Nokea
Cognition in older adults: What is true?
- A. "Mild dementia is normal with aging."
- B. "All forms of dementia have the same symptoms."
- C. "Assessment for dementia should be part of routine exams."
- D. "Elders scoring below 27 on the MMSE are unlikely to have cognitive problems."
Correct Answer: C
Rationale: Regular cognitive assessments help detect changes in function; dementia is not normal with aging.
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A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing?
- A. Risk-factor
- B. Structural-functional
- C. Open systems
- D. Developmental
Correct Answer: D
Rationale: This is the developmental perspective, where the nurse assesses the family’s ability to adapt during life cycle transitions, like a child leaving for college.
Which of the following demonstrates a nurse taking action to promote health and prevent disease?
- A. Making a home visit to a person who is recovering from a heart attack
- B. Administering medications to a cardiac client in the hospital
- C. Providing cardiopulmonary resuscitation during a heart attack
- D. Educating a person about the advantages of a heart-healthy diet during a home visit
Correct Answer: D
Rationale: Educating about a heart-healthy diet influences lifestyle choices and is primary prevention, which is the key to health promotion and disease prevention.
A nurse is asked to provide an expert opinion about the development of an education program for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: C
Rationale: A consultant offers expert advice on a specific area, such as designing an educational program for diabetics.
A delivery room nurse senses disappointment when a mother is told she just delivered a baby girl. Which of the following would be the most therapeutic response by the nurse?
- A. “Yes, you just delivered a healthy, beautiful baby girl.”
- B. “This is your first baby. You can always try again for a boy.”
- C. “Don’t worry, many parents often feel the same way you do.”
- D. “You are tired. I think you should get some rest.”
Correct Answer: A
Rationale: The nurse should acknowledge the mother’s feelings and provide positive reinforcement, emphasizing the health of the baby.
A home health nurse is admitting a 54-year-old man for services following a coronary artery bypass graft (CABG). What is the purpose of this nursing action?
- A. Allows for inclusion of family members in decision-making
- B. Allows for health promotion and disease prevention appraisal
- C. Allows for development of patient-centered care
- D. Allows for data collection necessary for comparison to Healthy People 2020
Correct Answer: B
Rationale: Family assessments enable health promotion, disease prevention, and include family in decision-making.