Nokea
An 18-month-old toddler is being seen for a well-child visit. Which of the following strategies would the nurse use to enlist the toddler’s cooperation?
- A. Ask the toddler if he wants to be examined today.
- B. Ask his mother leave the room while the nurse examines him.
- C. Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest.
- D. Have his mother hold him down while the nurse examines him.
Correct Answer: C
Rationale: Toddlers are more cooperative when they can actively participate, like holding the stethoscope.
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A health care professional is leading a community action coalition to address the problem of homelessness within the neighborhood. Which of the following statements would most likely be made by health care professionals?
- A. Homelessness should be addressed by improving financial assistance programs.
- B. Homelessness should be of concern to everyone in the neighborhood.
- C. Homelessness should be addressed by encouraging job growth in the area.
- D. Homelessness should be of concern to the mental health providers in the area.
Correct Answer: B
Rationale: Homelessness is a community-wide issue that requires collective action from all members of the neighborhood to address effectively.
A nurse is examining the incidence, prevalence, and mortality rates of colon cancer in the community. Which of the following measures of life is being investigated?
- A. Quality adjusted life year (QALY)
- B. Quantity of life
- C. Disability adjusted life year (DALY)
- D. Satisfaction of life
Correct Answer: B
Rationale: Quantity of life measures are based on incidence, prevalence, and mortality rates, assessing the impact of diseases on life expectancy.
A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care?
- A. Decreased sense of hearing
- B. Decreased sense of smell
- C. Decreased sense of taste
- D. Decreased visual acuity
Correct Answer: D
Rationale: Decreased visual acuity is critical for individuals with diabetes who need to administer insulin, so it directly affects the nursing plan.
A client is experiencing an alteration in the health-perception–health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?
- A. Never sees a physician
- B. Only sees a physician if not feeling well
- C. Sees a physician for screenings only
- D. Sees a physician for follow-up care of a chronic disease
Correct Answer: B
Rationale: This person likely only sees a physician when unwell, reflecting an altered health perception and values.
The nurse is discussing an exercise prescription with a person. To help him determine the appropriate intensity, the nurse tells him that he should monitor his rate of perceived exertion. Which of the following should the nurse tell the man he should experience while exercising?
- A. Talking and singing without difficulty
- B. Feeling extremely fatigued
- C. Having mild musculoskeletal discomfort
- D. Being out of breath
Correct Answer: C
Rationale: The rate of perceived exertion helps people determine a comfortable, beneficial level of exercise intensity. Mild musculoskeletal discomfort corresponds to an appropriate target range for most individuals.