Nokea
A 15-month-old infant has been brought into the office by his Spanish-speaking mother for symptoms of an upper respiratory infection. Which of the following should be the initial action taken by the nurse?
- A. Ask the mother if she would like an interpreter.
- B. Ask the mother what home remedies have been used.
- C. Ask the mother how long the child has had these symptoms.
- D. Ask the mother about any allergies the child may have.
Correct Answer: A
Rationale: The nurse should first ensure that communication is clear by offering an interpreter if needed.
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During a home visit to the home of a 3-month-old infant, which environmental finding requires immediate anticipatory guidance?
- A. A pool in the backyard without a gate
- B. The lack of smoke detectors
- C. The lack of childproof latches on drawers and cupboards
- D. Two azalea plants in the living room
Correct Answer: B
Rationale: A lack of smoke detectors poses a significant and immediate risk in case of a fire. It is vital to have them in the home.
A nurse whose religious beliefs prohibit abortion has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. According to the revised American Nurses Association’s (ANA’s) Code of Ethics for Nurses, which of the following actions should the nurse take next?
- A. Suspend her religious beliefs and provide comfort and support for the client.
- B. Quit her job and find another source of employment.
- C. Notify her supervisor about her beliefs and request a change in assignment.
- D. Refuse to participate in the abortion.
Correct Answer: C
Rationale: The nurse has the right to refuse participation, but must ensure arrangements are made for the client's care.
A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care?
- A. Decreased sense of hearing
- B. Decreased sense of smell
- C. Decreased sense of taste
- D. Decreased visual acuity
Correct Answer: D
Rationale: Visual acuity is essential for administering insulin and for monitoring health in a person with Type 1 diabetes.
Which of the following is a major factor limiting health care services in the United States?
- A. Lack of nurses
- B. Lack of health care facilities
- C. Lack of funding
- D. Lack of client interest in health promotion
Correct Answer: C
Rationale: The lack of funding, particularly for those without health insurance, is a major limitation in accessing healthcare services in the U.S.
An individual’s style of emotional and behavioral response across situations, especially those involving change or stress, is known as:
- A. Ritual
- B. Temperament
- C. Coping
- D. Autonomy
Correct Answer: B
Rationale: Temperament refers to the consistent emotional and behavioral reactions individuals exhibit in response to various situations.