The nurse has determined that a person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take?
- A. Weigh the person
- B. Set a goal weight with the person
- C. Ask the person what her favorite foods are
- D. Develop a plan for weight loss
Correct Answer: B
Rationale: Before developing a plan for weight loss, the nurse should work with the person to set a goal weight, ensuring the plan is personalized and effective.
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A nurse is reviewing the chart of a preschool child who has been diagnosed with Asperger’s syndrome. Which of the following findings is the nurse most likely to discover?
- A. Eating finger foods at 10 months old
- B. Absent crawling at 10 months old
- C. Separation anxiety at 10 months old
- D. Saying “ma-ma” at 10 months old
Correct Answer: B
Rationale: Children with Asperger’s syndrome may show early signs of developmental delays such as absent or brief crawling phases.
Which of the following interventions are appropriate relative to preconceptual assessment for childbearing?
- A. Encouraging moderate-fat diet
- B. Referral to genetic counseling
- C. Counseling to avoid “hard” liquor
- D. Substituting a nutritional supplement for a meal
Correct Answer: B
Rationale: Genetic counseling is essential for addressing risks related to family history and genetic disorders before conception.
A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: A
Rationale: Dysfunction in insulin management reflects problems with health management and personal beliefs about health.
Which of the following is a health plan consisting of hospitals and physician providers providing health care services to plan members (usually at discounted rates) in return for expedited claims payment?
- A. Health maintenance organization (HMO)
- B. Health savings account (HSA)
- C. Preferred provider organization (PPO)
- D. Independent practice association (IPA)
Correct Answer: C
Rationale: PPOs consist of providers who offer discounted rates in exchange for faster claim payments.
Which of the following infants is most at risk to experience child abuse?
- A. Father has experienced paternal engrossment
- B. Responds to parental touch
- C. Parents have low self-esteem
- D. Has been adopted
Correct Answer: C
Rationale: Low self-esteem in parents can lead to frustration, anger, and disturbed relationships, increasing the risk of child abuse.