Question 30 of 60:
A nurse is developing a plan of care for a school-age child whose family is without housing. Which of the following findings should the nurse identify as the
priority?
Options:
• A) The child has red fissures at the corners of the mouth.
• B) The child reports not having many friends.
• C) The child reports feeling scared at night.
• D) The child is not regularly attending school.
Correct Answer:
• A) The child has red fissures at the corners of the mouth.
Explanation:
Red fissures at the corners of the mouth, known as angular cheilitis, are often a sign of malnutrition or vitamin deficiency, which can be a critical concern for a
child in a housing instability situation. This would be a priority as it may indicate an immediate physical health concern that needs to be addressed. While the
other issues (social isolation, feeling scared, and missing school) are important, the physical signs of potential malnutrition take precedence in terms of
immediate care.
,Question 14 of 60:
A nurse manager is developing a class for newly licensed nurses on strategies to promote client rights. Which of the following should the nurse manager include
in the teaching?
Options:
• A) Spend equal amounts of time providing care for each client.
• B) Verify that a provider prescription is in the medical record for clients who have restraints.
• C) Ensure that competent clients do not leave the hospital without medical discharge.
• D) Present the purpose, risks, and benefits of a surgery when the provider is unavailable.
Correct Answer:
• B) Verify that a provider prescription is in the medical record for clients who have restraints.
Explanation:
For clients who have restraints, it is a legal requirement to ensure that a provider’s prescription is documented in the medical record. This action promotes
client rights and ensures compliance with regulations on the use of restraints.
Option A (spending equal amounts of time) is not a specific strategy related to promoting client rights. Option C (clients leaving the hospital) is important, but
the priority in this context is ensuring that clients who are restrained have proper documentation. Option D (presenting surgery risks when the provider is
unavailable) is a good practice, but the focus of the teaching in this question is more about patient rights related to restraints.
,Question 12 of 60:
A charge nurse is teaching a newly licensed nurse about advance directives. Which of the following statements by the newly licensed nurse indicates the
teaching was effective?
Options:
• A) "Staff who provide advance directives information must be trained by the facility's legal department."
• B) "The client's health care proxy is required to be in agreement with the client's advance directives."
• C) "Advance directives must be signed by a provider to be considered valid."
• D) "There must be documentation in the medical record about whether a client has advance directives."
Correct Answer:
• D) "There must be documentation in the medical record about whether a client has advance directives."
Explanation:
It is essential that the presence or absence of advance directives be documented in the medical record. This ensures that healthcare providers are aware of the
client's wishes regarding care, particularly if they are unable to make decisions for themselves.
, Question 17 of 60:
A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the charge nurse should recognize that which of the
following reflects an intrapersonal conflict?
Options:
• A) "I'm not sure whether I want to apply for the unit manager's position or start a family this year."
• B) "I feel frustrated because I just readmitted a client who refuses to take their insulin."
• C) "The unit manager is more concerned with saving money than with clients getting quality care."
• D) "Every time I request an extra day off I'm denied, but other nurses' requests are approved."
Correct Answer:
• A) "I'm not sure whether I want to apply for the unit manager's position or start a family this year."
Explanation:
Intrapersonal conflict occurs within an individual, often related to internal struggles or indecision. The statement in Option A reflects a personal conflict about
making a decision between career advancement and starting a family, which is a clear example of intrapersonal conflict.
A nurse is developing a plan of care for a school-age child whose family is without housing. Which of the following findings should the nurse identify as the
priority?
Options:
• A) The child has red fissures at the corners of the mouth.
• B) The child reports not having many friends.
• C) The child reports feeling scared at night.
• D) The child is not regularly attending school.
Correct Answer:
• A) The child has red fissures at the corners of the mouth.
Explanation:
Red fissures at the corners of the mouth, known as angular cheilitis, are often a sign of malnutrition or vitamin deficiency, which can be a critical concern for a
child in a housing instability situation. This would be a priority as it may indicate an immediate physical health concern that needs to be addressed. While the
other issues (social isolation, feeling scared, and missing school) are important, the physical signs of potential malnutrition take precedence in terms of
immediate care.
,Question 14 of 60:
A nurse manager is developing a class for newly licensed nurses on strategies to promote client rights. Which of the following should the nurse manager include
in the teaching?
Options:
• A) Spend equal amounts of time providing care for each client.
• B) Verify that a provider prescription is in the medical record for clients who have restraints.
• C) Ensure that competent clients do not leave the hospital without medical discharge.
• D) Present the purpose, risks, and benefits of a surgery when the provider is unavailable.
Correct Answer:
• B) Verify that a provider prescription is in the medical record for clients who have restraints.
Explanation:
For clients who have restraints, it is a legal requirement to ensure that a provider’s prescription is documented in the medical record. This action promotes
client rights and ensures compliance with regulations on the use of restraints.
Option A (spending equal amounts of time) is not a specific strategy related to promoting client rights. Option C (clients leaving the hospital) is important, but
the priority in this context is ensuring that clients who are restrained have proper documentation. Option D (presenting surgery risks when the provider is
unavailable) is a good practice, but the focus of the teaching in this question is more about patient rights related to restraints.
,Question 12 of 60:
A charge nurse is teaching a newly licensed nurse about advance directives. Which of the following statements by the newly licensed nurse indicates the
teaching was effective?
Options:
• A) "Staff who provide advance directives information must be trained by the facility's legal department."
• B) "The client's health care proxy is required to be in agreement with the client's advance directives."
• C) "Advance directives must be signed by a provider to be considered valid."
• D) "There must be documentation in the medical record about whether a client has advance directives."
Correct Answer:
• D) "There must be documentation in the medical record about whether a client has advance directives."
Explanation:
It is essential that the presence or absence of advance directives be documented in the medical record. This ensures that healthcare providers are aware of the
client's wishes regarding care, particularly if they are unable to make decisions for themselves.
, Question 17 of 60:
A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the charge nurse should recognize that which of the
following reflects an intrapersonal conflict?
Options:
• A) "I'm not sure whether I want to apply for the unit manager's position or start a family this year."
• B) "I feel frustrated because I just readmitted a client who refuses to take their insulin."
• C) "The unit manager is more concerned with saving money than with clients getting quality care."
• D) "Every time I request an extra day off I'm denied, but other nurses' requests are approved."
Correct Answer:
• A) "I'm not sure whether I want to apply for the unit manager's position or start a family this year."
Explanation:
Intrapersonal conflict occurs within an individual, often related to internal struggles or indecision. The statement in Option A reflects a personal conflict about
making a decision between career advancement and starting a family, which is a clear example of intrapersonal conflict.
