Nokea
A 30-year-old woman with a BMI of 36 is being counseled on weight reduction. In what order should interventions be discussed?
- A. 4, 3, 2, 1
- B. 4, 2, 3, 1
- C. 3, 4, 2, 1
- D. 3, 2, 1, 4
Correct Answer: A
Rationale: The nurse should start with a full assessment (lipid profile and blood pressure), followed by education on diet and exercise, then medication, and finally surgery if needed.
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A blended family has six children, ages 2, 4, 4, 5, 7, and 10. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation?
- A. This child has most likely been abused.
- B. This child is one of multiple children closely spaced in age.
- C. This family suffers from low self-esteem.
- D. This family provides harsh punishment for their children.
Correct Answer: B
Rationale: Risks in blended families include multiple closely spaced children, which can make it difficult for parents to attend to each child’s individual needs.
A nurse is providing follow-up care for a family who has recently had a baby. Which of the following topics should the nurse anticipate discussing with the family?
- A. Type 1 diabetes
- B. Fetal alcohol syndrome
- C. Communicable diseases
- D. SIDS
Correct Answer: D
Rationale: Families of newborns need education on Sudden Infant Death Syndrome (SIDS) prevention to ensure the safety of their infants.
Which of the following was the fastest-growing minority group in the United States between 2000 and 2010?
- A. Asian American
- B. Arab American
- C. Hispanic American
- D. Native American
Correct Answer: C
Rationale: The Hispanic American population saw a 43% increase between 2000 and 2010, making it the fastest-growing minority group.
A nurse is providing education about safe driving with a group of newly licensed teenagers. Which factor would most likely influence a teenager’s decision to drive within the speed limit?
- A. A speed limit sign
- B. Having his parents telling him not to speed
- C. A previous traffic violation for speeding
- D. Seeing someone get pulled over for speeding
Correct Answer: C
Rationale: Previous experiences, like receiving a speeding ticket, are likely to influence behavior more than external factors.
During a prenatal visit, pregnant parents ask the nurse what they can do to prepare their 4-year-old child for the birth of the new baby. Which of the following actions would be most appropriate for the nurse to suggest?
- A. Discourage any negative comments the child makes about the baby or the pregnancy.
- B. Do not make any plans regarding the baby in front of the 4-year-old child.
- C. Provide him with very detailed information about the pregnancy and the birth.
- D. Ask the 4-year-old boy to help decorate the new baby’s room.
Correct Answer: D
Rationale: Involving the child in preparations for the new baby helps them adjust to the changes and feel included