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Which of the following statements about alcohol intake is correct?
- A. Women have a higher death rate related to alcoholism than men.
- B. A woman who drinks two glasses of wine per day is a moderate drinker.
- C. More women than men are considered problem drinkers.
- D. Women who experience fewer cognitive effects from drinking are less likely to drink heavily.
Correct Answer: A
Rationale: Women are more vulnerable to the harmful effects of alcohol, including a higher death rate from alcoholism compared to men.
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Which addition to a community best demonstrates the concept of the Healthy People 2020 report?
- A. New cardiothoracic intensive care unit at a major hospital
- B. New rehabilitation center
- C. New recreational health center
- D. New children’s hospital
Correct Answer: C
Rationale: Healthy People 2020 promotes health care and wellness, not just illness care, which aligns with the goal of increasing access to recreational health centers.
Which of the following statements about race and culture in the United States is correct?
- A. The United States ranks 22nd in the world for infant mortality rate.
- B. Ethnic minority populations have higher rates of low-birth-weight infants.
- C. Black infants are more likely to have cleft palates than Native American infants.
- D. Whites have more fraternal twin pregnancies than non-Whites.
Correct Answer: B
Rationale: Ethnic minorities, particularly Black populations, face higher rates of low-birth-weight infants.
A mother is concerned because her 13-year-old daughter comes home happy one day and sad the next. Which of the following is the best initial response from the nurse?
- A. The changes during adolescence can be stressful as they struggle to come to terms with who they are. What other types of behaviors has she been displaying?
- B. Changes in affect can be a warning sign for suicide. Has she had any increase in risk-taking behaviors or physical violence?
- C. Is there any history of psychological disorders in your family?
- D. Withdrawal can be a sign of substance abuse. Has she given you any indication she might be using illicit drugs?
Correct Answer: A
Rationale: Mood swings are typical during adolescence, but further investigation is needed if other concerning behaviors are present.
Risk of Osteoporosis
- A. 65-year-old Asian woman who smokes one pack of cigarettes per week
- B. 80-year-old White man who has three glasses of wine per day
- C. 74-year-old White woman on daily oral prednisone for emphysema
- D. 68-year-old Black man who has a sedentary lifestyle
Correct Answer: C
Rationale: Long-term prednisone use significantly increases osteoporosis risk, particularly in older women.
A nurse is counseling a person who has recently started to receive treatment for alcohol abuse. Which factor would most negatively influence the person’s decision to stop abusing alcohol?
- A. He is a Catholic
- B. His wife recently died from breast cancer
- C. Buying alcohol is expensive
- D. He was educated on the dangers of excessive drinking
Correct Answer: B
Rationale: Major life stresses, such as the recent death of a loved one, can negatively influence decisions to stop alcohol abuse.