Nokea
A new young mother asks the nurse what she should do to play with her 3-month-old infant. Which of the following suggestions should the nurse provide?
- A. Take the infant for a walk outside.
- B. Place several toys around the infant when lying on the floor.
- C. Rock the infant in a rocking chair.
- D. Search the Internet for toys highly recommended for infants.
Correct Answer: C
Rationale: Rocking provides important sensory stimulation and physical bonding, essential for a 3-month-old's development.
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Respecting Spirituality
- A. Changing the position of the bed in a Muslim client’s room so that it faces east
- B. Contacting the chaplain to assess spiritual needs
- C. Saying a silent prayer with a client at their request
- D. Praying out loud in a dying client's room
Correct Answer: C
Rationale: Praying quietly with respect for the client's beliefs is more appropriate than imposing religious actions.
A 62-year-old person reports difficulty with peripheral vision. Which disorder is likely?
- A. Presbyopia
- B. Glaucoma
- C. Cataracts
- D. Diabetic retinopathy
Correct Answer: B
Rationale: Glaucoma affects peripheral vision due to damage to the optic nerve.
Which of the following teenagers is at increased risk for acquiring a sexually transmitted disease and should be provided with anticipatory guidance?
- A. Asks the nurse for information about condoms
- B. Feels her friends and family do not care about her
- C. Has multiple friends and feels good about herself
- D. Talks to her boyfriend on the phone for hours
Correct Answer: B
Rationale: Teens who feel neglected or unsupported are at increased risk of risky sexual behaviors.
Which question should a nurse ask a 26-year-old individual being screened for depression or suicide ideation?
- A. “Tell me about your pets.”
- B. “What do you do for work? How has your work been affected by this disaster?”
- C. “Have you thought of harming yourself?”
- D. “Have you seen your friends since the disaster?”
Correct Answer: C
Rationale: Direct questioning about harm to oneself is critical when screening for depression or suicide ideation.
A nurse is investigating an outbreak of a food-borne illness occurring at a local school. Which of the following would contribute to a chemical contamination resulting in food-borne illness?
- A. Unintended allergen added to food
- B. Bacteria on the countertops
- C. Pesticide on the fresh fruit
- D. Metal shavings in the food from a dull can opener
Correct Answer: C
Rationale: Pesticides on fresh fruit are a source of chemical contamination.