A nurse is educating new parents about normal growth and development for their child. Which of the following items would the nurse include in this discussion?
- A. Trends in childhood obesity
- B. Availability of a well-balanced diet
- C. Exposure to lead-based paint
- D. Height/weight of relatives
Correct Answer: B
Rationale: A well-balanced diet is essential for healthy growth, while childhood obesity and lead exposure are significant threats to development.
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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.
A 37-year-old woman asks the nurse if she should take a daily nutritional supplement. Which of the following would be the best reply by the nurse?
- A. “Postmenopausal women should take a calcium supplement to prevent osteoporosis.”
- B. “Many people use supplements as drugs instead of as supplements.”
- C. “Supplements can enhance the medications that you take.”
- D. “The best way to obtain nutrients is by eating a variety of foods.”
Correct Answer: D
Rationale: A balanced diet is the best way to get nutrients, and supplements should only be used when necessary.
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.
A nurse believes that it is his responsibility to ensure the safety of the public by administering flu shots to everyone in the community. Which ethical theory is being used by the nurse?
- A. Descriptive value theory
- B. Normative theory
- C. Consequentialism theory
- D. Duty-based theory
Correct Answer: C
Rationale: Consequentialism theory focuses on actions that yield the greatest good or reduce harm, such as administering flu shots for public safety.
The nurse has determined that a person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take?
- A. Weigh the person.
- B. Set a goal weight with the person.
- C. Ask the person what her favorite foods are.
- D. Develop a plan for weight loss.
Correct Answer: B
Rationale: Setting a goal weight is essential before developing an intervention plan for weight loss.