Nokea
Self-care in long-term care: What should the nurse encourage?
- A. "Encourage participation in activities like Scrabble™ and bingo."
- B. "Dress residents before breakfast."
- C. "Fill in missing words during conversation to avoid embarrassment."
- D. "Get residents ready for breakfast as quickly as possible."
Correct Answer: A
Rationale: Encouraging self-care and participation in activities helps maintain cognitive function and independence.
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A nurse is developing an educational program about SIDS for a new mothers’ support group in the community. Which of the following information would be included in this presentation?
- A. Parents are encouraged to place their infants in the supine sleeping position.
- B. SIDS is the leading cause of death among infants age 6 months to 1 year old.
- C. SIDS is associated with infants who have had difficulty sleeping at night.
- D. Parents are encouraged to limit the amount of “tummy time” of their infant.
Correct Answer: A
Rationale: The "Back to Sleep" campaign recommends placing infants in the supine sleeping position to reduce SIDS risks.
At 1 minute of age, an infant has a heart rate of 95, a strong cry, some flexion of extremities, a cry reflex, and is completely pink. Which of the following is a correct assessment of the infant’s Apgar score?
- A. 4
- B. 6
- C. 8
- D. 10
Correct Answer: C
Rationale: The Apgar score is calculated by adding the scores for heart rate, cry, reflex, extremity movement, and color: 1 + 2 + 1 + 2 + 2 = 8.
Which of the following is the third leading cause of death in adolescents between 10 and 24 years of age?
- A. Accidents
- B. Suicide
- C. Cancer
- D. Sport injuries
Correct Answer: B
Rationale: Suicide is the third leading cause of death in adolescents.
A nurse working with a Hispanic family is explaining the plan for managing a child’s asthma to the child’s mother, father, and grandmother. To whom should the nurse direct the education?
- A. Mother
- B. Father
- C. Grandmother
- D. Parents and grandmother
Correct Answer: D
Rationale: In Hispanic culture, both the parents and elders may have influence in decision-making, so the nurse should educate all relevant family members.
Which of the following behaviors by a preschooler indicates use of an effective coping mechanism?
- A. The preschooler walks away from the situation
- B. The preschooler blames a friend for causing the problem
- C. The preschooler states what he is upset about
- D. The preschooler has a temper tantrum
Correct Answer: C
Rationale: Effective coping in preschoolers involves stating their emotions and taking responsibility for them.