How long should the thermometer stay in the Client's Axilla?

Correct Answer: C

Rationale: Axillary temp requires 7 minutes e.g., skin contact time for accuracy, longer than oral (3 min) or rectal (1-2 min) due to lower heat transfer. Shorter times under-read; 10 is excessive. Nurses time this e.g., with a watch per protocol, ensuring reliable readings.

Correct Answer: D

Rationale: Betty Neuman's Health Care System Model (1970s) focuses on managing stressors intrapersonal (emotions), interpersonal (relationships), extrapersonal (finances) via prevention levels. For instance, primary prevention educates a hypertensive patient. Henderson aids needs, Orem self-care, and Parse becoming, but Neuman's stressor-centric system promotes stability, widely used in stress-related care like mental health or chronic illness management.

Correct Answer: B

Rationale: Roy's Adaptation Model (1970s) views humans as biopsychosocial-spiritual beings. Socially, individuals share traits with some e.g., community ties but differ psychologically (unique thoughts). Biologically (physiology) and spiritually (faith capacity), they're alike. This nuance guides nurses to adapt care e.g., social support for loneliness enhancing patient-specific interventions.

Correct Answer: D

Rationale: The nursing process assessment to evaluation is dynamic (adaptive), cyclical (ongoing), and universal (global) e.g., used worldwide. Intrapersonal (within one) doesn't apply; it's interpersonal (nurse-patient). This flexibility ensures tailored care, per standardized practice frameworks.

Correct Answer: B

Rationale: Using the thumb to palpate radial pulse is wrong e.g., its pulse interferes unlike fingers (index, middle) on wrist, palm down, assessing rate, rhythm, volume, symmetry. Nurses avoid this e.g., training for accurate measurement, per skills.