Nokea
A 2-year-old Asian American boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child?
- A. Report the suspected child abuse to the Department of Children and Families
- B. Assume the bruises are the result of a fall
- C. Ask the mother about the bruises
- D. Schedule a follow-up appointment in 2 weeks to see if the bruises are still present
Correct Answer: C
Rationale: The nurse should ask the mother directly about the bruises, considering cultural practices like coining, which may cause bruising.
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An inborn set of physiological changes that offset those of the fight or flight response is known as:
- A. Self-efficacy
- B. Catecholamine surge
- C. Relaxation response
- D. Metabolism
Correct Answer: C
Rationale: Relaxation response is an inborn set of physiological changes that offset those of the fight-or-flight response.
A nurse is educating a person about the process of cognitive restructuring. Which of the following actions should be taken at the end of this process?
- A. Take a deep breath.
- B. Select a realistic alternative thought.
- C. Reflect on the situation.
- D. Stop generating negative thoughts.
Correct Answer: B
Rationale: The most effective approach to restructuring thought patterns is to first stop generating negative thoughts, then take a deep breath to relax, then think about how the thought process is affecting well-being, and last, select a new realistic thought pattern to replace the negative thought pattern.
Which of the following statements can be identified as a method for clarifying a message?
- A. “I get very upset when you talk to me in that tone.”
- B. “You make me very angry when you drink alcohol.”
- C. “I can make you happy. I know I can.”
- D. “What I want from you is to be left alone!”
Correct Answer: A
Rationale: Using "I" statements helps clarify and qualify the message, making it more direct and less accusatory.
Which addition to a community best demonstrates the concept of the Healthy People 2020 report?
- A. New cardiothoracic intensive care unit at a major hospital
- B. New rehabilitation center
- C. New recreational health center
- D. New children’s hospital
Correct Answer: C
Rationale: Healthy People 2020 promotes health care and wellness, not just illness care, which aligns with the goal of increasing access to recreational health centers.
Which of the following best describes a primary prevention method for colon cancer?
- A. Hemoccult testing
- B. High fiber diet
- C. Colonoscopy
- D. Laparoscopy
Correct Answer: B
Rationale: Primary prevention includes health promotion and protection, such as a high-fiber diet to prevent disease.