Nokea
A nurse is asked to provide an expert opinion about the development of an education program for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: C
Rationale: A consultant offers expert advice on a specific area, such as designing an educational program for diabetics.
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Which of the following women should be screened for breast cancer?
- A. A 35-year-old woman with three children and no family history of breast cancer
- B. A 59-year-old woman with no children who still gets her period every month
- C. A 25-year-old woman with one child whom she gave birth to when she was a teenager
- D. A 17-year-old woman with one child who started menstruating at the age of 13
Correct Answer: B
Rationale: Breast cancer screening is recommended for women over 40, as the incidence increases with age.
A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?
- A. “This is a sign that he is not ready to toilet train yet.”
- B. “This behavior is developmentally normal.”
- C. “Tell him to stop touching himself.”
- D. “Don’t worry about it.”
Correct Answer: B
Rationale: Curiosity about genitals is a normal developmental phase during toilet training.
A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing?
- A. Risk-factor
- B. Structural-functional
- C. Open systems
- D. Developmental
Correct Answer: D
Rationale: This is the developmental perspective, where the nurse assesses the family’s ability to adapt during life cycle transitions, like a child leaving for college.
A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take?
- A. Tell the woman she should not be sexually active at this point in her pregnancy because it may harm the fetus.
- B. Ask her to elaborate on the difficulties.
- C. Tell her that they should modify their positions during intercourse and that will take care of the problem.
- D. Tell her men like the way pregnant women look.
Correct Answer: B
Rationale: The nurse should ask the woman to elaborate on the difficulties to understand the root of the problem and provide an appropriate intervention.
A home health nurse is admitting a 54-year-old man for services following a coronary artery bypass graft (CABG). What is the purpose of this nursing action?
- A. Allows for inclusion of family members in decision-making
- B. Allows for health promotion and disease prevention appraisal
- C. Allows for development of patient-centered care
- D. Allows for data collection necessary for comparison to Healthy People 2020
Correct Answer: B
Rationale: Family assessments enable health promotion, disease prevention, and include family in decision-making.