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 culture, both the parents and elders may have influence in decision-making, so the nurse should educate all relevant family members.
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Which adult has transitioned to Erikson’s intimacy vs isolation stage of development?
- A. A 21-year-old man with numerous short-term intimate relationships
- B. A 25-year-old woman focused on peer perception
- C. A 30-year-old man looking for his first full-time job
- D. A 26-year-old woman in a long-term relationship
Correct Answer: D
Rationale: Erikson’s intimacy vs isolation involves forming deep, meaningful relationships, which is exemplified by the 26-year-old woman in a long-term relationship.
A nurse plans to use lectures, handouts, and a video to teach a group of teenagers the importance of safe sex practices. Which step in the teaching-learning process is the nurse demonstrating?
- A. Assessment
- B. Development
- C. Implementation
- D. Evaluation
Correct Answer: B
Rationale: Developing the teaching content, including materials like lectures and videos, is part of the development step in the teaching-learning process.
At 1 minute of age, an infant has a heart rate of 95, a strong cry, some flexion of extremities, a cry reflex, and is completely pink. Which of the following is a correct assessment of the infant’s Apgar score?
- A. 4
- B. 6
- C. 8
- D. 10
Correct Answer: C
Rationale: The Apgar score is calculated by adding the scores for heart rate, cry, reflex, extremity movement, and color: 1 + 2 + 1 + 2 + 2 = 8.
A nurse is speaking to a women’s group in the community about the importance of completing mammography to screen for breast cancer. At which age should the nurse recommend that mammography begin?
- A. 18
- B. 21
- C. 35
- D. 40
Correct Answer: D
Rationale: Mammography should begin at age 40 and be performed every 1 to 2 years for breast cancer screening.
The nurse recommended to a 50-year-old woman that she schedule a routine mammogram. Which of the following would be the most important factor in this woman’s decision to schedule this exam?
- A. Race
- B. Ethnicity
- C. Cultural values
- D. Value orientation
Correct Answer: C
Rationale: Cultural values play a significant role in decision-making, affecting actions like healthcare choices.