A nurse is told by a colleague that an Asian American individual on home care is using complementary and alternative medicine (CAM). Which of the following conclusions can accurately be drawn from this statement?
- A. The client will have adverse complications from using this form of medicine.
- B. The client may be using meditation, acupuncture, or another therapy.
- C. The client will soon be returning to his or her native country for further treatment.
- D. The client does not agree with the current professional care medication regimen.
Correct Answer: B
Rationale: CAM includes practices like acupuncture and meditation, and individuals may use them alongside professional care to address health concerns.
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A client is experiencing an alteration in the health-perception–health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?
- A. Never sees a physician
- B. Only sees a physician if not feeling well
- C. Sees a physician for screenings only
- D. Sees a physician for follow-up care of a chronic disease
Correct Answer: B
Rationale: Someone with alterations in both health-perception and values-beliefs patterns may only seek care when they are ill, reflecting a reactive approach to health.
The mother of a 3-month-old is concerned because her infant usually falls asleep halfway through his bottle. Which of the following would be the most therapeutic response by the nurse?
- A. Ask the mother about the infant’s feeding schedule.
- B. Assure the mother that he is growing fine.
- C. Tell the mother that half a bottle is probably enough for him.
- D. Tell the mother she should start to add solids to his diet.
Correct Answer: A
Rationale: The nurse should first understand the feeding schedule to assess if the infant is getting adequate nutrition before offering advice.
A nurse is monitoring the exercise of a 42-year-old woman. Which of the following would be the estimated maximum heart rate (MHR) for this woman?
- A. 126
- B. 142
- C. 178
- D. 184
Correct Answer: C
Rationale: Maximum heart rate is calculated by subtracting the person's age from 220.
During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman’s concern?
- A. “Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately.”
- B. “Frequent heartburn is caused by high levels of hormones during pregnancy.”
- C. “Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy.”
- D. “Frequent heartburn during pregnancy requires immediate consultation with a gastroenterologist.”
Correct Answer: C
Rationale: Heartburn during pregnancy is due to gastrointestinal changes, including upward displacement of the stomach and relaxation of the gastroesophageal sphincter.
A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. Which finding would be of most concern to the nurse?
- A. The bedroom is located on the second floor.
- B. She has a pet cat.
- C. There is an area rug in the living room.
- D. She has a 1-year-old child.
Correct Answer: B
Rationale: Handling cat litter can expose pregnant women to toxoplasmosis, which can affect the fetus.