Nokea
You are caring for a client who has a doctor's order for 1200 mLs of intravenous fluid every 8 hours. Your shift began at 8 am and there were $600 \mathrm{mLs}$ remaining in the intravenous fluid bag. How many mLs would you expect to see at 12 noon?
- A. 0 mL
- B. 5 mL
- C. 10 mL
- D. 7.5 mL
Correct Answer: A
Rationale: 1200 mL / 8 hr = 150 mL/hr; 4 hr (8 am-12 pm) x 150 mL/hr = 600 mL; 600 mL - 600 mL = 0 mL (A).
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One of the significant assumptions of ethnic sensitive practice includes ethnicity as a source of strain, discordance, and strife, as well as a source of cohesion, identity, and strength.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Ethnicity is seen as dual-natured, offering both challenges and strengths in family dynamics.
When diet is affected by cultural factors, which in turn significantly impact a patient's health care, which of the following approaches is appropriate?
- A. Recommend immediate cessation of the usual diet and provide a list of prohibited foods
- B. Allow the patient to continue his/her usual diet and adjust medications accordingly
- C. Discuss the underlying cultural factors related to the usual diet and explore options within that paradigm that might be better suited to the patient's health
- D. Suggest that the patient instead see a physician who shares his/her cultural background
Correct Answer: C
Rationale: Discussing cultural factors and options respects traditions while promoting health.
Two divorced people plan to marry. The man has a teenager, and the woman has a toddler. This family will benefit most from:
- A. role-playing opportunities for conflict resolution regarding discipline.
- B. guidance about parenting children at two developmental levels.
- C. formal teaching about problem-solving skills.
- D. referral to a family therapist.
Correct Answer: B
Rationale: The newly formed family will be coping with tasks associated with the stage of rearing preschool children and teenagers. These stages require different knowledge and skills. There is no evidence of a problem, so the distracters are not indicated.
Which statement by an older adult who has recently had hip replacement surgery supports that her positive attitude is contributing to her mental health wellness?
- A. I know I can't go hiking like I did, but I really miss it so much.'
- B. I can't go hiking, but I still enjoy walking in the park in the afternoon.'
- C. If I work really hard in rehab, I think I'll be able to hike again next spring.'
- D. Hiking gave me such pleasure, but if I can't hike, I'll just have to get used to it.'
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a positive attitude and adaptability. The older adult acknowledges the limitation of not being able to hike but focuses on enjoying walking in the park, showing resilience and a proactive approach to finding joy in other activities. Choice A reflects a focus on what is missed, choice C is future-oriented without accepting the current situation, and choice D shows resignation rather than a positive outlook. Overall, choice B showcases a realistic yet optimistic perspective that supports mental health wellness after hip replacement surgery.
After taking the medical history of a patient, which of the following approaches would be most effective in eliciting the need to address personal health issues?
- A. Warn the patient of long-term consequences
- B. Implement a plan of action immediately
- C. Share opinions about the patient's ability to problem solve
- D. Consult family members in the decision-making process
Correct Answer: C
Rationale: Sharing opinions invites patient reflection and engagement.