Nursing Elites

1. During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his son's treatment, however, he suddenly crosses his arms against his chest and crosses his legs. This would suggest that the parent is:

• A. just changing positions.
• B. more comfortable in this position.
• C. tired and needs a break from the interview.
• D. uncomfortable talking about his son's treatment.

Correct answer: D

Rationale: The parent's sudden change in body language from an open position to crossing arms and legs suggests discomfort or defensiveness, particularly when discussing his son's treatment. This closed-off position indicates a lack of willingness to share information and potentially signals discomfort with the topic being discussed. Choice A is incorrect as the abrupt shift in body language indicates more than just a change in position. Choice B is incorrect because crossing arms and legs typically signal defensiveness or discomfort rather than comfort. Choice C is incorrect as there are specific body language cues indicating discomfort rather than just fatigue.

2. When recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate?

• A. Patient denies usual childhood illnesses.
• B. Patient states he was a 'very healthy' child.
• C. Patient states sister had measles, but he didn't.
• D. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.

Correct answer: D

Rationale: Choice D is the most accurate note by the nurse as it lists specific childhood illnesses commonly experienced by children. By documenting that the patient denies having had these specific illnesses, the healthcare provider establishes a clear medical history record regarding these common childhood illnesses. This detailed documentation is essential for providing comprehensive care and evaluating potential risks or complications associated with these illnesses in the future. Choices A, B, and C are not as accurate as they do not provide a comprehensive list of common childhood illnesses that are routinely evaluated by healthcare providers. Choice A is too vague, Choice B focuses on the patient's perception of their health rather than specific illnesses, and Choice C only mentions measles, lacking the breadth of information provided in Choice D.

3. What would be an appropriate nursing response when a mother reports that her 16-month-old toddler has an earache?

• A. Maybe the toddler is just teething.
• B. I will check her ear for an ear infection.
• C. Are you sure the toddler is really in pain?
• D. Please describe what the toddler is doing to indicate she is in pain.

Correct answer: B

Rationale: The appropriate nursing response would be to assess the toddler's ear to determine if there is indeed an ear infection causing the earache. It is crucial to provide timely and suitable care for the child's pain and discomfort. Checking for an ear infection is a necessary step in evaluating the source of the toddler's earache. Choice A is incorrect as it assumes the earache is due to teething without proper assessment. Choice C questions the mother's report rather than focusing on the child's condition. Choice D is not as direct and focused as directly examining the ear for a possible infection.

4. Among many Asians there is a belief in the yin\yang theory, rooted in the ancient Chinese philosophy of Tao. The nurse recognizes which statement that most accurately reflects "health" in an Asian with this belief?

• A. A person is able to work and produce.
• B. A person is happy, stable, and feels good.
• C. All aspects of the person are in perfect balance.
• D. A person is able to care for others and function socially. - C) All aspects of the person are in perfect balance. Page: 21 Many Asians believe in the yin\yang theory, in which health is believed to exist when all aspects of the person are in perfect balance. The other statements do not describe this theory.

Correct answer: C

Rationale: In Asian belief systems like the yin\yang theory rooted in Tao philosophy, health is seen as existing when all aspects of a person are in perfect balance. This means that physical, mental, emotional, and spiritual elements need to be harmonized for an individual to be considered healthy. The other statements do not encapsulate this holistic perspective on health.

5. During an interview, the interviewer is using open-ended questions. Which of the following statements are true regarding open-ended questions? Select all that apply.

• A. They elicit cold facts.
• B. They allow for self-expression.
• C. They build and enhance deviation from topic
• D. They leave interactions neutral.

Correct answer: B

Rationale: Open-ended questions are designed to encourage the interviewee to express themselves freely, leading to more detailed and insightful responses. These questions help build rapport by showing interest in the interviewee's thoughts and feelings. By allowing for self-expression, open-ended questions facilitate a deeper and more meaningful conversation, making them a valuable tool in conducting interviews. Choice A is incorrect because open-ended questions aim to gather detailed and subjective information, not just cold facts. Choice D is incorrect as open-ended questions often lead to more engaging interactions rather than leaving them neutral.

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