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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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: This couple is in the early adulthood stage, where they experience intimacy vs. isolation, focusing on building relationships and forming families.
A mother is concerned because her 13-year-old daughter comes home happy one day and sad the next. Which of the following is the best initial response from the nurse?
- A. The changes during adolescence can be stressful as they struggle to come to terms with who they are. What other types of behaviors has she been displaying?
- B. Changes in affect can be a warning sign for suicide. Has she had any increase in risk-taking behaviors or physical violence?
- C. Is there any history of psychological disorders in your family?
- D. Withdrawal can be a sign of substance abuse. Has she given you any indication she might be using illicit drugs?
Correct Answer: A
Rationale: Mood swings are typical during adolescence, but further investigation is needed if other concerning behaviors are present.
Which form of managed care restricts providers to caring for individuals who are members of their organization?
- A. Fee-for-service plan
- B. Health maintenance organization (HMO)
- C. Preferred provider organization (PPO)
- D. Independent practice association (IPA)
Correct Answer: B
Rationale: Health maintenance organizations (HMOs) restrict care to members of the organization, focusing on preventative care.
A nurse is counseling a person who has recently started to receive treatment for alcohol abuse. Which factor would most negatively influence the person’s decision to stop abusing alcohol?
- A. He is a Catholic
- B. His wife recently died from breast cancer
- C. Buying alcohol is expensive
- D. He was educated on the dangers of excessive drinking
Correct Answer: B
Rationale: Major life stresses, such as the recent death of a loved one, can negatively influence decisions to stop alcohol abuse.
Which of the following toddlers would require further investigation from the nurse?
- A. Sitting quietly on a couch
- B. Experiencing a temper tantrum
- C. Playing with a toy next to another child also playing with a toy
- D. Exploring his environment and playing with new toys
Correct Answer: A
Rationale: Toddlers are typically active and curious. A toddler who is sitting quietly might be a sign of developmental concerns or possible neglect.