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.
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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.
The ecomap of a client’s family has slashed lines drawn from the son to the family church. Based on this information, what conclusion can the nurse make?
- A. The son is deceased.
- B. The son is actively involved with the family church.
- C. The son has a stressful relationship with the church.
- D. The son has no relationship with the church.
Correct Answer: C
Rationale: Slashed lines on an ecomap signify stressful relationships between the person and the entity (in this case, the church).
During the 5-year-old well-child visit, the father tells the nurse that he is unsure if the child is socially ready to attend school. The nurse asks the father to describe some of the social interactions of the child. Which of the following behaviors would indicate that the preschooler is socially ready to attend school?
- A. He gives his brother the ball when he is tired of playing with it.
- B. He never engages in any activity until his mother tells him to.
- C. He plays well with a group of neighborhood children.
- D. He moves from one activity to another.
Correct Answer: C
Rationale: Playing well with other children demonstrates social readiness for school.
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: Cultural factors influence decision-making, so education should be directed to all adults involved.
At a well-child visit, a 2-year-old toddler measures 2 feet 8 inches tall. The nurse estimates the toddler’s approximate final adult height to be:
- A. 4 feet 8 inches
- B. 5 feet
- C. 5 feet 2 inches
- D. 5 feet 4 inches
Correct Answer: D
Rationale: The height at 2 years is about half of the child’s final adult height. Therefore, 2 feet 8 inches × 2 equals approximately 5 feet 4 inches.
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