foundation of nursing questions and answers

foundation of nursing questions and answers Related

Review foundation of nursing questions and answers related questions and content

You are caring for a patient, a 42-year-old mother of two children, with a diagnosis of ovarian cancer. She has just been told that her ovarian cancer is terminal. When you admitted this patient, you did a spiritual assessment. What question would it have been most important for you to evaluate during this assessment?

  • A. Is she able to tell her family of negative test results?
  • B. Does she have a sense of peace of mind and a purpose to her life?
  • C. Can she let go of her husband so he can make a new life?
  • D. Does she need time and space to bargain with God for a cure?
Correct Answer: B

Rationale: The correct answer is B: Does she have a sense of peace of mind and a purpose to her life? This question is crucial during a spiritual assessment because it addresses the patient's emotional well-being and coping mechanisms in the face of a terminal diagnosis. It helps assess the patient's spiritual beliefs, values, and sources of strength, which can impact their ability to find meaning and comfort during difficult times. It also provides insights into the patient's resilience and ability to navigate their emotions and find peace amidst uncertainty.

Choice A is incorrect because it focuses on the patient's ability to deliver negative news to her family, which is important but not as central to the patient's spiritual well-being in this context. Choice C is incorrect as it assumes the patient needs to let go of her husband, which may not be relevant to her spiritual assessment. Choice D is incorrect as it centers on bargaining with God for a cure, which may not be reflective of the patient's spiritual beliefs or needs.

You may also like to solve these questions

A nurse is inserting a catheter into a female patient. When the nurse inserts the catheter, no urine is obtained. The nurse suspects the catheter is not in the urethra. What should the nurse do?

  • A. Throw the catheter way and begin again.
  • B. Fill the balloon with the recommended sterile water.
  • C. Remove the catheter, wipe with alcohol, and reinsert after lubrication.
  • D. Leave the catheter in the vagina as a landmark for insertion of a new, sterile catheter.
Correct Answer: C

Rationale: The correct choice is C because if no urine is obtained, it indicates that the catheter is not in the urethra. The nurse should remove the catheter, wipe with alcohol to maintain cleanliness, and reinsert after lubrication to ensure proper placement in the urethra. This step-by-step approach allows for a more accurate catheter insertion and prevents potential complications.

Choice A is incorrect as discarding the catheter and starting over without addressing the issue does not solve the problem. Choice B is incorrect as filling the balloon with sterile water is not relevant to the situation of catheter misplacement. Choice D is incorrect as leaving the catheter in the vagina can lead to infection and is not a recommended practice.

A nurse is pouching an ostomy on a patient withan ileostomy. Which action by the nurse ismostappropriate?

  • A. Changing the skin barrier portion of the ostomy pouch daily
  • B. Emptying the pouch if it is more than one-third to one-half full
  • C. Thoroughly cleansing the skin around the stoma with soap and water to remove excess stool and adhesive
  • D. Measuring the correct size for the barrier device while leaving a 1/2-inch space around the stoma
Correct Answer: B

Rationale: The correct answer is B, emptying the pouch if it is more than one-third to one-half full. This action is appropriate to prevent leakage and skin irritation. When the pouch becomes too full, it can put pressure on the seal, leading to potential leaks. Emptying the pouch at one-third to one-half fullness helps maintain a secure seal and prevents skin breakdown.

Choice A is incorrect because changing the skin barrier portion of the ostomy pouch daily is unnecessary and can lead to skin irritation and breakdown.

Choice C is incorrect because cleansing the skin around the stoma with soap and water excessively can strip the skin of its natural oils and cause irritation.

Choice D is incorrect because leaving a 1/2-inch space around the stoma when measuring for the barrier device may result in an improper fit, leading to leakage and skin issues.

Which factor is known to increase the risk of gestational diabetes mellitus?

  • A. Previous birth of large infant
  • B. Maternal age younger than 25 years
  • C. Underweight prior to pregnancy
  • D. Previous diagnosis of type 2 diabetes mellitus
Correct Answer: A

Rationale: The correct answer is A: Previous birth of large infant. This factor increases the risk of gestational diabetes mellitus due to a history of delivering a large baby, indicating a higher likelihood of insulin resistance in subsequent pregnancies. Maternal age younger than 25 years (B) is not a known risk factor for gestational diabetes. Being underweight prior to pregnancy (C) is actually associated with a decreased risk of gestational diabetes. A previous diagnosis of type 2 diabetes mellitus (D) is a separate condition and does not directly increase the risk of gestational diabetes.

You are caring for a patient who has been diagnosed with genital herpes. When preparing a teaching plan for this patient, what general guidelines should be taught?

  • A. Thorough handwashing is essential.
  • B. Sun bathing assists in eradicating the virus.
  • C. Lesions should be massaged with ointment.
  • D. Self-infection cannot occur from touching lesions during a breakout.
Correct Answer: A

Rationale: The correct answer is A because thorough handwashing is essential in preventing the spread of genital herpes. This helps reduce the risk of transmission to other parts of the body or to other individuals. Sunbathing (B) does not eradicate the virus and can actually worsen symptoms. Massaging lesions with ointment (C) can aggravate the sores and lead to further infection. Self-infection (D) can occur from touching lesions during a breakout due to the highly contagious nature of the virus. Therefore, teaching the patient about thorough handwashing is crucial in managing and preventing the spread of genital herpes.

A patient with amyotrophic lateral sclerosis (ALS) is being visited by the home health nurse who is creating a care plan. What nursing diagnosis is most likely for a patient with this condition?

  • A. Chronic confusion
  • B. Impaired urinary elimination
  • C. Impaired verbal communication
  • D. Bowel incontinence
Correct Answer: C

Rationale: The correct answer is C: Impaired verbal communication. In ALS, motor neurons deteriorate leading to muscle weakness and atrophy, including those involved in speech production. This results in impaired verbal communication. Chronic confusion (A) is not a common manifestation of ALS. Impaired urinary elimination (B) and bowel incontinence (D) are not typically associated with ALS, as it primarily affects motor neurons, not autonomic functions.

Copyright © 2025 Nokea. All rights reserved.