Nokea
A nurse reflects on how previous interactions with minority populations have influenced their current care. Which part of values clarification is the nurse using?
- A. Formulate a possible course of action.
- B. Examine the influence of beliefs.
- C. Reflect on practice.
- D. Determine the prevalent values.
Correct Answer: B
Rationale: The nurse is evaluating how their personal beliefs and values affect their practice, which is crucial in providing culturally sensitive care.
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A toddler needs to have blood drawn at his next appointment. Which of the following actions would the nurse suggest that the mother do with the child before the next visit?
- A. Tell the child about the blood work on the day that the appointment is scheduled
- B. Tell the child about the blood work right before leaving the house for the appointment
- C. Tell the child when they are in the office right before the phlebotomist enters the room
- D. Do not tell the child about the blood work
Correct Answer: B
Rationale: Telling the toddler about the procedure right before leaving allows them to prepare without overwhelming them with too much time to think about it.
A nurse is monitoring the exercise of a 42-year-old woman. Which of the following would be the estimated maximum heart rate (MHR) for this woman?
- A. 126
- B. 142
- C. 178
- D. 184
Correct Answer: C
Rationale: Maximum heart rate is calculated by subtracting the person's age from 220.
A mother asks a nurse what the best toy would be for her 2-month-old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse?
- A. Colorful mobile with music
- B. Rattle
- C. Stuffed teddy bear
- D. Play telephone
Correct Answer: A
Rationale: A colorful mobile with music is appropriate for a 2-month-old, as it provides visual and auditory stimulation to promote growth.
A nurse is assessing a community from both a developmental and risk perspective. Which of the following characteristics would be of most interest to the nurse?
- A. Gender
- B. Age
- C. Race
- D. Socioeconomic level
Correct Answer: B
Rationale: Age is a key factor in assessing both the developmental stage and potential risks within a community.
A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education?
- A. “I drink skim milk on a regular basis.”
- B. “I try not to eat foods that have added salt on the label.”
- C. “I eat American cheese about once every 2 weeks.”
- D. “I add salt to many of the food that I eat to enhance the flavor.”
Correct Answer: D
Rationale: Sodium intake should be limited for heart disease patients.