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A health care professional is offering an educational session about providing culturally congruent care. Which of the following information would be included in the presentation?
- A. Hispanic Americans value keeping balance and harmony with the earth.
- B. The oldest male is the decision maker in African American families.
- C. Native Americans are present-oriented, taking one day at a time.
- D. The hot and cold concept of disease is part of the Asian American culture.
Correct Answer: C
Rationale: Native Americans are typically present-oriented and focus on the current moment, especially during illness.
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The nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding has the potential to trigger an asthma exacerbation?
- A. Radiator heating system
- B. Air conditioner
- C. Hardwood flooring
- D. Leaky roof
Correct Answer: D
Rationale: A leaky roof can lead to mold growth, which is a known asthma trigger.
A young couple is deciding if they should get married and start a family. Which of Erikson’s life stages are they experiencing?
- A. Identity vs. role confusion
- B. Intimacy vs. isolation
- C. Generativity vs. stagnation
- D. Ego integrity vs. despair
Correct Answer: B
Rationale: During early adulthood, individuals face the challenge of intimacy vs. isolation, which involves making decisions about relationships and family.
During an office visit, a nurse meets with a woman who states she does not have time to exercise. Which of the following actions should the nurse take next?
- A. Do nothing because she has already made the decision to not exercise.
- B. Provide her with information on the benefits of exercising.
- C. Develop an exercise prescription with her.
- D. Schedule a follow-up in 2 months to see if she still feels the same way.
Correct Answer: B
Rationale: At this stage, providing information about the benefits of exercise helps raise awareness without forcing immediate action.
During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating clay. Which of the following actions should be taken by the nurse?
- A. Tell the client that many pregnant women crave such nonfood substances, and it is not a problem.
- B. Ignore the comment because pica is acceptable in some rural Black cultures.
- C. Encourage the client to eat it with plenty of water because of the risk of constipation.
- D. Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way.
Correct Answer: D
Rationale: Pica can lead to health complications, and the nurse should stress the importance of a proper diet in a culturally sensitive way.
A woman is going for a 2-hour hike in the Grand Canyon and she asks the nurse how much fluid she should take along with her. Which of the following recommendations should be given by the nurse?
- A. Bring at least 24 ounces of water.
- B. Bring at least 72 ounces of water.
- C. Bring at least 24 ounces of sports drink.
- D. Bring at least 72 ounces of sports drink.
Correct Answer: D
Rationale: If exercise lasts more than 1 hour, a drink with carbohydrates and electrolytes helps delay fatigue and improve performance.