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BLM Questions and Answers Newest Update 2024/2025, Exams of Nursing

A comprehensive exam solution with verified and detailed answers for the 2024/2025 academic year. It covers a wide range of topics related to nursing and healthcare, including client care, fetal development, prenatal care, menstrual cycle, genetic testing, breastfeeding, and pregnancy complications. Detailed explanations and correct answers to multiple-choice questions, making it a valuable resource for nursing students or healthcare professionals preparing for exams or seeking to expand their knowledge in these areas. The document's focus on providing guaranteed success and a complete exam solution suggests it could be useful as study notes, lecture notes, or a summary for exam preparation.

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2024/2025

Available from 09/22/2024

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The nurse is reviewing the Quality and Safety Education for Nurses (QSEN) competencies while preparing an in-service program to address safety in the neonatal intensive care unit. In which order should the nurse present these competencies?

  1. Safety
  2. Informatics
  3. Patient-centered care
  4. Quality improvement
  5. Evidence-based practice
  6. Teamwork and collaboration - CORRECT ANSWERS Answer: 3, 6, 5, 4, 1, 2 Explanation: The Quality and Safety Education for Nurses (QSEN) project is designed "to meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work. The project focuses on competencies in six areas: 1. Patient-centered care, 2. Teamwork and collaboration; 3. Evidence-based practice; 4. Quality improvement; 5. Safety; and 6. Informatics The nurse is preparing a presentation for new labor and delivery nurses. Which cultural group should the nurse identify as having the lowest birth rate for the 20 to 24 age range? A) Asian B) White C) Black D) American Indian - CORRECT ANSWERS A) Asian The manager of a maternal-child care area is preparing information to share with nursing staff regarding the leading causes of infant death in the United States. In which order, from most to least frequent, should the manager provide this information?
  7. SIDS
  8. Low birth weight
  9. Unintentional injuries

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  1. Maternal complications
  2. Congenital malformation - CORRECT ANSWERS Answer: 5, 2, 1, 4, 3 What is the term for when children alternate between two homes, spending varying amounts of time with each parent in a situation called co-parenting and usually involving joint custody? A) Blended or reconstituted nuclear family B) Extended kin network family C) Binuclear family D) Extended family - CORRECT ANSWERS C) Binuclear family A 7-year-old client tells the nurse that "Grandpa, Mommy, Daddy, and my brother live at my house." The nurse identifies this as what type of family? A) Binuclear B) Extended C) Gay or lesbian D) Traditional - CORRECT ANSWERS B) Extended A nurse is performing an assessment on a family with a father and mother who both work. What type of family does she record this family as being? A) A traditional nuclear family B) A dual-career/dual-earner family C) An extended family D) An extended kin family - CORRECT ANSWERS B) A dual-career/dual-earner family Why is it important for the nurse to understand the type of family that a client comes from?

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Select all that apply. A) Family structure can influence finances. B) Some families choose to conceive or adopt without a life partner. C) The nurse can anticipate which problems a client will experience based on the type of family the client has. D) Understanding if the client's family is nuclear or blended will help the nurse teach the client the appropriate information. E) The values of the family will be predictable if the nurse knows what type of family the client is a part of. - CORRECT ANSWERS Answer: A, B Explanation: A) Single-parent families often face difficulties because the sole parent may lack social and emotional support, need assistance with childrearing issues, and face financial strain. B) In the single mother by choice family, the mother is typically older, college-educated, and financially stable and has contemplated pregnancy significantly prior to conceiving. C) Each client and family must be assessed as individuals, without making assumptions. Although generalities can be drawn based on the type of family that a client comes from or currently is part of, stereotypes must be avoided. D) Each client and family must be assessed as individuals, without making assumptions. Although generalities can be drawn based on the type of family that a client comes from or currently is part of, stereotypes must be avoided. E) Each client and family must be assessed as individuals, without making assumptions. Although generalities can be drawn based on the type of family that a client comes from or currently is part of, stereotypes must be avoided. The public health nurse is working with a student nurse. The student nurse asks which of the six groups of people they have seen today are considered to be families. How should the nurse respond? Select all that apply. A) "The married heterosexual couple without children" B) "The gay couple with two adopted children" C) "The unmarried heterosexual couple with two biological children"

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D) "The lesbian couple not living together that have no children" E) "The married heterosexual couple with three children, living with grandparents" - CORRECT ANSWERS A) "The married heterosexual couple without children" B) "The gay couple with two adopted children" C) "The unmarried heterosexual couple with two biological children" E) "The married heterosexual couple with three children, living with grandparents" In assessing a new family coming to the clinic, the nurse determines they are an extended kin family because the family exhibits what as characteristics of an extended kin network family?Select all that apply. A) A sharing of a social support network B) Each family establishes their own sources of goods and services C) Elderly parents share housing D) Children are members of two nuclear families E) A sharing of goods and services - CORRECT ANSWERS A) A sharing of a social support network E) A sharing of goods and services The nurse is speaking to students about changes in maternal-newborn care. One change is that self- care has gained wide acceptance with clients and the healthcare community due to research findings that suggest that it has which effect? A) Shortens newborn length of stay B) Decreases use of home health agencies C) Decreases healthcare costs D) Decreases the number of emergency department visits - CORRECT ANSWERS C) Decreases healthcare costs Explanation: A) Length of stay is often determined by third-party payer (insurance company) policies as well as the physiologic stability of the mother and newborn. Home healthcare agencies often are involved in client care to decrease hospital stay time.

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B) Home healthcare agencies often are involved in client care to decrease hospital stay time. C) Research indicates that self-care significantly decreases healthcare costs. D) Acute emergencies are addressed by emergency departments, and are not delayed by those practicing self-care. Care delivered by nurse-midwives can be safe and effective and can represent a positive response to the healthcare provider shortage. Nurse-midwives tend to use less technology, which often results in which of the following? A) There is less trauma to the mother. B) More childbirth education classes are available. C) They are instrumental in providing change in the birth environment at work. D) They advocate for more home healthcare agencies. - CORRECT ANSWERS A) There is less trauma to the mother. Explanation: A) Nurse-midwife models of care can be one way to ensure that mothers receive excellent prenatal and intrapartum care. B) It is appropriate for nurse-midwives, in conjunction with doctors and hospitals, to provide childbirth classes for expectant families. C) By working with other staff members and doctors, the nurse-midwife is able to implement changes as needed within the birthing unit. D) Clients are increasingly going home sooner, so there needs to be more follow-up in the home. The nurse is telling a new client how advanced technology has permitted the physician to do which of the following?

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A) Treat the fetus and monitor fetal development. B) Deliver at home with a nurse-midwife and doula. C) Have the father act as the coach and cut the umbilical cord. D) Breastfeed a new baby on the delivery table. - CORRECT ANSWERS A) Treat the fetus and monitor fetal development. Explanation: A) The fetus is increasingly viewed as a patient separate from the mother, although treatment of the fetus necessarily involves the mother. B) A nurse-midwife and a doula are not examples of technological care. C) Fathers being present during labor and coaching their partners represents nontechnological care during childbirth. D) Breastfeeding is not an example of technology impacting care. A nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role? A) A registered nurse who is the manager of a large obstetrical unit B) A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections) C) A clinical nurse specialist working as a staff nurse on a mother-baby unit

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D) A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants - CORRECT ANSWERS D) A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants A nursing student investigating potential career goals is strongly considering becoming a nurse practitioner (NP). The major focus of the NP is on which of the following? A) Leadership B) Physical and psychosocial clinical assessment C) Independent care of the high-risk pregnant client D) Tertiary prevention - CORRECT ANSWERS B) Physical and psychosocial clinical assessment The nurse manager is consulting with a certified nurse-midwife about a client. What is the role of the CNM? Select all that apply. A) Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth. B) Give primary care for high-risk clients who are in hospital settings. C) Give primary care for healthy newborns. D) Obtain a physician consultation for any technical procedures at delivery. E) Be educated in two disciplines of nursing - CORRECT ANSWERS A) Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth.

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C) Give primary care for healthy newborns. E) Be educated in two disciplines of nursing. The registered nurse who has completed a master's degree program and passed a national certification exam has clinic appointments with clients who are pregnant or seeking well-woman care. What is the role of this nurse considered to be? A) Professional nurse B) Certified registered nurse (RNC) C) Clinical nurse specialist D) Nurse practitioner - CORRECT ANSWERS D) Nurse practitioner While a child is being admitting to the hospital, the parent receives information about the pediatric unit's goals, including the statement that the unit practices family-centered care. The parent asks why that is important. The nurse responds that what communication dynamic is characteristic of the family-centered care paradigm? A) The mother is the principal caregiver in each family. B) The child's physician is the key person in ensuring that the health of a child is maintained. C) The family serves as the constant influence and continuing support in the child's life. D) The father is the leader in each home; thus, all communications should include him. - CORRECT ANSWERS C) The family serves as the constant influence and continuing support in the child's life.

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The current emphasis on federal healthcare reform has yielded what unexpected benefit? A) Assessment of the details of the family's income and expenditures B) Case management to limit costly, unnecessary duplication of services C) Many healthcare providers and consumers are becoming more aware of the vitally important role nurses play in providing excellent care to clients and families D) Education of the family about the need for keeping regular well-child visit appointments - CORRECT ANSWERS C) Many healthcare providers and consumers are becoming more aware of the vitally important role nurses play in providing excellent care to clients and families For prenatal care, the client is attending a clinic held in a church basement. The client's care is provided by registered nurses and a certified nurse-midwife. What is this type of prenatal care? A) Secondary care B) Tertiary care C) Community care D) Unnecessarily costly care - CORRECT ANSWERS C) Community care The nurse at an elementary school is performing TB screenings on all of the students. Permission slips were returned for all but the children of one family. When the nurse phones to obtain permission, the parent states in clearly understandable English that permission cannot be given because the grandmother is out of town for 2 more weeks. Which cultural element is contributing to the dilemma that faces the nurse? A) Permissible physical contact with strangers B) Beliefs about the concepts of health and illness C) Religion and social beliefs

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D) Presence and influence of the extended family - CORRECT ANSWERS D) Presence and influence of the extended family A maternity client is in need of surgery. Which healthcare member is legally responsible for obtaining informed consent for an invasive procedure? A) The nurse B) The physician C) The unit secretary D) The social worker - CORRECT ANSWERS B) The physician A nurse who tells family members the sex of a newborn baby without first consulting the parents would have committed which of the following? A) A breach of privacy B) Negligence C) Malpractice D) A breach of ethics - CORRECT ANSWERS A) A breach of privacy The nursing instructor explains to the class that according to the 1973 Supreme Court decision in Roe v. Wade, abortion is legal if induced: A) Before the 30th week of pregnancy. B) Before the period of viability. C) To provide tissue for therapeutic research. D) Can be done any time if mother, doctor, and hospital all agree. - CORRECT ANSWERS B) Before the period of viability. The nurse reviewing charts for quality improvement notes that a client experienced a complication during labor. The nurse is uncertain whether the labor nurse took the appropriate action during the

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situation. What is the best way for the nurse to determine what the appropriate action should have been? A) Call the nurse manager of the labor and delivery unit and ask what the nurse should have done. B) Ask the departmental chair of the obstetrical physicians what the best nursing action would have been. C) Examine other charts to find cases of the same complication, and determine how it was handled in those situations. D) Look in the policy and procedure book, and examine the practice guidelines published by a professional nursing organization - CORRECT ANSWERS D) Look in the policy and procedure book, and examine the practice guidelines published by a professional nursing organization The nurse is reviewing care of clients on a mother-baby unit. Which situation should be reported to the supervisor? A) A 2-day-old infant has breastfed every 2-3 hours and voided four times. B) An infant was placed in the wrong crib after examination by the physician. C) The client who delivered by cesarean birth yesterday received oral narcotics. D) A primiparous client who delivered today is requesting discharge within 24 hours - CORRECT ANSWERS B) An infant was placed in the wrong crib after examination by the physician. The nurse manager is planning a presentation on ethical issues in caring for childbearing families. Which example should the nurse manager include to illustrate maternal-fetal conflict? A) A client chooses an abortion after her fetus is diagnosed with a genetic anomaly. B) A 39-year-old nulliparous client undergoes therapeutic insemination. C) A family of a child with leukemia requests cord-blood banking at a sibling's birth. D) A cesarean delivery of a breech fetus is court ordered after the client refuses - CORRECT ANSWERS D) A cesarean delivery of a breech fetus is court ordered after the client refuses. Client safety goals, which are evaluated and updated regularly, are requirements for what?

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A) Clinical practice guidelines B) Scope of practice C) Accreditation D) Standards of care - CORRECT ANSWERS C) Accreditation A fetus has been diagnosed with myelomeningocele. Which of the following surgeries would be performed to correct this condition? A) Tubal ligation B) Intrauterine fetal surgery C) Cesarean section D) Sterilization - CORRECT ANSWERS B) Intrauterine fetal surgery A nurse is providing guidance to a group of parents of children in the infant-to-preschool age group. After reviewing statistics on the most common cause of death in this age group, the nurse includes information about prevention of which of the following? A) Cancer by reducing the use of pesticides in the home B) Accidental injury by reducing the risk of pool and traffic accidents C) Heart disease by incorporating heart-healthy foods into the child's diet D) Pneumonia by providing a diet high in vitamin C from fruits and vegetables - CORRECT ANSWERS B) Accidental injury by reducing the risk of pool and traffic accidents The nurse is preparing a report on the number of births by three service providers at the facility (certified nurse-midwives, family practitioners, and obstetricians). What is this an example of? A) Inferential statistics B) Descriptive statistics C) Evidence-based practice D) Secondary use of data - CORRECT ANSWERS B) Descriptive statistics

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Explanation: A) Inferential statistics allow the investigator to draw conclusions from data to either support or refute causation. B) Descriptive statistics concisely describe phenomena such as births by providers. C) Evidence-based practice is the use of research conclusions to improve nursing care. D) Secondary use of data is analyzing data in a different way than was originally undertaken, or looking at different variables from a data set The nurse is explaining the difference between descriptive statistics and inferential statistics to a group of student nurses. To illustrate descriptive statistics, what would the nurse use as an example? A) A positive correlation between breastfeeding and infant weight gain B) The infant mortality rate in the state of Oklahoma C) A causal relationship between the number of sexual partners and sexually transmitted infections D) The total number of spontaneous abortions in drug-abusing women as compared with non-drug- abusing women - CORRECT ANSWERS B) The infant mortality rate in the state of Oklahoma The nurse manager is examining the descriptive statistics of increasing teen pregnancy rates in the community. Which inferential statistical research question would the nurse manager find most useful in investigating the reasons for increased frequency of teen pregnancy? A) What providers do pregnant teens see for prenatal care? B) What are the ages of the parents of pregnant teens in the community? C) Do pregnant teens drink caffeinated beverages? D) What do pregnant teens do for recreation? - CORRECT ANSWERS A) What providers do pregnant teens see for prenatal care? Explanation: A) Understanding which providers pregnant teens are most likely to seek out for prenatal care can lead to further investigation on why prenatal care with that provider is more acceptable to teens, which in turn can lead to greater understanding of the issue of teen pregnancy

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The Quality and Safety Education for Nurses (QSEN) project focused on competencies in which areas? Select all that apply. A) Client-centered care B) Teamwork and collaboration C) Evidence-based practice D) Family planning E) Injury and violence prevention - CORRECT ANSWERS A) Client-centered care B) Teamwork and collaboration C) Evidence-based practice The nurse is serving on a panel to evaluate the hospital staff's reliance on evidence-based practice in their decision-making processes. Which practices characterize the basic competencies related to evidence-based practice? Select all that apply. A) Recognizing which clinical practices are supported by good evidence B) Recognizing and including clinical practice supported by intuitive evidence C) Using data in clinical work to evaluate outcomes of care D) Including quality-improvement measures in clinical practice E) Appraising and integrating scientific bases into practice - CORRECT ANSWERS A) Recognizing which clinical practices are supported by good evidence C) Using data in clinical work to evaluate outcomes of care E) Appraising and integrating scientific bases into practice Nursing research is vital to do which of the following? Select all that apply. A) Expand the science of nursing.

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B) Foster evidence-based practice. C) Improve client care. D) Visually depict nursing management. E) Plan and organize care. - CORRECT ANSWERS A) Expand the science of nursing. B) Foster evidence-based practice. C) Improve client care. A group of nurses are meeting as identified in the image below. Which behavior are the nurses demonstrating during this meeting? in pic, RNs/MDs around a table looking at pt records A) Privacy B) Advocacy C) Collaboration D) Informed consent - CORRECT ANSWERS C) Collaboration The transcultural nursing theory was developed in 1961 by Dr. Madeleine Leininger. Its foundation is in which of the following? A) The framework categorizes a family's progression over time B) The family life cycle of a traditional nuclear family C) Anthropology and nursing D) Holistic health beliefs - CORRECT ANSWERS C) Anthropology and nursing The nurse is preparing a community presentation on family development. Which statement should the nurse include?

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A) The youngest child determines the family's current stage. B) A family does not experience overlapping of stages. C) Family development ends when the youngest child leaves home. D) The stages describe the family's progression over time - CORRECT ANSWERS D) The stages describe the family's progression over time. In learning about Duvall's life-cycle stages ascribed to traditional families, the nursing student recognizes that developmental tasks of each stage include which of the following?Select all that apply. A) Adjusting to new roles as mother and father B) Working out authority and socialization roles with the school C) Becoming a single parent with custodial responsibilities D) Becoming a couple and dating E) Adjusting to the loss of a spouse - CORRECT ANSWERS A) Adjusting to new roles as mother and father B) Working out authority and socialization roles with the school E) Adjusting to the loss of a spouse The nurse is planning a community education program on the role of complementary and alternative therapies during pregnancy. Which statement about alternative and complementary therapies should the nurse include? A) "They bring about cures for illnesses and diseases." B) "They are invasive but effective for achieving health." C) "They emphasize prevention and wellness." D) "They prevent pregnancy complications." - CORRECT ANSWERS C) "They emphasize prevention and wellness." The nurse in the community should use a family assessment tool to obtain what type of information?

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A) How long the family has lived at its current address B) What other health insurance the family has had in the past C) How the family meets its nutritional needs and obtains food D) What eye color the family desires in its unborn child - CORRECT ANSWERS C) How the family meets its nutritional needs and obtains food In assessing a family, the community nurse uses a family assessment tool, which provides an organized framework to collect data concerning which of the following? Select all that apply. A) Access to laundry and grocery facilities B) Access to health care C) Sharing of religious beliefs and values D) Acculturation to traditional lifestyles E) Ability to include a new spouse into the family unit - CORRECT ANSWERS A) Access to laundry and grocery facilities B) Access to health care C) Sharing of religious beliefs and values The nurse is caring for a postpartal client of Hmong descent who immigrated to the United States 5 years ago. The client asks for the regular hospital menu because American food tastes best. The nurse assesses this response to be related to which of the following cultural concepts? A) Acculturation B) Ethnocentrism C) Enculturation D) Stereotyping - CORRECT ANSWERS A) Acculturation

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The nurse is teaching a community education class on complementary and alternative therapies. To assess learning, the nurse asks, "In traditional Chinese medicine, what is the invisible flow of energy in the body that maintains health and ensures physiologic functioning?" Which answer indicates that teaching was successful? A) Meridians B) Chi C) Yin D) Yang - CORRECT ANSWERS B) Chi During the assessment phase of a family, the community nurse recognizes that culture influences childrearing and childbearing in which of the following ways?Select all that apply. A) Beliefs about the importance of children B) Beliefs and attitudes about pregnancy C) Norms regarding infant feeding D) Acculturation is important in rearing children E) Time orientation to the future is very important - CORRECT ANSWERS A) Beliefs about the importance of children B) Beliefs and attitudes about pregnancy C) Norms regarding infant feeding The nurse is teaching a class to the community on mind-based therapies. A class participant gives an example of a friend with leukemia who was taught by her complementary therapist to concentrate on making antibodies that will fight and kill the cancer cells in the bloodstream. How would the nurse identify this technique? A) Guided imagery B) Qigong C) Biofeedback D) Homeopathy - CORRECT ANSWERS A) Guided imagery

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The nurse is admitting a Hispanic woman scheduled for a cholecystectomy. The nurse uses a cultural assessment tool during the admission. Which question would be most important for the nurse to ask? A) "What other treatments have you used for your abdominal pain?" B) "In what country were you were born?" C) "When you talk to family members, how close do you stand?" D) "How would you describe your role within your family?" - CORRECT ANSWERS A) "What other treatments have you used for your abdominal pain?" Explanation: A) Knowing what other treatments the client has used for pain is most important because some traditional or folk remedies include the use of herbs, which can have medication interactions. The nurse manager in a hospital with a large immigrant population is planning an in-service. Aware of how ethnocentrism affects nursing care, the nurse manager asks, "The belief that one's own values and beliefs are the only or the best values has which of the following results?" A) It implies newcomers to the United States should adopt the norms and values of the country. B) It can create barriers to communication through misunderstanding. C) It leads to an expectation that all clients will exhibit pain the same way. D) It improves the quality of care provided to culturally diverse client bases. - CORRECT ANSWERS B) It can create barriers to communication through misunderstanding. The client reports using an alternative therapy that involves the manipulation of soft tissues. This therapy has reduced the client's stress, diminished pain, and increased circulation. Which therapy has this client most likely received? A) Guided imagery B) Homeopathy C) Massage therapy D) Reflexology - CORRECT ANSWERS C) Massage therapy

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A nurse is working in a clinic where clients from several cultures are seen. As a first step toward the goal of personal cultural competence, the nurse will do which of the following? A) Enhance cultural skills. B) Gain cultural awareness. C) Seek cultural encounters. D) Acquire cultural knowledge. - CORRECT ANSWERS B) Gain cultural awareness When teaching a culturally diverse group of childbearing families about hospital birthing options, the culturally competent nurse does which of the following? A) Understands that the families have the same values as the nurse B) Teaches the families how childbearing takes place in the United States C) Insists that the clients answer questions instead of their husbands D) Incorporates the specific beliefs of the cultural groups that are attending the class - CORRECT ANSWERS D) Incorporates the specific beliefs of the cultural groups that are attending the class Which questions are appropriate for the nurse to ask during a cultural assessment of a client who is new to the clinic? Select all that apply. A) What genetic and other biological differences affect caregiving? B) Which family member must be consulted for decisions about care? C) What type of healthcare provider is the most appropriate? D) Does the client have beliefs or traditions that might impact the care plan? E) Are communications patterns established? - CORRECT ANSWERS B) Which family member must be consulted for decisions about care? C) What type of healthcare provider is the most appropriate?

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D) Does the client have beliefs or traditions that might impact the care plan? The nurse is working with a client whose religious beliefs differ from those of the general population. What is the best nursing intervention to use to meet the specific spiritual needs of this family? A) Ask how important the client's religious and spiritual beliefs are when making decisions about health care. B) Show respect while allowing time and privacy for religious rituals. C) Ask for the client's opinion on what caused the illness. D) Identify healthcare practices forbidden by religious or spiritual beliefs. - CORRECT ANSWERS B) Show respect while allowing time and privacy for religious rituals. The labor and delivery nurse is caring for a laboring client who has asked for a priest to visit her during labor. The client's mother died during childbirth, and although there were no complications during her pregnancy, the client is fearful of her own death during labor. What would be the best way for the nurse to respond? A) "Nothing is going to happen to you. We'll take very good care of you during your birth." B) "Would you like to have an epidural so that you won't feel the pain of the contractions?" C) "The priest won't be able to prevent complications, and might get in the way of your providers." D) "Would you like me to contact someone from your parish or our hospital chaplain to come see you?" - CORRECT ANSWERS D) "Would you like me to contact someone from your parish or our hospital chaplain to come see you?" The client reports relief from headaches when she rubs the temples on each side of her head. The nurse understands that this is a form of which of the following? A) Acupressure B) Acupuncture C) Reflexology D) Hydrotherapy - CORRECT ANSWERS A) Acupressure

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The nurse is reviewing a list of families scheduled for community health visits. To visit these families according to the family life cycle each is in, in which order from first to last should the nurse visit these families?

  1. Family with a 12-month-old child
  2. Family whose oldest child is in the 5th grade
  3. Family whose oldest child is attending college
  4. Family whose youngest child just got a driver's license
  5. Family whose youngest child got married last weekend
  6. Family whose male partner retired from full-time employment - CORRECT ANSWERS Answer: 1, 2, 4, 3, 5, 6 Explanation: According to the family life cycle stages, the family with a 12-month-old child would be seen first. The family with the oldest child in 5th grade would be seen second. Third, the family with the oldest child in college would be seen. The fourth family seen should be the one with the child who just received a driver's license. The fifth family would be the one whose youngest child was married the previous weekend. And the last family would be the one with a new retiree. The community nurse is planning to visit a family. The grandparents are helping the adult parents with child-rearing activities. For which type of family should the nurse plan care? A) Nuclear B) Blended C) Binuclear D) Extended - CORRECT ANSWERS D) Extended A pregnant patient from a culture that treats hot and cold conditions with food is experiencing a severe lower back ache. According to the table shown here, which food should the nurse provide to help this patient? A) Green salad

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B) Glass of milk C) String cheese D) Sliced orange - CORRECT ANSWERS Answer: C Explanation: A back ache is a cold musculoskeletal condition and should be treated with a hot food such as string cheese. Salad, milk, and oranges are cold foods and would not be appropriate to treat a cold condition. A pregnant patient is attending a class to learn the movements identified in the following photo. What is the primary reason for the patient to learn these movements? A) Stimulate the flow of chi B) Stimulate pressure points C) Mind control over the body D) Correct spinal misalignment - CORRECT ANSWERS A) Stimulate the flow of chi The nurse is preparing a class on reproduction. What is the cell division process called that results in two identical cells, each with the same number of chromosomes as the original cell? A) Meiosis B) Mitosis C) Oogenesis D) Gametogenesis - CORRECT ANSWERS B) Mitosis Explanation:A) Meiosis is a process of cell division that leads to the development of ova and sperm.B) Mitosis results in the production of diploid body (somatic) cells, which are exact copies of the original cell.C) Oogenesis is the process that produces the female gamete, called an ovum (egg).D) Gametogenesis is the process by which germ cells, or gametes (ova and sperm), are produced The female and male reproductive organs are homologous, which means what?

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A) They are believed to cause vasoconstriction and muscular contraction B) They are fundamentally similar in function and structure C) They are rich in sebaceous glands D) They are target organs for estrogenic hormones - CORRECT ANSWERS B) They are fundamentally similar in function and structure The nurse explains to a preconception class that if only a small volume of sperm is discharged into the vagina, an insufficient quantity of enzymes might be released when they encounter the ovum. In that case, pregnancy would probably not result, because of which of the following? A) Peristalsis of the fallopian tube would decrease, making it difficult for the ovum to enter the uterus. B) The block to polyspermy (cortical reaction) would not occur. C) The fertilized ovum would be unable to implant in the uterus. D) Sperm would be unable to penetrate the zona pellucida of the ovum - CORRECT ANSWERS D) Sperm would be unable to penetrate the zona pellucida of the ovum Explanation: D) About a thousand acrosomes must rupture to clear enough hyaluronic acid for even a single sperm to penetrate the ovum's zona pellucida successfully. If only a small amount of sperm were released, there most likely would be an insufficient quantity of acrosomes to penetrate the zona pellucida of the ovum and allow fertilization. The nurse is creating a handout on reproduction for teen clients. Which piece of information should the nurse include in this handout? A) The fertilized ovum is called a gamete. B) Prior to fertilization, the sperm are zygotes. C) Ova survive 12-24 hours in the fallopian tube if not fertilized D) Sperm survive in the female reproductive tract up to a week - CORRECT ANSWERS C) Ova survive 12-24 hours in the fallopian tube if not fertilized What are the three functions of the fallopian tubes?

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Select all that apply. A) Provide transport for the ovum from the ovary to the uterus B) Serve as a warm, moist, nourishing environment for the ovum or zygote C) Secrete large amounts of estrogens D) Provide a site for fertilization to occur E) Support and protect the pelvic contents - CORRECT ANSWERS A, B, D What are the three functions of cervical mucosa? Select all that apply. A) Form the relatively fixed axis of the birth passage B) Provide lubrication for the vaginal canal C) Provide nourishment and protective maternal antibodies to infants D) Provide an alkaline environment to shelter deposited sperm from the acidic vaginal secretions E) Act as a bacteriostatic agent - CORRECT ANSWERS B, D, E A pregnant woman tells the nurse-midwife, "I've heard that if I eat certain foods during my pregnancy, the baby will be a boy." The nurse-midwife should explain that this is a myth, and that the sex of the baby is determined at what time? A) At the time of ejaculation B) At the time of fertilization C) At the time of implantation D) At the time of differentiation - CORRECT ANSWERS B) At the time of fertilization The nurse is explaining the difference between meiosis and mitosis. Which statements would be best?