Nokea
An example of a Hispanic American nurse promoting cultural competency is:
- A. Providing translation services for all Hispanic Americans
- B. Focusing on episodic care of illnesses with Hispanic Americans
- C. Taking a class about the Hispanic American culture
- D. Providing care for all Hispanic American persons in her clinic
Correct Answer: C
Rationale: Cultural competency involves understanding and respecting diverse cultures, and taking a class about the culture broadens the nurse’s educational base.
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A teenager has been using laxatives for constipation but shows signs of erosion of tooth enamel. Which disorder is the client most likely experiencing?
- A. Bulimia nervosa
- B. Binge eating disorder
- C. Idiopathic constipation
- D. Irritable bowel syndrome
Correct Answer: A
Rationale: Bulimia nervosa involves binge eating and purging, leading to tooth enamel erosion.
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.
A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?
- A. 6 pound increase
- B. 11 pound increase
- C. 14 pound increase
- D. 20 pound increase
Correct Answer: A
Rationale: At 20 weeks, a woman should have gained at least 10 pounds to avoid risks for intrauterine growth restriction.
A school nurse is planning to assess the visual acuity of the preschool students at the school. Which of the following tests would be used?
- A. Snellen Screening test
- B. Denver Eye Screening test
- C. Ishihara’s test
- D. Cover test
Correct Answer: A
Rationale: The Snellen Screening test is commonly used to assess visual acuity in children.
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.