Nokea
A 2-month-old infant is in for a well-baby visit. Which of the following immunizations should the nurse administer to the infant?
- A. DTaP-1
- B. MMR
- C. Varicella
- D. Influenza
Correct Answer: A
Rationale: The recommended immunizations for 2-month-olds include DTaP-1, Hib-1, PCV, Polio, and RV.
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Which of the following foods will a 5-year-old child need help eating?
- A. Pudding
- B. Macaroni and cheese
- C. Chicken
- D. Jelly sandwich
Correct Answer: C
Rationale: A 5-year-old will need help cutting meats like chicken, especially as they lack the dexterity for cutting at this age.
A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care?
- A. Decreased sense of hearing
- B. Decreased sense of smell
- C. Decreased sense of taste
- D. Decreased visual acuity
Correct Answer: D
Rationale: Visual acuity is essential for insulin administration and monitoring blood glucose, impacting the nursing plan of care.
Which scenario indicates a potentially dysfunctional pattern?
- A. Adult with frequent urination
- B. Woman who lost her job
- C. Elderly person with blurred vision
- D. Overweight adult with a sweet tooth
Correct Answer: B
Rationale: Losing a job can lead to stress and poor coping, indicating a potential dysfunctional pattern needing intervention.
A nurse is collecting data for a family assessment using Gordon’s functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain?
- A. Roles-relationship
- B. Cognitive-perceptual
- C. Health-perception–health-management
- D. Self-perception–self-concept
Correct Answer: B
Rationale: The cognitive-perceptual pattern relates to how the family perceives language development and cognitive needs, which includes the availability of books for children.
A nurse and her client are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective client-centered communication, the nurse should:
- A. ask the person what he is thinking, so they can understand each other.
- B. restate what the person said before silence ensued, to get clarification.
- C. change the subject to one that is more pleasant for the person to discuss.
- D. wait quietly to give the person time to reflect where he wants to lead the conversation.
Correct Answer: D
Rationale: Silence allows the person to reflect on what is being discussed or experienced and lets the nurse know that they are ready to continue when the client is ready.