ACCURATE ANSWERS
A 13-year-old client with cystic fibrosis who is being discharged confides in the
nurse that her parents argue a lot. Sometimes, her mother has too much to drink
and starts throwing things at people. At times she gets scared her mom will hurt
someone. She feels as if she is causing her parents to fight and her mom to drink
because she is always in the hospital. She also worries about getting a bad grade
in school due to her many absences and not getting into a good college. According
to Maslow's hierarchy of human needs, which issue should take priority when
caring for this client?
a. The client feels as if she is the cause of her family's dysfunction.
b. The client feels scared that her mother will hurt someone.
c. The client is worried about getting a bad grade in school.
d. The client's parents argue a lot. correct answer b
A charge nurse meets with staff to outline a plan to provide transcultural nursing
care for patients in their health care facility. Which theorist promoted this type of
caring as the central theme of nursing care, knowledge, and practice?
a. Madeline Leininger
b. Jean Watson
,c. Dorothy E. Johnson
d. Betty Newman correct answer a
Madeline Leininger's theory provides the foundations of transcultural nursing
care by making caring the central theme of nursing. Jean Watson stated that
nursing is concerned with promoting and restoring health, preventing illness, and
caring for the sick. The central theme of Dorothy E. Johnson's theory is that
problems arise because of disturbances in the system or subsystem or functioning
below optimal level. Betty Newman proposed that humans are in constant
relationship with stressors in the environment and the major concern for nursing
is keeping the patient system stable through accurate assessment of these
stressors.
A client believes that the illness is caused by an imbalance of yin and yang. The
nurse states, "You can call it whatever you believe, but you have a metabolic
disorder." What is this nurse demonstrating?
a. Stereotyping
b. Cultural diversity
c. Cultural blindness
d. Ethnocentrism correct answer c
A client comes to the health center for a follow-up visit. Assessment reveals that
the client is experiencing problems ambulating and moving about due to
,degenerative joint disease; in addition, the client is feeling isolated due to the
limitations in mobility. The client also reports feeling anxious about the future
related to the mobility issues and being unable to fulfill the role as the major
provider. Which need would the nurse identify as the priority?
a. Anxiety about the future
b. Feelings of isolation
c. Mobility
d. Role change correct answer c
A client comes to the health center for a routine visit. During the visit, the client
tells the nurse, "I'm motivated to do things now to make sure I'm the healthiest I
can be." When planning this client's care, the nurse should focus on which area?
a. Diagnosis of disease
b. Health promotion
c. Illness prevention
d. Self-concept correct answer b
, A client has been admitted to the hospital for the treatment of diabetic
ketoacidosis, with a random blood glucose reading of 575 mg/dL (31.91 mmol/L),
vomiting, and shortness of breath. This client has experienced which
phenomenon?
a. Exacerbation
b. Infection
c. Risk factor
d. Morbidity correct answer a
A client is brought to the emergency department with a head injury following an
all-terrain vehicle (ATV) accident. The nurse asks the family members to describe
how the accident occurred. The nurse is implementing which ANA standard?
a. Diagnosis
b. Collaboration
c. Education
d. Evaluation correct answer b