Nokea
A nurse is using the Healthy People 2020 health promotion and disease prevention objectives for preschoolers when planning for health policy development in the community. Which of the following health policies would the nurse support?
- A. Elimination of the school requirement for the MMR vaccine
- B. Regulation of the use of electronic devices used by preschoolers
- C. Regulation of the paint allowed for use with toys
- D. Elimination of WIC programs
Correct Answer: C
Rationale: Regulating the paint used in toys addresses the risk of lead poisoning, a Healthy People 2020 objective.
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Reducing Constipation in Older Adults
- A. Offering pureed foods that are easy to digest
- B. Encouraging fluids between meals
- C. Administering laxatives daily
- D. Assisting with ambulation
Correct Answer: B
Rationale: Encouraging fluids and assisting with ambulation are key strategies for preventing constipation in older adults.
A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a “shot” to keep her baby alive. Which of the following statements would be the best response by the nurse?
- A. “Yes, you will need an injection of RhoGAM at 28 weeks gestation and within 72 hours after birth.”
- B. “Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection.”
- C. “Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies.”
- D. “No, you will not need the injection because you are White. Rh incompatibility affects only Black women.”
Correct Answer: B
Rationale: Since both the mother and father are Rh negative, there is no risk for Rh incompatibility, so RhoGAM is not necessary.
Which of the following represents a method of tertiary prevention?
- A. Drunk driving campaign
- B. Road blocks for drunk driving
- C. Emergency surgery for head trauma after a motor vehicle accident
- D. Physical and occupational therapy after a motor vehicle accident with head trauma
Correct Answer: D
Rationale: Tertiary prevention aims to reduce the impact of a disease or disability, such as through physical therapy post-injury.
A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old adolescent in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?
- A. Advocate for Client B because he is the younger of the two and will live longer.
- B. Use feminist moral theory to advocate for Client A in spite of his alcohol use.
- C. Use a guided set of moral principles in decision-making before advocating for either.
- D. Advocate for Client A because he has 15 to 20 years of productive life left.
Correct Answer: C
Rationale: Using moral principles systematically can help resolve ethical dilemmas and guide decision-making.
A nurse is working with a person to increase his daily exercise and activity. Which of the following statements by the nurse best demonstrates the use of reflection?
- A. “I have also struggled with finding time to exercise on a regular basis.”
- B. “Regular exercise plays an important role in preventing many health problems.”
- C. “You said that you have difficulty making time in your day for exercise.”
- D. “It may be helpful if we developed a goal related to daily exercise.”
Correct Answer: C
Rationale: Reflection involves paraphrasing or summarizing the person's words to indicate interest and focus the discussion.