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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.
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A pregnant woman with two toddlers living at less than 135% of the federal poverty level would be eligible for:
- A. Medicare Part A
- B. Medicare Part B
- C. Medicaid
- D. State Children’s Health Insurance Program (SCHIP)
Correct Answer: C
Rationale: Medicaid covers pregnant women and children with a family income less than 135% of the federal poverty level.
A school nurse is preparing to discuss food safety practices with high school students enrolled in a family and consumer science “foods” course. Which of the following information would be included in the presentation?
- A. Wash hands thoroughly with running warm water with soap for 30 seconds.
- B. Scrub firm surfaces of all fruits and vegetables with a produce brush before eating.
- C. Pay close attention to assure that meat is cooked all of the way through.
- D. Refrigerate leftovers within 30 minutes of serving.
Correct Answer: A
Rationale: The guideline is to wash hands thoroughly with running warm water and soap for 20-30 seconds.
A home health nurse is admitting a 54-year-old man for services following a coronary artery bypass graft (CABG). What is the purpose of this nursing action?
- A. Allows for inclusion of family members in decision-making
- B. Allows for health promotion and disease prevention appraisal
- C. Allows for development of patient-centered care
- D. Allows for data collection necessary for comparison to Healthy People 2020
Correct Answer: B
Rationale: Family assessments enable health promotion, disease prevention, and include family in decision-making.
A nurse is developing learning objectives for an individual who has been recently diagnosed with asthma. Which is an example of an appropriately written psychomotor learning objective?
- A. The individual will understand how to correctly use an inhaler.
- B. The individual will realize the importance of using an inhaler correctly.
- C. The individual will feel better when using the inhaler correctly.
- D. The individual will demonstrate proper use of the inhaler.
Correct Answer: D
Rationale: Psychomotor learning involves physical skill development, and demonstrating proper use indicates skill development.
A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?
- A. “This is a sign that he is not ready to toilet train yet.”
- B. “This behavior is developmentally normal.”
- C. “Tell him to stop touching himself.”
- D. “Don’t worry about it.”
Correct Answer: B
Rationale: Curiosity about genitals is a normal developmental phase during toilet training.