Nokea
A nurse is collecting data for a family assessment using Gordon’s functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain?
- A. Roles-relationship
- B. Cognitive-perceptual
- C. Health-perception–health-management
- D. Self-perception–self-concept
Correct Answer: B
Rationale: The cognitive-perceptual pattern relates to how the family perceives language development and cognitive needs, which includes the availability of books for children.
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A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this family?
- A. Increased energy level
- B. Improved coping
- C. Enhanced self-esteem
- D. Facilitated family conversation
Correct Answer: B
Rationale: The family needs to improve coping skills as they adjust to the impact of the teenager's illness.
A postmenopausal woman fears developing osteoporosis like her mother. What is the most appropriate nurse response?
- A. "The American diet is much better now than when your mother was your age."
- B. "You have a strong genetic risk factor. There is not much we can do to stop the process."
- C. "You need about 1000 mg of calcium a day to keep your bones strong."
- D. "Tell me about your diet, how much walking you do each day, and what medications you take."
Correct Answer: D
Rationale: The nurse should assess the patient's diet, physical activity, and medications before providing tailored advice.
Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person’s function pattern by utilizing which area of focus?
- A. Age-developmental
- B. Functional
- C. Individual-environmental
- D. Pattern
Correct Answer: D
Rationale: Pattern recognition helps identify sequences of behavior, allowing the nurse to analyze health data over time.
Improving work environment: Which suggestions help?
- A. On-site walking paths
- B. On-site food vendors
- C. On-site counseling services
- D. On-site meetings of support groups
Correct Answer: A
Rationale: Walking paths and counseling services directly improve employee well-being, while food vendors don't always promote healthy habits.
The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individuals is known as:
- A. Health-related quality of life
- B. Evidence-based practice
- C. A Healthy People 2010 goal
- D. The ecological model of health
Correct Answer: B
Rationale: Evidence-based practice integrates clinical expertise with the best available research to make informed care decisions.