Adult Health Nursing Study Guide Answers

Correct Answer: B

Rationale: The first step in the qualitative research process is typically conducting a review of existing literature on the topic of interest. This involves exploring existing research studies, theories, and findings related to the area being studied. By reviewing the literature, researchers can gain a better understanding of the current knowledge and identify gaps in the existing research that their study can address. This step helps researchers define the research question, refine the study design, and establish a strong theoretical framework for the study.

Correct Answer: C

Rationale: Reflecting the patient's feelings and expressions is a therapeutic communication technique that involves mirroring back the patient's emotions and thoughts. By doing this, the nurse validates the patient's experiences and helps them explore their feelings further. This technique can enhance the patient's self-awareness and promote emotional expression, leading to a deeper understanding of their conflicting emotions. Offering advice (Option A) may not be as effective because the focus should be on helping the patient process their own emotions. Providing reassurance and false hope (Option B) can hinder the patient's emotional exploration and may lead to trust issues if the reality does not align with the false reassurance. Redirecting the conversation to a different topic (Option D) avoids addressing the patient's conflicting emotions, which is crucial for therapeutic communication and support.

Correct Answer: B

Rationale: When a medication is unavailable and therefore not given to the patient, it is important to document this in the Nurses Notes along with an explanation. Leaving it blank (Option A) may lead to confusion or errors as the reason for not administering the medication would not be clear. Using an asterisk or mark as per hospital protocol (Option C) may not provide enough information about why the medication was missed. Writing the letter (Option D) without any explanation would not suffice in terms of documentation and accountability. Therefore, signing and making an explanation in the Nurses Notes (Option B) is the correct way to chart when a medication is unavailable. This ensures proper documentation of the situation and helps in maintaining the continuity of care for the patient.

Correct Answer: A

Rationale: Nulliparity, which refers to never having given birth to a child, is the most common risk factor for the development of ovarian cancer. Women who have never been pregnant have a higher risk of developing ovarian cancer compared to those who have had children. This association is believed to be related to the uninterrupted ovulation cycles that nulliparous women experience, leading to changes in the surface epithelium of the ovary that predispose them to cancer development. Conversely, factors like early menarche, late menopause, and a family history of breast cancer are also associated with an increased risk of ovarian cancer but are not as commonly observed as nulliparity in the general population.

Correct Answer: A

Rationale: If visible residue is noticed on the surgical instruments, it is crucial to re-sterilize them before using them for any procedure. Visible residue may indicate that the instruments are not sterile and could potentially introduce contaminants into the patient during the procedure, leading to infection or other complications. It is essential to maintain the highest standards of cleanliness and sterility in healthcare settings to ensure patient safety. Therefore, the nurse should take immediate action to re-sterilize the instruments before proceeding with any surgical procedure.