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During a home visit, a nurse notes that a person with hypertension lives on the third floor of a subsidized housing project on a busy road with no sidewalks and few street lights. Which of the following would be the best recommendation for exercise for the nurse to make to the person?
- A. Do not exercise because you have high blood pressure.
- B. Use the stairs whenever you are entering or leaving the building.
- C. Go for short walks around the block during the daytime only.
- D. Purchase an exercise bike.
Correct Answer: B
Rationale: Using the stairs is a safe and inexpensive exercise that can help lower blood pressure.
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A 63-year-old woman complains of insomnia. Which response is appropriate?
- A. "Do you want a sleeping pill?"
- B. "Make sure that you do not nap during the day even if you are tired."
- C. "Do you feel excessively tired during the day?"
- D. "The nurse practitioner may want to run some simple tests to find out why you are having trouble sleeping."
Correct Answer: C
Rationale: The nurse should assess the quality of sleep and how it affects daily activities before suggesting interventions.
A nurse is conducting a screening for metabolic syndrome. What response should be made?
- A. Anyone who has low blood sugar, high cholesterol, and high blood pressure has this syndrome.
- B. This syndrome helps predict heart disease. Once diagnosed, medication can be prescribed.
- C. This syndrome is a warning sign that the person could develop heart disease. Lifestyle changes are recommended.
- D. Anyone with high cholesterol, blood pressure, and blood sugar has coronary artery disease.
Correct Answer: C
Rationale: Metabolic syndrome is a risk factor for heart disease and lifestyle changes are the first recommended approach.
A nurse is using a health education component when teaching about smoking cessation. Which of the following actions is the nurse implementing?
- A. Setting a quit date for people in a smoking cessation class
- B. Providing education regarding the benefits of smoking cessation
- C. Allowing smokers to participate in a smoking cessation program only if they use the patch nicotine replacement system
- D. Encouraging attendees of a smoking cessation program to participate in a research study
Correct Answer: B
Rationale: The nurse is educating individuals about the benefits of smoking cessation, allowing them to make informed decisions.
A woman tells the nurse that she is very nervous about their meeting today. Which of the following relationship stages are the nurse and woman most likely experiencing?
- A. Orientation phase
- B. Working phase
- C. Therapeutic phase
- D. Termination phase
Correct Answer: A
Rationale: The orientation phase involves initial anxiety because neither party knows what to expect.
A nurse makes a home visit to a 15-month-old following a hospitalization for a fall. Which finding would be concerning to the nurse?
- A. Radiator heating system in the home
- B. The child drinking from a cup
- C. The child experiencing a temper tantrum
- D. A decorative bowl filled with colorful marbles on the coffee table
Correct Answer: D
Rationale: A bowl of colorful marbles poses a choking hazard, as small objects are a risk for aspiration and foreign body obstruction in toddlers.