Nokea
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.
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The nurse is caring for a person who is obese, sedentary, and has recently been diagnosed with Type 2 diabetes mellitus. Which of the following goals for the person is correctly stated?
- A. The person will exercise more often.
- B. The person will consume 900 calories a day.
- C. The person will walk one-quarter mile a day, 5 days a week.
- D. The person will eliminate all refined sugar and processed foods from her diet.
Correct Answer: C
Rationale: Goals must be realistic, specific, and measurable. Exercising “more often” is too broad a statement.
Which of the following actions should be taken when a 32-year-old woman with malaise is suspected of experiencing achievement-oriented stress?
- A. Sleeping 10 hours per day
- B. Unintentional loss of 10 pounds in the past 3 weeks
- C. Expressed fear of company layoffs
- D. Calling in sick once every 2 weeks for the past month
Correct Answer: B
Rationale: Weight loss, a common sign of achievement-oriented stress, typically occurs due to neglect of health while focusing on career.
A nurse is working with a family that is experiencing food insecurity. Which of the following statements best describes this family?
- A. Members of this family are susceptible to food-borne illness.
- B. This family’s access to adequate food is limited by lack of money.
- C. This family is unable to purchase fresh fruits and vegetables.
- D. Members of this family are obese.
Correct Answer: B
Rationale: Food insecurity occurs when a family has limited access to adequate food due to financial constraints.
A client who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?
- A. “Vitamin E supplements are unnecessary, so I don’t recommend you use this supplement.”
- B. “Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin.”
- C. “Vitamin E supplements can interfere with the absorption of iron and create additional health problems.”
- D. “Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient.”
Correct Answer: B
Rationale: Vitamin E can interact with Coumadin and affect clotting, which is a concern for individuals on blood thinners.
Which of the following types of ethical theories tells us how people act toward each other and their environments and what they believe are good or moral actions?
- A. Descriptive value theories
- B. Normative theories
- C. Consequentialism theory
- D. Duty-based theories
Correct Answer: A
Rationale: Descriptive theories describe how people act, not how they should act.