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A nurse is educating a person about the process of cognitive restructuring. Which of the following actions should be taken at the end of this process?
- A. Take a deep breath.
- B. Select a realistic alternative thought.
- C. Reflect on the situation.
- D. Stop generating negative thoughts.
Correct Answer: B
Rationale: The most effective approach to restructuring thought patterns is to first stop generating negative thoughts, then take a deep breath to relax, then think about how the thought process is affecting well-being, and last, select a new realistic thought pattern to replace the negative thought pattern.
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The school nurse has been asked to order growth charts. Which of the following growth charts should be selected to assess children in first through fifth grades?
- A. Generic body mass index chart
- B. Height and weight chart
- C. Revised CDC growth chart
- D. WHO international growth chart
Correct Answer: C
Rationale: The CDC's 2000 growth charts are recommended for children aged 2 to 20 years, including BMI assessments.
Which addition to a community best demonstrates the concept of the Healthy People 2020 report?
- A. New cardiothoracic intensive care unit at a major hospital
- B. New rehabilitation center
- C. New recreational health center
- D. New children’s hospital
Correct Answer: C
Rationale: Healthy People 2020 promotes health care and wellness, not just illness care, which aligns with the goal of increasing access to recreational health centers.
A nurse is providing care for a 10-year-old child with a BMI at the 80th percentile. Which of the following best describes this child?
- A. Normal weight
- B. Overweight
- C. Obese
- D. Morbidly obese
Correct Answer: A
Rationale: A BMI at the 80th percentile is within the normal weight range for children.
Risk of Osteoporosis
- A. 65-year-old Asian woman who smokes one pack of cigarettes per week
- B. 80-year-old White man who has three glasses of wine per day
- C. 74-year-old White woman on daily oral prednisone for emphysema
- D. 68-year-old Black man who has a sedentary lifestyle
Correct Answer: C
Rationale: Long-term prednisone use significantly increases osteoporosis risk, particularly in older women.
Which of the following toddlers would require further investigation from the nurse?
- A. Sitting quietly on a couch
- B. Experiencing a temper tantrum
- C. Playing with a toy next to another child also playing with a toy
- D. Exploring his environment and playing with new toys
Correct Answer: A
Rationale: Toddlers are typically active and curious. A toddler who is sitting quietly might be a sign of developmental concerns or possible neglect.