Nokea
Interpersonal Violence
- A. A 16-year-old female who hides in her apartment due to civil unrest in the country
- B. A 32-year-old male whose co-worker sends him insulting e-mails at work
- C. A 19-year-old male who has attempted suicide
- D. A 78-year-old female living in a nursing home who is force-fed by aides
Correct Answer: D
Rationale: Interpersonal violence involves harm from others, including emotional abuse (insulting e-mails) and physical abuse (force-feeding).
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A mother comes to the pediatric clinic and says to the nurse, “I am worried about my 11-month-old baby because he is not crawling yet and his brother crawled when he was 11 months old. Is something wrong?” Which of the following statements should the nurse make?
- A. “It is highly unusual for siblings not to reach developmental milestones at the same time. I’ll ask the doctor to assess him.”
- B. “All babies reach developmental milestones at different rates.”
- C. “This may be something to worry about. I’ll have the doctor examine him.”
- D. “Don’t worry; he’ll crawl soon enough.”
Correct Answer: B
Rationale: Each child develops at their own pace, even though milestones follow a general pattern.
The nurse suspects a 5-year-old child has asthma. Which information from the child’s past medical history is a risk factor?
- A. The child was breast-fed.
- B. The child had respiratory infections as an infant.
- C. The child was born via a C-section.
- D. The child had pressure equalizer tubes as an infant.
Correct Answer: B
Rationale: Respiratory infections as an infant, such as RSV, are a known risk factor for asthma.
A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?
- A. 6 pound increase
- B. 11 pound increase
- C. 14 pound increase
- D. 20 pound increase
Correct Answer: A
Rationale: At 20 weeks, a woman should have gained at least 10 pounds to avoid risks for intrauterine growth restriction.
A nurse is using the technique of mapping while implementing the nursing process in the community setting. The nurse is engaging in which aspect of the nursing process?
- A. Collection
- B. Planning
- C. Analysis
- D. Implementation
Correct Answer: C
Rationale: Mapping is an organizational technique used in data analysis to categorize and identify patterns.
A nurse is counseling a 19-year-old person who has recently been diagnosed with Type 1 diabetes mellitus. The person asks if there is anything specific that should be done before going to play tennis with a friend. Which of the following instructions should the nurse give the person to avoid hypoglycemia?
- A. Inject the insulin into the abdomen.
- B. Inject the insulin into the arm.
- C. Inject the insulin into the thigh.
- D. Skip taking any insulin before exercising.
Correct Answer: A
Rationale: Insulin should be injected into the abdomen as it slows down absorption during activity, helping to maintain stable blood glucose levels during exercise.