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During an office visit, a nurse provides counseling to a 70-year-old woman with osteoporosis who is otherwise very healthy. Which of the following information should the nurse provide to the woman?
- A. Avoid all forms of exercise because of the risk of fractures.
- B. Walk with a partner at least 30 minutes a day 5 days a week.
- C. Use a wheelchair to get around so that she can prevent falls.
- D. Take a step aerobics class 5 days a week.
Correct Answer: B
Rationale: Walking with a partner is a safe, weight-bearing activity that can help improve bone density and prevent falls.
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The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam?
- A. Let the child listen to the nurse’s heart with the stethoscope.
- B. Tell him to sit quietly while the nurse examines him.
- C. Ask his parents to leave the room to minimize distractions.
- D. Ask another nurse to hold him while the nurse examines him.
Correct Answer: A
Rationale: Allowing the child to use the stethoscope helps engage them and makes the experience more comfortable.
A nurse working with a Hispanic family is explaining the plan for managing a child’s asthma to the child’s mother, father, and grandmother. To whom should the nurse direct the education?
- A. Mother
- B. Father
- C. Grandmother
- D. Parents and grandmother
Correct Answer: D
Rationale: In Hispanic cultures, all adults, including elders, may play a role in decision-making, so education should be directed to all.
Which cultural group defines illness as a price that is being paid for the past or the future?
- A. African
- B. Native American
- C. Arabian
- D. Asian
Correct Answer: B
Rationale: American Indians define illness as a price for actions in the past or the future, reflecting their spiritual beliefs.
A family has recently become homeless. Which of the following factors most likely contributed to this situation?
- A. Being from an ethnic minority background
- B. Declining rates of poverty
- C. Having multiple chronic illnesses
- D. Being unable to find affordable housing
Correct Answer: D
Rationale: The inability to find affordable housing, along with other factors like poverty and job loss, contributes to homelessness.
An occupational health nurse is trying to promote regular activity at her institution. Which of the following interventions would most likely be the most successful?
- A. Educate all employees regarding the benefits of exercise.
- B. Initiate a lunchtime walking group that employees can join.
- C. Provide all employees with an exercise prescription.
- D. Recommend that employees who do not exercise be terminated from their positions.
Correct Answer: B
Rationale: Lunchtime walking groups are effective as they are convenient, social, and easy to access, promoting physical activity.