Nokea
A nurse is providing health education for a group of older adults about the risks of developing coronary heart disease. Which of the following group members is at highest risk?
- A. Takes a beta-blocker for hypertension
- B. Has a total cholesterol level of 201
- C. Doesn’t participate in any form of regular physical activity
- D. Has a family history of Type 2 diabetes mellitus
Correct Answer: C
Rationale: Physical inactivity is the biggest modifiable risk factor for coronary heart disease.
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A community planning committee is working on the development of a community nursing center. Which of the following essential components should be included in this center?
- A. Physician as medical director
- B. Interdisciplinary staff
- C. Nurse as chief manager
- D. Partnership with an academic institution
Correct Answer: C
Rationale: Nurses should be the chief managers of community nursing centers, accountable for care and professional practice.
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: Cultural factors influence decision-making, so education should be directed to all adults involved.
Which of the following individuals will most likely experience a disparity in health and health care?
- A. African American man
- B. Unemployed woman
- C. White middle-aged man
- D. Single white woman
Correct Answer: B
Rationale: Disparities are more likely to affect individuals based on socioeconomic status and employment.
A nurse complies with the Patient Self-Determination Act when asking:
- A. a person upon admission to the hospital if he or she has an advanced directive
- B. the family in the recovery room if the client has an advanced directive
- C. a person before discharge from the hospital if he or she has an advance directive
- D. the family about an advanced directive after the person has been intubated
Correct Answer: A
Rationale: The Patient Self-Determination Act is designed to increase individual involvement in decisions about life-sustaining treatments. The nurse complies with the act when she asks a person upon admission if they have an advanced directive.
When providing preoperative teaching for a client who will be undergoing total knee arthroplasty, the nurse asks the client questions to assess his understanding of the surgery. Which type of ethics is the nurse implementing?
- A. Duty-based ethics
- B. Normative ethics
- C. Metaethics
- D. Preventive ethics
Correct Answer: D
Rationale: Preventive ethics focuses on foreseeing and preventing ethical problems before they arise, such as ensuring a client understands a surgery before proceeding.