Nokea
A nurse is assessing a low-income population in a community. Which of the following would be most appropriate for this population?
- A. HIV screening
- B. Blood pressure screening
- C. Colorectal cancer screening
- D. Breast cancer mammography screening
Correct Answer: B
Rationale: Low-income populations are more likely to have hypertension, making blood pressure screening a priority in this group.
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Adoption of a Canadian-style health care system in the United States has the potential to:
- A. Decrease waiting times for tests and procedures
- B. Create further health disparities
- C. Increase the number of HMOs
- D. Increase the amount of funding available for health care
Correct Answer: B
Rationale: A Canadian-style health care system may exacerbate disparities by creating a two-tier system where private insurance users receive quicker care.
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: Someone with alterations in both health-perception and values-beliefs patterns may only seek care when they are ill, reflecting a reactive approach to health.
A nurse is told by a colleague that an Asian American individual on home care is using complementary and alternative medicine (CAM). Which of the following conclusions can accurately be drawn from this statement?
- A. The client will have adverse complications from using this form of medicine.
- B. The client may be using meditation, acupuncture, or another therapy.
- C. The client will soon be returning to his or her native country for further treatment.
- D. The client does not agree with the current professional care medication regimen.
Correct Answer: B
Rationale: CAM includes practices like acupuncture and meditation, and individuals may use them alongside professional care to address health concerns.
Which of the following interventions are appropriate relative to preconceptual assessment for childbearing?
- A. Encouraging moderate-fat diet
- B. Referral to genetic counseling
- C. Counseling to avoid “hard” liquor
- D. Substituting a nutritional supplement for a meal
Correct Answer: B
Rationale: Genetic counseling is essential for addressing risks related to family history and genetic disorders before conception.
A mother asks her toddler if she is tired. The toddler responds by saying, “Sammy bed.” Based on her expressive language and speech pattern, the nurse determines that this child is likely how old?
- A. 18 months
- B. 24 months
- C. 30 months
- D. 36 months
Correct Answer: B
Rationale: By 24 months, toddlers begin to speak in two- to three-word sentences.