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A nurse is assessing a toddler during a well-child visit. Which of the following findings warrant further investigation?
- A. Bare spots on the scalp, and broken hair
- B. Overly concerned parents
- C. Burns with sharply demarcated edges
- D. Bruises anywhere on the body
Correct Answer: A
Rationale: Bare spots and broken hair, along with burns with sharply demarcated edges, are warning signs of possible child abuse.
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The ecomap of a client’s family has slashed lines drawn from the son to the family church. Based on this information, what conclusion can the nurse make?
- A. The son is deceased.
- B. The son is actively involved with the family church.
- C. The son has a stressful relationship with the church.
- D. The son has no relationship with the church.
Correct Answer: C
Rationale: Slashed lines on an ecomap signify stressful relationships between the person and the entity (in this case, the church).
A nurse is using the Healthy People 2020 health promotion and disease prevention objectives for preschoolers when planning for health policy development in the community. Which of the following health policies would the nurse support?
- A. Elimination of the school requirement for the MMR vaccine
- B. Regulation of the use of electronic devices used by preschoolers
- C. Regulation of the paint allowed for use with toys
- D. Elimination of WIC programs
Correct Answer: C
Rationale: Regulating the paint used in toys addresses the risk of lead poisoning, a Healthy People 2020 objective.
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.
A nurse is caring for a person with a potential dysfunction in the health-perception–health-management pattern. Which of the following nursing interventions would most likely be performed?
- A. Arranging for home delivery of medication from the pharmacy
- B. Providing education regarding the dangers of smoking
- C. Instituting visiting nurse services for blood pressure checks
- D. Providing direct observed therapy for tuberculosis medications
Correct Answer: B
Rationale: Educating clients about the risks, such as smoking, addresses potential health problems and encourages health management.
A nurse is developing an educational session for adolescents related to avoidance of risky behaviors. Which steps of the teaching-learning process need to be considered?
- A. Development
- B. Implementation
- C. Assessment
- D. Diagnosis
Correct Answer: A
Rationale: The development of a teaching plan must involve assessing the audience, developing appropriate content, and implementing the plan effectively.