Nokea
A nurse is assessing a toddler during a well-child visit. Which of the following findings warrant further investigation?
- A. Bare spots on the scalp, and broken hair
- B. Overly concerned parents
- C. Burns with sharply demarcated edges
- D. Bruises anywhere on the body
Correct Answer: A
Rationale: Bare spots and broken hair, along with burns with sharply demarcated edges, are warning signs of possible child abuse.
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Which of the following best describes person-centered communication?
- A. The nurse says to the person seeking care, “Why do you continue to drink when you know it is not good for you?”
- B. The nurse responds to person seeking care’s request for pain medicine by saying, “It is not time for your pain medicine. You had it hours ago.”
- C. The client says to the nurse, “I think my husband is cheating on me.” The nurse responds by saying, “You think your husband is cheating on you?”
- D. The client says to the nurse, “I can’t believe I have cancer.” The nurse responds by saying, “One of my closest friends had cancer and had to have chemotherapy.”
Correct Answer: C
Rationale: Person-centered communication focuses on recognizing and clarifying the person's concerns, allowing the person to elaborate.
A nurse is providing health education for a group of older adults about the risks of developing coronary heart disease. Which of the following group members is at highest risk?
- A. Takes a beta-blocker for hypertension
- B. Has a total cholesterol level of 201
- C. Doesn’t participate in any form of regular physical activity
- D. Has a family history of Type 2 diabetes mellitus
Correct Answer: C
Rationale: Physical inactivity is the biggest modifiable risk factor for coronary heart disease.
A 9-month-old has mastered the pincer grasp. Which of the following tasks would the nurse anticipate that the infant can do by himself?
- A. Play with a rattle
- B. Eat cheerios off a hard surface
- C. Hold a spoon to feed himself
- D. Drink from a cup
Correct Answer: B
Rationale: Mastering the pincer grasp allows the infant to pick up small items like cheerios off a surface.
The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. Which statement would be the most appropriate response from the nurse?
- A. Usually, girls start menstruating when they develop breast buds; an endocrine evaluation might be warranted.
- B. Everyone is different; it will happen when it happens.
- C. Based on when the breast buds first appeared, she should start menstruating around the age of 14.
- D. She will not start menstruating until her breasts are of adult size and contour.
Correct Answer: C
Rationale: Menstruation typically starts about 2 years after breast buds, around age 14.
Which of the following statements concerning enjoying healthy activities is true?
- A. People enjoy pleasant activities even when they are stressed.
- B. People cherish happy activities and feel that such activities are important even during times of stress.
- C. People generally feel that they deserve to be happy.
- D. People who have hobbies are better able to handle stress than those without hobbies.
Correct Answer: B
Rationale: Hobbies and other pleasurable activities help people balance a stressful life.