A nurse aims to establish a respectful therapeutic relationship with a patient.
Which of the following actions is MOST appropriate to achieve this?
Answer : C
Establishing a respectful therapeutic relationship involves actively including the client's ideas, preferences, and opinions in their care planning. This action demonstrates respect for the client's autonomy and individuality, fostering trust and cooperation. Discussing non-health-related topics may help build rapport but does not directly contribute to a therapeutic relationship. Being congruent and understanding the client's thoughts and feelings are important but are part of the overall communication process rather than a specific action to establish respect in the relationship.
A nurse responds to clients' health needs and communicates with authorities to ensure the accessibility of services in rural areas.
The nurse here assuming the role of:
Answer : C
In this scenario, the nurse is assuming the role of an advocate. Advocacy involves acting on behalf of patients to ensure they receive the necessary services and support. This includes communicating with authorities to improve access to healthcare services, especially in underserved areas like rural communities. By addressing barriers and promoting patients' needs, the nurse helps to ensure equitable access to care and resources.
The following term refers to the type of abortion in which the fetus dies in the uterus but is not expelled:
Answer : A
A missed abortion refers to a situation where the fetus dies in the uterus but is not expelled. This condition is also known as a silent miscarriage. The woman may not experience the typical symptoms of miscarriage, such as bleeding or cramping, and the diagnosis is often made during a routine ultrasound when no fetal heartbeat is detected. Complete abortion involves the complete expulsion of fetal tissue, inevitable abortion is when the miscarriage cannot be stopped, and threatened abortion refers to any bleeding in the first 20 weeks of pregnancy without cervical dilation.
A nurse is providing health teaching for a group of nursing students regarding the diagnostic tests for patient who is suffering from hearing loss.
Which of the following is the most IMPORTANT diagnostic test for hearing loss?
Answer : A
Audiometry is the most important diagnostic test for assessing hearing loss. This test measures a person's ability to hear sounds, varying in pitch and loudness. It is a comprehensive evaluation that helps determine the degree and type of hearing loss, whether it is conductive, sensorineural, or mixed. Tympanogram, middle ear endoscopy, and auditory brain stem response are also valuable diagnostic tools, but audiometry provides the primary assessment necessary for diagnosing hearing loss and guiding subsequent treatment.
A nurse is assigned to provide health teaching about the prevention strategies for a patient who complains of frequent severe low back pain.
Which of the following exercises would the nurse include in the teaching?
Answer : D
Swimming is an excellent exercise for individuals with low back pain as it is low-impact and helps strengthen the muscles supporting the back without putting undue stress on it. Sit-ups and leg lifts can strain the back and worsen pain, while running is a high-impact activity that can also exacerbate back pain. Swimming promotes flexibility, strength, and cardiovascular health while minimizing the risk of further injury to the back.
A researcher is conducting a study on population with similar age group to determine the exposure and observe who get infected by specific disease over a period of time.
Which of the following type of studies is BEST describe the scenario?
Answer : A
A cohort study involves following a group of people who share a common characteristic or experience within a defined period to determine how certain exposures affect outcomes over time. In this scenario, the researcher is following a population of a similar age group over time to observe the incidence of a specific disease. This longitudinal approach helps to identify the relationship between exposure and the development of the disease, making it a cohort study.
A nurse visited a postpartum mother who delivered a baby boy 3 days ago. During assessment, the nurse suspects that the mother is having postpartum depression.
Which behavior suggests the condition in the mother?
Answer : C
Postpartum Depression Symptoms:
Postpartum depression can manifest in various ways, affecting the mother's ability to care for herself and her baby.
Behavioral Indicators:
Euthymia: Indicates normal mood, not a sign of depression.
Eating Too Little: Can be a symptom but not as specific to postpartum depression.
Weakness to Care for the Baby: A significant indicator, as it shows the mother's lack of energy, interest, or capability to perform daily tasks related to baby care.
Difficulty Breastfeeding: Could be due to various reasons and not solely indicative of depression.
American Psychological Association (APA) on Postpartum Depression
Mayo Clinic guidelines on Postpartum Depression