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A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?
- A. “I have been feeling more tired lately.”
- B. “My husband complains every time I ask him to do something for me.”
- C. “Sometimes, the smell of food makes me nauseous.”
- D. “I need to get up two times a night to go to the bathroom.”
Correct Answer: B
Rationale: Complaints of the husband’s behavior suggest possible domestic issues that require further assessment.
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A nurse is caring for a person with the nursing diagnosis of chronic sorrow related to missed opportunities. Which of the following nursing interventions would be appropriate for this person?
- A. Sharing a personal story with the person to demonstrate empathy
- B. Assuring the person that he or she will be able to cope with the illness
- C. Encouraging the person to discuss his or her fears
- D. Contacting a support group representative for the person
Correct Answer: C
Rationale: Encouraging the person to discuss their fears is an appropriate intervention for facilitating grief work.
An emergency department provides care for all individuals regardless of circumstances and ability to pay. This is an example of:
- A. Ethic of justice
- B. Ethic of care
- C. Applied ethics
- D. Metaethics
Correct Answer: A
Rationale: The ethic of justice is impartial and nondiscriminatory, ensuring care is provided to everyone equally.
A mother comments to the school nurse that her child has poor hygiene habits and asks the nurse for suggestions as to how to teach her child to improve on his hygiene. Which of the following recommendations would the nurse give the mother?
- A. Have him learn it at school.
- B. Model the behavior at home.
- C. Lecture him about hygiene.
- D. Punish him when he forgets to brush his teeth.
Correct Answer: B
Rationale: Modeling behavior at home is the most effective way to teach a child good hygiene.
Which individual is at risk for a dysfunction in elimination pattern?
- A. 46-year-old mother of two
- B. 72-year-old white woman
- C. 32-year-old African American man
- D. 15-year-old girl
Correct Answer: B
Rationale: Age-related issues, such as incontinence, put elderly individuals at risk for elimination dysfunction.
A nurse is developing a primary prevention strategy to address the problem of obesity. Which of the following interventions is being created?
- A. Encouraging an active lifestyle during childhood years
- B. Prescribing orlistat (Alli)
- C. Recommending the Jenny Craig program
- D. Recommending gastric banding surgery
Correct Answer: A
Rationale: Primary prevention strategies focus on preventing conditions before they occur, such as encouraging an active lifestyle in childhood to prevent obesity.