Nokea
A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person?
- A. Read in bed until he falls asleep
- B. Avoid fluids after 7 PM
- C. Exercise immediately before bedtime
- D. Watch television in the recliner in the evening
Correct Answer: B
Rationale: Avoiding fluids before bed is an appropriate sleep hygiene practice that addresses the potential cause of the dysfunctional sleep pattern (frequent urination).
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A community is considering banning smoking in all schools. Based on the community’s current stage of change, which action should the nurse take next?
- A. Provide the community with statistics regarding childhood smoking rates.
- B. Point out positive outcomes associated with banning smoking such as maintenance of lung function.
- C. Help the community develop a plan to implement the ban.
- D. Praise the members of the community for their actions.
Correct Answer: B
Rationale: The community is in the contemplation stage. In this stage, interventions should focus on discussing the benefits of change, like improved lung function.
The nurse recommended to a 50-year-old woman that she schedule a routine mammogram. Which of the following would be the most important factor in this woman’s decision to schedule this exam?
- A. Race
- B. Ethnicity
- C. Cultural values
- D. Value orientation
Correct Answer: C
Rationale: Cultural values play a significant role in decision-making, affecting actions like healthcare choices.
Which of the following best describes a client who has an illness?
- A. Someone who has well-controlled diabetes
- B. Someone with hypercholesterolemia
- C. Someone with a headache
- D. Someone with coronary artery disease without angina
Correct Answer: C
Rationale: An illness involves subjective experiences like pain or discomfort, such as a headache.
A Medicare client reports to the home care nurse that he is receiving care through an accountable care organization (ACO). Which of the following considerations should be made when delivering care to this individual?
- A. The individual must see a primary care provider before being referred to a specialist.
- B. The focus of care is prevention and management of individuals with chronic disease.
- C. The individual has paid a membership fee to be part of this organization.
- D. The focus of care is to conserve money in a health savings account.
Correct Answer: B
Rationale: The focus of accountable care organizations (ACOs) is on managing chronic conditions and preventing hospital readmissions.
A community health nurse is working with a low-income family who is experiencing food insecurity. To assist the family in getting nutritious foods in their home, the family should be referred to which of the following programs?
- A. Nutrition Service Incentive Program (NSIP)
- B. Supplemental Nutrition for Women Infants and Children (WIC)
- C. National School Lunch Program (NSLP)
- D. Supplemental Nutrition Assistance Program (SNAP)
Correct Answer: D
Rationale: SNAP helps low-income families purchase nutritionally adequate foods.