Nokea
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: The nurse needs further subjective data to assess whether 5 hours of sleep is adequate for this individual.
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The school nurse has been asked to order growth charts. Which of the following growth charts should be selected to assess children in first through fifth grades?
- A. Generic body mass index chart
- B. Height and weight chart
- C. Revised CDC growth chart
- D. WHO international growth chart
Correct Answer: C
Rationale: The CDC's 2000 growth charts are recommended for children aged 2 to 20 years, including BMI assessments.
A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating?
- A. Visual acuity
- B. Pupil reactivity
- C. Ability to drive
- D. The red reflex
Correct Answer: C
Rationale: Functional focus involves assessing how visual patterns, such as the ability to drive, impact lifestyle.
Which of the following statements can be identified as a method for clarifying a message?
- A. “I get very upset when you talk to me in that tone.”
- B. “You make me very angry when you drink alcohol.”
- C. “I can make you happy. I know I can.”
- D. “What I want from you is to be left alone!”
Correct Answer: A
Rationale: Using "I" statements helps clarify and qualify the message, making it more direct and less accusatory.
A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse?
- A. Highlight past successes
- B. Discuss the benefits of changing
- C. Develop strategies to prevent relapse
- D. Provide information
Correct Answer: C
Rationale: During the maintenance stage, the nurse should focus on developing strategies to prevent relapse and sustain the positive changes.
A Mexican American woman comes to the office for a visit. She is found to be 30 weeks pregnant. Which of the following conclusions can the nurse draw from this finding?
- A. The woman does not value prenatal care.
- B. Client education may require a different approach because of dissimilar cultural beliefs.
- C. This culture does not believe in traditional medicine.
- D. Signs of pregnancy were not recognized by the woman.
Correct Answer: B
Rationale: Cultural groups may have unique beliefs about prenatal care, and this woman’s delay in seeking care might indicate the need for a culturally sensitive approach to education.