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An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have?
- A. High deductible health insurance plan (HDHP)
- B. Point-of-service plan (POS)
- C. Health maintenance organization (HMO)
- D. Preferred provider organization (PPO)
Correct Answer: A
Rationale: High deductible health insurance plans have high out-of-pocket costs before insurance coverage kicks in, making routine care expensive.
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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.
Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person’s function pattern by utilizing which area of focus?
- A. Age-developmental
- B. Functional
- C. Individual-environmental
- D. Pattern
Correct Answer: D
Rationale: Pattern recognition helps identify sequences of behavior, allowing the nurse to analyze health data over time.
Which of the following is an example of a screenable population for hypertension?
- A. High school students
- B. Professional hockey players
- C. High-level business executives attending an annual conference
- D. Cardiac rehabilitation clients
Correct Answer: C
Rationale: High-level business executives are at higher risk for hypertension due to stress, making them a screenable population.
The inability of a toddler to put him- or herself in another’s shoes is known as:
- A. Autonomy
- B. Egocentrism
- C. Self-perception
- D. Integrity
Correct Answer: B
Rationale: Egocentrism refers to the inability to understand or consider another person’s perspective, which is common in toddlers.
A nurse would like to improve his cultural competence. Which of the following is the best strategy to use?
- A. Explore complementary and alternative medicine practices used by other cultures.
- B. Discuss cultural differences with coworkers.
- C. Provide care to diverse populations.
- D. Participate in continuing education programs about cultural diversity.
Correct Answer: D
Rationale: Continuing education about cultural diversity is the best strategy for increasing cultural competence as it provides the necessary knowledge to provide effective care.