Nokea
The middle school nurse is planning a behavior modification program for overweight children. What is the most important goal for participants of the program?
- A. Learn how to cook low-fat meals.
- B. Improve relationships with peers.
- C. Identify and eliminate inappropriate eating habits.
- D. Achieve normal weight during the program.
Correct Answer: C
Rationale: Identifying and eliminating inappropriate eating habits is the core of behavior modification, addressing root causes of obesity. Cooking skills are secondary, peer relationships are not the focus, and normal weight is a long-term goal.
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Parents phone the nurse and say that their child just knocked out a permanent tooth. What should the nurses instructions to the parents include?
- A. Place the tooth in a dry container for transport.
- B. Hold the tooth by the crown and not by the root area.
- C. Transport the child and tooth to a dentist within 18 hours.
- D. Take the child to hospital emergency department if his or her mouth is bleeding.
Correct Answer: B
Rationale: Holding the tooth by the crown prevents damage to the root, which is critical for reimplantation. The tooth should be kept moist in milk or saline, seen by a dentist immediately, and bleeding is expected but not the primary reason for emergency care.
The nurse has determined that an adolescents body mass index (BMI) is in the 90th percentile. What information should the nurse convey to the adolescent?
- A. The adolescent is overweight.
- B. The adolescent has maintained weight within the normal range.
- C. The adolescent is at risk for becoming overweight.
- D. Nutritional supplementation should occur at least three times per week
Correct Answer: C
Rationale: A BMI in the 85th-94th percentile indicates a risk for becoming overweight, requiring monitoring and lifestyle changes. A BMI ?95th percentile denotes overweight, and supplementation is not indicated.
During a well-child visit, the nurse plots the childs BMI on the health record. What is the purpose of the BMI?
- A. To determine medication dosages
- B. To predict adult height and weight
- C. To identify coping strategies used by the child
- D. To provide a consistent measure of obesity
Correct Answer: D
Rationale: BMI provides a standardized measure to assess obesity by comparing body weight to height, guiding interventions. It?s not used for medication dosages, height prediction, or coping strategies.
An adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and does not want to be pregnant. What should the nurse explain?
- A. It is too late to prevent an unwanted pregnancy.
- B. An abortion may be the best option if she is pregnant.
- C. The risk of pregnancy is minimal, so no action is necessary.
- D. Postcoital contraception is available to prevent implantation and therefore pregnancy.
Correct Answer: D
Rationale: Emergency contraception like Plan B, if taken within 72 hours, can prevent pregnancy by inhibiting implantation. It?s not too late, abortion isn?t immediately necessary, and pregnancy risk varies but warrants action.
What behavior is the nurse most likely to assess in an adolescent with anorexia nervosa (AN)?
- A. Eats in secrecy
- B. Uses food as a coping mechanism
- C. Has a marked preoccupation with food
- D. Lacks awareness of how eating affects weight loss
Correct Answer: C
Rationale: Individuals with AN are preoccupied with food, often preparing it for others or hoarding it while eating minimally. Secret eating and using food as a coping mechanism are typical of bulimia nervosa, and those with AN are aware of calorie intake?s impact.