A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed?
- A. Assessment
- B. Implementation
- C. Planning
- D. Evaluation
Correct Answer: D
Rationale: Weighing the person to assess progress toward goals is part of the evaluation phase of nursing care.
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A client is experiencing an alteration in the health-perception–health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?
- A. Never sees a physician
- B. Only sees a physician if not feeling well
- C. Sees a physician for screenings only
- D. Sees a physician for follow-up care of a chronic disease
Correct Answer: B
Rationale: This person likely only sees a physician when unwell, reflecting an altered health perception and values.
An Asian American family has recently immigrated to the United States. Which of the following would provide an appropriate rationale when encouraging the family to send their child to school?
- A. The child will get a good education.
- B. According to law, all children must go to school.
- C. The child can get health care at school.
- D. Exposure to different cultures in school will enhance socialization.
Correct Answer: D
Rationale: Exposure to diverse cultures enhances socialization and helps the child adjust to a new environment.
Which sleep ritual is age-appropriate for a preschooler?
- A. Asking for every light in the home to be turned on at bedtime
- B. Saying good night to all 20 stuffed animals in the room before going to sleep
- C. Going right to sleep
- D. Asking the parent to read all books on the bookshelf before going to bed
Correct Answer: B
Rationale: Preschoolers have longer and more rigid bedtime rituals, which may include saying good night to their toys.
Which of the following actions should parents take to help their teenager meet his developmental task?
- A. Set strict rules to prevent the teenager from getting into any trouble.
- B. Maintain an ongoing dialogue about important issues and upcoming challenges.
- C. Maintain a friendship with the teenager, so he views parents as peers.
- D. Be very lenient with the teenager so that he can figure out who he is as a person.
Correct Answer: B
Rationale: Ongoing dialogue about challenges and listening to teenagers supports their development of a healthy identity.
During a home visit, a nurse assists an individual to complete an application for disability services. The nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: A
Rationale: Advocacy helps individuals access services they are entitled to, assisting them in navigating the healthcare system.