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A client reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and doesn’t want to move. What action should the nurse take next?
- A. Assess the client’s and family’s coping mechanisms in handling stress.
- B. Encourage the client to act excited about the move.
- C. Talk to the husband to get his perspective on the move.
- D. Tell her that all families must cope with new situations from time to time.
Correct Answer: A
Rationale: The nurse should assess how the family usually copes with stressful situations to help them manage the current stressor effectively.
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Which of the following mothers would be most likely to bond appropriately with their infant?
- A. A mother who feels unloved will bond appropriately because now the baby will love her.
- B. A mother who feels great about herself will show love toward the infant and bond appropriately.
- C. A mother who feels empty by the birth of her child will bond appropriately once she holds the baby.
- D. A mother who feels ugly will bond appropriately with her child because her child will bring self-esteem.
Correct Answer: B
Rationale: Mothers who feel good about themselves are more likely to bond well with their infants.
A health care professional is providing education to the parents of an Asian American child who has recently been diagnosed with Type I diabetes. Which of the following actions should be taken by the health care professional?
- A. Provide instructions to the child’s father.
- B. Encourage the parents to bring other siblings into the clinic for screening.
- C. Schedule multiple educational sessions for the child and family.
- D. Watch for nonverbal gestures by the adults to indicate understanding.
Correct Answer: A
Rationale: In Asian American culture, the oldest male family member often assumes the decision-making role.
A nurse is conducting a screening for metabolic syndrome. What response should be made?
- A. Anyone who has low blood sugar, high cholesterol, and high blood pressure has this syndrome.
- B. This syndrome helps predict heart disease. Once diagnosed, medication can be prescribed.
- C. This syndrome is a warning sign that the person could develop heart disease. Lifestyle changes are recommended.
- D. Anyone with high cholesterol, blood pressure, and blood sugar has coronary artery disease.
Correct Answer: C
Rationale: Metabolic syndrome is a risk factor for heart disease and lifestyle changes are the first recommended approach.
A nurse makes a home visit to a 15-month-old following a hospitalization for a fall. Which finding would be concerning to the nurse?
- A. Radiator heating system in the home
- B. The child drinking from a cup
- C. The child experiencing a temper tantrum
- D. A decorative bowl filled with colorful marbles on the coffee table
Correct Answer: D
Rationale: A bowl of colorful marbles poses a choking hazard, as small objects are a risk for aspiration and foreign body obstruction in toddlers.
Disease Prevention and Advocacy
- A. Educate about violence rates
- B. Administer flu shots
- C. Participate in disaster planning
- D. Advocate for improved access to health care
Correct Answer: D
Rationale: Advocating for improved access to health care for the uninsured and underinsured is a key nursing role.