Nokea
A community health nurse is educating health care providers in a local clinic about steps to take to help their clients improve their health-related behaviors. Which of the following would be included as the nurse teaches about the acronym LEARN?
- A. Explain how small changes can affect health.
- B. Acknowledge that action needs to be taken.
- C. Negotiate an agreement.
- D. Refer to community resources.
Correct Answer: C
Rationale: LEARN involves Listen, Explain, Acknowledge, Recommend, and Negotiate.
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An elderly client’s family asks the nurse to withhold cancer information from the client. Which ethical principle is the nurse upholding by sharing the information?
- A. Justice
- B. Beneficence
- C. Veracity
- D. Nonmaleficence
Correct Answer: C
Rationale: Veracity involves honesty, which requires providing truthful information to the client, facilitating autonomous decision-making.
A 52-year-old woman asks about estrogen for menopause. What is the best response?
- A. "The latest research has shown that estrogen is safe to take and will help keep you healthy."
- B. "Estrogen is safe to take for about 10 years."
- C. "The safety of long-term estrogen therapy is inconclusive. It is primarily used short-term to relieve hot flashes."
- D. "You can get the same effects from natural products in a health food store."
Correct Answer: C
Rationale: Estrogen therapy is typically recommended for short-term use due to mixed safety research.
Which of the following would be described as a family structural component?
- A. Income earner of the house
- B. Socialization for the family
- C. Immunization of infants
- D. Launching of children
Correct Answer: A
Rationale: The income earner is a structural component related to family roles and relationships.
A nurse is educating a group of adults who are attempting smoking cessation. Which intervention would be most effective for the nurse to implement?
- A. Give the group members a handout on the dangers of smoking
- B. Set a quit date with the group and determine which pharmacological method is most suitable for group members
- C. Provide a month’s supply of nicotine replacement to use before the next visit
- D. Have a guest speaker who has been diagnosed with lung cancer speak to the group
Correct Answer: B
Rationale: Setting a quit date and developing an action plan with the group can increase motivation and commitment to quitting.
Stress related to family dynamics: Who is at risk?
- A. A 54-year-old couple whose daughter and grandson move back in
- B. A 44-year-old single mother raising three children
- C. A 60-year-old couple whose children live in another state
- D. A 36-year-old couple whose child plays competitive tennis
Correct Answer: A
Rationale: Family dynamics involving caregiving or financial stressors increase the risk of stress-related issues.