Nokea
You are providing care to a permanently disabled Iraqi war veteran who is 28 years of age. When he returned home from the war at the age of 24 years of age 2 years ago he was deemed permanently disabled by both the Veterans Administration(VA) and the Social Security Administration. He receives a substantial monthly service connected disability check from the Veterans Administration and he has no spouse or legal dependents. Which type of governmental health insurance is he now entitled to?
- A. Only the VA health care services because he is not 65 years of age
- B. Medicare because he has been deemed permanently disabled for 2 years
- C. Medicaid because he is permanently disabled and not able to work
- D. Choices B and C
Correct Answer: B
Rationale: Medicare eligibility extends to individuals who have been deemed permanently disabled for 2 years.
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Which statement best demonstrates that the nurse understands the benefit of the effective introduction of evidence-based practice into the practice of professional nursing?
- A. Evidence-based practice has made consistency of nursing care easier to assure for clients diagnosed with chronic depression.'
- B. I'm going to suggest that one of our in-services this year deals with the current evidence-based practice in managing obsessive-compulsive-related anxiety.'
- C. Professional nursing has benefited tremendously from the introduction of evidence-based practice to nursing students.'
- D. It's been my experience that atypical antipsychotic medications are very therapeutic but I wonder what the literature says.'
Correct Answer: D
Rationale: The correct answer is D because it demonstrates the nurse's understanding of evidence-based practice by acknowledging the importance of consulting literature to guide practice decisions. By mentioning the need to check the literature on atypical antipsychotic medications, the nurse shows a commitment to using research evidence to inform their practice. This aligns with the core principle of evidence-based practice, which emphasizes integrating the best available evidence with clinical expertise and patient preferences.
Choice A is incorrect as it focuses on the outcome of evidence-based practice rather than the process of utilizing evidence in decision-making. Choice B is incorrect as it mentions suggesting in-services on evidence-based practice but does not directly show the nurse's understanding of the concept. Choice C is incorrect as it talks about the benefits to nursing students, rather than the application of evidence-based practice in professional nursing practice.
Which nursing statement describes the basis of the ethical theory called utilitarianism?
- A. The client has a right to make decisions based on what he wants and needs.'
- B. Every client deserves the care that I would want if I were in his situation.'
- C. I can't allow a client to smoke in the day room since it isn't healthy for the other clients.'
- D. The homeless need access to quality mental health care just as much as any other group.'
Correct Answer: C
Rationale: Rationale:
C is correct because it reflects the utilitarian principle of maximizing overall well-being. By preventing one client from smoking in the day room, the nurse is prioritizing the health and well-being of all clients in that space. This action aims to benefit the greatest number of individuals.
Incorrect Choices:
A: This statement reflects autonomy (ethical principle), not utilitarianism.
B: This statement reflects the golden rule (ethical principle), not utilitarianism.
D: This statement emphasizes equality and access to care, not the utilitarian principle of maximizing overall well-being.
Which finding indicates the successful completion of an individuals grieving process?
- A. For two years, a person has kept the deceased spouses belongings in their usual places.
- B. After 15 months, a widowed person realistically remembers both the pleasures and disappointments of the relationship with the spouse.
- C. Three years after the death, a person talks about the spouse as if the spouse was still alive and weeps when others mention the spouses name.
- D. Eighteen months after the spouses death, a person says, I never cry or have feelings of loss even though we were always very close.
Correct Answer: B
Rationale: The work of grieving is over when the bereaved can remember the individual realistically and acknowledge both the pleasure and disappointments associated with the loved one. The individual is then free to enter into new relationships and activities. The other options suggest unresolved grief.
zcording to social interactional theory, human beings differ from animals because
- A. Humans are only proactive and not reactive like animals
- B. Human beings have the ability to take the role of others
- C. Human show greater affection than animals
- D. All of these are correct
Correct Answer: B
Rationale: Social interaction theory highlights humans' ability to role-take, a cognitive distinction from animals.
Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, the patient will
- A. use rationalization in healthy ways.
- B. state, 'I see the need for ongoing treatment.'
- C. identify constructive outlets for expression of anger.
- D. develop a trusting relationship with one staff member.
Correct Answer: B
Rationale: The correct answer is B because stating 'I see the need for ongoing treatment' demonstrates insight and willingness to engage in further treatment, indicating a readiness for change. This is crucial for someone who has completed multiple detox programs in a short period. Choice A (using rationalization in healthy ways) may not address the underlying issues leading to repeated detox programs. Choice C (identifying constructive outlets for expression of anger) is important but not the most urgent concern after detox. Choice D (developing a trusting relationship with one staff member) is beneficial but does not address the need for ongoing treatment.