The nurse kept Mr. Gary's diagnosis private. This is an example of?

Correct Answer: A

Rationale: Keeping diagnosis private is confidentiality (A) privacy protection, per ethics. Justice (B) fairness, veracity (C) truth, nonmaleficence (D) harm avoidance not privacy-specific. A fits the nurse's duty to safeguard Mr. Gary's info, aligning with ethical and legal standards, making it correct.

Correct Answer: C

Rationale: Bell's palsy causes unilateral facial weakness due to cranial nerve dysfunction. The trigeminal nerve (choice A, CN V) controls sensation and chewing, not facial movement. The trochlear nerve (choice B, CN IV) moves the eye, irrelevant here. The facial nerve (choice C, CN VII) innervates facial muscles; its injury (often idiopathic or viral) leads to Bell's palsy, with symptoms like drooping mouth or eye. The hypoglossal nerve (choice D, CN XII) moves the tongue. C is correct, as facial nerve damage is the established cause. Nurses assess symmetry, support eye care (due to incomplete closure), and educate on recovery, typically spontaneous within months.

Correct Answer: B

Rationale: Post-esophagoscopy, assessing the gag reflex is critical before offering fluids, as sedation and throat manipulation may impair swallowing, risking aspiration. Consciousness, urine output, or extremity movement are secondary gag reflex directly ensures airway safety. Nurses prioritize this to confirm recovery from anesthesia, preventing complications like choking.

Correct Answer: B

Rationale: Stomach cells undergo constant mitosis to replace lining lost to digestion, unlike nerve cells (rarely divide), muscle (slow turnover), or renal cells (less frequent). This informs nursing care, like monitoring gastric healing in ulcers.

Correct Answer: C

Rationale: Using a 1-inch needle ensures heparin reaches subcutaneous tissue aspiration risks bleeding, massage disperses drug (avoided), and upper arm isn't ideal (abdomen is). Nurses use proper depth, minimizing bruising, key for anticoagulation therapy.

Correct Answer: B

Rationale: Normal urine pH is 4.5-8 e.g., averages 6 but varies not fixed at 6. Clear, aromatic, yellow-amber are true. Nurses assess e.g., pH for health, per norms.

Correct Answer: C

Rationale: St. Clare founded the Poor Clares in 1212, the second Franciscan order, focusing on poverty and service e.g., caring for the sick. Unlike Catherine (lamp lady), Anne (Mary's mother), or Elizabeth (patron saint), Clare's work influenced nursing's religious roots, tying care to spiritual devotion.

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: C

Rationale: The primary purpose of planning care is making individualized patient care, tailoring interventions to the patient's unique needs, preferences, and health status. This ensures relevance and efficacy, enhancing outcomes and patient engagement. A standardized nursing care plan offers a template but lacks personalization, potentially missing specific concerns. Expanding nursing diagnosis taxonomy advances the profession broadly, not individual care directly. Incorporating nursing and medical diagnoses is valuable for holistic treatment but secondary to customizing care, as nursing focuses on patient responses, not just medical conditions. Individualized planning, informed by assessment and diagnosis, crafts a care plan reflecting the patient's reality e.g., cultural factors or comorbidities making it the cornerstone of effective, patient-centered nursing, driving all subsequent actions and evaluations.