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A 14-year-old female is in for a physical exam. Which finding requires further investigation?
- A. A height spurt since her last visit
- B. Facial acne
- C. The lack of breast buds
- D. Noticeable sweating and body odor with activity
Correct Answer: C
Rationale: Lack of breast buds by age 14 requires further investigation, as puberty should have begun by this age.
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A community health nurse is educating health care providers in a local clinic about steps to take to help their clients improve their health-related behaviors. Which of the following would be included as the nurse teaches about the acronym LEARN?
- A. Explain how small changes can affect health.
- B. Acknowledge that action needs to be taken.
- C. Negotiate an agreement.
- D. Refer to community resources.
Correct Answer: C
Rationale: LEARN involves Listen, Explain, Acknowledge, Recommend, and Negotiate.
Which nurse is at risk of making a medical error?
- A. Working overtime
- B. Works in a hospital that advocates multidisciplinary care
- C. Caring for four clients during the shift
- D. Attends regular continuing education programs
Correct Answer: A
Rationale: Working overtime increases stress and fatigue, leading to a higher risk of medical errors.
What accounts for one of the leading causes of death in young adults?
- A. Tobacco use
- B. Binge drinking and driving
- C. Illegal drug use
- D. HIV infection
Correct Answer: B
Rationale: Binge drinking and driving is a leading cause of preventable death among young adults, contributing to numerous fatalities.
A nurse is educating a group of adults who are attempting smoking cessation. Which intervention would be most effective for the nurse to implement?
- A. Give the group members a handout on the dangers of smoking
- B. Set a quit date with the group and determine which pharmacological method is most suitable for group members
- C. Provide a month’s supply of nicotine replacement to use before the next visit
- D. Have a guest speaker who has been diagnosed with lung cancer speak to the group
Correct Answer: B
Rationale: Setting a quit date and developing an action plan with the group can increase motivation and commitment to quitting.
Which of the following statements best describes the application of moral or ethical theory to the practices involved in health promotion?
- A. One can be assured of morally correct action in a given situation if one adheres to a theory of moral principles.
- B. There are no identifiable criteria that can be used effectively to determine correct actions in a given situation.
- C. The good of the larger population always takes precedence over the good of one individual.
- D. Making ethical decisions regarding human health involves the consideration of multiple factors.
Correct Answer: D
Rationale: Ethical decisions in health promotion require a balanced assessment of various factors.