Nursing Elites

1. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?

• A. Risk for infection
• B. Pain
• C. Knowledge Deficit
• D. Anticipatory Grieving

Correct answer: D

Rationale: Anticipatory grieving is the priority nursing diagnosis for a client with an ectopic pregnancy. An ectopic pregnancy is a life-threatening condition that requires immediate medical intervention, often resulting in emotional distress and potential loss. Anticipatory grieving addresses the emotional needs of the client and their family in anticipation of a possible loss. While pain management and infection prevention are important aspects of care, addressing the emotional well-being and coping mechanisms should take precedence in this situation. Knowledge deficit may also be relevant, but emotional support is crucial in this critical scenario.

2. The letter 'T' in the Acronym 'GATHER' denotes:

• A. Ask the client about themselves - particular needs, obstetric and medical history
• B. Tell the client about modern FP methods available, and discuss each in detail
• C. Help the client choose a method and repeat information regarding the chosen method if necessary
• D. Explain how to use the method - what, where, when, and how

Correct answer: B

Rationale: The correct answer is B: 'Tell the client about modern FP methods available, and discuss each in detail.' In the GATHER acronym, 'T' stands for providing information about modern family planning methods to the client and having a detailed discussion. Choices A, C, and D are incorrect because they do not accurately represent the 'T' component in the GATHER approach. Choice A focuses more on gathering information from the client, choice C is about helping the client choose a method, and choice D is about explaining how to use the method, none of which align with the 'T' in GATHER.

3. The structures of the vulva lie ____________ to the vagina.

• A. Posterior
• B. Inferior
• C. Lateral
• D. Superior

Correct answer: B

Rationale: The correct answer is 'Inferior.' The structures of the vulva are positioned below the vagina, making them inferior. Choice A, 'Posterior,' refers to structures located at the back, not below the vagina. Choice C, 'Lateral,' means to the side, which is not the correct orientation in this context. Choice D, 'Superior,' indicates above, which is the opposite of the correct relationship described in the question.

4. Amniocentesis deals with patterns of ______ in the amniotic fluid.

• A. Fingers
• B. DNA
• C. Chromosomes
• D. Proteins

Correct answer: C

Rationale: Amniocentesis is a prenatal test that involves examining chromosomes in the amniotic fluid to detect genetic abnormalities. Therefore, the correct answer is 'Chromosomes.' The other choices, such as 'Fingers,' 'DNA,' and 'Proteins,' do not accurately represent what is analyzed during an amniocentesis procedure and are unrelated to the genetic information obtained through this test.

5. How can the need to respect clients' rights to informed consent be attained in quality of care?

• A. by providing adequate information and counseling
• B. by forcing all patients scheduled for surgery to sign the consent form
• C. by engaging the Senior medical superintendent of the hospital to sign consent forms for the patients
• D. by simply telling the patient to sign the consent form

Correct answer: A

Rationale: The correct answer is A: 'by providing adequate information and counseling.' Respecting clients' rights to informed consent involves ensuring that patients are adequately informed about the procedures they will undergo. This includes providing them with all necessary information and counseling to make an informed decision. Choice B is incorrect because forcing patients to sign consent forms does not ensure that they are fully informed or that their rights are respected. Choice C is incorrect as involving a senior medical superintendent to sign consent forms does not guarantee that patients are adequately informed. Choice D is incorrect because simply telling the patient to sign the consent form does not fulfill the requirement of providing adequate information for informed consent.

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