Nokea
A nurse is developing an educational program about SIDS for a new mothers’ support group in the community. Which of the following information would be included in this presentation?
- A. Parents are encouraged to place their infants in the supine sleeping position.
- B. SIDS is the leading cause of death among infants age 6 months to 1 year old.
- C. SIDS is associated with infants who have had difficulty sleeping at night.
- D. Parents are encouraged to limit the amount of “tummy time” of their infant.
Correct Answer: A
Rationale: The "Back to Sleep" campaign recommends placing infants in the supine sleeping position to reduce SIDS risks.
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A nurse whose religious beliefs prohibit abortion has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. According to the revised American Nurses Association’s (ANA’s) Code of Ethics for Nurses, which of the following actions should the nurse take next?
- A. Suspend her religious beliefs and provide comfort and support for the client.
- B. Quit her job and find another source of employment.
- C. Notify her supervisor about her beliefs and request a change in assignment.
- D. Refuse to participate in the abortion.
Correct Answer: C
Rationale: The nurse has the right to refuse participation, but must ensure arrangements are made for the client's care.
A nurse is educating a group of adults who are attempting smoking cessation. Which intervention would be most effective for the nurse to implement?
- A. Give the group members a handout on the dangers of smoking
- B. Set a quit date with the group and determine which pharmacological method is most suitable for group members
- C. Provide a month’s supply of nicotine replacement to use before the next visit
- D. Have a guest speaker who has been diagnosed with lung cancer speak to the group
Correct Answer: B
Rationale: Setting a quit date and developing an action plan with the group can increase motivation and commitment to quitting.
Which of the following best demonstrates the practice of transcultural nursing?
- A. Using previous knowledge about ethnic minority cultures to plan care
- B. Adapting nursing care to meet the needs of a person from an ethnic minority
- C. Requesting an interpreter when caring for a person from an ethnic minority
- D. Attending a presentation about cultural diversity
Correct Answer: B
Rationale: Transcultural nursing involves adapting care to the specific needs of individuals from different cultural backgrounds, beyond using stereotypes.
During a home visit to the home of a 3-month-old infant, which environmental finding requires immediate anticipatory guidance?
- A. A pool in the backyard without a gate
- B. The lack of smoke detectors
- C. The lack of childproof latches on drawers and cupboards
- D. Two azalea plants in the living room
Correct Answer: B
Rationale: A lack of smoke detectors poses a significant and immediate risk in case of a fire. It is vital to have them in the home.
Stress related to family dynamics: Who is at risk?
- A. A 54-year-old couple whose daughter and grandson move back in
- B. A 44-year-old single mother raising three children
- C. A 60-year-old couple whose children live in another state
- D. A 36-year-old couple whose child plays competitive tennis
Correct Answer: A
Rationale: Family dynamics involving caregiving or financial stressors increase the risk of stress-related issues.