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: Decreased visual acuity is critical for individuals with diabetes who need to administer insulin, so it directly affects the nursing plan.
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Which interventions address both the National Institute of Nursing Research themes and Healthy People 2020 goals?
- A. Establishing a new park with a well-lit track
- B. Establishing a smoking cessation campaign
- C. Providing reduced-cost transportation passes
- D. Providing free condoms at health clinics
Correct Answer: B
Rationale: Smoking cessation aligns with health promotion and disease prevention goals of Healthy People 2020.
A health care provider is discussing preventive care with a Hispanic family. Why might they be disinterested?
- A. Lack of folk remedies
- B. Lack of interpreter services
- C. Lack of health insurance
- D. Lack of family support
Correct Answer: C
Rationale: Language barriers and lack of insurance often prevent access to health care.
Nursing priority for incontinence: What should be the focus?
- A. "Risk for social isolation."
- B. "Risk for impaired skin integrity."
- C. "Risk for inadequate fluid intake."
- D. "Risk for impaired coping."
Correct Answer: B
Rationale: Impaired skin integrity is a primary concern due to the risk of skin breakdown from incontinence.
A client is experiencing an alteration in the health-perception–health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?
- A. Never sees a physician
- B. Only sees a physician if not feeling well
- C. Sees a physician for screenings only
- D. Sees a physician for follow-up care of a chronic disease
Correct Answer: B
Rationale: This person likely only sees a physician when unwell, reflecting an altered health perception and values.
During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?
- A. Encourage the addition of a few more toys to the playpen.
- B. Suggest keeping the infant in the playpen as much as possible to promote safe play.
- C. Encourage providing the infant with supervised time outside of the playpen.
- D. Suggest removing all toys from the playpen.
Correct Answer: C
Rationale: At 9 months, the infant should be encouraged to explore outside the playpen to aid in physical development and motor skills.
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