A mother asks her toddler if she is tired. The toddler responds by saying, “Sammy bed.” Based on her expressive language and speech pattern, the nurse determines that this child is likely how old?
- A. 18 months
- B. 24 months
- C. 30 months
- D. 36 months
Correct Answer: B
Rationale: By 24 months, toddlers begin to speak in two- to three-word sentences.
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A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process?
- A. Assists in predicting all of the possible consequences of future actions
- B. Facilitates gathering of the most important information to solve the problem
- C. Considers the importance of caring when solving the problem
- D. Highlights salient aspects of future actions
Correct Answer: B
Rationale: Ethical reasoning helps clarify issues, uncover hidden interests, and focus on the most relevant data for decision-making.
Which statement about alcohol intake is correct?
- A. "Women have a higher death rate related to alcoholism than men."
- B. "A woman who drinks two glasses of wine per day with her evening meal is considered a moderate drinker."
- C. "More women than men are considered problem drinkers."
- D. "Women who experience fewer cognitive effects from drinking are less likely to drink heavily."
Correct Answer: A
Rationale: Women have a higher death rate from alcoholism, and moderate drinking is defined as one drink per day for women.
A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: A
Rationale: Dysfunction in insulin management reflects problems with health management and personal beliefs about health.
A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education?
- A. “I drink skim milk on a regular basis.”
- B. “I try not to eat foods that have added salt on the label.”
- C. “I eat American cheese about once every 2 weeks.”
- D. “I add salt to many of the food that I eat to enhance the flavor.”
Correct Answer: D
Rationale: Sodium intake should be limited for heart disease patients.
A mother asks a nurse what the best toy would be for her 2-month-old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse?
- A. Colorful mobile with music
- B. Rattle
- C. Stuffed teddy bear
- D. Play telephone
Correct Answer: A
Rationale: A colorful mobile with music is appropriate for a 2-month-old, as it provides visual and auditory stimulation to promote growth.