Nokea
A nurse is working with a person to increase his daily exercise and activity. Which of the following statements by the nurse best demonstrates the use of reflection?
- A. “I have also struggled with finding time to exercise on a regular basis.”
- B. “Regular exercise plays an important role in preventing many health problems.”
- C. “You said that you have difficulty making time in your day for exercise.”
- D. “It may be helpful if we developed a goal related to daily exercise.”
Correct Answer: C
Rationale: Reflection involves paraphrasing or summarizing the person's words to indicate interest and focus the discussion.
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A nurse is assessing a toddler during a well-child visit. Which of the following findings warrant further investigation?
- A. Bare spots on the scalp, and broken hair
- B. Overly concerned parents
- C. Burns with sharply demarcated edges
- D. Bruises anywhere on the body
Correct Answer: A
Rationale: Bare spots and broken hair, along with burns with sharply demarcated edges, are warning signs of possible child abuse.
Which person exceeds the recommended activity guidelines?
- A. "A 36-year-old man who engages in bike riding and has a pulse rate of 137 during activity."
- B. "A 45-year-old woman who swims and has a pulse rate of 145 during activity."
- C. "A 50-year-old man who jogs and has a pulse rate of 120 during activity."
- D. "A 60-year-old woman who walks briskly and has a pulse rate of 125 during activity."
Correct Answer: D
Rationale: The optimal pulse rate for a 60-year-old woman during activity should not exceed 120.
A home care nurse is planning an intervention with a family focusing on decreasing susceptibility. Which of the following nursing interventions would be most appropriate to implement?
- A. Education about building on current strengths of the family
- B. Education about hand hygiene
- C. Education about health care resources in the community
- D. Education about child safety seats
Correct Answer: B
Rationale: Decreasing susceptibility involves providing education on how to reduce risks, such as hand hygiene to prevent the spread of diseases.
A nurse is educating a 26-year-old, sexually active, female client about the screening tests that are now covered without a copayment or co-insurance because of the Affordable Care Act. Which of the following preventive services would the nurse include in this discussion?
- A. Tobacco use screening
- B. HIV screening
- C. Cervical cancer screening
- D. Breast cancer mammography screening
Correct Answer: B
Rationale: The Affordable Care Act mandates that HIV screening is covered without copayment or co-insurance.
Which of the following individuals has a modifiable, nutrition-related risk factor for stroke?
- A. African American man, age 65, who has a low salt intake
- B. White woman, age 32, who follows the MyPlate recommendations
- C. Russian man, age 40, who drinks 3 oz of vodka daily
- D. Hispanic man, age 42, who exercises regularly
Correct Answer: C
Rationale: Habitual alcohol intake is a modifiable risk factor for stroke.