A 30-year-old woman with a BMI of 36 is being counseled on weight reduction. In what order should interventions be discussed?
- A. 4, 3, 2, 1
- B. 4, 2, 3, 1
- C. 3, 4, 2, 1
- D. 3, 2, 1, 4
Correct Answer: A
Rationale: The nurse should start with a full assessment (lipid profile and blood pressure), followed by education on diet and exercise, then medication, and finally surgery if needed.
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The mother of a 2-year-old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information?
- A. Give the mother information about local support groups
- B. Provide the mother the name of a prominent local attorney
- C. Do not offer any advice unless the mother asks
- D. Help the mother find a job
Correct Answer: A
Rationale: The nurse should offer information about support groups to help the mother cope with her current stressors and reduce the risk of child abuse.
A nurse is developing learning objectives for an individual who is becoming more physically active. Which of the following is an example of an appropriately written affective learning objective?
- A. The individual will understand the importance of daily exercise
- B. The individual will demonstrate the importance of daily exercise
- C. The individual will verbalize the importance of daily exercise
- D. The individual will believe in the importance of daily exercise
Correct Answer: C
Rationale: Affective learning focuses on attitudes and values, and verbalizing the importance of exercise demonstrates recognition of its value.
An 18-year-old woman asks the nurse not to tell her mother about her STD diagnosis. Which action should the nurse take?
- A. Follow the principle of veracity and tell the mother the diagnosis.
- B. Respect the principle of confidentiality and support the client’s request.
- C. Tell the mother the client has a UTI.
- D. Ignore the mother’s request for information.
Correct Answer: B
Rationale: Confidentiality ensures the client’s privacy, and the client must authorize disclosure to others.
Osteoporosis risk: Who is at risk?
- A. A 55-year-old man on a low dose of prednisone daily
- B. A 40-year-old woman who works as a secretary
- C. A 60-year-old woman who walks three miles a day
- D. A 50-year-old man who works as a mason
Correct Answer: A
Rationale: Long-term prednisone use increases osteoporosis risk, especially in men.
A nurse is educating a 35-year-old woman about the best exercises to engage in to prevent bone loss. Which of the following exercises would the nurse recommend?
- A. Walking
- B. Swimming
- C. Weight training
- D. Bike riding
Correct Answer: A
Rationale: Weight-bearing activities like walking help maintain bone density and prevent osteoporosis.