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A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools?
- A. The number of questions asked on the assessment tool
- B. The linkages of the assessment to Healthy People 2020
- C. The amount of involvement that the family has in completing the tool
- D. The capability of the tool to assess goals and outcomes
Correct Answer: C
Rationale: The family’s involvement in completing the tool is essential for understanding their needs and fostering active participation in health promotion.
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A nurse is planning to offer a depression screening at a local community center. Which of the following should be considered prior to implementation of the program?
- A. Limited referral sources in the community
- B. Limited support groups in the community
- C. Insufficient evidence that depression screening tools are cost effective
- D. Insufficient evidence mental health screening is appropriate
Correct Answer: A
Rationale: An efficient referral system is crucial for successful screening programs, ensuring individuals who test positive receive appropriate follow-up care.
A 63-year-old woman complains of insomnia. Which response is appropriate?
- A. "Do you want a sleeping pill?"
- B. "Make sure that you do not nap during the day even if you are tired."
- C. "Do you feel excessively tired during the day?"
- D. "The nurse practitioner may want to run some simple tests to find out why you are having trouble sleeping."
Correct Answer: C
Rationale: The nurse should assess the quality of sleep and how it affects daily activities before suggesting interventions.
A nurse would like to include holistic nursing care in her nursing practice. Which of the following actions must the nurse take first?
- A. Learn the specific therapy method.
- B. Engage in self-exploration.
- C. Explore the various types of complementary therapies available.
- D. Ask the person which type of therapy he or she prefers.
Correct Answer: B
Rationale: The first step to providing holistic care is an exploration of self.
Kohlberg’s theory of moral development is based on:
- A. Erikson’s theory of psychosocial development
- B. Piaget’s theory of cognitive development
- C. Vygotsky’s theory of cognitive development
- D. Gilligan’s theory of moral development
Correct Answer: B
Rationale: Kohlberg’s moral development theory is based on Piaget’s cognitive development theory.
During a home visit, a nurse notes that a person with hypertension lives on the third floor of a subsidized housing project on a busy road with no sidewalks and few street lights. Which of the following would be the best recommendation for exercise for the nurse to make to the person?
- A. Do not exercise because you have high blood pressure.
- B. Use the stairs whenever you are entering or leaving the building.
- C. Go for short walks around the block during the daytime only.
- D. Purchase an exercise bike.
Correct Answer: B
Rationale: Using the stairs is a safe and inexpensive exercise that can help lower blood pressure.