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During a home visit, a nurse assists an individual to complete an application for disability services. The nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: A
Rationale: Advocacy helps individuals access services they are entitled to, assisting them in navigating the healthcare system.
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A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed?
- A. Assessment
- B. Implementation
- C. Planning
- D. Evaluation
Correct Answer: D
Rationale: Weighing the person to assess progress toward goals is part of the evaluation phase of nursing care.
A nurse assesses that the task of development of affection for and from others has been met or is in the process of being met by an infant. Which of the following observations has the nurse made?
- A. The infant smiles at mirror images.
- B. The infant makes cooing noises.
- C. The infant begins to smile socially.
- D. The infant likes to be picked up.
Correct Answer: D
Rationale: Infants who enjoy being picked up are displaying affection for others, which is an important developmental task.
A health care provider is discussing preventive care with a Hispanic family. Why might they be disinterested?
- A. Lack of folk remedies
- B. Lack of interpreter services
- C. Lack of health insurance
- D. Lack of family support
Correct Answer: C
Rationale: Language barriers and lack of insurance often prevent access to health care.
A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D as well as exercise for this woman. This recommendation is important because by the time the client is 56, she will have experienced another bone loss of:
- A. 3%
- B. 7%
- C. 10%
- D. 15%
Correct Answer: D
Rationale: Postmenopausal women experience rapid bone loss, especially during the first 5 years, with losses of 15% or more.
A nurse is planning a home visit for a family. Which of the following actions would be most appropriate for the nurse to take?
- A. Study information regarding the family from agency records and other sources.
- B. Make a contract with the family that states specific goals and objectives.
- C. Identify how the home visit will be financed.
- D. Understand the situation from the family’s perspective.
Correct Answer: A
Rationale: Studying the family’s information helps the nurse prepare for the visit, ensuring that the interventions are relevant to the family’s specific needs.