Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client comes to the clinic for an annual physical exam.
When asked about their influenza vaccine status, the client responds, “I never get the vaccine because I don’t get the flu.”. Which aspect of the Health Belief Model is the client demonstrating?
A. Perceived barriers.
This refers to obstacles preventing someone from taking action, such as cost or fear of side effects. The client did not mention barriers, only their belief that they don’t get the flu.
B. Perceived susceptibility.
The Health Belief Model (HBM) explains health-related behaviors based on an individual's perceptions. Perceived susceptibility refers to a person's belief about their risk of developing a disease. In this case, the client believes they are not susceptible to the flu, which influences their decision not to get vaccinated.
C. Perceived severity.
Perceived severity refers to an individual’s assessment of the seriousness of the condition and its potential consequences. The client has not expressed any beliefs about the severity of the flu.
D. Perceived benefits.
Perceived benefits refer to an individual’s belief in the efficacy of the advised action to reduce risk or impact of the condition. The client has not expressed any beliefs about the benefits of the flu vaccine.
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Full Explanation
The correct answer is B. Perceived susceptibility.
Explanation:
The Health Belief Model (HBM) explains health-related behaviors based on an individual's perceptions. Perceived susceptibility refers to a person's belief about their risk of developing a disease. In this case, the client believes they are not susceptible to the flu, which influences their decision not to get vaccinated.
Why the other options are incorrect:
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A. Perceived barriers – This refers to obstacles preventing someone from taking action, such as cost or fear of side effects. The client did not mention barriers, only their belief that they don’t get the flu.
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C. Perceived severity – This relates to how serious a person believes a condition is. The client did not indicate concern about how severe the flu might be, only that they don’t expect to get it.
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D. Perceived benefits – This focuses on a person’s belief in the effectiveness of an action. The client’s response does not express doubts about the vaccine’s benefits, just their belief that flu prevention is unnecessary for them.
Similar Questions
The nurse needs to delegate some tasks related to a homebound client’s care to a home health aide. Which task should the nurse assign to the aide?
A. Fitting a prosthetic device.
Fitting a prosthetic device requires specialized knowledge and skills that a home health aide may not possess. This task should be performed by a healthcare professional with appropriate training.
B. Evaluating the client’s need for an elevated toilet seat.
Evaluating the need for an elevated toilet seat involves assessing the client’s mobility and safety in the bathroom, tasks that a home health aide could perform under the supervision of a nurse.
C. Performing a sterile dressing change.
Performing a sterile dressing change is a complex task that requires specific nursing knowledge and skills. It should not be delegated to a home health aide.
D. Assessing a pressure sore.
Assessing a pressure sore involves making judgments about the client’s skin integrity and the effectiveness of treatment strategies. This is a nursing responsibility and should not be delegated to a home health aide.
Full Explanation
Answer and explanation The correct answer is B. Choice A rationale
Fitting a prosthetic device requires specialized knowledge and skills that a home health aide may not possess. This task should be performed by a healthcare professional with appropriate training.
Choice B rationale
Evaluating the need for an elevated toilet seat involves assessing the client’s mobility and safety in the bathroom, tasks that a home health aide could perform under the supervision of a nurse.
Choice C rationale
Performing a sterile dressing change is a complex task that requires specific nursing knowledge and skills. It should not be delegated to a home health aide.
Choice D rationale
Assessing a pressure sore involves making judgments about the client’s skin integrity and the effectiveness of treatment strategies. This is a nursing responsibility and should not be delegated to a home health aide.
The public health nurse is investigating a report of several chickenpox (varicella virus) cases at a daycare center.
The daycare worker mentions that five children have been sent home over the past two weeks with fever and itchy blisters.
What should be the nurse’s initial action?
A. Report the presence of a viral endemic at the daycare center.
Reporting the presence of a viral endemic at the daycare center would be premature without first confirming the diagnosis of the children sent home.
B. Confirm the number of children exhibiting symptoms.
While confirming the number of children exhibiting symptoms is important, it is more crucial to first verify that the children sent home did indeed develop chickenpox.
C. Verify that the children sent home did indeed develop chickenpox.
The nurse’s initial action should be to verify that the children sent home did indeed develop chickenpox. This is because chickenpox is a highly contagious disease caused by the varicella- zoster virus. Early identification and confirmation of the disease can help in implementing appropriate control measures to prevent further spread.
D. Determine the number of people potentially exposed.
Determining the number of people potentially exposed is an important step in managing a chickenpox outbreak. However, this should be done after confirming the diagnosis.
Full Explanation
Answer and explanation The correct answer is C. Choice A rationale
Reporting the presence of a viral endemic at the daycare center would be premature without first confirming the diagnosis of the children sent home.
Choice B rationale
While confirming the number of children exhibiting symptoms is important, it is more crucial to first verify that the children sent home did indeed develop chickenpox.
Choice C rationale
The nurse’s initial action should be to verify that the children sent home did indeed develop chickenpox. This is because chickenpox is a highly contagious disease caused by the varicella- zoster virus. Early identification and confirmation of the disease can help in implementing appropriate control measures to prevent further spread.
Choice D rationale
Determining the number of people potentially exposed is an important step in managing a chickenpox outbreak. However, this should be done after confirming the diagnosis.
During a community health screening fair for older adults, a nurse notices a client with pale, bluish feet and sores on both lower extremities that are healing poorly.
What should the nurse’s intervention be?
A. Instruct the client to apply antibiotic ointment to the sores.
While applying antibiotic ointment to the sores might help prevent infection, it does not address the underlying issue causing the sores and poor healing.
B. Create a list of foods that promote wound healing.
Although a diet rich in nutrients can promote wound healing, it is not the most immediate need for this client. The client’s symptoms suggest a serious underlying condition that requires medical evaluation.
C. Refer the client to a healthcare provider for a complete evaluation.
The client’s symptoms of pale, bluish feet and sores on both lower extremities that are healing poorly suggest a severe and untreated medical condition, possibly related to circulation or skin integrity. Therefore, the nurse should refer the client to a healthcare provider for a complete evaluation.
D. Send the client to the emergency department for treatment.
Sending the client to the emergency department for treatment might be necessary in some cases, but it is more appropriate to first refer the client to a healthcare provider for a complete evaluation.
Full Explanation
Answer and explanation The correct answer is C. Choice A rationale
While applying antibiotic ointment to the sores might help prevent infection, it does not address the underlying issue causing the sores and poor healing.
Choice B rationale
Although a diet rich in nutrients can promote wound healing, it is not the most immediate need for this client. The client’s symptoms suggest a serious underlying condition that requires medical evaluation.
Choice C rationale
The client’s symptoms of pale, bluish feet and sores on both lower extremities that are healing poorly suggest a severe and untreated medical condition, possibly related to circulation or skin integrity. Therefore, the nurse should refer the client to a healthcare provider for a complete evaluation.
Choice D rationale
Sending the client to the emergency department for treatment might be necessary in some cases, but it is more appropriate to first refer the client to a healthcare provider for a complete evaluation.