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During a prenatal visit, a pregnant woman informs the nurse that she and her husband have chosen godparents for the baby. This finding is based on an assessment of which functional health pattern?
- A. Cognitive-perceptual pattern
- B. Self-perception–self-concept pattern
- C. Health-perception–health-management pattern
- D. Values-beliefs pattern
Correct Answer: D
Rationale: Identifying godparents is related to the woman's values and beliefs about the spiritual and cultural aspects of parenting.
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A Medicare client reports to the home care nurse that he is receiving care through an accountable care organization (ACO). Which of the following considerations should be made when delivering care to this individual?
- A. The individual must see a primary care provider before being referred to a specialist.
- B. The focus of care is prevention and management of individuals with chronic disease.
- C. The individual has paid a membership fee to be part of this organization.
- D. The focus of care is to conserve money in a health savings account.
Correct Answer: B
Rationale: The focus of accountable care organizations (ACOs) is on managing chronic conditions and preventing hospital readmissions.
After the 2010 Dietary Guidelines were released, a community health nurse updated a nutrition presentation that was being used to educate various community groups about healthy eating habits. Which of the following information would have been added to the presentation?
- A. Consumption of increased amounts of carbohydrates
- B. Impact of the environment on the public’s food, drink, and activity choices
- C. Revised guidelines for the use of MyPyramid
- D. Inclusion of physical activity standards
Correct Answer: B
Rationale: The 2010 guidelines introduced the impact of the environment on health decisions, including food and physical activity choices.
Conditions to Screen for in an 80-year-old
- A. Polypharmacy
- B. Kidney failure
- C. Illegal drug use
- D. Alcoholism
Correct Answer: A
Rationale: Older adults on multiple medications are at higher risk for drug interactions, making polypharmacy a key concern.
A nurse is conducting a health promotion assessment for a family with a 9-month-old. Which of the following should be of most concern to the nurse?
- A. The age of the house in which the family lives
- B. Genetic diseases in the family
- C. Driving practices in the family
- D. Toilet training for the child
Correct Answer: A
Rationale: Homes built before 1974 may contain lead-based paint, which poses a risk to a crawling baby, leading to neurological damage.
What accounts for one of the leading causes of death in young adults?
- A. Tobacco use
- B. Binge drinking and driving
- C. Illegal drug use
- D. HIV infection
Correct Answer: B
Rationale: Binge drinking and driving is a leading cause of preventable death among young adults, contributing to numerous fatalities.