Older adult sleep disturbances: What should the nurse ask?
- A. "Older adults need as much sleep as younger adults."
- B. "I’ll ask the nurse practitioner to prescribe a sleeping pill."
- C. "Taking naps during the day can help relieve fatigue."
- D. "Let’s talk about your sleep schedule and potential barriers."
Correct Answer: D
Rationale: Sleep patterns should be assessed to understand underlying issues, and medication should not be the first solution.
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An 18-year-old woman asks the nurse not to tell her mother about her STD diagnosis. Which action should the nurse take?
- A. Follow the principle of veracity and tell the mother the diagnosis.
- B. Respect the principle of confidentiality and support the client’s request.
- C. Tell the mother the client has a UTI.
- D. Ignore the mother’s request for information.
Correct Answer: B
Rationale: Confidentiality ensures the client’s privacy, and the client must authorize disclosure to others.
Which of the following was the fastest-growing minority group in the United States between 2000 and 2010?
- A. Asian American
- B. Arab American
- C. Hispanic American
- D. Native American
Correct Answer: C
Rationale: The Hispanic American population saw a 43% increase between 2000 and 2010, making it the fastest-growing minority group.
Which factor has the greatest implication for a community nurse when developing a health promotion program for church members?
- A. The majority of members live within a 3-mile radius.
- B. The majority of members are African American.
- C. The majority of members are high school graduates.
- D. The majority of members are employed.
Correct Answer: B
Rationale: Demographic data, such as the race of the population, provides significant insight into health risks and necessary interventions, especially for health disparities.
A nurse is caring for a person who has a diagnosis of “Sleep disturbance related to stress as evidenced by excessive daytime fatigue.” Which of the following nursing interventions would most likely assist this person?
- A. Encourage daytime naps.
- B. Encourage exercise one hour before bedtime.
- C. Encourage a cool shower before bedtime.
- D. Encourage a consistent sleep-wake schedule.
Correct Answer: D
Rationale: Following a consistent sleep-wake cycle seven days a week will help establish a sleep pattern.
A nurse is discussing resistance training with a 24-year-old woman. The woman is resistant to weight lifting because she does not want to get too muscular. She prefers a program that is strictly aerobic. Which of the following would be the most appropriate response from the nurse?
- A. “Ok, just make sure you perform one hour of aerobics every day.”
- B. “Lifting weights is a necessary part of exercise.”
- C. “Weight lifting has many purposes and benefits; can we talk about them?”
- D. “Looking muscular at your age is attractive.”
Correct Answer: C
Rationale: Weight training helps develop healthy muscles and stimulates bone health. The nurse should offer the opportunity to discuss the benefits and address concerns.
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