Nokea
During an office visit, a nurse meets with a woman who states she does not have time to exercise. Which of the following actions should the nurse take next?
- A. Do nothing because she has already made the decision to not exercise.
- B. Provide her with information on the benefits of exercising.
- C. Develop an exercise prescription with her.
- D. Schedule a follow-up in 2 months to see if she still feels the same way.
Correct Answer: B
Rationale: At this stage, providing information about the benefits of exercise helps raise awareness without forcing immediate action.
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A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: A
Rationale: Dysfunction in insulin management reflects problems with health management and personal beliefs about health.
A nurse is assessing a low-income population in a community. Which of the following would be most appropriate for this population?
- A. HIV screening
- B. Blood pressure screening
- C. Colorectal cancer screening
- D. Breast cancer mammography screening
Correct Answer: B
Rationale: Low-income populations are more likely to have hypertension, making blood pressure screening a priority in this group.
Which of the following recommendations should be included in a driver’s education course?
- A. Carpooling with friends
- B. Avoiding talking on cell phones
- C. Driving during daytime hours
- D. Wearing safety belt
Correct Answer: B
Rationale: Avoiding distractions such as cell phones and wearing a safety belt are crucial for reducing accidents.
A woman is going for a 2-hour hike in the Grand Canyon and she asks the nurse how much fluid she should take along with her. Which of the following recommendations should be given by the nurse?
- A. Bring at least 24 ounces of water.
- B. Bring at least 72 ounces of water.
- C. Bring at least 24 ounces of sports drink.
- D. Bring at least 72 ounces of sports drink.
Correct Answer: D
Rationale: If exercise lasts more than 1 hour, a drink with carbohydrates and electrolytes helps delay fatigue and improve performance.
During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman’s concern?
- A. “Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately.”
- B. “Frequent heartburn is caused by high levels of hormones during pregnancy.”
- C. “Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy.”
- D. “Frequent heartburn during pregnancy requires immediate consultation with a gastroenterologist.”
Correct Answer: C
Rationale: Heartburn during pregnancy is due to gastrointestinal changes, including upward displacement of the stomach and relaxation of the gastroesophageal sphincter.