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A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take?
- A. Tell the woman she should not be sexually active at this point in her pregnancy because it may harm the fetus.
- B. Ask her to elaborate on the difficulties.
- C. Tell her that they should modify their positions during intercourse and that will take care of the problem.
- D. Tell her men like the way pregnant women look.
Correct Answer: B
Rationale: The nurse should ask the woman to elaborate on the difficulties to understand the root of the problem and provide an appropriate intervention.
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A Mexican American woman comes to the office for a visit. She is found to be 30 weeks pregnant. Which of the following conclusions can the nurse draw from this finding?
- A. The woman does not value prenatal care.
- B. Client education may require a different approach because of dissimilar cultural beliefs.
- C. This culture does not believe in traditional medicine.
- D. Signs of pregnancy were not recognized by the woman.
Correct Answer: B
Rationale: Cultural groups may have unique beliefs about prenatal care, and this woman’s delay in seeking care might indicate the need for a culturally sensitive approach to education.
The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who do not have the disease. Which of the following measures of accuracy of the instrument is being evaluated?
- A. Sensitivity
- B. Specificity
- C. Validity
- D. Efficacy
Correct Answer: C
Rationale: Validity refers to a test’s ability to correctly distinguish between diseased and nondiseased individuals.
A 5-year-old is consuming a daily caloric intake of 1400 calories. Approximately what portion of the diet should be comprised of carbohydrates?
- A. 300 calories
- B. 700 calories
- C. 900 calories
- D. 1200 calories
Correct Answer: C
Rationale: Carbohydrates should comprise about half of a preschooler's diet.
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.
A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process?
- A. Assists in predicting all of the possible consequences of future actions
- B. Facilitates gathering of the most important information to solve the problem
- C. Considers the importance of caring when solving the problem
- D. Highlights salient aspects of future actions
Correct Answer: B
Rationale: Ethical reasoning helps gather important information and uncover key issues to address moral concerns in health care.