Nokea
A nurse is speaking to a women’s group in the community about the importance of completing mammography to screen for breast cancer. At which age should the nurse recommend that mammography begin?
- A. 18
- B. 21
- C. 35
- D. 40
Correct Answer: D
Rationale: Mammography should begin at age 40 and be performed every 1 to 2 years for breast cancer screening.
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A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care?
- A. Decreased sense of hearing
- B. Decreased sense of smell
- C. Decreased sense of taste
- D. Decreased visual acuity
Correct Answer: D
Rationale: Visual acuity is essential for administering insulin and for monitoring health in a person with Type 1 diabetes.
Which of the following behaviors by a preschooler indicates use of an effective coping mechanism?
- A. The preschooler walks away from the situation
- B. The preschooler blames a friend for causing the problem
- C. The preschooler states what he is upset about
- D. The preschooler has a temper tantrum
Correct Answer: C
Rationale: Effective coping in preschoolers involves stating their emotions and taking responsibility for them.
An 18-year-old woman in whom a sexually transmitted disease (STD) was recently diagnosed asks the nurse not to tell her mother that she has an STD. Her mother asks the nurse what is causing her daughter’s vaginal discharge. Which of the following actions should the nurse take?
- A. Follow the principle of veracity and tell the mother the diagnosis.
- B. Respect the principle of confidentiality and support the client’s request not to tell her mother the diagnosis.
- C. Tell the client’s mother that she has a urinary tract infection, to protect the client’s privacy and honor the mother’s request.
- D. Ignore the mother’s request for information.
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) guarantees client confidentiality. The nurse must maintain confidentiality unless the client permits disclosure.
Violence Education for High School Students
- A. Violent behavior happens when someone bullies another person
- B. Withholding food from a child as a punishment is violent behavior
- C. Collective violence occurs during an argument between two people
- D. Painting a racial slur on a building is violent behavior
Correct Answer: A
Rationale: Violent behavior includes physical or psychological harm, and collective violence has specific political or social goals.
Suspicion of Bioterrorism
- A. Two people from a restaurant with nausea and vomiting
- B. Lab worker with a headache
- C. 13 people with ascending muscle paralysis
- D. Five people with upper respiratory infections
Correct Answer: C
Rationale: Ascending paralysis is a hallmark sign of botulism, a potential bioterrorism event.