Nokea
A nurse is assessing the cognitive-perceptual pattern of a toddler. Which of the following findings would be cause for concern for the nurse?
- A. Uses the word blanky to mean both that he wants to go to bed and that he is cold
- B. Refuses to eat something he ate and enjoyed the day before
- C. Has visual acuity that is not 20/20
- D. Has a history of recurrent ear infections
Correct Answer: D
Rationale: Recurrent ear infections in toddlers are a concern because they may lead to hearing loss, which can affect speech and language development.
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Which of the following infants is most at risk to experience child abuse?
- A. Father has experienced paternal engrossment
- B. Responds to parental touch
- C. Parents have low self-esteem
- D. Has been adopted
Correct Answer: C
Rationale: Low self-esteem in parents can lead to frustration, anger, and disturbed relationships, increasing the risk of child abuse.
Susceptibility to CA-MRSA
- A. 16-year-old student who plays football
- B. 48-year-old person who has taken antibiotics for sinus infections
- C. 36-year-old man serving 12 months in jail for robbery
- D. 22-year-old woman who shares a towel after a swimming meet
Correct Answer: A
Rationale: Close physical contact during sports, antibiotic use, and shared items like towels increase CA-MRSA risk.
A person states to the nurse, “The guidelines for what we should eat as Americans is constantly changing, just when I got used to using MyPyramid they changed it to MyPlate. I wonder what will be next and if they really know what they are doing with all of this change.” Which of the following would be the best response from the nurse?
- A. “The USDA is constantly making changes in order to decrease the alarming rates of obesity in our country.”
- B. “MyPyramid was developed in 2005, so it was time for this graphic to be revised.”
- C. “The creation of MyPlate has decreased the need for additional teaching resources for nutrition.”
- D. “MyPlate serves as a better visual aid, reminding Americans what a healthy ‘plate’ looks like.”
Correct Answer: D
Rationale: MyPlate was introduced as a clearer visual representation of what a healthy plate looks like, simplifying nutrition education.
A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education?
- A. “I drink skim milk on a regular basis.”
- B. “I try not to eat foods that have added salt on the label.”
- C. “I eat American cheese about once every 2 weeks.”
- D. “I add salt to many of the food that I eat to enhance the flavor.”
Correct Answer: D
Rationale: Sodium intake should be limited for heart disease patients.
Which scenario represents a dysfunctional pattern?
- A. Sexually active teenager who does not use condoms
- B. Salesman who sleeps only 5 hours a night
- C. Single mother of three children
- D. Woman with a small extended family
Correct Answer: A
Rationale: A sexually active teenager who does not use condoms has a dysfunctional sexual-reproductive pattern, leading to risks.