Nokea
A parent expresses her frustration over the constant fighting between her toddler and preschooler. Which of the following would be an appropriate response from the nurse?
- A. Tell the mother not to worry about it and continue with the office visit
- B. Tell the mother this is normal behavior for the toddler, and she should be firm with the child without taking sides
- C. Say to the mother, “Don’t you remember fighting with your sibling? Don’t worry; everything will work out.”
- D. Say to the mother, “Don’t worry; this behavior will all end soon.”
Correct Answer: B
Rationale: Sibling rivalry is normal, and the nurse should provide guidance on firm, fair discipline without taking sides.
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Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
- A. Erikson
- B. Gordon
- C. Newman
- D. Nightingale
Correct Answer: B
Rationale: Gordon's framework is the basis for nursing diagnoses using functional health patterns.
Which of the following changes is experienced by the urinary system during pregnancy?
- A. Increased urinary output secondary to total body water increase
- B. Decreased bladder capacity
- C. Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge
- D. Increased renal excretion of acidic drugs
Correct Answer: A
Rationale: Pregnancy causes an increase in GFR and urinary output due to a higher body water volume and increased bladder capacity.
Which of the following actions demonstrates a health care professional providing culturally competent care?
- A. Encouraging the person to take medications as prescribed
- B. Asking the person to describe his folk healing methods
- C. Demonstrating the proper way to administer an insulin injection
- D. Assisting the person with discussing his health problems with the family
Correct Answer: B
Rationale: A culturally competent healthcare professional seeks to understand and incorporate the patient's cultural healing practices.
The mother of an 8-month-old asks what the minimum recommended amount of fat intake is for her 10-kg infant. Which of the following would be the minimum recommended fat intake?
- A. 18 grams a day
- B. 28 grams a day
- C. 38 grams a day
- D. 48 grams a day
Correct Answer: C
Rationale: The recommended fat intake for infants this age is 3.8 g/kcal, so for a 10-kg infant, the minimum intake would be 38 grams.
A nurse is providing health education about the importance of dental health to Latino residents in a community. Which of the following considerations should be made to promote health literacy within this program?
- A. Speak slowly and distinctly.
- B. Refer the client to an interpreter.
- C. Use photographs whenever possible.
- D. Consider methods to facilitate empowerment.
Correct Answer: A
Rationale: Speaking slowly and distinctly is essential for promoting health literacy and ensuring clear communication.