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A mother is concerned because her daughter has been taking a nap every day after school. Which statement would be the best response by the nurse?
- A. Don’t worry; all teenagers do that.
- B. Tell me about your daughter’s schedule.
- C. Let’s bring her in for some blood work.
- D. Have you addressed the topic of drugs with your daughter?
Correct Answer: B
Rationale: Further information about the daughter’s schedule is needed to determine if the behavior is normal or a concern.
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The nurse is assisting an individual who is interested in music therapy. Which of the following statements made by the person indicates an understanding of this type of therapy?
- A. “I will select the music I listen to carefully. Energetic or rap music is not a good choice.”
- B. “I will need to find someone who has specialized in this type of therapy for best results.”
- C. “Chants, electronic sounds, or ‘designer music’ is generally the best choice.”
- D. “The music I choose may be different than what my spouse prefers.”
Correct Answer: D
Rationale: Music selection is an individual choice. There is no one “best” type of music.
A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy?
- A. “You should gain 11 to 20 pounds during your pregnancy.”
- B. “You should gain 15 to 25 pounds during your pregnancy.”
- C. “You should gain 25 to 35 pounds during your pregnancy.”
- D. “You should gain 28 to 40 pounds during your pregnancy.”
Correct Answer: B
Rationale: Overweight women (BMI 25-29.9) should gain 15-25 pounds during pregnancy.
A woman who is 23 weeks pregnant is concerned because her baby is moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse?
- A. “Your infant is in distress. We should call an ambulance.”
- B. “You need to be more active; take a dance class once a week.”
- C. “At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus.”
- D. “You probably counted incorrectly.”
Correct Answer: C
Rationale: By the second trimester, fetal movement can decrease due to limited space in the uterus.
A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content?
- A. Have a better understanding of genetics and genomics
- B. Can meet the requirements of Healthy People 2010
- C. Can provide more effective health education
- D. Can deliver anticipatory guidance to families
Correct Answer: C
Rationale: Understanding growth and development helps nurses provide more effective health education and deliver anticipatory guidance to families.
Which of the following represents a method of tertiary prevention?
- A. Drunk driving campaign
- B. Road blocks for drunk driving
- C. Emergency surgery for head trauma after a motor vehicle accident
- D. Physical and occupational therapy after a motor vehicle accident with head trauma
Correct Answer: D
Rationale: Tertiary prevention aims to reduce the impact of a disease or disability, such as through physical therapy post-injury.