test bank foundations of nursing

Correct Answer: A

Rationale: The correct answer is A: Depression. In the context of the stages of death and dying proposed by Elisabeth K�bler-Ross, a patient exhibiting signs of loss, grief, and intense sadness is likely in the depression stage. This stage involves feelings of hopelessness, despair, and sorrow as the patient comes to terms with the reality of their situation. Denial (choice B) is characterized by a refusal to accept the diagnosis, anger (choice C) involves feelings of resentment and frustration, and resignation (choice D) signifies a sense of acceptance and peace. In this scenario, the patient's emotional state aligns most closely with depression, indicating a deep sense of sadness and mourning.

Correct Answer: B

Rationale: The correct answer is B: Look at the patient when talking. This is important because maintaining eye contact shows respect, builds trust, and enhances communication with the patient. By looking at the patient, the nurse can also observe nonverbal cues and ensure the patient is engaged in the conversation. Choice A: Using long sentences can be overwhelming for a patient who may not understand the language, leading to miscommunication. Choice C: Using breaks in sentences may help the interpreter better convey the message, but looking at the patient is more essential for effective communication. Choice D: Looking at only nonverbal behaviors neglects the importance of eye contact and direct communication with the patient.

Correct Answer: B

Rationale: The correct answer is B: TPN administered via a peripherally inserted central catheter. TPN provides comprehensive nutrition intravenously, bypassing the GI tract, which is important for patients unable to tolerate oral intake. A peripherally inserted central catheter allows for long-term TPN administration. A: Administration of parenteral feeds via a peripheral IV is not ideal for long-term nutrition as it may not provide complete nutrition. C: Insertion of an NG tube may not be feasible due to the tumor location and the patient's inability to tolerate oral intake. D: Maintaining NPO status and IV hydration alone may lead to malnutrition over time as it does not provide adequate nutrition.

Correct Answer: B

Rationale: The correct answer is B: Electronic health record. An Electronic Health Record (EHR) contains comprehensive health information about an individual that is collected across different health care providers and organizations. This includes medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory test results. The EHR is designed to be accessible by authorized healthcare providers and ensures that all pertinent patient information is available in one centralized record, regardless of the number of times the patient entered the health care system. A: Electronic medical record (EMR) typically contains information from a single provider or organization. C: Electronic charting record is more focused on documenting care provided during a specific encounter. D: Electronic problem record is limited to tracking specific health issues or conditions.

Correct Answer: A

Rationale: The correct answer is A: Preparation of nutritious meals and avoidance of contraindicated foods. After mastoid surgery, proper nutrition is crucial for healing and recovery. Nutritious meals support the immune system and aid in tissue repair. Avoiding contraindicated foods, such as those that may cause inflammation or interfere with medications, is essential for the patient's well-being. Choices B, C, and D are not the primary focus of home care after mastoid surgery. While rest, adaptation to hearing loss, and assistance with ambulation are important, they are secondary to ensuring proper nutrition for optimal recovery in this case.