Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. Which of the following recommendations should the nurse give to the parents?
- A. Talk to their daughter at length regarding the dangers associated with drinking.
- B. Tell their daughter she will not be allowed to use her cell phone if this continues.
- C. Enroll their daughter in a peer support group focused on teenage drinking.
- D. Provide their daughter with literature regarding the dangers of drinking.
Correct Answer: C
Rationale: Peer support groups are more effective than parental advice alone for influencing teenage behavior.
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Which scenario indicates a potentially dysfunctional pattern?
- A. Adult with frequent urination
- B. Woman who lost her job
- C. Elderly person with blurred vision
- D. Overweight adult with a sweet tooth
Correct Answer: B
Rationale: The stress of losing a job could lead to ineffective coping, representing a potentially dysfunctional pattern that needs intervention.
Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis?
- A. A 66-year-old White woman
- B. A 66-year-old African American woman
- C. A 66-year-old White man
- D. A 66-year-old African American man
Correct Answer: A
Rationale: White postmenopausal women are at the greatest risk for osteoporosis and hip fractures
A mother tells the nurse her 3-year-old child has not been himself lately. The nurse examines the child. Which of the following physical findings would be cause for concern?
- A. Bruises
- B. Pale skin
- C. Enlarged lymph nodes
- D. Hives
Correct Answer: A
Rationale: Bruises, pale skin, and enlarged lymph nodes could indicate childhood cancer and need further evaluation.
Erikson’s task of autonomy vs. shame and doubt occurs during which stage of development?
- A. Infancy
- B. Early childhood
- C. Late childhood
- D. Early adolescence
Correct Answer: B
Rationale: Erikson's task of autonomy vs. shame and doubt occurs during early childhood as children develop independence.
A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele’s rule, which of the following dates would be the most accurate estimated date of delivery?
- A. September 16
- B. September 22
- C. October 29
- D. October 17
Correct Answer: C
Rationale: Adding 7 days to January 22 (January 29) and subtracting 3 months gives the estimated delivery date of October 29.
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