During a health history, a person reports getting 5 hours of sleep a night. What does this information indicate to the nurse?
- A. The person is not receiving enough sleep
- B. The person is receiving adequate sleep
- C. The nurse must determine where the person sleeps
- D. The nurse must ask additional questions
Correct Answer: D
Rationale: Variations in sleep time require further subjective data to assess adequacy and the impact on the person’s health.
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A nurse is educating new parents about normal growth and development for their child. Which of the following items would the nurse include in this discussion?
- A. Trends in childhood obesity
- B. Availability of a well-balanced diet
- C. Exposure to lead-based paint
- D. Height/weight of relatives
Correct Answer: B
Rationale: A well-balanced diet is essential for healthy growth, while childhood obesity and lead exposure are significant threats to development.
A client reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and doesn’t want to move. What action should the nurse take next?
- A. Assess the client’s and family’s coping mechanisms in handling stress.
- B. Encourage the client to act excited about the move.
- C. Talk to the husband to get his perspective on the move.
- D. Tell her that all families must cope with new situations from time to time.
Correct Answer: A
Rationale: The nurse should assess how the family usually copes with stressful situations to help them manage the current stressor effectively.
Considering the provider and client perspective, which of the following is the most autonomous form of insurance?
- A. Fee-for-service plan
- B. Health maintenance organization (HMO)
- C. Preferred provider organization (PPO)
- D. Independent practice association (IPA)
Correct Answer: A
Rationale: A fee-for-service plan allows individuals to choose their provider, offering the most autonomy.
Suicide Risk
- A. 16-year-old girl who broke up with her boyfriend
- B. 26-year-old male laid off from his job
- C. 50-year-old female with a history of alcohol abuse
- D. 40-year-old male whose brother died suddenly
Correct Answer: C
Rationale: Alcohol abuse is a significant risk factor for suicide, particularly in middle-aged adults.
A nurse would like to include holistic nursing care in her nursing practice. Which of the following actions must the nurse take first?
- A. Learn the specific therapy method.
- B. Engage in self-exploration.
- C. Explore the various types of complementary therapies available.
- D. Ask the person which type of therapy he or she prefers.
Correct Answer: B
Rationale: The first step to providing holistic care is an exploration of self.