Nokea
A nurse is counseling a 19-year-old person who has recently been diagnosed with Type 1 diabetes mellitus. The person asks if there is anything specific that should be done before going to play tennis with a friend. Which of the following instructions should the nurse give the person to avoid hypoglycemia?
- A. Inject the insulin into the abdomen.
- B. Inject the insulin into the arm.
- C. Inject the insulin into the thigh.
- D. Skip taking any insulin before exercising.
Correct Answer: A
Rationale: Insulin should be injected into the abdomen as it slows down absorption during activity, helping to maintain stable blood glucose levels during exercise.
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A school nurse is discussing the income eligibility requirements for free and reduced-price school meals with a family. Which of the following statements would the nurse most likely make?
- A. “If the employed member of your family earns less than $50,000 per year, your child will qualify for reduced-price meals.”
- B. “If your family’s income is less than 185% above the federal poverty level, your child will qualify for free or reduced-price meals.”
- C. “If you have more than five members living in your household, your child will qualify for reduced-price meals.”
- D. “If your family has an income above the federal poverty level, your child will not qualify for free or reduced-price meals.”
Correct Answer: B
Rationale: Eligibility for free or reduced-price meals depends on income relative to the federal poverty level.
A nurse would like to improve his cultural competence. Which of the following is the best strategy to use?
- A. Explore complementary and alternative medicine practices used by other cultures.
- B. Discuss cultural differences with coworkers.
- C. Provide care to diverse populations.
- D. Participate in continuing education programs about cultural diversity.
Correct Answer: D
Rationale: Continuing education about cultural diversity is the best strategy for increasing cultural competence as it provides the necessary knowledge to provide effective care.
Which of the following individuals would be at greatest risk to develop Type 2 diabetes?
- A. White, 50-year-old woman, obese, second child weighed 10 pounds at birth
- B. African American, 55-year-old man, hypertension, exercises regularly
- C. Hispanic, 22-year-old woman, healthy weight, family history of diabetes
- D. White, 75-year-old man, history of prostate cancer and high triglycerides
Correct Answer: A
Rationale: Obesity, age, and a large baby increase the risk of Type 2 diabetes.
A nurse is providing education about improving self-awareness to a small group of women who have been victims of domestic violence. Which of the following should the nurse recommend the clients do first to improve their self-awareness?
- A. Use self-disclosure to share aspects of self.
- B. Listen to and learn from others.
- C. Listen to oneself and pay attention to emotions, thoughts, and reactions.
- D. Use others to bounce back your own thoughts and recollections.
Correct Answer: C
Rationale: The first step in improving self-awareness is to listen to oneself and pay attention to emotions, thoughts, and reactions.
Which person is at highest risk for being uninsured?
- A. 68-year-old retired mailman
- B. 48-year-old on renal dialysis
- C. 2-year-old whose parents work but do not have benefits through their employers
- D. 27-year-old who attends college and works part time in a small pizza parlor
Correct Answer: D
Rationale: Young adults are often at risk of being uninsured due to the high cost of insurance and ineligibility for coverage under their parents' plans.