Which of the following teenagers is at increased risk for acquiring a sexually transmitted disease and should be provided with anticipatory guidance?
- A. Asks the nurse for information about condoms
- B. Feels her friends and family do not care about her
- C. Has multiple friends and feels good about herself
- D. Talks to her boyfriend on the phone for hours
Correct Answer: B
Rationale: Teens who feel neglected or unsupported are at increased risk of risky sexual behaviors.
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Which of the following is the most common poison ingested by infants?
- A. Houseplants
- B. Lead
- C. Cleaning agents
- D. Aspirin
Correct Answer: D
Rationale: Aspirin is the most commonly ingested poison by infants, followed by houseplants and cleaning agents.
A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise. What action should the nurse take in order to confirm or reject these beliefs?
- A. Walk around the neighborhood
- B. Interview members of the community
- C. Obtain town morbidity and mortality rates
- D. Go to the town hall to obtain the number of parks in the community
Correct Answer: B
Rationale: The nurse should interview community members to understand their perceptions and confirm the hypothesis about sedentary lifestyles.
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: The stress of losing a job could lead to ineffective coping, representing a potentially dysfunctional pattern that needs intervention.
Which statement is most appropriate when discussing a woman concerned about osteoporosis and menopause?
- A. “The American diet is much better now.”
- B. “You have a strong genetic risk factor.”
- C. “You need about 1000 mg of calcium a day.”
- D. “Tell me about your diet, walking, and medications.”
Correct Answer: D
Rationale: The nurse should gather more information about the client’s lifestyle before providing specific advice, including dietary habits and physical activity.
Which represents a disadvantage of screening?
- A. Utilization of group screening methods
- B. Utilization of multiple test screening
- C. Utilization of a test with high specificity
- D. Utilization of a test with low sensitivity
Correct Answer: D
Rationale: Tests with low sensitivity produce false negatives, potentially leading to missed diagnoses and delays in treatment.