During a home visit to the home of a 3-month-old infant, which environmental finding requires immediate anticipatory guidance?
- A. A pool in the backyard without a gate
- B. The lack of smoke detectors
- C. The lack of childproof latches on drawers and cupboards
- D. Two azalea plants in the living room
Correct Answer: B
Rationale: A lack of smoke detectors poses a significant and immediate risk in case of a fire. It is vital to have them in the home.
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A nurse is educating a group of adults who are attempting smoking cessation. Which intervention would be most effective for the nurse to implement?
- A. Give the group members a handout on the dangers of smoking
- B. Set a quit date with the group and determine which pharmacological method is most suitable for group members
- C. Provide a month’s supply of nicotine replacement to use before the next visit
- D. Have a guest speaker who has been diagnosed with lung cancer speak to the group
Correct Answer: B
Rationale: Setting a quit date and developing an action plan with the group can increase motivation and commitment to quitting.
Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
- A. Erikson
- B. Gordon
- C. Newman
- D. Nightingale
Correct Answer: B
Rationale: Gordon’s framework is foundational for nursing assessments and diagnoses using functional health patterns.
Which of the following people is at greatest risk for injury prevention in a work environment?
- A. Using a pre-set list of topics
- B. Relying on printed materials
- C. Asking for a list of topics
- D. Beginning each session with a 2-mile walk
Correct Answer: C
Rationale: Allowing workers to choose the topics of discussion ensures greater engagement and better safety outcomes.
A nurse is speaking to a women’s group in the community about the importance of completing mammography to screen for breast cancer. At which age should the nurse recommend that mammography begin?
- A. 18
- B. 21
- C. 35
- D. 40
Correct Answer: D
Rationale: Mammography should begin at age 40 and be performed every 1 to 2 years for breast cancer screening.
A 14-year-old female is in for a physical exam. Which finding requires further investigation?
- A. A height spurt since her last visit
- B. Facial acne
- C. The lack of breast buds
- D. Noticeable sweating and body odor with activity
Correct Answer: C
Rationale: Lack of breast buds by age 14 requires further investigation, as puberty should have begun by this age.