Nokea
Reducing Constipation in Older Adults
- A. Offering pureed foods that are easy to digest
- B. Encouraging fluids between meals
- C. Administering laxatives daily
- D. Assisting with ambulation
Correct Answer: B
Rationale: Encouraging fluids and assisting with ambulation are key strategies for preventing constipation in older adults.
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Which of the following represents a method of tertiary prevention?
- A. Drunk driving campaign
- B. Road blocks for drunk driving
- C. Emergency surgery for head trauma after a motor vehicle accident
- D. Physical and occupational therapy after a motor vehicle accident with head trauma
Correct Answer: D
Rationale: Tertiary prevention aims to reduce the impact of a disease or disability, such as through physical therapy post-injury.
A nurse is working with a local daycare center to develop appropriate outdoor play activities for 5-year-old children at the center. Which of the following activities would the nurse most likely recommend?
- A. Having the children bring their bikes to the center so they can go for bike rides in the neighborhood
- B. Playing hopscotch on the sidewalk in front of the daycare center
- C. Taking the children swimming at the neighborhood pool
- D. Playing on the outdoor preschool equipment while being supervised by daycare personnel
Correct Answer: D
Rationale: Outdoor play should involve activities that are safe and supervised. Preschoolers are not ready for unsupervised outdoor bike rides or swimming.
During the 5-year-old well-child visit, the father tells the nurse that he is unsure if the child is socially ready to attend school. The nurse asks the father to describe some of the social interactions of the child. Which of the following behaviors would indicate that the preschooler is socially ready to attend school?
- A. He gives his brother the ball when he is tired of playing with it.
- B. He never engages in any activity until his mother tells him to.
- C. He plays well with a group of neighborhood children.
- D. He moves from one activity to another.
Correct Answer: C
Rationale: Playing well with other children demonstrates social readiness for school.
A health care professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care?
- A. This ethnic culture tends to be future oriented.
- B. Religion plays an important role in this culture.
- C. Traditional cultural practices are infrequently used during a health crisis.
- D. Members of this culture tend to have smaller families.
Correct Answer: B
Rationale: Religion plays a significant role in Arab American culture, influencing dietary rules, prayers, and health practices.
A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old adolescent in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?
- A. Advocate for Client B because he is the younger of the two and will live longer.
- B. Use feminist moral theory to advocate for Client A in spite of his alcohol use.
- C. Use a guided set of moral principles in decision-making before advocating for either.
- D. Advocate for Client A because he has 15 to 20 years of productive life left.
Correct Answer: C
Rationale: Using moral principles systematically can help resolve ethical dilemmas and guide decision-making.