Nokea
A woman usually eats an 1800-calorie diet. She is now in the second trimester of her pregnancy. Which of the following best describes the caloric nutritional needs for this woman during the second and third trimester?
- A. 1800 calories
- B. 2100 calories
- C. 2400 calories
- D. 2700 calories
Correct Answer: B
Rationale: Pregnant women need to increase their caloric intake by approximately 300 calories during the second and third trimesters.
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A nurse would like to be involved in promoting change in health care policies. Which of the following actions would be most appropriate for the nurse to accomplish this goal?
- A. Be an active member of a national nursing organization.
- B. Vote for political leaders in favor of health care reform.
- C. Enroll in a health policy class.
- D. Learn about community resources.
Correct Answer: A
Rationale: Being an active member of a national nursing organization provides a platform for advocating for health policy changes.
A pregnant woman is having a TORCH screening done at today’s prenatal visit. She states she is anxious to get the results back because she recently had unprotected sex with someone she just met and is afraid she might have HIV. Which of the following statements would be the best response by the nurse?
- A. “You will know your HIV status in about 1 week when the results come back.”
- B. “You will require additional testing for HIV as it is not tested for with the TORCH screen.”
- C. “You will need to be tested for HIV after you deliver because pregnancy can produce false HIV results.”
- D. “You need to be exposed for at least 6 months before being tested for HIV in order for the results to be accurate.”
Correct Answer: B
Rationale: TORCH screening does not test for HIV. The woman will need additional testing for HIV.
Interpersonal Violence
- A. A 16-year-old female who hides in her apartment due to civil unrest in the country
- B. A 32-year-old male whose co-worker sends him insulting e-mails at work
- C. A 19-year-old male who has attempted suicide
- D. A 78-year-old female living in a nursing home who is force-fed by aides
Correct Answer: D
Rationale: Interpersonal violence involves harm from others, including emotional abuse (insulting e-mails) and physical abuse (force-feeding).
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.
Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide?
- A. American Indian/Alaska Native Americans
- B. Asian Americans
- C. Latino/Hispanic Americans
- D. Black/African Americans
Correct Answer: A
Rationale: American Indian/Alaska Native Americans have high death rates from unintentional injuries and suicide, often due to life stresses and substance abuse.