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 developed the framework for functional health patterns, which is foundational for nursing assessment.
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A nurse is implementing a test that screens for hypercholesterolemia. Which of the following parameters should this test have?
- A. No cutoff point
- B. Low cutoff point
- C. Intermediate cutoff point
- D. High cutoff point
Correct Answer: B
Rationale: A low cutoff point helps identify individuals at risk for hypercholesterolemia early, promoting early intervention and treatment.
A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?
- A. First
- B. Second
- C. Third
- D. Fourth
Correct Answer: B
Rationale: The second stage of labor is marked by fetal descent into the lower birth canal.
During the first prenatal visit, the pregnant woman informs the nurse that she cannot wait to start wearing maternity clothes. This finding is based on an assessment of which functional health pattern?
- A. Cognitive-perceptual pattern
- B. Self-perception–self-concept pattern
- C. Health-perception–health-management pattern
- D. Values-beliefs pattern
Correct Answer: B
Rationale: Excitement about wearing maternity clothes suggests the woman has accepted her changing body image, part of the self-perception–self-concept pattern.
The school nurse is conducting an in-service program for teachers that discusses the development of elementary school children. According to Piaget’s theory of cognitive development, which of the following information would the nurse include?
- A. Use abstract thought to discuss a story
- B. Make moral decisions concerning right and wrong actions
- C. Listen to a peer’s point of view about a playground situation
- D. Be influenced by his or her friends
Correct Answer: C
Rationale: Piaget's concrete operations stage (7-11 years) focuses on peer influence and understanding others' perspectives.
A client who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?
- A. “Vitamin E supplements are unnecessary, so I don’t recommend you use this supplement.”
- B. “Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin.”
- C. “Vitamin E supplements can interfere with the absorption of iron and create additional health problems.”
- D. “Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient.”
Correct Answer: B
Rationale: Vitamin E can interact with Coumadin and affect clotting, which is a concern for individuals on blood thinners.