Nokea
A nurse is providing education about safe driving with a group of newly licensed teenagers. Which factor would most likely influence a teenager’s decision to drive within the speed limit?
- A. A speed limit sign
- B. Having his parents telling him not to speed
- C. A previous traffic violation for speeding
- D. Seeing someone get pulled over for speeding
Correct Answer: C
Rationale: Previous experiences, like receiving a speeding ticket, are likely to influence behavior more than external factors.
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A blended family has six children, ages 2, 4, 4, 5, 7, and 10. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation?
- A. This child has most likely been abused.
- B. This child is one of multiple children closely spaced in age.
- C. This family suffers from low self-esteem.
- D. This family provides harsh punishment for their children.
Correct Answer: B
Rationale: Risks in blended families include multiple closely spaced children, which can make it difficult for parents to attend to each child’s individual needs.
A mother tells the nurse her 3-year-old child has not been himself lately. The nurse examines the child. Which of the following physical findings would be cause for concern?
- A. Bruises
- B. Pale skin
- C. Enlarged lymph nodes
- D. Hives
Correct Answer: A
Rationale: Bruises, pale skin, and enlarged lymph nodes could indicate childhood cancer and need further evaluation.
A 30-year-old woman with a BMI of 36 is being counseled on weight reduction. In what order should interventions be discussed?
- A. 4, 3, 2, 1
- B. 4, 2, 3, 1
- C. 3, 4, 2, 1
- D. 3, 2, 1, 4
Correct Answer: A
Rationale: The nurse should start with a full assessment (lipid profile and blood pressure), followed by education on diet and exercise, then medication, and finally surgery if needed.
A nurse is caring for a person who has a diagnosis of “Sleep disturbance related to stress as evidenced by excessive daytime fatigue.” Which of the following nursing interventions would most likely assist this person?
- A. Encourage daytime naps.
- B. Encourage exercise one hour before bedtime.
- C. Encourage a cool shower before bedtime.
- D. Encourage a consistent sleep-wake schedule.
Correct Answer: D
Rationale: Following a consistent sleep-wake cycle seven days a week will help establish a sleep pattern.
An overweight woman joins a support group to help her lose weight. During her first session, the nurse explains the components of a healthy diet and discusses with the woman how she can eat out and still maintain a healthy diet. She asks the woman what her goal is and emphasizes that she herself is the key to success. What is the nurse promoting through the use of this strategy?
- A. Communication
- B. Values
- C. Advanced planning
- D. Empowerment
Correct Answer: D
Rationale: Empowering the individual by involving her in setting her own goal increases the likelihood of sustained behavior change.