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In response to the growing elderly population, community health nurses should do which of the following?
- A. Work with the state and local departments of health to increase nursing home beds.
- B. Work with local health departments to increase recreational activities for the elderly
- C. Work with the board of education to emphasize the importance of physical activity for children
- D. Work with local nursing schools to emphasize the importance of geriatric training
Correct Answer: B
Rationale: Local health departments should focus on increasing recreational activities to improve the health of the elderly.
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A nurse would like to improve his cultural competence. Which of the following is the best strategy to use?
- A. Explore complementary and alternative medicine practices used by other cultures.
- B. Discuss cultural differences with coworkers.
- C. Provide care to diverse populations.
- D. Participate in continuing education programs about cultural diversity.
Correct Answer: D
Rationale: Continuing education about cultural diversity is the best strategy for increasing cultural competence as it provides the necessary knowledge to provide effective care.
A nurse and her client are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective client-centered communication, the nurse should:
- A. ask the person what he is thinking, so they can understand each other.
- B. restate what the person said before silence ensued, to get clarification.
- C. change the subject to one that is more pleasant for the person to discuss.
- D. wait quietly to give the person time to reflect where he wants to lead the conversation.
Correct Answer: D
Rationale: Silence allows the person to reflect on what is being discussed or experienced and lets the nurse know that they are ready to continue when the client is ready.
A school nurse is discussing the income eligibility requirements for free and reduced-price school meals with a family. Which of the following statements would the nurse most likely make?
- A. “If the employed member of your family earns less than $50,000 per year, your child will qualify for reduced-price meals.”
- B. “If your family’s income is less than 185% above the federal poverty level, your child will qualify for free or reduced-price meals.”
- C. “If you have more than five members living in your household, your child will qualify for reduced-price meals.”
- D. “If your family has an income above the federal poverty level, your child will not qualify for free or reduced-price meals.”
Correct Answer: B
Rationale: Eligibility for free or reduced-price meals depends on income relative to the federal poverty level.
A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care?
- A. Decreased sense of hearing
- B. Decreased sense of smell
- C. Decreased sense of taste
- D. Decreased visual acuity
Correct Answer: D
Rationale: Visual acuity is essential for insulin administration and monitoring blood glucose, impacting the nursing plan of care.
Which of the following people are participating in alternative/complementary therapies?
- A. A 15-year-old who listens to rap music to lessen anxiety related to a painful dressing change
- B. A 45-year-old who burns lavender-scented candles while meditating
- C. A 7-year-old who draws as a means of communicating feelings
- D. A 78-year-old who practices yoga to increase balance
Correct Answer: D
Rationale: Yoga is recognized as an effective form of movement therapy, fitting within the category of alternative/complementary therapies.