Nokea
A person states to the nurse, “The guidelines for what we should eat as Americans is constantly changing, just when I got used to using MyPyramid they changed it to MyPlate. I wonder what will be next and if they really know what they are doing with all of this change.” Which of the following would be the best response from the nurse?
- A. “The USDA is constantly making changes in order to decrease the alarming rates of obesity in our country.”
- B. “MyPyramid was developed in 2005, so it was time for this graphic to be revised.”
- C. “The creation of MyPlate has decreased the need for additional teaching resources for nutrition.”
- D. “MyPlate serves as a better visual aid, reminding Americans what a healthy ‘plate’ looks like.”
Correct Answer: D
Rationale: MyPlate was introduced as a clearer visual representation of what a healthy plate looks like, simplifying nutrition education.
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A nurse is assessing the cognitive-perceptual pattern of a toddler. Which of the following findings would be cause for concern for the nurse?
- A. Uses the word blanky to mean both that he wants to go to bed and that he is cold
- B. Refuses to eat something he ate and enjoyed the day before
- C. Has visual acuity that is not 20/20
- D. Has a history of recurrent ear infections
Correct Answer: D
Rationale: Recurrent ear infections in toddlers are a concern because they may lead to hearing loss, which can affect speech and language development.
When do females usually begin puberty?
- A. 1 year before males
- B. 1 year after males
- C. 2 years before males
- D. 2 years after males
Correct Answer: C
Rationale: Females typically begin puberty 2 years before males, experiencing growth spurts earlier.
A nurse reflects on how previous interactions with minority populations have influenced their current care. Which part of values clarification is the nurse using?
- A. Formulate a possible course of action.
- B. Examine the influence of beliefs.
- C. Reflect on practice.
- D. Determine the prevalent values.
Correct Answer: B
Rationale: The nurse is evaluating how their personal beliefs and values affect their practice, which is crucial in providing culturally sensitive care.
The nurse in the pediatric oncology unit is working with a family whose toddler has been diagnosed with leukemia. The nurse can best assist the family to deal with this extrinsic stressor by doing which of the following?
- A. Setting treatment goals for them until they are able to do so themselves
- B. Encouraging them to talk about their concerns
- C. Discussing relaxation techniques such as guided imagery with them
- D. Asking them if they would like to meet with a member of a pediatric oncology support group
Correct Answer: B
Rationale: Encouraging the family to talk about concerns and introducing them to support groups are effective methods of dealing with this stressor.
A mother asks her toddler if she is tired. The toddler responds by saying, “Sammy bed.” Based on her expressive language and speech pattern, the nurse determines that this child is likely how old?
- A. 18 months
- B. 24 months
- C. 30 months
- D. 36 months
Correct Answer: B
Rationale: By 24 months, toddlers begin to speak in two- to three-word sentences.