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A school nurse is using height and weight measurements to calculate the BMI of the students. How will the nurse use these data?
- A. BMI can be correlated to a specific percentage of body fat.
- B. BMI can be used to determine if a child is obese or underweight.
- C. BMI can be used to determine if a child will develop Type 2 diabetes.
- D. BMI can be compared with others of the same ethnic background.
Correct Answer: B
Rationale: BMI is a helpful indicator of obesity and being underweight, but it is not diagnostic.
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A pregnant woman with two toddlers living at less than 135% of the federal poverty level would be eligible for:
- A. Medicare Part A
- B. Medicare Part B
- C. Medicaid
- D. State Children’s Health Insurance Program (SCHIP)
Correct Answer: C
Rationale: Medicaid covers pregnant women and children with a family income less than 135% of the federal poverty level.
Which of the following reflects Piaget’s theory in young adults?
- A. Voting for a candidate based on popularity
- B. Voting for a candidate based on media advertisements
- C. Voting for a candidate based on support from peers
- D. Voting for a candidate based on analysis of views about various issues
Correct Answer: D
Rationale: In Piaget’s formal operational stage, young adults analyze issues objectively before making decisions.
Which middle-aged adult has successfully navigated Erikson’s generativity vs. stagnation stage?
- A. "A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a week."
- B. "A 63-year-old man who regrets his career choice and feels he cannot change careers."
- C. "A 45-year-old woman who resents having to care for her aging mother-in-law."
- D. "A 50-year-old man who has not saved for retirement but spends his discretionary income on vacations he takes by himself."
Correct Answer: A
Rationale: Generativity involves a sense of productivity and helping others, demonstrated by volunteering.
A Mexican American woman comes to the office for a visit. She is found to be 30 weeks pregnant. Which of the following conclusions can the nurse draw from this finding?
- A. The woman does not value prenatal care.
- B. Client education may require a different approach because of dissimilar cultural beliefs.
- C. This culture does not believe in traditional medicine.
- D. Signs of pregnancy were not recognized by the woman.
Correct Answer: B
Rationale: Cultural groups may have unique beliefs about prenatal care, and this woman’s delay in seeking care might indicate the need for a culturally sensitive approach to education.
The school nurse has been asked to order growth charts. Which of the following growth charts should be selected to assess children in first through fifth grades?
- A. Generic body mass index chart
- B. Height and weight chart
- C. Revised CDC growth chart
- D. WHO international growth chart
Correct Answer: C
Rationale: The CDC's 2000 growth charts are recommended for children aged 2 to 20 years, including BMI assessments.