A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a woman who is pregnant. Which of the following statements made by the woman indicates a need for further teaching?
- A. “It is safe to eat up to 12 ounces of cooked fish weekly.”
- B. “I should avoid using caffeine during pregnancy.”
- C. “Consumption of one drink per day will not cause any harm to my unborn baby.”
- D. “Use of nicotine during pregnancy may cause my child to be born prematurely.”
Correct Answer: C
Rationale: No level of alcohol use is safe during pregnancy, so the mother should avoid alcohol entirely.
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During the first prenatal visit, the pregnant woman informs the nurse that she cannot wait to start wearing maternity clothes. This finding is based on an assessment of which functional health pattern?
- A. Cognitive-perceptual pattern
- B. Self-perception–self-concept pattern
- C. Health-perception–health-management pattern
- D. Values-beliefs pattern
Correct Answer: B
Rationale: Excitement about wearing maternity clothes suggests the woman has accepted her changing body image, part of the self-perception–self-concept pattern.
In a family in which the mother and the father differ on how to spend and save money, the parents are constantly arguing with each other. Which of the following interventions should the nurse include in the plan of care for this couple?
- A. Assist them to develop strategies that are congruent with their values.
- B. Allow each of them to defend his or her own values.
- C. Focus on outcomes that each wants to accomplish.
- D. Divert their attention to areas in which they are successful.
Correct Answer: A
Rationale: Developing strategies congruent with each individual's values will help reduce conflict and improve their financial decisions.
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.
Suicide Rates Increase in Which Age Group?
- A. 15 to 24
- B. 25 to 39
- C. 40 to 59
- D. 60 to 70
Correct Answer: A
Rationale: Suicide rates have risen sharply among people aged 15 to 24, making it the second leading cause of death.
A nurse is examining the incidence, prevalence, and mortality rates of colon cancer in the community. Which of the following measures of life is being investigated?
- A. Quality adjusted life year (QALY)
- B. Quantity of life
- C. Disability adjusted life year (DALY)
- D. Satisfaction of life
Correct Answer: B
Rationale: Quantity of life measures are based on incidence, prevalence, and mortality rates, assessing the impact of diseases on life expectancy.