Nokea
During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?
- A. Encourage the addition of a few more toys to the playpen.
- B. Suggest keeping the infant in the playpen as much as possible to promote safe play.
- C. Encourage providing the infant with supervised time outside of the playpen.
- D. Suggest removing all toys from the playpen.
Correct Answer: C
Rationale: At 9 months, the infant should be encouraged to explore outside the playpen to aid in physical development and motor skills.
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A nurse is working with a family that is experiencing food insecurity. Which of the following statements best describes this family?
- A. Members of this family are susceptible to food-borne illness.
- B. This family’s access to adequate food is limited by lack of money.
- C. This family is unable to purchase fresh fruits and vegetables.
- D. Members of this family are obese.
Correct Answer: B
Rationale: Food insecurity occurs when a family has limited access to adequate food due to financial constraints.
Which statement shows analysis-level cognition according to Bloom’s taxonomy?
- A. "If I eat too much food and do not exercise, I will gain weight."
- B. "Fat is more calorie-dense than protein. If I eat calorie-dense foods and do not do moderate exercise at least 5 days a week, I will gain weight."
- C. "I will walk briskly at least a mile a day, 6 days a week, to maintain a healthy weight."
- D. "I can eat more if I exercise more."
Correct Answer: B
Rationale: The statement demonstrates an understanding of the relationship between diet, exercise, and weight.
The nurse is caring for a person who is obese, sedentary, and has recently been diagnosed with Type 2 diabetes mellitus. Which of the following goals for the person is correctly stated?
- A. The person will exercise more often.
- B. The person will consume 900 calories a day.
- C. The person will walk one-quarter mile a day, 5 days a week.
- D. The person will eliminate all refined sugar and processed foods from her diet.
Correct Answer: C
Rationale: Goals must be realistic, specific, and measurable. Exercising “more often” is too broad a statement.
Which model of health is most likely used by a person who does not believe in preventive health care?
- A. Clinical model
- B. Role performance model
- C. Adaptive model
- D. Eudaimonistic model
Correct Answer: A
Rationale: The clinical model views the absence of disease as health, and people using this model typically wait until they are very ill to seek care.
A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: A
Rationale: Failure to take insulin regularly indicates issues with health management and understanding the need for treatment.