Adult Health Nursing Test Bank

Correct Answer: A

Rationale: The correct answer is A: battery. Battery is the intentional and unwanted touching of another person without their consent, which can include medical treatment without consent. This is a clear violation of the patient's autonomy and can lead to legal consequences. Negligence (B) is the failure to exercise reasonable care, not intentional touching. Slander (C) is making false spoken statements that harm someone's reputation. Tort (D) is a broader term referring to civil wrongs, including battery, but not specifically addressing intentional and unwanted touching.

Correct Answer: C

Rationale: The correct answer is C: Secures clean ties before removing soiled ones. This is the priority action because securing clean ties prevents accidental dislodgement of the tracheostomy tube, ensuring the patient's airway remains patent. Cutting the dressing (A) or cleaning the incisions (B) can be important but not as critical as securing the tube. Using clean technique (D) is essential but not the priority in this situation.

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 because disclosing a patient's HIV status to family members violates the patient's right to privacy and confidentiality. Patient confidentiality is a fundamental aspect of the Patient's Bill of Rights, ensuring that personal health information is protected. The other choices (A, C, D) do not directly violate the Patient's Bill of Rights. Choice A relates to transparency in billing, choice C is about honesty in communication, and choice D is about timely communication with the physician, all of which are in line with patient rights and quality care.

Correct Answer: A

Rationale: Correct Answer: A - Genetics Rationale: 1. Genetics refer to an individual's inherited traits which can influence health conditions and predispositions. 2. Genetic factors can impact an individual's susceptibility to certain diseases and conditions. 3. Health beliefs and practices may be influenced by knowledge of one's genetic predispositions. 4. Family structure, socioeconomic status, and living situation are external variables that may influence health but are not inherent to the individual like genetics.