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Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person’s function pattern by utilizing which area of focus?
- A. Age-developmental
- B. Functional
- C. Individual-environmental
- D. Pattern
Correct Answer: D
Rationale: The pattern focus looks at behavior sequences over time, such as glucose levels in this case, to assess health.
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A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process?
- A. Assists in predicting all of the possible consequences of future actions
- B. Facilitates gathering of the most important information to solve the problem
- C. Considers the importance of caring when solving the problem
- D. Highlights salient aspects of future actions
Correct Answer: B
Rationale: Ethical reasoning helps clarify issues, uncover hidden interests, and focus on the most relevant data for decision-making.
Which of the following represents a method of primary prevention?
- A. Informational session about healthy lifestyles
- B. Blood pressure screening
- C. Interventional cardiac catheterization
- D. Diagnostic cardiac catheterization
Correct Answer: A
Rationale: Primary prevention aims to prevent disease before it occurs, which is represented by education on healthy lifestyles.
A mother asks her toddler if she is tired. The toddler responds by saying, “Sammy bed.” Based on her expressive language and speech pattern, the nurse determines that this child is likely how old?
- A. 18 months
- B. 24 months
- C. 30 months
- D. 36 months
Correct Answer: B
Rationale: By 24 months, toddlers begin to speak in two- to three-word sentences.
A mother asks a nurse what the best toy would be for her 2-month-old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse?
- A. Colorful mobile with music
- B. Rattle
- C. Stuffed teddy bear
- D. Play telephone
Correct Answer: A
Rationale: A colorful mobile with music is appropriate for a 2-month-old, as it provides visual and auditory stimulation to promote growth.
A nurse is using the Denver Developmental Screening Test (DDST) II to assess a 10-month-old infant. Which of the following purposes does this screening serve?
- A. Screens apparently healthy infants for developmental problems
- B. Allows the infant’s growth patterns to be compared with other infants
- C. Validates intuitive concerns about an infant’s development using an objective test
- D. Monitors high-risk children for developmental problems
Correct Answer: A
Rationale: The DDST II is used for screening developmental issues and validating concerns in high-risk children.