Nokea
Individualized lifestyle change: What should the nurse stress first?
- A. "Limiting unprotected exposure to sun."
- B. "Starting a smoking cessation program."
- C. "Exercising at least three times a week."
- D. "Scheduling a complete physical and dental exam."
Correct Answer: D
Rationale: A complete physical and dental exam should be conducted first to assess health status before making lifestyle changes.
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A new mother has decided to breast-feed her infant after having bottle-fed her other two children. Which of the following information about having a breast-fed infant should the nurse discuss with the mother?
- A. Breast-fed infants have darker bowel movements than bottle-fed babies.
- B. Breast-fed infants have smellier bowel movements than bottle-fed babies.
- C. Breast-fed infants have more frequent bowel movements than bottle-fed babies.
- D. Breast-fed infants have harder bowel movements than bottle-fed babies.
Correct Answer: C
Rationale: Breast-fed infants tend to have more frequent, softer stools compared to bottle-fed infants.
The nurse is explaining the concept of growth to a parent. Which of the following statements should be made by the nurse?
- A. “Growth means adding height and weight to your body.”
- B. “We continue to grow in various ways throughout life.”
- C. “How much we grow is based on gender.”
- D. “Growth stops when we are young adults.”
Correct Answer: B
Rationale: Growth continues throughout life, not just during puberty, and involves more than height and weight changes.
Suicide Risk
- A. 16-year-old girl who broke up with her boyfriend
- B. 26-year-old male laid off from his job
- C. 50-year-old female with a history of alcohol abuse
- D. 40-year-old male whose brother died suddenly
Correct Answer: C
Rationale: Alcohol abuse is a significant risk factor for suicide, particularly in middle-aged adults.
A client is experiencing an alteration in the health-perception–health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?
- A. Never sees a physician
- B. Only sees a physician if not feeling well
- C. Sees a physician for screenings only
- D. Sees a physician for follow-up care of a chronic disease
Correct Answer: B
Rationale: Clients with alterations in these patterns may only seek medical help when feeling unwell.
A health care professional is providing education to the parents of an Asian American child who has recently been diagnosed with Type I diabetes. Which of the following actions should be taken by the health care professional?
- A. Provide instructions to the child’s father.
- B. Encourage the parents to bring other siblings into the clinic for screening.
- C. Schedule multiple educational sessions for the child and family.
- D. Watch for nonverbal gestures by the adults to indicate understanding.
Correct Answer: A
Rationale: In Asian American culture, the oldest male family member often assumes the decision-making role.