What action by a nurse will help a patient meet self-esteem needs?

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Question 1 of 5

What action by a nurse will help a patient meet self-esteem needs?

Correct Answer: D

Rationale: The correct answer is D because respecting the patient's values and belief systems demonstrates validation and acceptance, contributing to their self-esteem. By respecting their individuality, the nurse acknowledges and supports their autonomy, fostering a positive self-concept. Verbal negation (A) may be perceived as invalidating, impacting self-esteem negatively. Freely giving compliments (B) may come across as insincere and not address deeper self-esteem issues. Independently establishing goals (C) may not align with the patient's needs and values, potentially hindering self-esteem growth.

Question 2 of 5

A nurse explains the informed consent form to a patient who is scheduled for heart bypass surgery. Which of the following are elements of this consent form? Select all that apply.

Correct Answer: D

Rationale: The correct answer is D: Comprehension. Informed consent requires the patient to understand the information provided. This ensures the patient is fully aware of the risks, benefits, and alternatives of the procedure. A: Disclosure is important for providing all necessary information, but it is not an element of the consent form itself. B: Organ donation is unrelated to the consent form for heart bypass surgery. C: DNR orders refer to do not resuscitate, which is not directly related to the informed consent process.

Question 3 of 5

A nurse asks a patient to tell him the side effects of a medication. What learning domain is the nurse evaluating?

Correct Answer: B

Rationale: The correct answer is B: cognitive. The nurse is evaluating the patient's knowledge and understanding of the side effects of a medication, which falls under the cognitive domain of learning. Cognitive domain involves mental skills like comprehension, analysis, and synthesis. The patient's ability to recall and explain the side effects demonstrates cognitive learning. Incorrect choices: A: affective - This domain relates to emotions, attitudes, and values, not knowledge recall. C: psychomotor - This domain involves physical skills and actions, not knowledge of side effects. D: emotional - This domain involves understanding and managing emotions, not knowledge recall of medication side effects.

Question 4 of 5

The patient has just been told that he has cancer. When the nurse assesses the patient at shift change, his heart rate and respirations are elevated. What type of response is this to stress?

Correct Answer: C

Rationale: The correct answer is C: Physiologic. When facing stress like a cancer diagnosis, the body responds with physiological changes such as increased heart rate and respirations due to activation of the sympathetic nervous system. This is known as the fight or flight response, triggered by the release of stress hormones like adrenaline. The somatic response (choice A) refers to physical actions, neurologic response (choice B) involves the nervous system functions, and psychological response (choice D) pertains to emotional and cognitive reactions, which may also occur but are not the primary explanation for the elevated heart rate and respirations in this scenario.

Question 5 of 5

The nurse recognizes the value of hospice care in promoting quality of life at the end of life. Which of the following older adult patients reflects an eligible requirement for hospice care?

Correct Answer: A

Rationale: The correct answer is A. Hospice care is appropriate for patients with a life expectancy of 6 months or less, focusing on comfort rather than cure. In this case, a patient with cancer and uncontrolled pain meets this criteria. The other choices do not meet the eligibility requirements for hospice care. Choice B implies a specific prognosis but not necessarily a terminal illness. Choice C does not mention a terminal condition, and lack of affordability does not determine eligibility. Choice D lacks information on the patient's prognosis and eligibility based on family support is not a criterion for hospice care.

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