A 15-month-old infant has been brought into the office by his Spanish-speaking mother for symptoms of an upper respiratory infection. Which of the following should be the initial action taken by the nurse?
- A. Ask the mother if she would like an interpreter.
- B. Ask the mother what home remedies have been used.
- C. Ask the mother how long the child has had these symptoms.
- D. Ask the mother about any allergies the child may have.
Correct Answer: A
Rationale: The nurse should first ensure that communication is clear by offering an interpreter if needed.
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A nurse is caring for a man who states he is ready to start exercising. Which of the following actions should the nurse take next?
- A. Do nothing because he has already made the decision to implement a change.
- B. Provide him with information on the benefits of exercising.
- C. Develop an exercise prescription with him.
- D. Schedule a follow-up in 2 months to see if he still feels the same way.
Correct Answer: C
Rationale: Since the person is in the action phase of behavior change, the nurse should proceed to develop an exercise prescription to support the transition into the maintenance phase.
A nurse is planning to deliver an educational program to individuals with diabetes. Which of the following should be the initial action taken by the nurse to ensure the success of the program?
- A. Assess the motivation level of the individuals
- B. Assess the knowledge level of the individuals
- C. Establish teacher-learner goals with the individuals
- D. Establish multiple teaching sessions with the individuals
Correct Answer: B
Rationale: Assessing the knowledge level of the individuals is essential to tailoring the program to meet their educational needs.
A nurse whose religious beliefs prohibit abortion has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. According to the revised American Nurses Association’s (ANA’s) Code of Ethics for Nurses, which of the following actions should the nurse take next?
- A. Suspend her religious beliefs and provide comfort and support for the client.
- B. Quit her job and find another source of employment.
- C. Notify her supervisor about her beliefs and request a change in assignment.
- D. Refuse to participate in the abortion.
Correct Answer: C
Rationale: The nurse has the right to refuse participation, but must ensure arrangements are made for the client's care.
The study of a population is referred to as (a):
- A. Community pattern
- B. Windshield survey
- C. Demography
- D. Community diagnosis
Correct Answer: C
Rationale: Demography is the study of populations, their characteristics, and health statistics.
A nurse is developing an educational program about SIDS for a new mothers’ support group in the community. Which of the following information would be included in this presentation?
- A. Parents are encouraged to place their infants in the supine sleeping position.
- B. SIDS is the leading cause of death among infants age 6 months to 1 year old.
- C. SIDS is associated with infants who have had difficulty sleeping at night.
- D. Parents are encouraged to limit the amount of “tummy time” of their infant.
Correct Answer: A
Rationale: The "Back to Sleep" campaign recommends placing infants in the supine sleeping position to reduce SIDS risks.