A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care?
- A. Decreased sense of hearing
- B. Decreased sense of smell
- C. Decreased sense of taste
- D. Decreased visual acuity
Correct Answer: D
Rationale: Visual acuity is essential for administering insulin and for monitoring health in a person with Type 1 diabetes.
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A community health nurse is working with a low-income family who is experiencing food insecurity. To assist the family in getting nutritious foods in their home, the family should be referred to which of the following programs?
- A. Nutrition Service Incentive Program (NSIP)
- B. Supplemental Nutrition for Women Infants and Children (WIC)
- C. National School Lunch Program (NSLP)
- D. Supplemental Nutrition Assistance Program (SNAP)
Correct Answer: D
Rationale: SNAP helps low-income families purchase nutritionally adequate foods.
Self-care in long-term care: What should the nurse encourage?
- A. "Encourage participation in activities like Scrabble™ and bingo."
- B. "Dress residents before breakfast."
- C. "Fill in missing words during conversation to avoid embarrassment."
- D. "Get residents ready for breakfast as quickly as possible."
Correct Answer: A
Rationale: Encouraging self-care and participation in activities helps maintain cognitive function and independence.
Which of the following is the most common intraocular tumor in young children?
- A. Neuroblastoma
- B. Wilms tumor
- C. Retinoblastoma
- D. Leukemia
Correct Answer: C
Rationale: Retinoblastoma is the most common intraocular tumor in young children.
A nurse is caring for a Hispanic individual. Which question should the nurse ask the person during the assessment process?
- A. “How many herbal medicines do you take?”
- B. “You cannot use any herbal products in the hospital. Did you bring any?”
- C. “Herbal products interact with medicine, so you cannot continue to use the herbal products. Which ones do you use?”
- D. “Tell me how you treat your asthma at home. What treatments work especially well for you?”
Correct Answer: D
Rationale: Many in the Hispanic culture use herbal products and alternative therapy. Asking open-ended questions encourages the person to share their experiences.
A health care provider is working with an African American woman who has recently suffered a stroke and is homebound. She insists that she must get out of the house and attend Sunday worship services. What is the most likely explanation for her insisting that she participate in this cultural practice?
- A. The church is the only place where prayer can be performed.
- B. The church serves as a social support for its members.
- C. The church is the place where the family meets on a weekly basis.
- D. The church serves as a site for folk healing practices.
Correct Answer: B
Rationale: The church is a significant support system for many African Americans, providing not just religious activities, but also social support and emotional strength.