Nokea
A health care professional is providing education to the parents of an Asian American child who has recently been diagnosed with Type I diabetes. Which of the following actions should be taken by the health care professional?
- A. Provide instructions to the child’s father.
- B. Encourage the parents to bring other siblings into the clinic for screening.
- C. Schedule multiple educational sessions for the child and family.
- D. Watch for nonverbal gestures by the adults to indicate understanding.
Correct Answer: A
Rationale: In Asian American culture, the oldest male family member often assumes the decision-making role.
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A teenager is expecting her menstrual period on May 14. On which of the following dates would the nurse recommend that she perform a self-breast exam?
- A. May 11
- B. May 14
- C. May 17
- D. May 23
Correct Answer: D
Rationale: The best time to perform a breast self-exam is 2 to 3 days after menstruation when breasts are less tender.
The school nurse is observing the development of gross motor skills of young children at the school and watches a child who is learning how to throw a ball overhand. How old is this child?
- A. 3 years old
- B. 4 years old
- C. 5 years old
- D. 6 years old
Correct Answer: B
Rationale: At age 4, most children have developed the ability to throw a ball overhand.
In reviewing a person’s medical claims, a nurse realizes that the individual with moderate persistent asthma has had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma management guidelines. The nurse discusses this with the person’s primary care provider. In this scenario, the nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: B
Rationale: Care managers focus on reducing costs, preventing service duplication, and ensuring appropriate care according to guidelines.
Disease Prevention and Advocacy
- A. Educate about violence rates
- B. Administer flu shots
- C. Participate in disaster planning
- D. Advocate for improved access to health care
Correct Answer: D
Rationale: Advocating for improved access to health care for the uninsured and underinsured is a key nursing role.
A nurse is using a health education component when teaching about smoking cessation. Which of the following actions is the nurse implementing?
- A. Setting a quit date for people in a smoking cessation class
- B. Providing education regarding the benefits of smoking cessation
- C. Allowing smokers to participate in a smoking cessation program only if they use the patch nicotine replacement system
- D. Encouraging attendees of a smoking cessation program to participate in a research study
Correct Answer: B
Rationale: The nurse is educating individuals about the benefits of smoking cessation, allowing them to make informed decisions.