Nokea
A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: A
Rationale: Failure to take insulin regularly indicates issues with health management and understanding the need for treatment.
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A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D as well as exercise for this woman. This recommendation is important because by the time the client is 56, she will have experienced another bone loss of:
- A. 3%
- B. 7%
- C. 10%
- D. 15%
Correct Answer: D
Rationale: Postmenopausal women experience rapid bone loss, especially during the first 5 years, with losses of 15% or more.
The nurse is discussing an exercise prescription with a person. To help him determine the appropriate intensity, the nurse tells him that he should monitor his rate of perceived exertion. Which of the following should the nurse tell the man he should experience while exercising?
- A. Talking and singing without difficulty
- B. Feeling extremely fatigued
- C. Having mild musculoskeletal discomfort
- D. Being out of breath
Correct Answer: C
Rationale: The rate of perceived exertion helps people determine a comfortable, beneficial level of exercise intensity. Mild musculoskeletal discomfort corresponds to an appropriate target range for most individuals.
To screen for colorectal cancer, colonoscopy should be conducted every 10 years beginning at age:
- A. 30
- B. 40
- C. 50
- D. 60
Correct Answer: C
Rationale: The recommendation is for individuals aged 50 and older to have a colonoscopy every 10 years to screen for colorectal cancer.
The nurse is caring for a person who is obese, sedentary, and has recently been diagnosed with Type 2 diabetes mellitus. Which of the following goals for the person is correctly stated?
- A. The person will exercise more often.
- B. The person will consume 900 calories a day.
- C. The person will walk one-quarter mile a day, 5 days a week.
- D. The person will eliminate all refined sugar and processed foods from her diet.
Correct Answer: C
Rationale: Goals must be realistic, specific, and measurable. Exercising “more often” is too broad a statement.
A nurse who is new to the area wants to get a "feel for the community she will be working with." Which of the following would be the best way for the nurse to start learning about the community?
- A. Driving around the neighborhood
- B. Going door to door asking people about the community
- C. Searching online to obtain population statistics
- D. Talking to the police captain at the local police department
Correct Answer: A
Rationale: Driving around allows the nurse to observe the community firsthand and gain insights into its needs and health concerns.