A nurse is working on values clarification with a pregnant smoker. Which statement is appropriate?
- A. “Why do you smoke cigarettes?”
- B. “What do you value most in life?”
- C. “Who influenced your decision to smoke?”
- D. “Is smoking consistent with your values?”
Correct Answer: B
Rationale: Values clarification helps individuals align actions with personal values.
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Cognition in older adults: What is true?
- A. "Mild dementia is normal with aging."
- B. "All forms of dementia have the same symptoms."
- C. "Assessment for dementia should be part of routine exams."
- D. "Elders scoring below 27 on the MMSE are unlikely to have cognitive problems."
Correct Answer: C
Rationale: Regular cognitive assessments help detect changes in function; dementia is not normal with aging.
A nurse is educating a group of community members about how hypertension screening is effective in reducing the rate of cardiovascular disease, thus reducing the expenses that are spent on management of this disease. Which of the following ratios is being described?
- A. Cost-disease analysis
- B. Cost-efficiency analysis
- C. Cost-benefit ratio analysis
- D. Cost-effectiveness analysis
Correct Answer: C
Rationale: Cost-benefit analysis compares the costs of a screening program to the benefits in terms of reduced long-term healthcare costs.
Which form of managed care restricts providers to caring for individuals who are members of their organization?
- A. Fee-for-service plan
- B. Health maintenance organization (HMO)
- C. Preferred provider organization (PPO)
- D. Independent practice association (IPA)
Correct Answer: B
Rationale: Health maintenance organizations (HMOs) restrict care to members of the organization, focusing on preventative care.
Which of the following statements can be identified as a method for clarifying a message?
- A. “I get very upset when you talk to me in that tone.”
- B. “You make me very angry when you drink alcohol.”
- C. “I can make you happy. I know I can.”
- D. “What I want from you is to be left alone!”
Correct Answer: A
Rationale: Using "I" statements helps clarify and qualify the message, making it more direct and less accusatory.
A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating?
- A. Visual acuity
- B. Pupil reactivity
- C. Ability to drive
- D. The red reflex
Correct Answer: C
Rationale: Functional focus involves assessing how visual patterns, such as the ability to drive, impact lifestyle.