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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: In Hispanic cultures, all adults, including elders, may play a role in decision-making, so education should be directed to all.
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A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: D
Rationale: Not taking insulin regularly may reflect conflicts in personal beliefs about medication adherence.
An occupational health nurse is trying to promote regular activity at her institution. Which of the following interventions would most likely be the most successful?
- A. Educate all employees regarding the benefits of exercise.
- B. Initiate a lunchtime walking group that employees can join.
- C. Provide all employees with an exercise prescription.
- D. Recommend that employees who do not exercise be terminated from their positions.
Correct Answer: B
Rationale: Lunchtime walking groups are effective as they are convenient, social, and easy to access, promoting physical activity.
A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. Which action should the nurse take next?
- A. Develop a plan to address the high rates of alcohol-related motor vehicle accidents.
- B. Partner with high school nurses to educate students about the risks of drinking and driving.
- C. Diagnose the community with ineffective health management patterns related to the high levels of drunk driving.
- D. Establish support groups for teenagers with alcohol abuse.
Correct Answer: C
Rationale: Diagnosing the community with ineffective health management patterns follows the data collection and analysis phase.
The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam?
- A. Let the child listen to the nurse’s heart with the stethoscope.
- B. Tell him to sit quietly while the nurse examines him.
- C. Ask his parents to leave the room to minimize distractions.
- D. Ask another nurse to hold him while the nurse examines him.
Correct Answer: A
Rationale: Allowing the child to use the stethoscope helps engage them and makes the experience more comfortable.
According to Piaget’s theory of cognitive development, which of the following statements is correct?
- A. Cognitive function continues to become refined throughout life.
- B. A child’s greatest task is to make sense of the world around him or her.
- C. Culture plays a major role in cognitive development.
- D. Learning precedes development.
Correct Answer: B
Rationale: Piaget believed a child's greatest task is to make sense of the world, focusing on cognitive development as it pertains to the individual.