Nokea
A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse?
- A. Highlight past successes
- B. Discuss the benefits of changing
- C. Develop strategies to prevent relapse
- D. Provide information
Correct Answer: C
Rationale: During the maintenance stage, the nurse should focus on developing strategies to prevent relapse and sustain the positive changes.
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Which of the following statements about race and culture in the United States is correct?
- A. The United States ranks 22nd in the world for infant mortality rate.
- B. Ethnic minority populations have higher rates of low-birth-weight infants.
- C. Black infants are more likely to have cleft palates than Native American infants.
- D. Whites have more fraternal twin pregnancies than non-Whites.
Correct Answer: B
Rationale: Ethnic minorities, particularly Black populations, face higher rates of low-birth-weight infants.
The mother of a 16-month-old infant asks a nurse her opinion about holiday decorating. Which of the following recommendations should the nurse provide to the mother?
- A. Avoid hanging a wreath with holly and berries on the front door.
- B. Avoid hanging decorative pictures of a bearded Santa Claus on the window.
- C. Avoid placing poinsettia plants around the home.
- D. Avoid hanging stockings on the fireplace mantle.
Correct Answer: C
Rationale: Poinsettia plants can be toxic if ingested, so they should be kept out of reach of toddlers.
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 like hot tea to restore balance between hot and cold.
A 5-year-old is consuming a daily caloric intake of 1400 calories. Approximately what portion of the diet should be comprised of carbohydrates?
- A. 300 calories
- B. 700 calories
- C. 900 calories
- D. 1200 calories
Correct Answer: C
Rationale: Carbohydrates should comprise about half of a preschooler's diet.
A nurse is educating a person about the process of cognitive restructuring. Which of the following actions should be taken at the end of this process?
- A. Take a deep breath.
- B. Select a realistic alternative thought.
- C. Reflect on the situation.
- D. Stop generating negative thoughts.
Correct Answer: B
Rationale: The most effective approach to restructuring thought patterns is to first stop generating negative thoughts, then take a deep breath to relax, then think about how the thought process is affecting well-being, and last, select a new realistic thought pattern to replace the negative thought pattern.