Adult Health Nursing Test Bank

Correct Answer: A

Rationale: Rationale: A person's compliance with diabetes management can be influenced by economic status, as financial concerns can impact access to medications, healthy food, and healthcare. This can affect treatment adherence and overall health outcomes. Choice A is correct because addressing economic factors is important in promoting compliance. Choices B, C, and D are incorrect as they do not directly address the relationship between economic status and compliance with diabetes management.

Correct Answer: A

Rationale: The correct answer is A: Key informant interview. Ms. Nena will use this method to gather in-depth information from knowledgeable individuals within the community. This approach allows her to gain insights and perspectives from key stakeholders, such as the primary grade teacher and barangay official, who have first-hand knowledge and experience. Key informant interviews are particularly useful for obtaining specific details, opinions, and insights that may not be easily accessible through other methods. In contrast, participant observer involves direct participation in community activities, community mapping focuses on spatial data collection, and social survey typically involves collecting data from a larger sample size rather than individual key informants.

Correct Answer: C

Rationale: The most appropriate nursing action in this situation is to notify the healthcare provider immediately. The client presenting with persistent, severe perineal pain and swelling, along with ecchymosis and tenderness of the perineum, could be indicative of complications such as a perineal hematoma. A perineal hematoma is a collection of blood in the perineal tissues and can be a serious postpartum complication requiring prompt medical attention. Therefore, it is crucial to alert the healthcare provider so that appropriate assessment, management, and treatment can be initiated promptly. Applying ice packs or encouraging the client to sit on a donut cushion may not be sufficient in this situation, and administering additional analgesic medication should be done only after the healthcare provider has assessed and determined the cause of the symptoms.

Correct Answer: B

Rationale: The correct answer is B: Initiate non-invasive positive pressure ventilation (NIPPV) for respiratory support. In acute exacerbations of COPD, NIPPV helps improve ventilation and oxygenation, reducing the work of breathing and preventing the need for intubation. This intervention is a priority as it can rapidly stabilize the patient's respiratory status. A: Administering bronchodilator medications is important in COPD management, but in severe exacerbations, NIPPV takes precedence. C: Arterial blood gas analysis is important for assessing oxygenation and ventilation status, but it does not directly address the acute respiratory distress. D: Chest physiotherapy can help with airway clearance in COPD, but in acute exacerbations, respiratory support with NIPPV is more urgent.

Correct Answer: B

Rationale: The correct answer is B: Neglect. Failure to supervise a child adequately falls under the category of neglect, which is the failure to provide for a child's basic needs such as supervision, food, shelter, and medical care. In this scenario, the lack of proper supervision constitutes neglect as it puts the child at risk of harm or danger. Emotional abuse (A) involves harming a child's emotional well-being through actions like verbal abuse. Sexual abuse (C) involves inappropriate sexual behavior towards a child. Physical abuse (D) involves causing physical harm or injury to a child. In this case, the failure to supervise the child adequately is best categorized as neglect, making choice B the correct answer.