Nursing Elites

1. When a nurse is performing a health interview on a patient with a language barrier and no interpreter is available, which of the following is the best example of an appropriate question for the nurse to ask?

• A. Do you take medicine?
• B. Do you sterilize the bottles?
• C. Do you have nausea and vomiting?
• D. You have been taking your medicine, haven't you?

Correct answer: A

Rationale: The best example of an appropriate question for the nurse to ask in this situation is 'Do you take medicine?' This question is clear, simple, and focused on one topic at a time, which is essential when there is a language barrier and no interpreter available. It follows the recommendation to use simple words, avoid medical jargon, contractions, and pronouns in such situations. Choices B, C, and D involve more complex language, unrelated topics, or assumptions about the patient's actions, making them less suitable for effective communication in this context.

2. Select the word or phrase that makes this sentence grammatically correct: 'Theo was in great shape; he ____ all the way back to the pier.'

• A. swam
• B. swimmed
• C. swum
• D. swim

Correct answer: A

Rationale: In this sentence, the correct choice is 'swam,' which is the past tense of 'swim.' Therefore, 'swam' correctly completes the sentence: 'Theo was in great shape; he swam all the way back to the pier.' 'Swimmed' is not a valid past tense form of 'swim,' 'swum' is the past participle form and doesn't fit the context, and 'swim' is the base form of the verb and is not suitable in this case.

3. During an interview, note-taking may impede the nurse's observation of the patient's nonverbal behaviors. Which statement is true regarding note-taking?

• A. Note-taking may impede the nurse's observation of the patient's nonverbal behaviors.
• B. Note-taking allows the patient to continue at their own pace as the nurse records what is said.
• C. Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level.
• D. Note-taking allows the nurse to break eye contact with the patient, which may increase their level of comfort.

Correct answer: A

Rationale: Note-taking during an interview can impede the nurse's ability to observe the patient's nonverbal behaviors, such as body language and facial expressions, which are important aspects of communication. It may break eye contact too often, shift attention away from the patient, interrupt the patient's narrative flow, and diminish the patient's sense of importance. Therefore, it is crucial for the nurse to balance the need for note-taking with maintaining active listening and observation skills to ensure effective communication and rapport building with the patient. Choices B, C, and D are incorrect because note-taking can actually hinder the patient's narrative flow, decrease the nurse's observation of nonverbal cues, and potentially make the patient feel less important or attended to due to distractions caused by the note-taking process.

4. A 2,000-kg car travels at 15 m/s. For a 1,500-kg car traveling at 15 m/s to generate the same momentum, what would need to happen?

• A. It would need to accelerate to 20 m/s.
• B. It would need to add 500 kg in mass.
• C. Both A and B
• D. Either A or B

Correct answer: A

Rationale: Momentum is calculated as the product of mass and velocity. Since momentum is conserved in the absence of external forces, for the 1,500-kg car to generate the same momentum as the 2,000-kg car at 15 m/s, it would need to increase its velocity to compensate for the difference in mass. Accelerating to 20 m/s would achieve this without needing to change the mass of the car. Choice B is incorrect because adding mass is not necessary to match momentum in this scenario.

5. If Larry can wash 50 cars in 20 minutes, how many minutes will it take him to wash 80 cars?

• A. 20 minutes
• B. 32 minutes
• C. 40 minutes
• D. 60 minutes

Correct answer: B

Rationale: To determine how many minutes it will take Larry to wash 80 cars, we first calculate his rate of washing cars per minute: 50 cars / 20 minutes = 2.5 cars per minute. To wash 80 cars, we divide the total number of cars by the cars washed per minute: 80 cars / 2.5 cars per minute = 32 minutes. Hence, it will take Larry 32 minutes to wash 80 cars. Choices A, C, and D are incorrect as they do not align with the correct calculation based on Larry's rate of washing cars.

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