A patient says, "Please don't share information about me with the other people." How should the nurse respond?

Correct Answer: A

Rationale: The correct answer is A. The nurse should respect the patient's request for confidentiality but can share information with other staff for continuity of care. This maintains patient privacy while ensuring effective communication within the healthcare team. Incorrect choices: B: This response puts the burden on the patient to communicate with others, which may not always be feasible or appropriate in a healthcare setting. C: Sharing information at the end of each session is not practical for continuity of care and may compromise the patient's trust in the nurse. D: This response blurs professional boundaries by equating the patient's information with the nurse's own problems, which can be confusing and ineffective in providing appropriate care.

Correct Answer: B

Rationale: The correct answer is B: personal health literacy. Personal health literacy refers to an individual's ability to access, understand, evaluate, and communicate health information to make informed decisions about their health. This term specifically focuses on an individual's skills and capabilities in managing health-related information. A: Advanced directives are legal documents that outline an individual's wishes regarding medical treatment in the event they are unable to communicate their preferences. This is not the same as the ability to understand and apply health-related information. C: Organizational health literacy refers to an organization's capacity to provide health information and services effectively to its members or employees. This choice does not address an individual's personal ability to manage health information. D: Information literacy is the ability to access, evaluate, and use information effectively. While this is a related concept, personal health literacy is more specific to health-related information and decision-making.

Correct Answer: C

Rationale: Rationale: Choice C, "Normal," is correct because many children go through phases where they experiment with gender identity. Melissa's behavior was typical of a child exploring their identity and is not indicative of a permanent gender identity. Gender dysphoria (A) involves persistent distress due to a disconnect between assigned gender and gender identity, which doesn't apply here. Reaction formation (B) involves expressing the opposite of one's true feelings, which doesn't fit the scenario. Early transgender syndrome (D) is a made-up term and not a recognized psychological concept.

Correct Answer: D

Rationale: The correct answer is D because viewing the newborn's actions as uncooperative can indicate a lack of understanding of newborn behavior and may lead to inappropriate responses. This attitude may hinder bonding and potentially harm the newborn's development. A: Holding the newborn in an en face position is a positive interaction that promotes bonding. B: Asking the father to change the newborn's diaper involves the father in caregiving, which is beneficial for bonding. C: Requesting the nurse to take the newborn to the nursery so she can rest is acceptable as long as the mother prioritizes self-care.

Correct Answer: A

Rationale: The correct answer is A: Closure stage. During the closure stage of a home visit, the nurse typically discusses the next visit with the patient to provide continuity of care. This stage is focused on summarizing the visit, addressing any remaining issues, and planning for future visits. It is important to clarify the next home visit during the closure stage to ensure that the patient knows what to expect and to maintain a therapeutic relationship. Summary of other choices: B: Service implementation - This stage involves putting the care plan into action and providing the necessary services. It is not the appropriate stage to discuss the next home visit. C: Greeting stage - This stage occurs at the beginning of the visit and involves establishing rapport and setting the tone for the interaction. It is too early in the visit to discuss the next home visit. D: Focus establishment - This stage involves identifying the purpose of the visit and setting goals. While important for overall care, it is not the appropriate stage to discuss the next home visit

Correct Answer: A

Rationale: The correct answer is A: Boundaries. In the structural family system model by Minuchin, boundaries refer to the rules and limits that define the relationships between family members. By focusing on boundaries, the nurse can assess how family members interact and communicate with each other, which is crucial in understanding the family dynamics and identifying potential issues. Emotional cutoff (B) refers to avoiding emotional connections, sibling position (C) relates to birth order and its impact, and family projection process (D) is about parents projecting their own issues onto their children. These concepts are important but not the primary focus of the structural family system model assessment.

Correct Answer: A

Rationale: The correct answer is A. The nurse should respect the patient's request for confidentiality but can share information with other staff for continuity of care. This maintains patient privacy while ensuring effective communication within the healthcare team. Incorrect choices: B: This response puts the burden on the patient to communicate with others, which may not always be feasible or appropriate in a healthcare setting. C: Sharing information at the end of each session is not practical for continuity of care and may compromise the patient's trust in the nurse. D: This response blurs professional boundaries by equating the patient's information with the nurse's own problems, which can be confusing and ineffective in providing appropriate care.

Correct Answer: D

Rationale: The correct answer is D: Diabetes. Olanzapine (Zyprexa) is an atypical antipsychotic known to cause metabolic side effects, including weight gain and increased risk of diabetes. The nurse should monitor the client for signs of hyperglycemia, such as increased thirst, frequent urination, and fatigue. Weight loss (A) is less likely due to olanzapine's tendency to cause weight gain. Hypertension (B) and diarrhea (C) are not typically associated with olanzapine use.

Correct Answer: B

Rationale: The correct answer is B: Reciprocity. The patient's statements indicate a mutual exchange of support and assistance between her and her friend. Reciprocity in social networks refers to the give-and-take dynamic where both parties provide help and support to each other. This is evident in the patient's description of their friendship. Incorrect choices: A: Denseness refers to the degree to which individuals within a social network are connected to each other. The patient's statements do not specifically indicate a high level of interconnectedness. C: Social support involves the provision of assistance or emotional support within a social network, but the key aspect of reciprocity is missing in this choice. D: Constraints refer to the limitations or restrictions within a social network that may hinder relationships or interactions. There is no indication of constraints in the patient's statements.