A state of physical, mental, spiritual, and social functioning that realizes a person’s potential and is experienced within a developmental context is known as:
- A. Growth and development
- B. Health
- C. Functioning
- D. High-level wellness
Correct Answer: B
Rationale: Health is defined as the state of well-being that incorporates physical, mental, spiritual, and social aspects, and is experienced within a developmental context.
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The nurse is caring for a family who has 2-year-old twins. Which of the following health promotion advice would be included in the nurse’s plan of care for this couple?
- A. Wear bicycle helmets for safety.
- B. Use caution around the family swimming pool.
- C. Cross the street at using the crosswalks.
- D. Advocate for the day care to provide adequate socialization.
Correct Answer: B
Rationale: Two-year-olds are at high risk of wandering into dangerous situations, such as a swimming pool.
The nurse has formulated a nursing diagnosis for a person with carpal tunnel syndrome of “Energy Field Disturbance r/t Slowing or Blocking of Energy Flow Secondary to Repetitive Motion Injury.” Which of the following actions must the nurse take first when planning interventions for this person?
- A. Move his or her hands over the person.
- B. Obtain permission to use healing touch therapy.
- C. Explain healing touch therapy.
- D. Focus on the area of disturbed energy flow.
Correct Answer: C
Rationale: Before giving informed consent, the person must understand the proposed therapy.
Which of the following toddlers would require further investigation from the nurse?
- A. Sitting quietly on a couch
- B. Experiencing a temper tantrum
- C. Playing with a toy next to another child also playing with a toy
- D. Exploring his environment and playing with new toys
Correct Answer: A
Rationale: Toddlers are typically active and curious. A toddler who is sitting quietly might be a sign of developmental concerns or possible neglect.
When assessing a client’s activity-exercise pattern, which subjective finding has implications for nursing practice?
- A. A person’s decreased muscle tone
- B. A person’s amount of leisure time
- C. A person’s decreased range of motion
- D. A person’s use of a cane
Correct Answer: B
Rationale: Leisure time is a subjective finding influencing the assessment of activity and exercise patterns.
Healthy People 2020 objectives provide a framework for:
- A. Assessment
- B. Diagnosis
- C. Prevention
- D. Treatment
Correct Answer: C
Rationale: Healthy People 2020 focuses on prevention efforts to improve the nation’s health.
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