Nokea
A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this family?
- A. Increased energy level
- B. Improved coping
- C. Enhanced self-esteem
- D. Facilitated family conversation
Correct Answer: B
Rationale: The family needs to improve coping skills as they adjust to the impact of the teenager's illness.
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A nurse is caring for a person with a potential dysfunction in the health-perception–health-management pattern. Which of the following nursing interventions would most likely be performed?
- A. Arranging for home delivery of medication from the pharmacy
- B. Providing education regarding the dangers of smoking
- C. Instituting visiting nurse services for blood pressure checks
- D. Providing direct observed therapy for tuberculosis medications
Correct Answer: B
Rationale: Education about the dangers of smoking addresses the risk and provides the person with information to improve health practices, fostering active participation in health management.
A high school sophomore engages in risky behavior to fit in with his peers. According to Erikson’s theory of human development, which of the following developmental conflicts is this student facing?
- A. Initiative versus guilt
- B. Industry versus inferiority
- C. Identity versus role confusion
- D. Intimacy versus isolation
Correct Answer: C
Rationale: Erikson’s theory posits that adolescence is the stage where identity versus role confusion occurs.
A mother comes to the pediatric clinic and says to the nurse, “I am worried about my 11-month-old baby because he is not crawling yet and his brother crawled when he was 11 months old. Is something wrong?” Which of the following statements should the nurse make?
- A. “It is highly unusual for siblings not to reach developmental milestones at the same time. I’ll ask the doctor to assess him.”
- B. “All babies reach developmental milestones at different rates.”
- C. “This may be something to worry about. I’ll have the doctor examine him.”
- D. “Don’t worry; he’ll crawl soon enough.”
Correct Answer: B
Rationale: Each child develops at their own pace, even though milestones follow a general pattern.
A school nurse is planning to assess the visual acuity of the preschool students at the school. Which of the following tests would be used?
- A. Snellen Screening test
- B. Denver Eye Screening test
- C. Ishihara’s test
- D. Cover test
Correct Answer: A
Rationale: The Snellen Screening test is commonly used to assess visual acuity in children.
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.