The mother of a 3-month-old is concerned because her infant usually falls asleep halfway through his bottle. Which of the following would be the most therapeutic response by the nurse?
- A. Ask the mother about the infant’s feeding schedule.
- B. Assure the mother that he is growing fine.
- C. Tell the mother that half a bottle is probably enough for him.
- D. Tell the mother she should start to add solids to his diet.
Correct Answer: A
Rationale: The nurse should first understand the feeding schedule to assess if the infant is getting adequate nutrition before offering advice.
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Adoption of a Canadian-style health care system in the United States has the potential to:
- A. Decrease waiting times for tests and procedures
- B. Create further health disparities
- C. Increase the number of HMOs
- D. Increase the amount of funding available for health care
Correct Answer: B
Rationale: A Canadian-style health care system may exacerbate disparities by creating a two-tier system where private insurance users receive quicker care.
A nurse is told by a colleague that an Asian American individual on home care is using complementary and alternative medicine (CAM). Which of the following conclusions can accurately be drawn from this statement?
- A. The client will have adverse complications from using this form of medicine.
- B. The client may be using meditation, acupuncture, or another therapy.
- C. The client will soon be returning to his or her native country for further treatment.
- D. The client does not agree with the current professional care medication regimen.
Correct Answer: B
Rationale: CAM includes practices like acupuncture and meditation, and individuals may use them alongside professional care to address health concerns.
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.
A nurse who is using Gordon’s functional health patterns is planning to assess its roles-relationships pattern. Which of the following questions would be most appropriate for the nurse to ask?
- A. What is the family’s philosophy of health?
- B. What does the family do to have fun?
- C. How are problems in the family resolved?
- D. Who decides when and how children go to sleep?
Correct Answer: C
Rationale: Asking about how problems are resolved pertains to the roles-relationships pattern, focusing on family dynamics.
A nurse is assessing the cognitive-perceptual pattern of a toddler. Which of the following findings would be cause for concern for the nurse?
- A. Uses the word blanky to mean both that he wants to go to bed and that he is cold
- B. Refuses to eat something he ate and enjoyed the day before
- C. Has visual acuity that is not 20/20
- D. Has a history of recurrent ear infections
Correct Answer: D
Rationale: Recurrent ear infections in toddlers are a concern because they may lead to hearing loss, which can affect speech and language development.