Nokea
A nurse administers the T-ACE test to a pregnant woman. The woman’s responses result in a score of 3. This score indicates that the woman:
- A. requires interventions for problem drinking.
- B. lacks evidence of problem drinking.
- C. requires interventions for sexually transmitted disease risks.
- D. lacks evidence of sexually transmitted disease risks.
Correct Answer: A
Rationale: A score of 2 or higher on the T-ACE indicates the need for intervention for problem drinking in pregnant women.
You may also like to solve these questions
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.
When assessing a client’s activity-exercise pattern, which subjective finding has implications for nursing practice?
- A. A person’s decreased muscle tone
- B. A person’s amount of leisure time
- C. A person’s decreased range of motion
- D. A person’s use of a cane
Correct Answer: B
Rationale: The amount of leisure time is a subjective finding related to the person’s lifestyle, impacting nursing care.
A mainstay of therapy for the management of chronic diseases is:
- A. Lifestyle changes
- B. Occupational and physical therapy
- C. Medications
- D. Surgery
Correct Answer: A
Rationale: Lifestyle changes, including diet and exercise, are crucial in managing chronic diseases effectively.
A mother is concerned because her 22-month-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother?
- A. Put the child in time out whenever he skips a meal
- B. Offer him foods he likes such as cookies and chips
- C. Limit the child’s consumption of juices and cookies
- D. Talk to the child about how important it is to eat three meals a day
Correct Answer: C
Rationale: Toddlers often assert independence by refusing food, and empty calorie foods like juices and cookies should be limited to promote healthy eating habits.
Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis?
- A. A 66-year-old White woman
- B. A 66-year-old African American woman
- C. A 66-year-old White man
- D. A 66-year-old African American man
Correct Answer: A
Rationale: White postmenopausal women are at the greatest risk for osteoporosis and hip fractures