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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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Which of the following infants is most at risk to experience child abuse?
- A. Father has experienced paternal engrossment
- B. Responds to parental touch
- C. Parents have low self-esteem
- D. Has been adopted
Correct Answer: C
Rationale: Low self-esteem in parents can lead to frustration, anger, and disturbed relationships, increasing the risk of child abuse.
A mother asks a nurse what the best toy would be for her 2-month-old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse?
- A. Colorful mobile with music
- B. Rattle
- C. Stuffed teddy bear
- D. Play telephone
Correct Answer: A
Rationale: A colorful mobile with music is appropriate for a 2-month-old, as it provides visual and auditory stimulation to promote growth.
A client is experiencing an alteration in the health-perception–health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?
- A. Never sees a physician
- B. Only sees a physician if not feeling well
- C. Sees a physician for screenings only
- D. Sees a physician for follow-up care of a chronic disease
Correct Answer: B
Rationale: Someone with alterations in both health-perception and values-beliefs patterns may only seek care when they are ill, reflecting a reactive approach to health.
The nurse has determined that a person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take?
- A. Weigh the person
- B. Set a goal weight with the person
- C. Ask the person what her favorite foods are
- D. Develop a plan for weight loss
Correct Answer: B
Rationale: Before developing a plan for weight loss, the nurse should work with the person to set a goal weight, ensuring the plan is personalized and effective.
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: A
Rationale: Dysfunction in insulin management reflects problems with health management and personal beliefs about health.