Nokea
Which statement about targeted assessments is accurate?
- A. The need for a targeted assessment is based on the application of the nurse's knowledge of pathophysiology and the presenting symptoms.
- B. The need for a targeted assessment is based on the application of the nurse's knowledge of developmental needs and developmental delays.
- C. Targeted assessment is done on an annual basis for existing clients rather than a complete assessment that is done for new clients.
- D. Targeted assessments consist of a brief medical history and a complete assessment consists of a complete health history and a complete physical assessment.
Correct Answer: A
Rationale: Targeted assessments (A) focus on specific symptoms using pathophysiology.
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When questioning a patient about his/her alcohol intake, which of the following approaches is most effective?
- A. Frame the question in terms of the patient's ethnicity
- B. Explain that these questions are always part of a routine social history
- C. Joke with the patient about your own alcohol intake
- D. Tell the patient that alcohol is part of everyday life
Correct Answer: B
Rationale: Normalizing the question as routine reduces stigma and encourages honesty.
What is the term that is used to describe a healthcare related incident or accident that may have possibly led to client harm?
- A. An adverse event
- B. A root cause
- C. A healthcare acquired event
- D. A sentinel event
Correct Answer: D
Rationale: Sentinel events are unexpected occurrences involving risk of serious harm.
Which of the following statements is true about the nature of acculturation?
- A. High levels lead to better health
- B. Lower levels lead to better health
- C. Differing patterns within families may lead to intergenerational conflict
- D. Levels are influenced mostly by length of time in the U.S.
Correct Answer: C
Rationale: Differing acculturation within families often causes conflict, affecting health dynamics.
----in 150 children diagnosed with autism includes the entire spectrum:
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: A
Rationale: 1 in 150 children are diagnosed with autism spectrum disorder, per historical prevalence rates.
Which intervention is likely to have the greatest positive impact on a client who has a history of medication noncompliance?
- A. Being admitted to an inpatient facility until his medication is at therapeutic levels
- B. Enrollment in an in-home psychiatric nursing service that provides his medication by injection
- C. Required attendance at an outpatient daycare program that focuses on reinforcing self-care skills
- D. Having the client sign a compliance contract that states his prescriptions will be free if he is compliant
Correct Answer: B
Rationale: The correct answer is B because enrolling the client in an in-home psychiatric nursing service that provides medication by injection ensures medication adherence. This intervention eliminates the need for the client to remember to take oral medication, reducing the risk of noncompliance. Inpatient admission (A) may not address the root cause of noncompliance and can be restrictive. Outpatient daycare (C) may not directly address medication adherence. A compliance contract (D) may not address the practical challenges of medication administration. Overall, choice B directly addresses the issue of medication noncompliance by providing a practical solution.