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During a screening, a test with a high specificity and low sensitivity is utilized. Which of the following issues could arise by using this test?
- A. Ethical issues
- B. Race issues
- C. Gender issues
- D. Cultural issues
Correct Answer: A
Rationale: A test with low sensitivity and high specificity can lead to false negatives, which can be ethically concerning as it misses true cases.
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A blended family has six children, ages 2, 4, 4, 5, 7, and 10. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation?
- A. This child has most likely been abused.
- B. This child is one of multiple children closely spaced in age.
- C. This family suffers from low self-esteem.
- D. This family provides harsh punishment for their children.
Correct Answer: B
Rationale: Risks in blended families include multiple closely spaced children, which can make it difficult for parents to attend to each child’s individual needs.
A nurse is providing education about safe driving with a group of newly licensed teenagers. Which factor would most likely influence a teenager’s decision to drive within the speed limit?
- A. A speed limit sign
- B. Having his parents telling him not to speed
- C. A previous traffic violation for speeding
- D. Seeing someone get pulled over for speeding
Correct Answer: C
Rationale: Previous experiences, like receiving a speeding ticket, are likely to influence behavior more than external factors.
A 62-year-old person reports difficulty with peripheral vision. Which disorder is likely?
- A. Presbyopia
- B. Glaucoma
- C. Cataracts
- D. Diabetic retinopathy
Correct Answer: B
Rationale: Glaucoma affects peripheral vision due to damage to the optic nerve.
A mother expresses her concern and frustration over the fact that her toddler has not been successful at toilet training yet. Which of the following would be the best response by the nurse?
- A. “Don’t worry; it will happen eventually.”
- B. “How long does the child stay dry during the day?”
- C. “Train him on a regular toilet instead of a potty chair.”
- D. “Here is a training schedule to follow.”
Correct Answer: B
Rationale: It's important to assess developmental readiness before beginning toilet training.
Osteoporosis risk: Who is at risk?
- A. A 55-year-old man on a low dose of prednisone daily
- B. A 40-year-old woman who works as a secretary
- C. A 60-year-old woman who walks three miles a day
- D. A 50-year-old man who works as a mason
Correct Answer: A
Rationale: Long-term prednisone use increases osteoporosis risk, especially in men.