Nokea
A community nurse develops a plan to address the problem of teenage pregnancies. Which of the following actions should the nurse take next?
- A. Determine the rate of teenage pregnancies.
- B. Evaluate the success of her plan.
- C. Provide educational programs at local schools regarding pregnancy prevention.
- D. Determine which factors related to teenage pregnancy require intervention.
Correct Answer: C
Rationale: Providing education at local schools is an implementation step in the plan to address teenage pregnancies.
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Which of the following teenagers is at risk for not meeting his developmental task?
- A. Arrested for petty theft
- B. Decided he wants to major in accounting
- C. Has recently broke up with his girlfriend
- D. Is a member of the varsity basketball team
Correct Answer: A
Rationale: Delinquent behavior, such as petty theft, can interfere with achieving Erikson’s task of establishing identity.
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.
Suicide Risk
- A. 16-year-old girl who broke up with her boyfriend
- B. 26-year-old male laid off from his job
- C. 50-year-old female with a history of alcohol abuse
- D. 40-year-old male whose brother died suddenly
Correct Answer: C
Rationale: Alcohol abuse is a significant risk factor for suicide, particularly in middle-aged adults.
Which of the following “investment” themes has been identified by the National Institute of Nursing Research?
- A. Interprofessional collaboration
- B. Improving quality of life
- C. End-of-life care
- D. Increasing physical activity among Americans
Correct Answer: B
Rationale: The National Institute of Nursing Research focuses on improving quality of life and managing symptoms.
A 63-year-old woman complains of insomnia. Which response is appropriate?
- A. "Do you want a sleeping pill?"
- B. "Make sure that you do not nap during the day even if you are tired."
- C. "Do you feel excessively tired during the day?"
- D. "The nurse practitioner may want to run some simple tests to find out why you are having trouble sleeping."
Correct Answer: C
Rationale: The nurse should assess the quality of sleep and how it affects daily activities before suggesting interventions.