The nurse prepares a care plan for the patient. Based on Ramona Mercer's becoming a mother (BAM) theory, which of the following statements fosters the process of becoming a mother?

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Question 1 of 9

The nurse prepares a care plan for the patient. Based on Ramona Mercer's becoming a mother (BAM) theory, which of the following statements fosters the process of becoming a mother?

Correct Answer: B

Rationale: Ramona Mercer's becoming a mother (BAM) theory emphasizes the dynamic transformation and evolution of a woman's persona as she transitions into motherhood. This theory acknowledges that becoming a mother is a process involving significant changes in a woman's identity, roles, and relationships. It goes beyond just the physical aspects of giving birth and delves into the psychological, emotional, and social aspects of motherhood. Therefore, statement B aligns with the core principles of Mercer's BAM theory and fosters the understanding of the process of becoming a mother.

Question 2 of 9

The nurse asks the patient, "What do you fear MOST about your surgery tomorrow?" This is an example of which communication technique?

Correct Answer: B

Rationale: In this scenario, the nurse is asking the patient to elaborate on their feelings and thoughts related to the upcoming surgery. By asking, "What do you fear MOST about your surgery tomorrow?" the nurse is seeking clarification to better understand the patient's concerns and enable effective communication. Seeking clarification involves asking open-ended questions that encourage the patient to express themselves more fully, allowing the healthcare provider to address their specific worries or needs more effectively.

Question 3 of 9

A patient presents with recurrent episodes of joint pain, swelling, and limited range of motion in multiple joints. Laboratory tests reveal elevated erythrocyte sedimentation rate (ESR), positive rheumatoid factor (RF), and presence of anti-cyclic citrullinated peptide (anti-CCP) antibodies. Which of the following conditions is most likely to cause these findings?

Correct Answer: A

Rationale: The combination of recurrent joint pain, swelling, and limited range of motion in multiple joints along with elevated ESR, positive RF, and presence of anti-CCP antibodies is classic for rheumatoid arthritis (RA). Elevated ESR indicates inflammation, positive rheumatoid factor (RF) is an autoantibody commonly found in the serum of patients with RA, and the presence of anti-cyclic citrullinated peptide (anti-CCP) antibodies further supports the diagnosis of RA. These laboratory findings along with the clinical presentation are highly suggestive of rheumatoid arthritis. Systemic lupus erythematosus (SLE), ankylosing spondylitis (AS), and psoriatic arthritis (PsA) can have overlapping symptoms with RA, but the specific combination of elevated ESR, positive RF, and anti-CCP antibodies points more towards RA in this scenario.

Question 4 of 9

Emotional 1ability is common to pregnant women. Identify which of the following reactions is accepted as part of a normal pregnancy?

Correct Answer: B

Rationale: Mood swings are recognized as a typical part of a normal pregnancy due to the hormonal changes that occur. Pregnant individuals may experience a wide range of emotions, from joy and elation to frustration and irritability. These fluctuations in mood are considered normal and not necessarily indicative of a more serious issue. It is essential for pregnant women to receive support and understanding during this time as they navigate the emotional ups and downs of pregnancy. Feelings being easily hurt by remarks (A) and narcissism (D) are not typically accepted as part of a normal pregnancy and may require further attention or support. While finding a situation amusing or charming (C) can be a positive experience, it is not specifically indicative of a normal emotional reaction during pregnancy.

Question 5 of 9

Nurse Nora observes that the Ellie's uterine contractions are irregular in frequency and short in duration. Ellie screams in pain during contractions. Which of the following actions is considered BEST for the nurse to perform?

Correct Answer: B

Rationale: Administering pain relief medication as ordered is the best action for the nurse to take in this situation where the patient is experiencing intense pain during irregular and short uterine contractions. Pain relief medications can help alleviate the discomfort and distress that Ellie is experiencing, providing her with much-needed relief and improving her overall comfort during labor. It is important for the nurse to follow the prescribed orders for pain relief medication to ensure safe and effective pain management for the patient.

Question 6 of 9

A patient presents with acute onset of severe vertigo, nausea, vomiting, and nystagmus. Symptoms are worsened with head movement. Which of the following neurological conditions is most likely responsible for these symptoms?

Correct Answer: B

Rationale: Vestibular neuritis is a condition characterized by the acute onset of severe vertigo, nausea, vomiting, and nystagmus. These symptoms are typically worsened by head movement. Vestibular neuritis is caused by inflammation of the vestibular nerve, which plays a key role in balance and spatial orientation. The classic presentation of these symptoms, along with the absence of hearing loss (which is seen in labyrinthitis), points towards vestibular neuritis as the most likely cause in this scenario. Meniere's disease presents with recurrent episodes of vertigo, hearing loss, tinnitus, and sensation of fullness in the ear. Benign paroxysmal positional vertigo (BPPV) is characterized by brief episodes of vertigo triggered by changes in head position.

Question 7 of 9

Nurse Chona saw Patient Noel reading his own chart and question the nurse why (-) smoking and (-) liquor was recorded when he does not smoke and drink alcohol? What is the INITIAL explanation of Nurse Chona on the record?

Correct Answer: B

Rationale: Nurse Chona should explain to Patient Noel that the sign of negative before the word means that he is not drinking alcohol or smoking cigarettes. This is a simple misunderstanding and clarification should help clear up any confusion. It is important to uphold patient confidentiality and respect their autonomy, rather than reprimanding the patient for looking at their own chart. It is also essential to address any discrepancies in the patient's medical record to ensure accurate information is documented for proper treatment and care.

Question 8 of 9

A nurse administer as extra dose of vaccine to a child and the patient developed adverse reaction and died. She can be sued for _____.

Correct Answer: C

Rationale: In this scenario, the nurse can be sued for malpractice. Malpractice refers to the failure of a professional, in this case, a nurse, to provide the standard of care that a reasonably prudent nurse would have provided in similar circumstances, resulting in harm to the patient. Administering an extra dose of vaccine leading to an adverse reaction and death of the patient is considered a form of medical malpractice as it involves a breach in the standard of care. Generally, malpractice cases involve errors or negligence in the performance of professional duties, which result in harm to the patient.

Question 9 of 9

What response should the nurse use in dealing with this behavior?

Correct Answer: B

Rationale: Supplying the patient with paper tissues to use when touching doorknobs is the most appropriate response in this situation. This action acknowledges and respects the patient's anxiety while providing a practical solution to help her cope. Forcing her to touch doorknobs or discouraging her concerns would not address the underlying anxiety and may lead to increased distress. Encouraging her to scrub doorknobs with a strong antiseptic is not necessary and may exacerbate her anxiety. Explaining that her concerns are part of her illness may invalidate her feelings and is not a constructive way to address the situation. Supplying her with paper tissues allows her to feel more comfortable while still being able to navigate her daily activities.

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