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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 nurse is providing care for a 10-year-old child with a BMI at the 80th percentile. Which of the following best describes this child?
- A. Normal weight
- B. Overweight
- C. Obese
- D. Morbidly obese
Correct Answer: A
Rationale: A BMI at the 80th percentile is within the normal weight range for children.
Which of the following women should be screened for breast cancer?
- A. A 35-year-old woman with three children and no family history of breast cancer
- B. A 59-year-old woman with no children who still gets her period every month
- C. A 25-year-old woman with one child whom she gave birth to when she was a teenager
- D. A 17-year-old woman with one child who started menstruating at the age of 13
Correct Answer: B
Rationale: Breast cancer screening is recommended for women over 40, as the incidence increases with age.
Which of the following is a hallmark of Piaget’s preconceptual substage?
- A. Using language to function symbolically
- B. Using concrete thought processes
- C. Using mental abstracting
- D. Using transductive reasoning
Correct Answer: A
Rationale: Piaget's preconceptual substage is characterized by the use of language to function symbolically.
The nurse has formulated a nursing diagnosis for a person with carpal tunnel syndrome of “Energy Field Disturbance r/t Slowing or Blocking of Energy Flow Secondary to Repetitive Motion Injury.” Which of the following actions must the nurse take first when planning interventions for this person?
- A. Move his or her hands over the person.
- B. Obtain permission to use healing touch therapy.
- C. Explain healing touch therapy.
- D. Focus on the area of disturbed energy flow.
Correct Answer: C
Rationale: Before giving informed consent, the person must understand the proposed therapy.
Cognition in older adults: What is true?
- A. "Mild dementia is normal with aging."
- B. "All forms of dementia have the same symptoms."
- C. "Assessment for dementia should be part of routine exams."
- D. "Elders scoring below 27 on the MMSE are unlikely to have cognitive problems."
Correct Answer: C
Rationale: Regular cognitive assessments help detect changes in function; dementia is not normal with aging.