Nokea
A 15-year-old client with a lengthy confining illness is at risk for altered growth and development of which task?
- A. Loss of control
- B. Insecurity
- C. Dependence
- D. Lack of trust
Correct Answer: C
Rationale: A 15-year-old client with a lengthy confining illness is at risk for altered growth and development of the task of dependence. Prolonged illness and confinement can lead to the development of dependence as the individual may become reliant on others for their care and needs. Choices A, B, and D are incorrect in this context. Loss of control, insecurity, and lack of trust are important factors to consider but are not directly related to the altered growth and development task of dependence due to illness and confinement.
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In providing comprehensive family health care, the nurse utilizes four (4) basic processes. These are listed in the order in which they are carried out as follows:
- A. assessment, planning, intervention, and evaluation
- B. assessment, intervention, planning, and evaluation
- C. planning, assessment, intervention, and evaluation
- D. planning, intervention, evaluation, and assessment
Correct Answer: A
Rationale: The correct order for the basic processes in providing comprehensive family health care is assessment, planning, intervention, and evaluation. Assessment is the first step to gather information, followed by planning to set goals and strategies, then intervention to implement the plan, and finally evaluation to assess the outcomes. Choice A is correct as it follows this logical sequence. Choices B, C, and D are incorrect because they do not follow the correct order of these essential processes in nursing care.
Which family planning method is not advisable for women with extremely irregular menstrual periods?
- A. oral contraceptives
- B. diaphragm
- C. natural family planning
- D. vaginal contraceptives
Correct Answer: C
Rationale: Natural family planning relies on tracking menstrual cycles to determine fertile days for avoiding or achieving pregnancy. It may not be suitable for women with extremely irregular menstrual periods as it can be challenging to predict fertile days accurately. Oral contraceptives (A), diaphragms (B), and vaginal contraceptives (D) do not rely on regular menstrual cycles for their effectiveness, making them more suitable options for women with irregular periods.
A Hispanic client refuses emergency room treatment until a curandero is called. The nurse understands that this person brings what to situations of illness?
- A. Holistic healing
- B. Spiritual advising
- C. Herbal preparations
- D. Witchcraft potions
Correct Answer: A
Rationale: A curandero practices holistic healing, which includes addressing the physical, spiritual, and emotional aspects of illness. Choice A is correct because holistic healing aligns with the curandero's approach. Choices B, C, and D are incorrect because while spiritual advising, herbal preparations, and witchcraft potions may be part of some cultural healing practices, they do not fully capture the comprehensive nature of holistic healing provided by a curandero.
The healthcare provider is evaluating the health status of a 16-year-old client with a history of Type 1 diabetes. Which laboratory test would provide the most accurate information about long-term blood glucose control?
- A. Blood glucose level
- B. Glycosylated hemoglobin
- C. Urine ketones
- D. Serum insulin level
Correct Answer: B
Rationale: The correct answer is B: Glycosylated hemoglobin (HbA1c). Glycosylated hemoglobin provides valuable information about blood glucose control over the past 2-3 months. This test measures the average blood sugar levels during this period, offering a more comprehensive view of long-term glycemic control. Choice A, blood glucose level, reflects the blood sugar concentration at the time of testing and may fluctuate throughout the day. Choice C, urine ketones, indicates the presence of ketones and is more relevant for assessing acute complications like diabetic ketoacidosis. Choice D, serum insulin level, evaluates insulin production and is not a direct indicator of long-term blood glucose control in diabetes management.
A community health nurse is developing a program to decrease the incidence of Type 2 diabetes in the community. Which of the following interventions should be included?
- A. distributing brochures on managing diabetes
- B. conducting exercise classes at the community center
- C. providing free glucose monitors
- D. offering dietary counseling sessions
Correct Answer: B
Rationale: The correct answer is B: conducting exercise classes at the community center. Regular physical activity plays a crucial role in preventing Type 2 diabetes by helping to maintain a healthy weight, improve insulin sensitivity, and regulate blood sugar levels. Distributing brochures (choice A) may raise awareness but might not lead to significant behavior change. Providing free glucose monitors (choice C) focuses on monitoring rather than prevention. Offering dietary counseling sessions (choice D) is important but focusing solely on diet may not address the comprehensive approach needed to prevent Type 2 diabetes.