The nurse is caring for a family who has 2-year-old twins. Which of the following health promotion advice would be included in the nurse’s plan of care for this couple?
- A. Wear bicycle helmets for safety.
- B. Use caution around the family swimming pool.
- C. Cross the street at using the crosswalks.
- D. Advocate for the day care to provide adequate socialization.
Correct Answer: B
Rationale: Two-year-olds are at high risk of wandering into dangerous situations, such as a swimming pool.
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Within a community there is an elevated high-school dropout rate and its high school students are experiencing a decreased sense of self-worth. Based on this data, the community is at highest risk to experience an alteration in which of the following functional health patterns?
- A. Self-perception–self-concept pattern
- B. Role-relationships pattern
- C. Cognitive-perceptual pattern
- D. Sexuality-reproduction pattern
Correct Answer: A
Rationale: Decreased self-worth in students correlates with issues in the self-perception–self-concept pattern, impacting the community's overall well-being.
Which scenario represents a dysfunctional pattern?
- A. Sexually active teenager who does not use condoms
- B. Salesman who sleeps only 5 hours a night
- C. Single mother of three children
- D. Woman with a small extended family
Correct Answer: A
Rationale: The sexually active teenager who does not use condoms has a sexual behavior that indicates a dysfunction in the sexuality-reproductive pattern, which places her at risk for sexually transmitted diseases and pregnancy.
A nurse is interviewing members of a substance abuse unit at a local Veterans Administration (VA) hospital. Which of the following parts of a community is the nurse assessing?
- A. Structure of a community
- B. Subsystem of a community
- C. Supra system of a community
- D. Interaction of a community
Correct Answer: B
Rationale: The substance abuse unit is a subsystem within the larger community (the VA hospital and its network).
A home health nurse is admitting a 54-year-old man for services following a coronary artery bypass graft (CABG). What is the purpose of this nursing action?
- A. Allows for inclusion of family members in decision-making
- B. Allows for health promotion and disease prevention appraisal
- C. Allows for development of patient-centered care
- D. Allows for data collection necessary for comparison to Healthy People 2020
Correct Answer: B
Rationale: Family assessments enable health promotion, disease prevention, and include family in decision-making.
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.