Nokea
A nurse is educating a group of adults who are attempting smoking cessation. Which intervention would be most effective for the nurse to implement?
- A. Give the group members a handout on the dangers of smoking
- B. Set a quit date with the group and determine which pharmacological method is most suitable for group members
- C. Provide a month’s supply of nicotine replacement to use before the next visit
- D. Have a guest speaker who has been diagnosed with lung cancer speak to the group
Correct Answer: B
Rationale: Setting a quit date and developing an action plan with the group can increase motivation and commitment to quitting.
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Which adult has transitioned to Erikson’s intimacy vs isolation stage of development?
- A. A 21-year-old man with numerous short-term intimate relationships
- B. A 25-year-old woman focused on peer perception
- C. A 30-year-old man looking for his first full-time job
- D. A 26-year-old woman in a long-term relationship
Correct Answer: D
Rationale: Erikson’s intimacy vs isolation involves forming deep, meaningful relationships, which is exemplified by the 26-year-old woman in a long-term relationship.
Which factor may have the most influence in changing the health behavior of a single, adult woman who smokes and is the care provider for her mother, her own children, and granddaughter?
- A. Education regarding effects of smoking on her health
- B. The satisfaction that she will not contribute to secondhand smoke
- C. The availability of a weekly support group
- D. A gift card for $10 to a local grocery store for every week she is smoke-free
Correct Answer: D
Rationale: Motivational factors like financial incentives play a significant role, especially when the individual is financially responsible for others.
During a home visit to the home of a 3-month-old infant, which environmental finding requires immediate anticipatory guidance?
- A. A pool in the backyard without a gate
- B. The lack of smoke detectors
- C. The lack of childproof latches on drawers and cupboards
- D. Two azalea plants in the living room
Correct Answer: B
Rationale: A lack of smoke detectors poses a significant and immediate risk in case of a fire. It is vital to have them in the home.
A nurse working with a Hispanic family is explaining the plan for managing a child’s asthma to the child’s mother, father, and grandmother. To whom should the nurse direct the education?
- A. Mother
- B. Father
- C. Grandmother
- D. Parents and grandmother
Correct Answer: D
Rationale: In Hispanic culture, both the parents and elders may have influence in decision-making, so the nurse should educate all relevant family members.
A nurse is developing an educational program about SIDS for a new mothers’ support group in the community. Which of the following information would be included in this presentation?
- A. Parents are encouraged to place their infants in the supine sleeping position.
- B. SIDS is the leading cause of death among infants age 6 months to 1 year old.
- C. SIDS is associated with infants who have had difficulty sleeping at night.
- D. Parents are encouraged to limit the amount of “tummy time” of their infant.
Correct Answer: A
Rationale: The "Back to Sleep" campaign recommends placing infants in the supine sleeping position to reduce SIDS risks.