Nokea
Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
- A. Erikson
- B. Gordon
- C. Newman
- D. Nightingale
Correct Answer: B
Rationale: Gordon's framework is the basis for nursing diagnoses using functional health patterns.
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An example of a Hispanic American nurse promoting cultural competency is:
- A. Providing translation services for all Hispanic Americans
- B. Focusing on episodic care of illnesses with Hispanic Americans
- C. Taking a class about the Hispanic American culture
- D. Providing care for all Hispanic American persons in her clinic
Correct Answer: C
Rationale: Cultural competency involves understanding and respecting diverse cultures, and taking a class about the culture broadens the nurse’s educational base.
An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have?
- A. High deductible health insurance plan (HDHP)
- B. Point-of-service plan (POS)
- C. Health maintenance organization (HMO)
- D. Preferred provider organization (PPO)
Correct Answer: A
Rationale: High deductible health insurance plans have high out-of-pocket costs before insurance coverage kicks in, making routine care expensive.
A nurse and her client are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective client-centered communication, the nurse should:
- A. ask the person what he is thinking, so they can understand each other.
- B. restate what the person said before silence ensued, to get clarification.
- C. change the subject to one that is more pleasant for the person to discuss.
- D. wait quietly to give the person time to reflect where he wants to lead the conversation.
Correct Answer: D
Rationale: Silence allows the person to reflect on what is being discussed or experienced and lets the nurse know that they are ready to continue when the client is ready.
A nurse is counseling a 19-year-old person who has recently been diagnosed with Type 1 diabetes mellitus. The person asks if there is anything specific that should be done before going to play tennis with a friend. Which of the following instructions should the nurse give the person to avoid hypoglycemia?
- A. Inject the insulin into the abdomen.
- B. Inject the insulin into the arm.
- C. Inject the insulin into the thigh.
- D. Skip taking any insulin before exercising.
Correct Answer: A
Rationale: Insulin should be injected into the abdomen as it slows down absorption during activity, helping to maintain stable blood glucose levels during exercise.
A postmenopausal woman fears developing osteoporosis like her mother. What is the most appropriate nurse response?
- A. "The American diet is much better now than when your mother was your age."
- B. "You have a strong genetic risk factor. There is not much we can do to stop the process."
- C. "You need about 1000 mg of calcium a day to keep your bones strong."
- D. "Tell me about your diet, how much walking you do each day, and what medications you take."
Correct Answer: D
Rationale: The nurse should assess the patient's diet, physical activity, and medications before providing tailored advice.