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A client reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and doesn’t want to move. What action should the nurse take next?
- A. Assess the client’s and family’s coping mechanisms in handling stress.
- B. Encourage the client to act excited about the move.
- C. Talk to the husband to get his perspective on the move.
- D. Tell her that all families must cope with new situations from time to time.
Correct Answer: A
Rationale: The nurse should assess how the family usually copes with stressful situations to help them manage the current stressor effectively.
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A 5-year-old is prescribed a medication that is renally excreted. Which of the following considerations should be made when the nurse examines the dosage of the medication?
- A. The dosage should be lower than the recommended dose.
- B. The dosage should be at the recommended dose.
- C. The dosage should be higher than the recommended dose.
- D. The medication should not be administered.
Correct Answer: B
Rationale: Kidneys reach full maturity by early toddler years, so the recommended dose can be given.
A Hispanic mother tells the nurse that she has been using home remedies for her child’s asthma. Which home remedy might this mother be using?
- A. Acupuncture
- B. Cupping
- C. Hot tea
- D. Massage
Correct Answer: C
Rationale: In Hispanic culture, asthma is often treated with warm therapies, such as drinking hot tea, to balance the body's hot-cold imbalance.
A community health nurse is providing education about the “Dietary Approaches to Stop Hypertension” (DASH) eating plan. Which of the following recommendations would be included in this presentation?
- A. The use of this dietary plan has the same health effects as a daily exercise program.
- B. The use of this dietary plan will eliminate the need for medication to treat hypertension.
- C. This dietary plan excludes the consumption of processed foods.
- D. This dietary plan includes eating greater amounts of fruits and vegetables.
Correct Answer: D
Rationale: The DASH plan encourages eating more fruits and vegetables to help lower blood pressure.
Which of the following is most influenced by the social and economic environment of a community?
- A. Social health policies
- B. Quality of care
- C. Evidence-based practice
- D. Practice guidelines
Correct Answer: A
Rationale: Social health policies are shaped by the community's social and economic environment, influencing healthcare access and priorities.
A new mother has decided to breast-feed her infant after having bottle-fed her other two children. Which of the following information about having a breast-fed infant should the nurse discuss with the mother?
- A. Breast-fed infants have darker bowel movements than bottle-fed babies.
- B. Breast-fed infants have smellier bowel movements than bottle-fed babies.
- C. Breast-fed infants have more frequent bowel movements than bottle-fed babies.
- D. Breast-fed infants have harder bowel movements than bottle-fed babies.
Correct Answer: C
Rationale: Breast-fed infants tend to have more frequent, softer stools compared to bottle-fed infants.