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A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed?
- A. Assessment
- B. Implementation
- C. Planning
- D. Evaluation
Correct Answer: D
Rationale: The evaluation phase involves determining if the person is moving toward their goals, such as weight loss, after a plan has been implemented.
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A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue?
- A. Ban smoking on parish property
- B. Invite local experts to participate in a health fair at the parish
- C. Find literature about smoking cessation
- D. Hand out free nicotine-replacement systems
Correct Answer: B
Rationale: The nurse should invite experts to educate the parish on smoking cessation and foster health promotion through community events.
Which is an example of asymptomatic pathogenesis?
- A. Blood pressure of 170/98 experiencing headaches
- B. Positive finding on colonoscopy and blood in stool
- C. Elevated prostate-specific antigen (PSA)
- D. Elevated TSH who is always tired
Correct Answer: C
Rationale: Elevated PSA without symptoms is an example of asymptomatic pathogenesis, where the disease is present but not yet manifested.
Which dental health advice should be included in an occupational health fair?
- A. "Drinking bottled water helps prevent tooth decay."
- B. "Gingivitis results in bone destruction and can be eliminated by flossing daily."
- C. "Preventive dental care requires a visit to the dentist every 4 months."
- D. "In addition to screening for tooth decay, dentists screen for mouth cancer."
Correct Answer: D
Rationale: Dentists may be the first to detect conditions such as mouth cancer, making regular dental check-ups crucial.
A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following findings will require the nurse to collect additional information?
- A. The infant’s shirt is wet from drooling.
- B. The infant has gained one pound since her 2-month well-child visit.
- C. The infant holds his or her head steady when in a sitting position.
- D. The infant grasps objects with two hands.
Correct Answer: B
Rationale: A weight gain of only 1 pound in 2 months is below the expected growth, suggesting a need for further assessment.
A nurse is completing an initial genetic counseling interview with a couple. Which of the following data would be collected during the interview?
- A. Paternal age
- B. Maternal age
- C. Family history
- D. Religious affiliation
Correct Answer: B
Rationale: Maternal age and family history are key factors collected during genetic counseling to assess genetic risks.