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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 During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage.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.
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Erikson’s task of autonomy vs. shame and doubt occurs during which stage of development?
- A. Infancy
- B. Early childhood
- C. Late childhood
- D. Early adolescence
Correct Answer: B
Rationale: Erikson's task of autonomy vs. shame and doubt occurs during early childhood as children develop independence.
What is the main focus of the National Institutes of Health (NIH)?
- A. Addressing and reducing health disparities
- B. Outlining nationwide health promotion and disease prevention
- C. Protecting minority populations through the development of health policies
- D. Supporting communities in addressing health disparities
Correct Answer: A
Rationale: The NIH primarily works on reducing health disparities by focusing on diseases that disproportionately affect minority populations.
Which functional health pattern provides information about problem-solving and decision-making within communities?
- A. Cognitive-perceptual pattern
- B. Self-perception–self-concept pattern
- C. Coping-stress tolerance pattern
- D. Health-perception–health-management pattern
Correct Answer: A
Rationale: The cognitive-perceptual pattern provides insight into how individuals and communities make decisions, solve problems, and perceive their health.
Which individual is at risk for a dysfunction in elimination pattern?
- A. 46-year-old mother of two
- B. 72-year-old white woman
- C. 32-year-old African American man
- D. 15-year-old girl
Correct Answer: B
Rationale: Age-related issues, such as incontinence, put elderly individuals at risk for elimination dysfunction.
Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. Which of the following recommendations should the nurse give to the parents?
- A. Talk to their daughter at length regarding the dangers associated with drinking.
- B. Tell their daughter she will not be allowed to use her cell phone if this continues.
- C. Enroll their daughter in a peer support group focused on teenage drinking.
- D. Provide their daughter with literature regarding the dangers of drinking.
Correct Answer: C
Rationale: Peer support groups are more effective than parental advice alone for influencing teenage behavior.