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: D
Rationale: Not taking insulin regularly may reflect conflicts in personal beliefs about medication adherence.
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Which clients are at greatest risk of mortality from cardiac disease?
- A. Black man with a blood pressure of 130/80
- B. Mexican American man with a blood pressure of 110/60
- C. White woman with a blood pressure of 120/80
- D. Black woman with a blood pressure of 128/78
Correct Answer: A
Rationale: Black individuals, particularly men with higher blood pressure, are at increased risk for mortality from cardiac disease.
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.
The school nurse is working on a campaign in the school to prevent adolescent pregnancies. Which of the following interventions should the nurse implement?
- A. Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases.
- B. Tell the teenagers they should abstain from sex until they are old enough to cope with the potential consequences such as an unwanted pregnancy.
- C. Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early.
- D. Offer all teenagers free condoms when they come in for physical exams.
Correct Answer: A
Rationale: Education on safe sex, contraception, and sexually transmitted diseases is essential in preventing adolescent pregnancies.
Which is an example of asymptomatic pathogenesis?
- A. Blood pressure of 170/98 experiencing headaches
- B. Positive finding on colonoscopy and blood in stool
- C. Elevated prostate-specific antigen (PSA)
- D. Elevated TSH who is always tired
Correct Answer: C
Rationale: Elevated PSA without symptoms is an example of asymptomatic pathogenesis, where the disease is present but not yet manifested.
During an office visit, a nurse provides counseling to a 70-year-old woman with osteoporosis who is otherwise very healthy. Which of the following information should the nurse provide to the woman?
- A. Avoid all forms of exercise because of the risk of fractures.
- B. Walk with a partner at least 30 minutes a day 5 days a week.
- C. Use a wheelchair to get around so that she can prevent falls.
- D. Take a step aerobics class 5 days a week.
Correct Answer: B
Rationale: Walking with a partner is a safe, weight-bearing activity that can help improve bone density and prevent falls.