Nokea
A 62-year-old person reports difficulty with peripheral vision. Which disorder is likely?
- A. Presbyopia
- B. Glaucoma
- C. Cataracts
- D. Diabetic retinopathy
Correct Answer: B
Rationale: Glaucoma affects peripheral vision due to damage to the optic nerve.
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Which individual is at risk for a dysfunction in elimination pattern?
- A. 46-year-old mother of two
- B. 72-year-old white woman
- C. 32-year-old African American man
- D. 15-year-old girl
Correct Answer: B
Rationale: Age-related issues, such as incontinence, put elderly individuals at risk for elimination dysfunction.
Which factor has the greatest implication for a community nurse when developing a health promotion program for church members?
- A. The majority of members live within a 3-mile radius.
- B. The majority of members are African American.
- C. The majority of members are high school graduates.
- D. The majority of members are employed.
Correct Answer: B
Rationale: Demographic data, such as the race of the population, provides significant insight into health risks and necessary interventions, especially for health disparities.
The nurse makes sure that the distance between himself and the client is at least 6 feet before he begins to ask questions related to the client’s health history. Which of the following statements is true?
- A. This is the ideal space for intimate communication.
- B. This distance is too far for the nurse to build a therapeutic relationship while obtaining the information.
- C. This is the recommended distance between client and nurse for effective therapeutic communication.
- D. The nurse should position himself an additional foot away to facilitate the conversation.
Correct Answer: B
Rationale: Personal space of 18 inches to 4 feet is appropriate for close relationships, and 6 feet is too far for effective therapeutic communication.
A mother expresses her concern and frustration over the fact that her toddler has not been successful at toilet training yet. Which of the following would be the best response by the nurse?
- A. “Don’t worry; it will happen eventually.”
- B. “How long does the child stay dry during the day?”
- C. “Train him on a regular toilet instead of a potty chair.”
- D. “Here is a training schedule to follow.”
Correct Answer: B
Rationale: It's important to assess developmental readiness before beginning toilet training.
Which of the following statements about financing health care in the US is accurate?
- A. Insurance premiums increased minimally
- B. State tax dollars fund 50% of Medicaid
- C. Largest spending is on hospital care
- D. Most workers enroll in PPOs
Correct Answer: C
Rationale: In 2010, a third of health care spending was on hospital care.