A child, aged 11 years, stays home from school to care for his siblings while his mother works
because the family cannot afford a babysitter.
The home is cluttered and dirty when the community
mental health nurse visits to investigate the child's school absences. When the parents arrive home
from work the child's father behaves angrily. He orders his wife and son about. He finds fault with
the son, asking him twice "Why are you such a stupid kid?" The wife tells the nurse she has
difficulty disciplining the children and gets frustrated easily. The nurse's goal is to continue to
gather assessment data. The remark or question that would create a block is
a. "Tell me how you punish your children.".
b. "When your baby cries, how do you get him to stop?"
c. "Caring for five small children must be difficult.".
d. "Do you or your husband ever beat the children?"
D
An interview with possible abusing individuals should be built on concern and carried out in a
nonthreatening, nonjudgmental way. This question would be threatening. Option C: Empathetic
remarks are helpful in creating rapport. Options A and B: Questions requiring a descriptive response
are less threatening and elicit more relevant information than questions that can be answered by yes
or no.
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The nurse is teaching a patient whose Snellen chart findings are 20/60. Which of the following statements would the nurse include in the patient teaching?
a. "You are considered legally blind, even though with prescription glasses you'll be able to see." b. "Your vision is better than normal." c. "You must be at 20 feet to see what normal vision sees at 60 feet." d. "You must be at 60 feet to see what normal vision sees at 20 feet."
The student nurse asks the provider if she will prescribe an indwelling urinary catheter for a hospitalized patient who is incontinent. The provider explains that catheters should be utilized only when absolutely necessary because:
a. They are the leading cause of nosocomial infection b. They are too expensive for routine use c. They contain latex, increasing the risk for allergies d. Insertion is painful for most patients
The nurse is visiting a patient who lives alone in a two-room house. The patient requires wound care and medication management, but his health is not expected to improve much, even with care
There is no running water in the house, and the bathroom is in disrepair and filthy. At the first home visit, which of the following should the nurse assess? Select all that apply. a. Wound status b. Patient concerns c. Ability to perform care independently d. End-of-life planning
What would identify a person who is demonstrating heritage consistency?
a. Accepting all the elements of the domi-nant culture and attempting to fit in as much as possible b. Rejecting the dominant culture and cling-ing to the traditional ways of behavior c. Going along with the dominant culture during the workday but reverting to his or her own cultural practices when at home d. Refusing to learn the language of the do-minant culture