Nokea
A child is focused on peer approval and avoidance of “not fitting in.” According to Kohlberg, this child is experiencing which of the following stages of moral development?
- A. Preconventional
- B. Conventional
- C. Postconventional
- D. Preoperational
Correct Answer: B
Rationale: In the conventional stage, the goal is to gain approval and avoid disapproval from peers.
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A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education?
- A. “I drink skim milk on a regular basis.”
- B. “I try not to eat foods that have added salt on the label.”
- C. “I eat American cheese about once every 2 weeks.”
- D. “I add salt to many of the food that I eat to enhance the flavor.”
Correct Answer: D
Rationale: Sodium intake should be limited for heart disease patients.
A nurse determined the interobserver reliability of a blood pressure reading. Which of the following describes the method that was used by the nurse?
- A. Blood pressure readings of 124/82 were obtained two days in a row by two different nurses.
- B. Three consecutive blood pressure readings of 124/82 were obtained by the same nurse.
- C. Blood pressure readings of 124/82 in the right arm and 124/82 in the left arm were obtained.
- D. A blood pressure reading of 124/82 was obtained immediately followed by another blood pressure reading of 147/92.
Correct Answer: A
Rationale: Interobserver reliability measures the consistency of test results when performed by different observers under similar conditions.
A nurse is counseling a person who was recently diagnosed with diabetes about how to prevent the complications of this disease. Which of the following interventions would be stressed the most by the nurse?
- A. Adjusting sliding scale insulin therapy as needed
- B. Taking oral hypoglycemic medication as prescribed
- C. Monitoring blood glucose daily
- D. Adhering to medical nutrition therapy
Correct Answer: D
Rationale: Medical nutrition therapy is essential to prevent complications of diabetes.
A woman is going for a 2-hour hike in the Grand Canyon and she asks the nurse how much fluid she should take along with her. Which of the following recommendations should be given by the nurse?
- A. Bring at least 24 ounces of water.
- B. Bring at least 72 ounces of water.
- C. Bring at least 24 ounces of sports drink.
- D. Bring at least 72 ounces of sports drink.
Correct Answer: D
Rationale: If exercise lasts more than 1 hour, a drink with carbohydrates and electrolytes helps delay fatigue and improve performance.
The nurse has determined that a person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take?
- A. Weigh the person
- B. Set a goal weight with the person
- C. Ask the person what her favorite foods are
- D. Develop a plan for weight loss
Correct Answer: B
Rationale: Before developing a plan for weight loss, the nurse should work with the person to set a goal weight, ensuring the plan is personalized and effective.