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A school nurse is discussing the income eligibility requirements for free and reduced-price school meals with a family. Which of the following statements would the nurse most likely make?
- A. “If the employed member of your family earns less than $50,000 per year, your child will qualify for reduced-price meals.”
- B. “If your family’s income is less than 185% above the federal poverty level, your child will qualify for free or reduced-price meals.”
- C. “If you have more than five members living in your household, your child will qualify for reduced-price meals.”
- D. “If your family has an income above the federal poverty level, your child will not qualify for free or reduced-price meals.”
Correct Answer: B
Rationale: Eligibility for free or reduced-price meals depends on income relative to the federal poverty level.
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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.
A nurse would like to be involved in promoting change in health care policies. Which of the following actions would be most appropriate for the nurse to accomplish this goal?
- A. Be an active member of a national nursing organization.
- B. Vote for political leaders in favor of health care reform.
- C. Enroll in a health policy class.
- D. Learn about community resources.
Correct Answer: A
Rationale: Being an active member of a national nursing organization provides a platform for advocating for health policy changes.
Improving work environment: Which suggestions help?
- A. On-site walking paths
- B. On-site food vendors
- C. On-site counseling services
- D. On-site meetings of support groups
Correct Answer: A
Rationale: Walking paths and counseling services directly improve employee well-being, while food vendors don't always promote healthy habits.
A nurse is assessing the language development of a 6-month-old infant. Which of the following findings would the nurse anticipate?
- A. The infant forms two-syllable sounds.
- B. The infant coos and makes vowel sounds.
- C. The infant babbles.
- D. The infant says “ma-ma” and “bye-bye.”
Correct Answer: C
Rationale: At 6 months, infants typically begin babbling. Two-syllable sounds emerge closer to 9-10 months.
The school nurse conducting an in-service program for teachers is asked about general growth and development of school-age children. Which of the following statements would be the best response by the nurse?
- A. “By age 11, blood pressure readings are the same as for an adult.”
- B. “Because of the rapid growth pattern in this age group, snacks are important to ensure sufficient caloric intake.”
- C. “Children in this age group have some difficulty with coordination and balance, so playground supervision is important.”
- D. “Overall growth in school-age children is slower than during infancy and adolescence.”
Correct Answer: D
Rationale: Growth in school-age children slows compared to infancy and adolescence, making this the most accurate response.