Nokea
The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7 lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which of the following conclusions would the nurse make about the child’s weight?
- A. The infant is gaining weight faster than anticipated.
- B. The infant is malnourished.
- C. The infant is at the expected weight for his or her age.
- D. The infant is having a growth spurt.
Correct Answer: C
Rationale: A 12-month-old should have doubled their birth weight by this age, which is consistent with normal growth.
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Which individual is at risk for a dysfunction in elimination pattern?
- A. 46-year-old mother of two
- B. 72-year-old white woman
- C. 32-year-old African American man
- D. 15-year-old girl
Correct Answer: B
Rationale: Age-related issues, such as incontinence, put elderly individuals at risk for elimination dysfunction.
Which of the following statements about financing health care in the US is accurate?
- A. Insurance premiums increased minimally
- B. State tax dollars fund 50% of Medicaid
- C. Largest spending is on hospital care
- D. Most workers enroll in PPOs
Correct Answer: C
Rationale: In 2010, a third of health care spending was on hospital care.
A mother tells the nurse her 3-year-old child has not been himself lately. The nurse examines the child. Which of the following physical findings would be cause for concern?
- A. Bruises
- B. Pale skin
- C. Enlarged lymph nodes
- D. Hives
Correct Answer: A
Rationale: Bruises, pale skin, and enlarged lymph nodes could indicate childhood cancer and need further evaluation.
A person with chronic back pain is cared for by her primary care provider as well as receives acupuncture. Which model of health does this person likely favor?
- A. Clinical model
- B. Role performance model
- C. Adaptive model
- D. Eudaimonistic model
Correct Answer: D
Rationale: The eudaimonistic model focuses on the interaction of physical, social, psychological, and spiritual aspects, which aligns with alternative care like acupuncture.
An overweight woman joins a support group to help her lose weight. During her first session, the nurse explains the components of a healthy diet and discusses with the woman how she can eat out and still maintain a healthy diet. She asks the woman what her goal is and emphasizes that she herself is the key to success. What is the nurse promoting through the use of this strategy?
- A. Communication
- B. Values
- C. Advanced planning
- D. Empowerment
Correct Answer: D
Rationale: Empowering the individual by involving her in setting her own goal increases the likelihood of sustained behavior change.