Nokea
A nurse is discussing genetic disorders with a local community group. Which of the following statements would the nurse make during the presentation?
- A. Downs syndrome is most likely to appear during the preschool years.
- B. Hemophilia is most likely to appear during the preschool years.
- C. Cystic fibrosis is most likely to appear during the preschool years.
- D. Multiple sclerosis is most likely to appear during the preschool years.
Correct Answer: C
Rationale: Cystic fibrosis and other genetic disorders like Duchenne muscular dystrophy typically present in preschool years.
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Which is a violation of the Health Insurance Portability and Accountability Act of 1996?
- A. Nurse reporting a case of TB to the health department
- B. Nurse reporting a case of child abuse to the Department of Human Services
- C. Nurse discussing the person’s case with his or her physician
- D. Nurse discussing the person’s case with his or her school nurse
Correct Answer: D
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy standard that requires safeguards to protect the security and confidentiality of health information. Disclosures without individual authorization are allowed only to public health authorities authorized by law to collect and receive information for the purpose of preventing or controlling disease, injury, or disability. Before speaking to the school nurse, the nurse must obtain authorization from the client’s parents.
Which model of health is most likely used by a person who does not believe in preventive health care?
- A. Clinical model
- B. Role performance model
- C. Adaptive model
- D. Eudaimonistic model
Correct Answer: A
Rationale: The clinical model views the absence of disease as health, and people using this model typically wait until they are very ill to seek care.
An overweight woman is in the preparation stage of change. Which of the following interventions would be the most appropriate for the nurse to implement?
- A. Inform her of the health risks associated with being overweight
- B. Prepare her for the setbacks
- C. Develop a low-calorie/low-fat diet with her so she can follow it at home
- D. Praise her for her recent successes
Correct Answer: C
Rationale: In the preparation stage, the woman is ready to make changes, so providing tools like a low-calorie diet plan helps facilitate action.
A nurse is encouraging parents to immunize their infants. Which of the following strategies would be the best way for the nurse to facilitate this?
- A. Send a reminder for immunizations to the parents.
- B. Talk to the parents about immunizations during office visits.
- C. Track clients who have not been immunized.
- D. Memorize the CDC immunization schedule.
Correct Answer: B
Rationale: Direct communication with parents during office visits is most effective in encouraging immunizations.
Which sleep ritual is age-appropriate for a preschooler?
- A. Asking for every light in the home to be turned on at bedtime
- B. Saying good night to all 20 stuffed animals in the room before going to sleep
- C. Going right to sleep
- D. Asking the parent to read all books on the bookshelf before going to bed
Correct Answer: B
Rationale: Preschoolers have longer and more rigid bedtime rituals, which may include saying good night to their toys.