A nurse is using a genogram to represent a family. Which of the following statements is accurate?
- A. A genogram identifies the genetic disorders of the family.
- B. A genogram includes information about the past two generations.
- C. A genogram can be used to make connections about family health patterns.
- D. A genogram begins with a circle in the center of the page.
Correct Answer: C
Rationale: A genogram helps identify family health patterns and relationships, and typically includes data from at least three generations.
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A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following findings will require the nurse to collect additional information?
- A. The infant’s shirt is wet from drooling.
- B. The infant has gained one pound since her 2-month well-child visit.
- C. The infant holds his or her head steady when in a sitting position.
- D. The infant grasps objects with two hands.
Correct Answer: B
Rationale: A weight gain of only 1 pound in 2 months is below the expected growth, suggesting a need for further assessment.
Which cultural group defines illness as a price that is being paid for the past or the future?
- A. African
- B. Native American
- C. Arabian
- D. Asian
Correct Answer: B
Rationale: American Indians define illness as a price for actions in the past or the future, reflecting their spiritual beliefs.
Sexuality in middle age: What should the nurse stress?
- A. "Contraception usage should be decreased as a woman nears menopause."
- B. "Difficulty with sexual performance among men happens near age 60."
- C. "HIV infection after age 50 is rare."
- D. "The majority of new HIV/AIDS cases occur among middle-age adults."
Correct Answer: D
Rationale: HIV/AIDS cases are prevalent in middle-age adults, making it important to emphasize safe sexual practices.
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: In Hispanic cultures, all adults, including elders, may play a role in decision-making, so education should be directed to all.
A person asks the nurse if it is safe to use dietary supplements. Which of the following would be the best reply from the nurse?
- A. “It is important to be cautious when using any supplements.”
- B. “All dietary supplements must be approved by the FDA before they can be sold and are safe.”
- C. “No, dietary supplements have very limited regulations and should not be used.”
- D. “Be sure to read the product label before using the supplement to see what health claims have been made by the product.”
Correct Answer: A
Rationale: Supplements should be used cautiously as they are not FDA-approved before sale and can interact with medications or cause other health risks.