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 nurse is educating new parents about normal growth and development for their child. Which of the following items would the nurse include in this discussion?
- A. Trends in childhood obesity
- B. Availability of a well-balanced diet
- C. Exposure to lead-based paint
- D. Height/weight of relatives
Correct Answer: B
Rationale: A well-balanced diet is essential for healthy growth, while childhood obesity and lead exposure are significant threats to development.
A woman who just found out she is pregnant starts crying. She tells the nurse that over the last 3 days she was not feeling herself, so she took some Tylenol. She states if she knew she was pregnant, she never would have taken the medication. Which of the following actions should be taken by the nurse?
- A. Tell the client that there is a high probability that her baby will have a birth defect.
- B. Tell the client not to worry because research indicates that in recommended doses Tylenol is safe.
- C. Tell the client not to worry because she did not know she was pregnant, but in the future, she should use herbal products instead of over-the-counter medication.
- D. Tell the client that there is a high probability of a stillbirth.
Correct Answer: B
Rationale: Tylenol in recommended doses is generally safe during pregnancy. The nurse should reassure the client.
Which of the following statements about the current prevalence of obesity is accurate?
- A. The current generation of children may be less healthy and have a shorter life expectancy than their parents.
- B. The current incidence of obesity among American adults has stabilized.
- C. The current statistics show that greater than 75% of American adults are either overweight or obese.
- D. The current statistics report that about 50% of American children are either overweight or obese.
Correct Answer: A
Rationale: Obesity is contributing to a shorter life expectancy in children due to increasing rates and poor lifestyle habits.
A nurse is making a final home visit with a family to evaluate the nursing care plan. Which of the following actions would the nurse most likely complete during this visit?
- A. Obtain vital signs from all members of the family.
- B. Ask the family members to state the goals that were previously developed.
- C. Collect data similar to that which was collected at the initial visit for comparison.
- D. Educate about the importance of using role relationships to create a healthy family.
Correct Answer: C
Rationale: During evaluation, the nurse compares data from the initial visit with the current data to assess the effectiveness of the interventions.
Which of the following teenagers is at risk for not meeting his developmental task?
- A. Arrested for petty theft
- B. Decided he wants to major in accounting
- C. Has recently broke up with his girlfriend
- D. Is a member of the varsity basketball team
Correct Answer: A
Rationale: Delinquent behavior, such as petty theft, can interfere with achieving Erikson’s task of establishing identity.