Nokea
A Mexican American woman comes to the office for a visit. She is found to be 30 weeks pregnant. Which of the following conclusions can the nurse draw from this finding?
- A. The woman does not value prenatal care.
- B. Client education may require a different approach because of dissimilar cultural beliefs.
- C. This culture does not believe in traditional medicine.
- D. Signs of pregnancy were not recognized by the woman.
Correct Answer: B
Rationale: Cultural groups may have unique beliefs about prenatal care, and this woman’s delay in seeking care might indicate the need for a culturally sensitive approach to education.
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Within a community there is an elevated high-school dropout rate and its high school students are experiencing a decreased sense of self-worth. Based on this data, the community is at highest risk to experience an alteration in which of the following functional health patterns?
- A. Self-perception–self-concept pattern
- B. Role-relationships pattern
- C. Cognitive-perceptual pattern
- D. Sexuality-reproduction pattern
Correct Answer: A
Rationale: Decreased self-worth in students correlates with issues in the self-perception–self-concept pattern, impacting the community's overall well-being.
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.
A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing?
- A. Risk-factor
- B. Structural-functional
- C. Open systems
- D. Developmental
Correct Answer: D
Rationale: This is the developmental perspective, where the nurse assesses the family’s ability to adapt during life cycle transitions, like a child leaving for college.
A state of physical, mental, spiritual, and social functioning that realizes a person’s potential and is experienced within a developmental context is known as:
- A. Growth and development
- B. Health
- C. Functioning
- D. High-level wellness
Correct Answer: B
Rationale: Health is defined as the state of well-being that incorporates physical, mental, spiritual, and social aspects, and is experienced within a developmental context.
When assessing a client’s activity-exercise pattern, which subjective finding has implications for nursing practice?
- A. A person’s decreased muscle tone
- B. A person’s amount of leisure time
- C. A person’s decreased range of motion
- D. A person’s use of a cane
Correct Answer: B
Rationale: Leisure time is a subjective finding influencing the assessment of activity and exercise patterns.