Nokea
A 66-year-old woman with osteoarthritis of the knees and hands tells the nurse she is interested in movement therapy. Which of the following would be the most appropriate for the nurse to suggest to this person?
- A. Tai Chi
- B. Hatha yoga
- C. Qi gong
- D. Dance therapy
Correct Answer: A
Rationale: Tai Chi and Qi gong are movement therapies combining relaxation and controlled movements, making them suitable for individuals with osteoarthritis.
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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 community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:
- A. Administering and reading the purified protein derivative (PPD) of all close contacts
- B. Providing direct observed therapy (DOT) for the individual with TB
- C. Isolating the person because it is likely drug resistant
- D. Telling the person to wear a mask when leaving the home
Correct Answer: B
Rationale: Direct observed therapy (DOT) ensures the patient takes the full course of medication, preventing the spread of TB.
A nurse is using the health belief model as a framework when developing a community action campaign to increase the percentage of the population who receives the influenza vaccine. Which of the following considerations will need to be made?
- A. How empowerment can be used to motivate community members
- B. How modeling can be used in the community to increase public awareness
- C. Perceived susceptibility in the community about getting influenza
- D. Perceived stage of behavior change that exists in the community
Correct Answer: C
Rationale: Understanding the community's perceived susceptibility to influenza is key to increasing vaccination rates.
Erikson’s theory of development: Who has achieved ego integrity vs. despair?
- A. "72-year-old man who is reluctant to retire."
- B. "78-year-old woman scheduling her third facelift."
- C. "80-year-old man who made funeral arrangements."
- D. "67-year-old woman depressed about not being promoted."
Correct Answer: C
Rationale: Ego integrity involves accepting aging and preparing for the inevitable, such as making funeral arrangements.
Which consideration should be made when planning a health education program for young adults?
- A. The age span encompassing young adulthood is between 20 to 30 years of age.
- B. The number one cause of death for young adults is injury.
- C. The number of young adults in the U.S. is increasing.
- D. The maternal mortality rate is at its lowest point since 1980.
Correct Answer: B
Rationale: Injury is the leading cause of death in young adults, and the age span for young adulthood is typically 18-35 years.