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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Which of the following scenarios best describes a nurse using metacommunication?
- A. Using both touch and silence when counseling an individual
- B. Practicing reflection when interacting with an individual
- C. Discussing with an individual how to solve a problem
- D. Understanding that an individual needs a break before proceeding
Correct Answer: D
Rationale: Metacommunication is about understanding the relationship and context of the message being communicated.
A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise. What action should the nurse take in order to confirm or reject these beliefs?
- A. Walk around the neighborhood
- B. Interview members of the community
- C. Obtain town morbidity and mortality rates
- D. Go to the town hall to obtain the number of parks in the community
Correct Answer: B
Rationale: The nurse should interview community members to understand their perceptions and confirm the hypothesis about sedentary lifestyles.
A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents?
- A. Do not read to the child while sitting on the sofa in front of the fireplace.
- B. Do not cook on a gas grill until the child is a teenager.
- C. Do not leave cigarettes and matches on the kitchen counter.
- D. Do not cook with the child in the kitchen.
Correct Answer: C
Rationale: The most important recommendation is to avoid leaving cigarettes and matches accessible to children, as they like to imitate adults.
Which question should a nurse ask a 26-year-old individual being screened for depression or suicide ideation?
- A. “Tell me about your pets.”
- B. “What do you do for work? How has your work been affected by this disaster?”
- C. “Have you thought of harming yourself?”
- D. “Have you seen your friends since the disaster?”
Correct Answer: C
Rationale: Direct questioning about harm to oneself is critical when screening for depression or suicide ideation.
A mother comments to the school nurse that her child has poor hygiene habits and asks the nurse for suggestions as to how to teach her child to improve on his hygiene. Which of the following recommendations would the nurse give the mother?
- A. Have him learn it at school.
- B. Model the behavior at home.
- C. Lecture him about hygiene.
- D. Punish him when he forgets to brush his teeth.
Correct Answer: B
Rationale: Modeling behavior at home is the most effective way to teach a child good hygiene.