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A nurse who is conducting a parenting class is asked how to select a good day care center for an 18-month-old child. Which of the following responses should be made by the nurse?
- A. “Day care centers that schedule age-appropriate educational videos increase verbal ability.”
- B. “Human interaction increases a toddler’s verbal skills, so select a day care center that values adult-to-toddler interaction.”
- C. “Learning to understand the meaning of words is increased when toddlers are exposed to educational DVDs, so select a day care center that has an extensive library of age-appropriate, educational DVDs.”
- D. “There really is no difference in the quality of day care centers based on whether or not videos or DVDs are used for educational purposes.”
Correct Answer: B
Rationale: Research has shown that human interaction promotes verbal skills in toddlers better than passive exposure to videos.
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After the 2010 Dietary Guidelines were released, a community health nurse updated a nutrition presentation that was being used to educate various community groups about healthy eating habits. Which of the following information would have been added to the presentation?
- A. Consumption of increased amounts of carbohydrates
- B. Impact of the environment on the public’s food, drink, and activity choices
- C. Revised guidelines for the use of MyPyramid
- D. Inclusion of physical activity standards
Correct Answer: B
Rationale: The 2010 guidelines introduced the impact of the environment on health decisions, including food and physical activity choices.
During the second prenatal visit, the pregnant woman informs the nurse that she has stopped smoking. This finding is based on an assessment of which functional health pattern?
- A. Cognitive-perceptual pattern
- B. Self-perception–self-concept pattern
- C. Health-perception–health-management pattern
- D. Values-beliefs pattern
Correct Answer: C
Rationale: The health-perception–health-management pattern focuses on health practices such as stopping smoking during pregnancy.
A 15-month-old infant has been brought into the office by his Spanish-speaking mother for symptoms of an upper respiratory infection. Which of the following should be the initial action taken by the nurse?
- A. Ask the mother if she would like an interpreter.
- B. Ask the mother what home remedies have been used.
- C. Ask the mother how long the child has had these symptoms.
- D. Ask the mother about any allergies the child may have.
Correct Answer: A
Rationale: The nurse should first ensure that communication is clear by offering an interpreter if needed.
A community is considering banning smoking in all schools. Based on the community’s current stage of change, which action should the nurse take next?
- A. Provide the community with statistics regarding childhood smoking rates.
- B. Point out positive outcomes associated with banning smoking such as maintenance of lung function.
- C. Help the community develop a plan to implement the ban.
- D. Praise the members of the community for their actions.
Correct Answer: B
Rationale: The community is in the contemplation stage. In this stage, interventions should focus on discussing the benefits of change, like improved lung function.
A nurse is establishing a therapeutic relationship. Which technique should be used?
- A. Learn about interests
- B. Sit close to the person
- C. Show interest in concerns
- D. Define relationship parameters
Correct Answer: C
Rationale: Showing interest builds rapport and trust.