professional nurse and the patient ensures personalized and effective discharge planning.
In assisting clients with vertigo and balance problems, which team members (RN, LPN/LVN, MD, physical therapist, nursing assistant), working under appropriate supervision, should be assigned to fulfill each task?
- A. Assess and identify the etiology of vertigo.
- B. Assist the client in routine position change and ambulation.
- C. Administer antivertigo agents, such as meclizine (Antivert).
- D. Obtain informed consent for a labyrinthectomy.
Correct Answer: A
Rationale: Assessment and identification of the etiology of vertigo require advanced clinical judgment, making this task appropriate for an RN or MD.