Nokea
During the 5-year-old well-child visit, the father tells the nurse that he is unsure if the child is socially ready to attend school. The nurse asks the father to describe some of the social interactions of the child. Which of the following behaviors would indicate that the preschooler is socially ready to attend school?
- A. He gives his brother the ball when he is tired of playing with it.
- B. He never engages in any activity until his mother tells him to.
- C. He plays well with a group of neighborhood children.
- D. He moves from one activity to another.
Correct Answer: C
Rationale: Playing well with other children demonstrates social readiness for school.
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A nurse is caring for a person with a potential dysfunction in the health-perception–health-management pattern. Which of the following nursing interventions would most likely be performed?
- A. Arranging for home delivery of medication from the pharmacy
- B. Providing education regarding the dangers of smoking
- C. Instituting visiting nurse services for blood pressure checks
- D. Providing direct observed therapy for tuberculosis medications
Correct Answer: B
Rationale: Educating clients about the risks, such as smoking, addresses potential health problems and encourages health management.
The nurse is assisting an individual who is interested in music therapy. Which of the following statements made by the person indicates an understanding of this type of therapy?
- A. “I will select the music I listen to carefully. Energetic or rap music is not a good choice.”
- B. “I will need to find someone who has specialized in this type of therapy for best results.”
- C. “Chants, electronic sounds, or ‘designer music’ is generally the best choice.”
- D. “The music I choose may be different than what my spouse prefers.”
Correct Answer: D
Rationale: Music selection is an individual choice. There is no one “best” type of music.
A nurse is working with a local daycare center to develop appropriate outdoor play activities for 5-year-old children at the center. Which of the following activities would the nurse most likely recommend?
- A. Having the children bring their bikes to the center so they can go for bike rides in the neighborhood
- B. Playing hopscotch on the sidewalk in front of the daycare center
- C. Taking the children swimming at the neighborhood pool
- D. Playing on the outdoor preschool equipment while being supervised by daycare personnel
Correct Answer: D
Rationale: Outdoor play should involve activities that are safe and supervised. Preschoolers are not ready for unsupervised outdoor bike rides or swimming.
A nurse complies with the Patient Self-Determination Act when asking:
- A. a person upon admission to the hospital if he or she has an advanced directive
- B. the family in the recovery room if the client has an advanced directive
- C. a person before discharge from the hospital if he or she has an advance directive
- D. the family about an advanced directive after the person has been intubated
Correct Answer: A
Rationale: The Patient Self-Determination Act is designed to increase individual involvement in decisions about life-sustaining treatments. The nurse complies with the act when she asks a person upon admission if they have an advanced directive.
A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a “shot” to keep her baby alive. Which of the following statements would be the best response by the nurse?
- A. “Yes, you will need an injection of RhoGAM at 28 weeks gestation and within 72 hours after birth.”
- B. “Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection.”
- C. “Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies.”
- D. “No, you will not need the injection because you are White. Rh incompatibility affects only Black women.”
Correct Answer: B
Rationale: Since both the mother and father are Rh negative, there is no risk for Rh incompatibility, so RhoGAM is not necessary.