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A nurse is working with a local daycare center to develop appropriate outdoor play activities for 5-year-old children at the center. Which of the following activities would the nurse most likely recommend?
- A. Having the children bring their bikes to the center so they can go for bike rides in the neighborhood
- B. Playing hopscotch on the sidewalk in front of the daycare center
- C. Taking the children swimming at the neighborhood pool
- D. Playing on the outdoor preschool equipment while being supervised by daycare personnel
Correct Answer: D
Rationale: Outdoor play should involve activities that are safe and supervised. Preschoolers are not ready for unsupervised outdoor bike rides or swimming.
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When providing preoperative teaching for a client who will be undergoing total knee arthroplasty, the nurse asks the client questions to assess his understanding of the surgery. Which type of ethics is the nurse implementing?
- A. Duty-based ethics
- B. Normative ethics
- C. Metaethics
- D. Preventive ethics
Correct Answer: D
Rationale: Preventive ethics focuses on foreseeing and preventing ethical problems before they arise, such as ensuring a client understands a surgery before proceeding.
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.
A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child?
- A. A fenced-in pool in the backyard
- B. An entertainment center with the remote control on the top shelf
- C. A closed window in the child’s bedroom
- D. A toy box overflowing with toys
Correct Answer: B
Rationale: Toddlers are at high risk for injury from climbing, and reaching for items like a remote control could lead to the entertainment center falling on them.
A nurse consultant is helping redesign a pediatric unit which is undergoing renovation. Which actions by the nurse consultant are congruent with creating a positive energy force in the unit?
- A. Selecting energizing colors for the playroom and soothing colors for the exam rooms
- B. Planning for a music source for all rooms
- C. Reducing the amount of natural light on the unit to promote relaxation
- D. Planning for an atrium garden in the center of the unit
Correct Answer: B
Rationale: Music, light, and color are positive energy forces that can enhance the healing environment, while limiting natural light has a depressive effect.
Injury-prevention education: Who needs ongoing education?
- A. "Education should be focused on workers with the least experience."
- B. "All workers need continued education related to safety issues."
- C. "OSHA rules apply to all companies with more than 25 employees."
- D. "Middle-age workers have the lowest rate of injury of any age group."
Correct Answer: B
Rationale: Ongoing safety education is necessary for all workers, as experience does not eliminate injury risk.