Quez #2 – ALL Answers

Question 1/9

1. Which purpose describes the Nurse Practice Acts?

Right Answer

The Nurse Practice Act (NPA) is a law in each state that defines the scope of nursing practice and legal boundaries for nurses. It ensures that nurses adhere to safe and ethical practice standards. While NPAs provide some guidelines for minimum care, their primary role is defining legal boundaries rather than detailing individual skill requirements. Each state has its own NPA to regulate nursing practice.

Question 2/9

2. The nurse is discussing discharge plans with a client. The client states, "I'm worried about going home." The nurse responds, "Tell me more about that." Which interviewing technique did the nurse use?

Right Answer

Exploring allows the nurse to encourage the client to express thoughts and feelings in greater detail. By asking "Tell me more about that," the nurse invites the client to discuss their concerns more openly. This technique helps clarify the client's worries and provides insight into potential needs after discharge. Reflecting would involve repeating part of the client's statement, while refocusing directs attention back to the main concern.

Question 3/9

3. Which variable is an internal variable?

Right Answer

Internal variables influence health beliefs and behaviors from within an individual, such as emotions, perception of illness, and mental state. Emotional factors like anxiety, depression, and stress can affect how a client perceives their health and responds to illness. External variables, such as socioeconomic status and cultural background, are environmental influences. Understanding internal factors helps nurses provide more individualized care.

Question 4/9

4. The nurse finds the fever spikes and falls without a return to a normal level. Which pattern of fever is this a characteristic of?

Right Answer

A remittent fever pattern occurs when the body temperature fluctuates but does not return to normal levels between spikes. Intermittent fever fluctuates but returns to normal at some points. Sustained fever remains consistently high, and relapsing fever includes periods of normal temperature followed by fever spikes. Identifying the fever pattern helps in diagnosing underlying conditions.

Question 5/9

5. While examining a client, the nurse finds a 0.6 cm circumscribed elevation of the skin filled with serous fluid on the cheek. Which term would the nurse utilize for documentation?

Right Answer

A vesicle is a fluid-filled lesion smaller than 1 cm in diameter, typically seen in conditions like chickenpox or herpes simplex. Pustules are similar but filled with pus instead of clear fluid. Nodules are solid, raised lesions that are larger and deeper than vesicles. Papules are solid bumps, usually without fluid, making vesicle the most accurate term.

Question 6/9

6. Two nurses are planning to help a client with weakness move up in bed. Which principle of body mechanics would the nurses observe?

Right Answer

Using proper body mechanics reduces strain and risk of injury for both the nurse and client. The correct technique involves keeping feet apart for stability, using a turn sheet for support, and facing the direction of movement. Shifting weight correctly helps maintain balance and prevent strain. Asking the client to place arms on the nurses’ shoulders or extend their legs may make movement more difficult.

Question 7/9

7. Which variable is an example of an external variable?

Right Answer

External variables are factors outside an individual that affect health behaviors, such as income, education, and access to healthcare. Socioeconomic factors play a significant role in determining health status and the ability to seek medical care. Internal variables, like spirituality or perception of functioning, are personal beliefs and emotions. Recognizing external factors allows healthcare providers to address barriers to care

Question 8/9

9. Which point would the nurse not associate with grand theories of nursing?

Right Answer

Grand nursing theories are broad and abstract, often explaining overall nursing concepts rather than specific interventions. While they provide a foundation for nursing practice, they do not directly guide clinical actions. More specific theories, such as middle-range theories, help apply nursing concepts to real-world practice. These theories require further research and refinement to be clinically applicable.

Question 9/9

10. A client is being cared for by English-speaking nursing staff. Which communication technique would be correct for the nurse to use when discussing healthcare decisions with the client?

Right Answer

A professional medical interpreter ensures that the client receives accurate healthcare information and maintains confidentiality. Using family members or personal translation attempts may lead to miscommunication, errors, or bias in interpretation. Hospitals are required by law to provide interpreters for non-English-speaking clients. Effective communication ensures the client makes informed healthcare decisions.