Nokea
A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents?
- A. Have him change his own pajamas before going to bed.
- B. Take away one video game.
- C. Tell his 6-year-old sister about the incident.
- D. Make him wear his diaper to bed.
Correct Answer: A
Rationale: Encouraging the child to take responsibility and change his own pajamas helps to foster self-reliance without ridicule.
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Which is an example of asymptomatic pathogenesis?
- A. Blood pressure of 170/98 experiencing headaches
- B. Positive finding on colonoscopy and blood in stool
- C. Elevated prostate-specific antigen (PSA)
- D. Elevated TSH who is always tired
Correct Answer: C
Rationale: Elevated PSA without symptoms is an example of asymptomatic pathogenesis, where the disease is present but not yet manifested.
A teenager has been using acne medications for the last 14 days. Her acne is no better, and in fact, it is a little worse. What information should the nurse offer this girl?
- A. Wash your face at least four times a day, making sure to scrub well.
- B. The medications can make acne appear worse at first; try to give it a few more weeks.
- C. Avoid all chocolate products.
- D. Because it is summertime, it would be good for your skin if you lie out in the sun for a few hours each day.
Correct Answer: B
Rationale: Acne medications can worsen acne initially; improvement occurs slowly.
A nurse is working at a women’s health clinic and is asked by a client when she should return for her next Pap smear. Which of the following resources would the nurse use to find the most current recommendations?
- A. National Health Information Center
- B. Healthy People 2020
- C. U.S. Preventive Services Task Force (USPSTF) website
- D. Centers for Disease Control and Prevention (CDC) website
Correct Answer: C
Rationale: The USPSTF website provides the most current recommendations based on scientific evidence.
Which clients are at greatest risk of mortality from cardiac disease?
- A. Black man with a blood pressure of 130/80
- B. Mexican American man with a blood pressure of 110/60
- C. White woman with a blood pressure of 120/80
- D. Black woman with a blood pressure of 128/78
Correct Answer: A
Rationale: Black individuals, particularly men with higher blood pressure, are at increased risk for mortality from cardiac disease.
A person wishes to participate in a therapy involving energy utilization and dietary design. Which of the following therapies would the nurse recommend to the person?
- A. Polarity therapy
- B. Reiki
- C. Qi gong
- D. Pranic healing
Correct Answer: A
Rationale: Polarity therapy utilizes touch therapy and dietary restructuring.