Which of the following statement best describe scope of practice?

Correct Answer: B

Rationale: Scope of practice is defined legal duties (B), per regulation e.g., what nurses can do. Not unlimited (A), not patient (C), not hospital (D) state-law-based. B best defines scope's boundaries, guiding Mr. Gary's nurse, making it correct.

Correct Answer: A

Rationale: Upset over policy blocking wishes is moral distress (A) ethical constraint, per definition. Dilemma (B) is choice, justice (C) fairness, veracity (D) truth not constraint-specific. A fits the nurse's frustration from inability to act ethically, making it correct.

Correct Answer: B

Rationale: Resilience is ability to recover from adversity (B), per psychology e.g., bouncing back from loss. Not inability (A), not permanent (C, grows), not condition (D) strength-based. B best defines resilience's adaptive nature, making it correct.

Correct Answer: C

Rationale: Discussing Mr. Gary's condition with another client (C) violates confidentiality breaching privacy, per ethics/HIPAA. Family (A) and team (B) are permissible, client himself (D) is direct care. C's unauthorized disclosure makes it the violation.

Correct Answer: C

Rationale: Madeleine Leininger's theory positions caring as nursing's essence, a unifying force distinguishing it from medicine or other fields. Developed in the 1970s, her Culture Care Theory asserts that care is a universal human need, but its expression varies culturally. She describes it as central (core to nursing), unifying (binding the profession), and dominant (setting it apart), unlike Benner's skill focus, Watson's spiritual caring, or Swanson's process-oriented approach. For example, a nurse adjusting pain management for a patient's cultural beliefs reflects Leininger's view. Her mnemonic ‘CUD I LIE IN GER' (Central, Unifying, Dominant) aids recall, emphasizing caring's primacy. This perspective shaped transcultural nursing, urging practitioners to integrate cultural competence into care, a critical distinction in today's diverse healthcare landscape.

Correct Answer: B

Rationale: Rectal thermometers have pear-shaped or round bulbs for safety e.g., preventing injury in infants. Oral temps are less accurate than rectal (gold standard), older age lowers BMR (metabolism slows), and swimming increases BMR (activity boosts it). This design ensures accurate, safe measurement, per nursing protocols.

Correct Answer: B

Rationale: Hypotension is a key side effect of captopril (ACE inhibitor) in AIDS clients, due to vasodilation hyperkalemia is possible but less immediate, hypoglycemia isn't linked, and urine output may not increase. Nurses check blood pressure frequently, ensuring safety, especially with AIDS-related comorbidities affecting fluid balance.

Correct Answer: B

Rationale: Benson's relaxation (B) involves focusing on breathing, relaxing without tensing, and repeating a word/sound post-exhalation to reduce stress. Tensing muscles (A) is progressive relaxation (Jacobson). Positive statements (C) fit affirmations, not Benson. Exercise with meditation (D) is broader. Benson's method, per his research, uses breath focus and repetition for physiologic calm, making B correct.

Correct Answer: D

Rationale: Auscultation precedes percussion and palpation to avoid altering bowel sounds.