New CCRN-Adult Exam Book | Test CCRN-Adult Dumps.zip
New CCRN-Adult Exam Book | Test CCRN-Adult Dumps.zip
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CCRN (Adult) - Direct Care Eligibility Pathway Exam Questions Can Help You Gain Massive Knowledge - ActualtestPDF
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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q970-Q975):
NEW QUESTION # 970
A nurse is caring for a Korean patient who refuses to make eye contact. What of the following responses by the nurse is BEST?
- A. "I notice that you're avoiding me. Do you feel uncomfortable with me as your nurse?"
- B. "Would you please look at me while I am speaking so that I know you're paying attention?"
- C. "Has anyone at home been physically abusive towards you?"
- D. "Do you have any cultural preferences regarding making eye contact?"
Answer: D
Explanation:
In some cultures, including many Asian cultures, avoiding direct eye contact is considered respectful, especially with authority figures like healthcare providers. The nurse should directly ask the patient about their cultural practices to avoid any misunderstandings. The nurse should not assume that a lack of eye contact is an indicator of abuse. The nurse should not address the behavior until they understand if there is any cultural significance to the behavior.
NEW QUESTION # 971
The Model for End-Stage Liver Disease, or MELD, is often used to determine transplant priority. Which of the following laboratory values is NOT included in this model when determining patient priority for transplantation?
- A. Serum sodium
- B. AST and ALT
- C. Age
- D. Serum creatinine
Answer: B
Explanation:
MELD is a scoring system that stratifies the severity of end-stage liver disease, and is used for transplant planning. This frequently used tool is a calculation that incorporates the following data to measure disease severity:
* age
* serum creatinine
* serum sodium
* albumin
* International normalized ratio (INR)
Additional points are included if the patient undergoes dialysis at least twice in a week. The MELD score is used by United Network of Organ Sharing (UNOS) to determine hierarchy of transplantation need.
NEW QUESTION # 972
The family of a non-English speaking patient insists on translating the medical information instead of using a hospital interpreter. How should the nurse respond to this request?
- A. Insist on using a professional interpreter
- B. Allow the family to interpret to respect their cultural norms
- C. Ask for a professional translator to verify this is the patient's wish, then allow the family to translate once approved
- D. Have a hospital staff member fluent in the language interpret if possible
Answer: A
Explanation:
A professional interpreter should be used to ensure accurate translation and understanding of medical information. Allowing the family to interpret can lead to miscommunication due to a lack of medical knowledge or bias. A professional translator should not be substituted with a hospital staff member. A professional translator should be used, even if the patient is able to verify they are okay with their family translating, as having a family member translate is not the best practice.
NEW QUESTION # 973
A 28-year-old male patient presents with muscle weakness, dysphagia, and diplopi a. The weakness is more pronounced in the evening and improves with rest. Which of the following tests would be MOST useful for diagnosing this patient's condition?
- A. CT scan of the brain
- B. Cerebrospinal fluid analysis
- C. Electromyography
- D. Tensilon (edrophonium) test
Answer: D
Explanation:
The patient's symptoms are consistent with myasthenia gravis, and the Tensilon test is a common diagnostic procedure for this disorder. A cerebrospinal fluid analysis is not typically used for diagnosing myasthenia gravis. Electromyography may show abnormalities associated with myasthenia gravis, but the Tensilon test is more specific. A CT scan of the brain would not reveal the neuromuscular junction defects characteristic of myasthenia gravis.
NEW QUESTION # 974
Of the following nursing actions, which MIGHT decrease a patient's self-esteem?
- A. Requiring the patient to participate in all treatments
- B. Discussing negative aspects of the patient's condition
- C. Providing opportunities to discuss issues important to the patient
- D. Allowing the patient to do his or her own dressing changes if desired
Answer: A
Explanation:
Though patient participation in all treatments is highly encouraged and recommended, the nurse cannot require an adult to do anything. Discussing negative consequences of the patient's condition and providing opportunities to discuss issues important to the patient may cause the patient to feel sad or upset, but will not lower self-esteem. Allowing the patient to do their own dressing changes if the patient wishes will help to increase the patient's self-esteem and confidence.
NEW QUESTION # 975
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