Nokea
The mother of a 16-month-old infant asks a nurse her opinion about holiday decorating. Which of the following recommendations should the nurse provide to the mother?
- A. Avoid hanging a wreath with holly and berries on the front door.
- B. Avoid hanging decorative pictures of a bearded Santa Claus on the window.
- C. Avoid placing poinsettia plants around the home.
- D. Avoid hanging stockings on the fireplace mantle.
Correct Answer: C
Rationale: Poinsettia plants can be toxic if ingested, so they should be kept out of reach of toddlers.
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Which scenario represents a dysfunctional pattern?
- A. Sexually active teenager who does not use condoms
- B. Salesman who sleeps only 5 hours a night
- C. Single mother of three children
- D. Woman with a small extended family
Correct Answer: A
Rationale: The sexually active teenager who does not use condoms has a sexual behavior that indicates a dysfunction in the sexuality-reproductive pattern, which places her at risk for sexually transmitted diseases and pregnancy.
A school nurse is using height and weight measurements to calculate the BMI of the students. How will the nurse use these data?
- A. BMI can be correlated to a specific percentage of body fat.
- B. BMI can be used to determine if a child is obese or underweight.
- C. BMI can be used to determine if a child will develop Type 2 diabetes.
- D. BMI can be compared with others of the same ethnic background.
Correct Answer: B
Rationale: BMI is a helpful indicator of obesity and being underweight, but it is not diagnostic.
A state of physical, mental, spiritual, and social functioning that realizes a person’s potential and is experienced within a developmental context is known as:
- A. Growth and development
- B. Health
- C. Functioning
- D. High-level wellness
Correct Answer: B
Rationale: Health is defined as the state of well-being that incorporates physical, mental, spiritual, and social aspects, and is experienced within a developmental context.
A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating?
- A. Visual acuity
- B. Pupil reactivity
- C. Ability to drive
- D. The red reflex
Correct Answer: C
Rationale: Functional focus involves assessing how visual patterns, such as the ability to drive, impact lifestyle.
A home health nurse is admitting a 54-year-old man for services following a coronary artery bypass graft (CABG). What is the purpose of this nursing action?
- A. Allows for inclusion of family members in decision-making
- B. Allows for health promotion and disease prevention appraisal
- C. Allows for development of patient-centered care
- D. Allows for data collection necessary for comparison to Healthy People 2020
Correct Answer: B
Rationale: Family assessments enable health promotion, disease prevention, and include family in decision-making.