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 teenager?
- A. Increased energy level
- B. Improved coping
- C. Enhanced self-esteem
- D. Accomplished activities of daily living
Correct Answer: C
Rationale: Enhancing self-esteem is crucial for a teenager with anorexia nervosa to overcome body image issues.
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The mother of a 3-month-old is concerned because her infant usually falls asleep halfway through his bottle. Which of the following would be the most therapeutic response by the nurse?
- A. Ask the mother about the infant’s feeding schedule.
- B. Assure the mother that he is growing fine.
- C. Tell the mother that half a bottle is probably enough for him.
- D. Tell the mother she should start to add solids to his diet.
Correct Answer: A
Rationale: The nurse should first understand the feeding schedule to assess if the infant is getting adequate nutrition before offering advice.
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.
The devaluing of beliefs, values, and customs of others is known as:
- A. Ethnocentrism
- B. Racism
- C. Cultural competency
- D. Empathy
Correct Answer: B
Rationale: Racism is the belief in the superiority of one’s own race and the devaluation of others' cultural practices.
During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman’s concern?
- A. “Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately.”
- B. “Frequent heartburn is caused by high levels of hormones during pregnancy.”
- C. “Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy.”
- D. “Frequent heartburn during pregnancy requires immediate consultation with a gastroenterologist.”
Correct Answer: C
Rationale: Heartburn during pregnancy is due to gastrointestinal changes, including upward displacement of the stomach and relaxation of the gastroesophageal sphincter.
A nurse is counseling a person who was recently diagnosed with diabetes about how to prevent the complications of this disease. Which of the following interventions would be stressed the most by the nurse?
- A. Adjusting sliding scale insulin therapy as needed
- B. Taking oral hypoglycemic medication as prescribed
- C. Monitoring blood glucose daily
- D. Adhering to medical nutrition therapy
Correct Answer: D
Rationale: Medical nutrition therapy is essential to prevent complications of diabetes.