Which nursing intervention is essential to prevent pressure ulcers in a patient with limited mobility?

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Question 1 of 9

Which nursing intervention is essential to prevent pressure ulcers in a patient with limited mobility?

Correct Answer: A

Rationale: Frequent, thorough skin assessments are essential to prevent pressure ulcers in limited-mobility patients, catching early redness or breakdown for timely intervention. Petroleum jelly doesn't relieve pressure, air mattresses aid but aren't enough alone, and prolonged sitting increases risk. Nurses rely on this to monitor skin health, enabling prompt action like repositioning, crucial for preventing progression to ulcers in at-risk areas.

Question 2 of 9

It is described as a collection of people who share some attributes of their lives.

Correct Answer: C

Rationale: A community shares common attributes or connections.

Question 3 of 9

Mr. Gary has been stressed for weeks and now feels tired all the time. This is an example of which stage of GAS?

Correct Answer: C

Rationale: Feeling tired after weeks of stress is exhaustion (C) GAS's depletion stage, per Selye, from prolonged cortisol. Alarm (A) is initial, resistance (B) adapts, recovery (D) isn't GAS. C fits resource drain, making it correct.

Question 4 of 9

He proposed the theory of morality based on PRINCIPLES

Correct Answer: D

Rationale: R.S. Peters' moral theory, from the 1960s, centers on principles like justice and honesty e.g., a nurse acts kindly out of habit. Freud's drives, Erikson's stages, and Kohlberg's trust differ. Peters' view of morality as emotion, judgment, and behavior, rooted in automatic virtues, guides nurses in ethical consistency, impacting professional conduct standards.

Question 5 of 9

A nurse who works in a pediatric practice assesses the developmental level of children of various ages to determine their psychosocial development. These assessments are based on the work of:

Correct Answer: C

Rationale: Erik Erikson's theory of psychosocial development underpins pediatric assessments of children's growth, focusing on eight stages tied to age-specific conflicts like trust versus mistrust in infancy. In a pediatric practice, a nurse uses this to gauge if a child's social and emotional milestones align with norms, assessing interactions or independence. Erikson integrates social, biological, and environmental factors, offering a lifespan lens ideal for children. Jean Watson's caring theory emphasizes interpersonal healing, not development. Martha Rogers' model centers on energy fields and client-environment interplay, less stage-focused. Abraham Maslow's hierarchy of needs prioritizes physical and psychological needs hierarchically, not age-based progression. Erikson's framework provides nurses a structured, age-sensitive tool to evaluate and support psychosocial health, critical for tailoring care to young clients' evolving capabilities.

Question 6 of 9

What is the relevance of a code of ethics for nurses?

Correct Answer: C

Rationale: A nursing code of ethics, like Kenya's or ANA's, defines principles autonomy, justice, beneficence shaping client care delivery. It guides decisions (e.g., respecting refusal), ensuring ethical practice. Improving universal health is an outcome, not the code's purpose, which focuses on conduct. Providing identical care misreads ethics; it ensures fairness, not uniformity care varies by need. Protecting nurses' desires prioritizes self-interest, not clients, clashing with the code's intent. Defining principles offers a moral compass, enabling nurses to navigate dilemmas, uphold trust, and deliver client-centered care, making this the code's core relevance.

Question 7 of 9

Which of the following statement best describe negligence in nursing?

Correct Answer: B

Rationale: Negligence is failure to meet care standards (B), per tort law e.g., missed duty. Not intentional (A), not choice (C), not policy (D) care-based lapse. B best defines negligence's breach, like Mr. Gary's potential harm, making it correct.

Question 8 of 9

Which among these drugs is NOT an anxiolytic?

Correct Answer: D

Rationale: Luvox (D), fluvoxamine, is an SSRI for OCD and depression, not an anxiolytic. Valium (A, diazepam), Ativan (B, lorazepam), and Milltown (C, meprobamate) are benzodiazepines or anxiolytics for anxiety relief. Luvox targets serotonin, not GABA like anxiolytics, per pharmacology, making D the correct non-anxiolytic.

Question 9 of 9

When caring for a client with a head injury that may have involved the medulla, the nurse bases assessments on the knowledge that the medulla controls a variety of functions. Which functions will the nurse assess? Select all that apply.

Correct Answer: C

Rationale: The medulla controls vital functions like pulse rate (C), breathing (B), and swallowing. Balance (A) is cerebellar. Temperature regulation (D) is hypothalamic. C is correct for CSV. Rationale: Medulla injury disrupts cardiac rhythm, a critical assessment in head trauma, per neuroanatomy, as it houses the vagus nerve and cardiovascular centers, unlike other regions controlling non-vital functions.

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