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50. The Rural Health Nurse and the Rural Health Physician are explaining the home care that will be needed by a patient with Tuberculosis. The patient’s spouse states angrily that it will not be possible to provide the care recommended. What is the BEST response by the nurse? A. “I would like to listen to your concerns about the prescribed care.” B. “It is important that you do. What the physician has prescribed.” C. I can come back after you talk with your spouse about the care.” D. “Let me review what is needed again, then I’ll talk to you later.” SITUATION -Some teachers in an elementary school reported that a high proportion of children’s packed lunches contain hotdog or ‘tocino’, sweetened drinks and potato chips. School Nurse Victoria plans to conduct health education classes among parents on “How to make healthy lunches and why it is important” 51. For this activity, Nurse Victoria considers using the behavior change approach to encourage parents to adopt healthy behaviors that will lead to improve health. This approach is popular because of the following reasons. Select all that apply. 1. Views health as property of individuals 2. Sees people as having the capacity to change their lifestyle 3. Assumes that if people do not act on their health, they suffer the consequences 4. Does not consider the social and environmental factors in which people live A. 1, 2, 3 B. 2, 3, 4 C. 3 and 4 D. 1 and 2 52. Nurse Victoria finally plans to conduct parent’s classes using the educational approach. This approach is intended to _____. Select all that apply. 1. Provide information 2. Develop the necessary skills 3. Provide change to a particular direction 4. Help people make an impulsive choice A. 1 and 2 B. 1, 2, and 3 C. 2, 3, and 4 D. 2 and 3 53. To start the health education class and to get the parent’s active participation, which of the following is the BEST question to ask? A. “Did you cook your child’s lunch today?” B. “Who among you have kids who are underweight?” C. “Can you explain the “Plate Method”?” D. “What food do you usually prepare to your kids lunch?” 54. The educational approach to health education states that learning involves three aspects. Which of the following is NOT included? A. Cognitive B. Affective C. Psychomotor D. Behavioral 55. Since your participants are adult parents, which of the following are appropriate strategies? Select all that apply. 1. Role playing 2. Group sharing 3. Demonstration 4. Return demonstration A. 2 and 3 B. 2 and 4 C. 1, 2, 4 D. 1, 2, 3 Situation – Professional and personal developments are required in order to maintain and enhance professional standards and to provide quality, competent and safe patient care. 56. Identify the element that is the BEST indicator of increasing accountability in the profession of Nursing: A. Increasing salary scale for nurses. B. Improved public image of nurses in social media C. Increasing number of nurses with doctoral degree D. Demonstrate competency and high- quality care 57. Which of the following is the MOST important element in nursing’s attempt to gain full autonomy of practices? A. Maintaining the education system for nurses as it is now B. Economic well-being and welfare of nurses C. Restricting the latitude of decisions made by nurses D. Gaining and maintaining control of nursing practice by nurses. 58. What is the BEST method for nurses to prepare for future professional practice? A. Train other health care workers to whom delegation of tasks can be given. B. Understand and explore the issues involved in professional practice C. Establish a coalition with professional health organizations D. Take additional courses in the use of computers and telemetry 59. What allows a nurse to exert legitimate power over a client when providing nursing care? A. The ability to perform procedures to alleviate patient’s discomfort B. The ability to provide the client and family incentives and for self care C. The power given to the nurse by reason of licensure examination and registration D. The establishment of a professional and personal relationship with the client 60. A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor. Which type of education did the nurse receive? A. Career counseling B. Continuing education C. Pre-employment education D. In-service education Situation- Quality documentation and reporting are necessary to enhance efficient, individualization patient care. Nurse Tara is assigned to Darren who is diagnosed with diabetes mellitus for 10 years and has not be compliant to his medications and diet. 61. Nurse Tara is aware that a record should contain descriptive, objective observations about what the nurse sees, hears, feels and smells. The following describes what a record ought to be: A. Darren is uncooperative as manifested by his refusal to take a bath B. Darren appears depressed. C. Darren is anxious as manifested by his tossing in bed and disarrayed beddings D. Patient states, “I wish to end my life” 62. When documenting the intake-output of Darren, Nurse Tara should remember that she must use precise measurements to ensure accuracy. Which of the following reflects accuracy? 1. Darren drank an adequate amount of fluid during the shift. 2. Darren’s intake during the shift is 360 ml. 3. Darren’s wound is 3 cm in length. 4. Darren’s wound is large and gaping. A. 1 and 3 B. 2 and 3 C. 3 and 4 D. 1 and 4 63. Another guideline for good documentation and reporting that Nurse Tara recalls is about completion. When Nurse Tara administers medications, the following should be included, EXCEPT: A. Any preliminary observations B. Preliminary observations C. Patient’s response D. Nursing measure taken for negative response 64. Nurse Tara is making a discharge plan. The items she needs to document and report should include, EXCEPT: A. Needs for referrals 4 | Page

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