ATI RN
Health Promotion and Maintenance NCLEX Questions Quizlet Questions
Question 1 of 5
Which nurse is functioning as a care manager?
Correct Answer: A
Rationale: Care managers help determine what medical care is necessary, monitor care, and arrange for individuals to receive the most cost-effective care in the most appropriate settings. They must collaborate with providers and with the client/family. Care managers are especially helpful following a client after discharge and clients with complex needs. A nurse working with a family to coordinate service after a hospitalization is a good example of services provided by a care manager.
Question 2 of 5
Which of the following scenarios best describes a nurse using metacommunication?
Correct Answer: D
Rationale: In the context of pharmacology, metacommunication is a crucial skill for nurses to possess. The correct answer, option D, best describes a nurse using metacommunication by understanding that an individual needs a break before proceeding. Metacommunication involves not only the verbal exchange of information but also the ability to read nonverbal cues and understand the underlying emotions and needs of the individual. In this scenario, the nurse demonstrates empathy and sensitivity to the individual's nonverbal signals, showing an awareness of the importance of breaks for effective communication and problem-solving. Option A, using both touch and silence when counseling an individual, involves nonverbal communication but does not specifically address the aspect of understanding the individual's needs for a break, which is central to metacommunication. Option B, practicing reflection when interacting with an individual, is a valuable communication skill but does not directly relate to the concept of recognizing and responding to the individual's need for a break. Option C, discussing with an individual how to solve a problem, focuses on problem-solving rather than the nurse's ability to tune into the individual's emotional state and adjust communication accordingly. In the educational context, understanding metacommunication in pharmacology is essential as it can impact patient outcomes. Nurses who are proficient in metacommunication can establish rapport with patients, improve adherence to medication regimens, and enhance patient education efforts. By recognizing and responding to patients' nonverbal cues and emotional needs, nurses can create a supportive and therapeutic environment that fosters effective communication and promotes positive health outcomes.
Question 3 of 5
The nurse makes sure that the distance between himself and the client is at least 6 feet before he begins to ask questions related to the client’s health history. Which of the following statements is true?
Correct Answer: B
Rationale: The correct answer is B) This distance is too far for the nurse to build a therapeutic relationship while obtaining the information. This is because a distance of 6 feet is considered too far for intimate communication and can hinder the establishment of a therapeutic relationship. Building rapport and trust with the client is essential in obtaining an accurate health history and promoting effective communication. Option A is incorrect because intimate communication requires a closer distance than 6 feet. Option C is incorrect as the recommended distance for effective therapeutic communication is typically around 3-4 feet. Option D is also incorrect as positioning the nurse further away would only increase the distance and further hinder communication. In an educational context, it is crucial for nurses to understand the importance of appropriate distances in therapeutic communication. Maintaining a comfortable and appropriate physical distance is key to establishing trust, promoting open dialogue, and ensuring effective information gathering during client interactions. Nurses should be mindful of non-verbal cues and the impact of physical proximity on the therapeutic relationship.
Question 4 of 5
An emergency department provides care for all individuals regardless of circumstances and ability to pay. This is an example of:
Correct Answer: A
Rationale: In the context of pharmacology and healthcare ethics, the correct answer is A) Ethic of justice. This scenario exemplifies the principle of justice by ensuring that all individuals, regardless of their circumstances or ability to pay, receive care in the emergency department. The ethic of justice emphasizes fairness, equity, and the allocation of resources based on need rather than on individual characteristics. Option B) Ethic of care focuses on relationships, empathy, and compassion in decision-making. While providing care to all individuals is compassionate, the primary principle demonstrated in this scenario is justice. Option C) Applied ethics involves the practical application of ethical principles to real-world situations. While the scenario does involve applied ethics, the specific ethical principle being exemplified here is justice. Option D) Metaethics deals with the theoretical foundations and philosophical analysis of ethical systems. This scenario does not directly relate to metaethics but rather to the practical application of ethical principles in healthcare delivery. In pharmacology education, understanding healthcare ethics is crucial as it guides decision-making, patient care, and professional conduct. By recognizing and applying principles such as justice, students can navigate complex ethical dilemmas in the field of pharmacology and ensure equitable access to healthcare for all individuals.
Question 5 of 5
An 18-year-old woman asks the nurse not to tell her mother about her STD diagnosis. Which action should the nurse take?
Correct Answer: B
Rationale: In this scenario, the correct action for the nurse to take is option B: Respect the principle of confidentiality and support the client's request. This choice aligns with ethical guidelines that prioritize patient confidentiality and autonomy. As a healthcare provider, it is crucial to uphold patient privacy unless there are specific legal exceptions, such as imminent harm to self or others. Option A is incorrect because violating the client's trust by disclosing sensitive information without consent goes against ethical standards and may harm the nurse-client relationship. Option C is incorrect as providing false information undermines the client's right to accurate healthcare communication. Option D is also incorrect as ignoring the request disregards the client's autonomy and right to privacy. Educationally, this scenario highlights the importance of understanding and respecting patient confidentiality in healthcare practice. Nurses must be aware of legal and ethical considerations regarding patient information and strive to maintain trust and open communication with clients while upholding confidentiality standards. This situation also underscores the significance of effective communication skills and ethical decision-making in nursing practice.