Nursing Elites

1. During a voice test, how should the nurse provide words for the client to repeat?

• A. Spoken in a soft tone of voice by the nurse about 5 feet in front of the client
• B. Whispered by the nurse from the client's side at a distance of 1 to 2 feet from the ear being tested
• C. Spoken by the nurse from the client's side in a normal tone of voice about 10 feet from the ear being tested
• D. Whispered at a distance of 20 feet by the nurse while he or she is standing in front of the client

Correct answer: B

Rationale: During a voice test, the nurse should whisper words from the client's side at a distance of 1 to 2 feet from the ear being tested. This distance helps prevent transmission around the head and ensures accurate testing of one ear at a time. By standing close to the client and whispering, the nurse prevents lip-reading and compensatory actions by the client. The client with normal hearing should be able to repeat each word correctly. Choices A, C, and D are incorrect. Choice A is wrong as the voice should be whispered, not spoken in a soft tone. Choice C is inaccurate because a distance of 10 feet is too far for precise testing. Choice D is incorrect as whispering from a distance of 20 feet would not effectively test the client's hearing.

2. When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?

• A. polyandry
• B. sororal
• C. nonsororal
• D. soronal

Correct answer: D

Rationale: The correct answer is 'soronal.' The practice of polygamy refers to having multiple wives or husbands. When there are multiple wives who are sisters, the polygamy is designated as sororal. Polyandry refers to multiple husbands, which is rare. Nonsororal polygamy is when the wives are not sisters. Sororate polygamy specifies that a husband must marry his wife’s sister if she dies. Therefore, in this scenario, the family structure described by the client fits the definition of soronal polygamy.

3. A new mother who is breastfeeding her newborn calls the nurse at the pediatrician's office and reports that her infant is passing seedy, mustard-yellow stools. The nurse provides the mother with which information?

• A. To monitor the infant for infection and, if a fever develops, to contact the pediatrician
• B. That the stools should be solid and pale yellow to light brown
• C. That this is normal for breastfed infants
• D. To decrease the number of feedings by two per day

Correct answer: C

Rationale: Breastfed infants pass very soft, seedy, mustard-yellow stools, which is considered normal. Formula-fed infants excrete stools that are more solid and pale yellow to light brown. It is essential for the mother to understand that seedy, mustard-yellow stools are expected in breastfed infants, indicating that there is no need for concern. Monitoring for infection as the first response without other symptoms can cause unnecessary anxiety. Decreasing the number of feedings without valid reasons can lead to inadequate nutrition for the newborn. Therefore, the correct advice for the nurse to provide in this scenario is that seedy, mustard-yellow stools are normal for breastfed infants, reassuring the mother and promoting proper understanding of newborn stool characteristics.

4. All of the following are clinical manifestations indicating male climacteric except:

• A. hot flashes
• B. loss of reproductive ability
• C. headaches
• D. heart palpitations

Correct answer: B

Rationale: Male climacteric, also known as andropause, is a stage in a man's life characterized by a decline in testosterone levels and various physical and emotional changes. While men may experience symptoms like hot flashes, headaches, and heart palpitations during male climacteric, they do not typically lose their reproductive ability. Although fertility may decrease with age due to reduced testosterone production, men do not entirely lose the ability to reproduce. Therefore, the correct answer is 'loss of reproductive ability.' Choices A, C, and D are symptoms that can be associated with male climacteric, making them incorrect answers.

5. How does the family carry out its health care functions?

• A. The family provides very little preventive health care to its members at home.
• B. The family provides preventive health care to its members at home.
• C. The family pays for most health services.
• D. The family decides when and where to hospitalize its members.

Correct answer: B

Rationale: Families play a crucial role in providing preventive health care to their members at home. This includes activities such as promoting healthy lifestyles, ensuring vaccinations, scheduling regular check-ups, and intervening early when health issues arise. Therefore, the correct answer is that the family provides preventive health care to its members at home. Choices A, C, and D are incorrect because families are expected to actively engage in preventive health care practices rather than providing very little preventive care, solely paying for health services, or making hospitalization decisions. The focus is on the proactive role of families in maintaining the health of their members.

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