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You are working as a National Board for Certification of Hospice and Palliative Nurses certified hospice and palliative care nurse who is caring for your clients in their home. Which of the following nursing diagnoses or client goal would be the most likely appropriate and expected for the vast majority of these clients?
- A. The client will accept impending death
- B. Guilt related to past transgressions
- C. Spiritual distress related to guilt
- D. Pain related to end of life symptoms
Correct Answer: A
Rationale: Acceptance of death (A) is a common goal in hospice care.
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You are fully aware of the fact that some risk factors are correctable or modifiable and other risk factors are innate and not modifiable. Which of the following risk factors is the most likely able to be correctable?
- A. Genetic predisposition
- B. Lifestyle choices
- C. High risk behaviors
- D. An external locus of control
Correct Answer: B
Rationale: Lifestyle choices (B) are modifiable, unlike genetic factors.
The primary purpose of root cause analysis is to:
- A. Discover a process flaw
- B. Determine who erred
- C. Discover environmental hazards
- D. Determine basic client needs
Correct Answer: A
Rationale: Root cause analysis focuses on identifying systemic process flaws.
Psychologization disproportionately affects the care of patients from which of the following groups?
- A. Women
- B. African Americans
- C. People with low socioeconomic status
- D. People with a history of substance abuse
Correct Answer: A
Rationale: Women are more likely to have symptoms psychologicalized, delaying proper care.
The best way to determine whether or not a medication is compatible with a particular intravenous fluid is to:
- A. Mix a small amount of the medication in a small amount of the intravenous fluid and then examine this mixture for color changes
- B. Refer to a compatibility chart
- C. Call the doctor and ask if the medication is compatible with the particular intravenous fluid
- D. Mix a small amount of the medication in a small amount of the intravenous fluid and then examine this mixture for any precipitates
Correct Answer: B
Rationale: Compatibility charts (B) provide reliable, standardized data.
he theorist who believes that human behavior is influenced by reinforcement is
- A. Sigmund Freud
- B. Carl Rogers
- C. B.F. Skinner
- D. Albert Bandura
Correct Answer: C
Rationale: B.F. Skinner's operant conditioning uses reinforcement to shape behavior.