Nokea
A 27-year-old woman has not received a Pap test in years. This assessment finding identifies an alteration in which functional pattern?
- A. Health-perception–health-management pattern
- B. Elimination pattern
- C. Activity-rest pattern
- D. Self-perception–self-concept pattern
Correct Answer: A
Rationale: The health-perception-health-management pattern involves health practices, including preventive measures like Pap tests.
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Injury-prevention education: Who needs ongoing education?
- A. "Education should be focused on workers with the least experience."
- B. "All workers need continued education related to safety issues."
- C. "OSHA rules apply to all companies with more than 25 employees."
- D. "Middle-age workers have the lowest rate of injury of any age group."
Correct Answer: B
Rationale: Ongoing safety education is necessary for all workers, as experience does not eliminate injury risk.
A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a “shot” to keep her baby alive. Which of the following statements would be the best response by the nurse?
- A. “Yes, you will need an injection of RhoGAM at 28 weeks gestation and within 72 hours after birth.”
- B. “Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection.”
- C. “Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies.”
- D. “No, you will not need the injection because you are White. Rh incompatibility affects only Black women.”
Correct Answer: B
Rationale: Since both the mother and father are Rh negative, there is no risk for Rh incompatibility, so RhoGAM is not necessary.
Which of the following demonstrates the nurse using subjective data to indicate a health concern in the health-perception–health-management pattern?
- A. Examining high sexually transmitted disease rates recorded by the health department
- B. Listening to community members discuss the high smoking rate among teenagers
- C. Analyzing the high infant mortality rate reported by state hospitals
- D. Discussing the high rate of teenage motor vehicle crashes recorded by the local police department
Correct Answer: B
Rationale: Listening to community members' perceptions, such as their concern about smoking, provides subjective data.
A 9-month-old has mastered the pincer grasp. Which of the following tasks would the nurse anticipate that the infant can do by himself?
- A. Play with a rattle
- B. Eat cheerios off a hard surface
- C. Hold a spoon to feed himself
- D. Drink from a cup
Correct Answer: B
Rationale: Mastering the pincer grasp allows the infant to pick up small items like cheerios off a surface.
Nutrition and older adults: What is true?
- A. "Older adults who live in their own homes are more likely to be malnourished."
- B. "Older adults lose their desire for high-fat, salty foods."
- C. "Meals served in long-term care institutions are usually more well-balanced."
- D. "Many older adults are not aware of food assistance programs."
Correct Answer: D
Rationale: Many older adults are unaware of food assistance programs like SNAP, which can help with nutrition.