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The mother of a 2-year-old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information?
- A. Give the mother information about local support groups
- B. Provide the mother the name of a prominent local attorney
- C. Do not offer any advice unless the mother asks
- D. Help the mother find a job
Correct Answer: A
Rationale: The nurse should offer information about support groups to help the mother cope with her current stressors and reduce the risk of child abuse.
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A 30-year-old woman with a BMI of 36 is being counseled on weight reduction. In what order should interventions be discussed?
- A. 4, 3, 2, 1
- B. 4, 2, 3, 1
- C. 3, 4, 2, 1
- D. 3, 2, 1, 4
Correct Answer: A
Rationale: The nurse should start with a full assessment (lipid profile and blood pressure), followed by education on diet and exercise, then medication, and finally surgery if needed.
During a prenatal visit, pregnant parents ask the nurse what they can do to prepare their 4-year-old child for the birth of the new baby. Which of the following actions would be most appropriate for the nurse to suggest?
- A. Discourage any negative comments the child makes about the baby or the pregnancy.
- B. Do not make any plans regarding the baby in front of the 4-year-old child.
- C. Provide him with very detailed information about the pregnancy and the birth.
- D. Ask the 4-year-old boy to help decorate the new baby’s room.
Correct Answer: D
Rationale: Involving the child in preparations for the new baby helps them adjust to the changes and feel included
A mainstay of therapy for the management of chronic diseases is:
- A. Lifestyle changes
- B. Occupational and physical therapy
- C. Medications
- D. Surgery
Correct Answer: A
Rationale: Lifestyle changes, including diet and exercise, are crucial in managing chronic diseases effectively.
Which factor has the greatest implication for a community nurse when developing a health promotion program for church members?
- A. The majority of members live within a 3-mile radius.
- B. The majority of members are African American.
- C. The majority of members are high school graduates.
- D. The majority of members are employed.
Correct Answer: B
Rationale: Demographic data, such as the race of the population, provides significant insight into health risks and necessary interventions, especially for health disparities.
Osteoporosis risk: Who is at risk?
- A. A 55-year-old man on a low dose of prednisone daily
- B. A 40-year-old woman who works as a secretary
- C. A 60-year-old woman who walks three miles a day
- D. A 50-year-old man who works as a mason
Correct Answer: A
Rationale: Long-term prednisone use increases osteoporosis risk, especially in men.