Nokea
A woman reports that she has strong spiritual practices. Which of the following is she most likely to experience?
- A. Improved coping skills and social support
- B. Increased understanding of religious differences
- C. Decreased pain and improved healing
- D. Decreased use of Western medicine
Correct Answer: A
Rationale: Spiritual practices often provide emotional support and promote coping skills, improving overall well-being and health outcomes.
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Which dental health advice should be included in an occupational health fair?
- A. "Drinking bottled water helps prevent tooth decay."
- B. "Gingivitis results in bone destruction and can be eliminated by flossing daily."
- C. "Preventive dental care requires a visit to the dentist every 4 months."
- D. "In addition to screening for tooth decay, dentists screen for mouth cancer."
Correct Answer: D
Rationale: Dentists may be the first to detect conditions such as mouth cancer, making regular dental check-ups crucial.
Two working adults do not have access to health insurance for their family from their employers and do not meet the financial criteria for Medicaid. For which of the following federal programs may the children in this family be eligible?
- A. Medicare
- B. Civilian Health Medical Program for Uniformed Services (CHAMPUS)
- C. State Children’s Health Insurance Program (SCHIP)
- D. Veteran’s Administration Program
Correct Answer: C
Rationale: SCHIP provides health insurance to children whose families cannot afford private coverage but do not qualify for Medicaid.
A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:
- A. Administering and reading the purified protein derivative (PPD) of all close contacts
- B. Providing direct observed therapy (DOT) for the individual with TB
- C. Isolating the person because it is likely drug resistant
- D. Telling the person to wear a mask when leaving the home
Correct Answer: B
Rationale: Direct observed therapy (DOT) ensures the patient takes the full course of medication, preventing the spread of TB.
A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as:
- A. Managed care
- B. Gate keeping
- C. Utilization review
- D. Capitation
Correct Answer: C
Rationale: Utilization review evaluates healthcare usage to minimize unnecessary treatments and reduce costs.
A 5-month-old boy was born at 6 pounds, 7 ounces. He is being seen in the office for a well-child visit. The nurse would expect him to weigh approximately:
- A. 10 pounds, 14 ounces
- B. 11 pounds, 7 ounces
- C. 12 pounds, 14 ounces
- D. 13 pounds, 7 ounces
Correct Answer: C
Rationale: The child’s weight should be approximately double the birth weight at 5 months of age, which equals 12 pounds, 14 ounces.