foundation of nursing practice questions

Correct Answer: D

Rationale: Mashed potatoes and gravy are not appropriate for a full liquid diet. A full liquid diet consists of foods that are liquid at room temperature or melt into liquid form at body temperature. Mashed potatoes and gravy are not in liquid form and therefore should not be consumed by a patient following a full liquid diet. The nurse should intervene and provide education about the correct food choices allowed on a full liquid diet, such as custard, frozen yogurt, and pureed vegetables.

Correct Answer: A

Rationale: Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis. It is important to treat both partners simultaneously to prevent reinfection. Metronidazole (Flagyl) is the first-line treatment for trichomoniasis and is effective in eradicating the parasite. Treating both partners ensures that the infection is fully eliminated and reduces the risk of transmission back and forth between partners. It is crucial for the nurse to include this aspect in the care plan to achieve successful treatment outcomes for the patient and their partner.

Correct Answer: B

Rationale: When delivering bad news to a patient, it is important to create an environment that is supportive, compassionate, and conducive to effective communication. Having the patient at eye level when discussing difficult information helps to establish a sense of equality and respect between the healthcare provider and the patient. This can increase the patient's comfort level and help them feel more connected and engaged in the conversation. Additionally, eye level communication allows for better non-verbal cues to be exchanged, such as eye contact and facial expressions, which are important for conveying empathy and understanding during such sensitive discussions. It is crucial for the patient to be met at eye level, both physically and emotionally, when discussing a poor prognosis like the diagnosis of leukemia.

Correct Answer: D

Rationale: In communication, feedback is the response or message provided by the receiver to the sender. In this scenario, the nurse asks the patient, "How are you doing?" The patient's response, "I don't feel good," is the feedback. It is the patient's reaction and message returning to the nurse. The nurse, in this context, is the sender initiating the conversation, while the patient is the receiver providing the feedback in response to the nurse's inquiry. Therefore, the statement "I don't feel good" constitutes the feedback in this communication exchange.

Correct Answer: D

Rationale: Black or tarry stools can be caused by certain medications and supplements, such as iron supplements. Since the fecal occult test is negative, it indicates that bleeding is not occurring. Therefore, in this situation, it is important to consider factors that can affect the color of stool, including iron supplementation. Addressing this question can help determine the cause of the black stool and provide appropriate guidance or reassurance to the patient. This response shows a comprehensive understanding of potential causes and demonstrates a thoughtful approach in addressing the patient's concern.