Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?

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Question 1 of 9

Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?

Correct Answer: A

Rationale: For a 4-year-old, 'Tell me where you hurt' is most effective simple, direct, and age-appropriate, encouraging the child to express pain in their own words, aligning with their concrete thinking stage per Piaget. Option B uses peer pressure, ineffective for this age; C's metaphor may confuse rather than clarify; and D's confidentiality concept is too abstract.

Question 2 of 9

Which of the following statement best describe nursing code of ethics?

Correct Answer: B

Rationale: Nursing code of ethics is moral guidelines for nurses (B), per ANA e.g., duty, respect. Not hospital (A), not contract (C), not request (D) profession-wide. B best defines its ethical framework, guiding Mr. Gary's nurse, making it correct.

Question 3 of 9

During a Romberg test, the nurse asks the patient to assume which position?

Correct Answer: B

Rationale: The Romberg test assesses balance while standing with eyes open and closed.

Question 4 of 9

A client with a traumatic brain injury has an intracranial pressure (ICP) of $15 \mathrm{mmHg}$ and a mean arterial pressure (MAP) of $90 \mathrm{mmHg}$. What is the cerebral perfusion pressure (CPP)?

Correct Answer: B

Rationale: CPP = MAP - ICP; 90 - 15 = 75 mmHg (B). Other options (A, C, D) miscalculate. B is correct. Rationale: CPP of 75 mmHg is within normal (60-100), ensuring brain perfusion, per neurocritical care, critical for TBI outcomes.

Question 5 of 9

Mr. Gary monitors his blood sugar daily for diabetes. This is an example of?

Correct Answer: A

Rationale: Daily blood sugar monitoring for diabetes is chronic disease management (A) ongoing control, per definition. Acute (B) is short, promotion (C) prevents, QI (D) enhances not chronic-specific. A fits long-term care, making it correct.

Question 6 of 9

A group of nurses is participating in a community health fair and is engaged in primary prevention activities. Which activities would these nurses be leading?

Correct Answer: A

Rationale: Primary prevention aims to promote health and stop disease before it starts, a key nursing role at health fairs. Family planning services educate on contraception, preventing unintended pregnancies a proactive health step. Accident prevention education, like teaching helmet use, averts injuries, targeting safety before incidents. Heart-healthy nutrition services promote diets reducing cardiovascular risk, fostering wellness pre-disease. Skin cancer screening, though vital, is secondary prevention, detecting issues early, not preventing onset. Rehabilitation for back pain is tertiary, managing existing conditions. These primary activities planning, safety, nutrition empower communities with knowledge and habits to sidestep illness, aligning with nursing's preventive focus, leveraging education to build health resilience before crises emerge.

Question 7 of 9

A client with a new diagnosis of hypothyroidism is being taught about medication management. Which of the following statements should the nurse include in the teaching?

Correct Answer: B

Rationale: The correct answer is B: 'You should take your medication on an empty stomach.' When educating a client with hypothyroidism, it is essential to advise taking thyroid medication on an empty stomach to enhance absorption and effectiveness. Taking the medication with food, especially high-fiber or with supplements like calcium, can interfere with absorption and reduce its efficacy. Therefore, it is crucial for the client to follow the recommendation of taking the medication on an empty stomach. Choices A, C, and D are incorrect because taking the medication with a high-fiber meal (Choice A) or with a calcium supplement (Choice C) can hinder absorption, and taking it before bedtime (Choice D) does not optimize absorption compared to taking it on an empty stomach.

Question 8 of 9

The nurse chose to respect Mr. Gary's refusal of care. This is an example of?

Correct Answer: A

Rationale: Respecting care refusal is ethics (A) moral decision, per principles (autonomy). Promotion (B) prevents, coordination (C) organizes, informatics (D) tech not ethics-specific. A fits moral choice, making it correct.

Question 9 of 9

A client has a new diagnosis of hyperthyroidism and is being taught about dietary management. Which of the following statements should the nurse include in the teaching?

Correct Answer: B

Rationale: The correct answer is B. In hyperthyroidism, it is advisable to avoid foods that contain iodine to help manage the condition and prevent complications. Excessive iodine intake can exacerbate hyperthyroidism symptoms by stimulating the thyroid gland. Therefore, the nurse should include information about avoiding iodine-rich foods in the client's dietary management teaching. Choices A, C, and D are incorrect because increasing intake of iodine-rich foods can worsen hyperthyroidism symptoms, increasing dairy products is not specific to managing hyperthyroidism, and avoiding gluten is more relevant for conditions like celiac disease, not hyperthyroidism.

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