Nokea
A 19-year-old student is distressed over unprotected sex and potential pregnancy. What should the nurse say?
- A. Let’s talk about your options; you must be 21 to purchase emergency contraception.
- B. Don’t worry; you can buy Plan B without a prescription; it will terminate the pregnancy.
- C. Don’t worry, we are in one of the 40 states that allow Plan B; let’s discuss how to use it.
- D. You have several options; let’s discuss what is best for you.
Correct Answer: D
Rationale: The nurse should provide a range of options and let the teen decide the next steps, including discussing emergency contraception.
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Partnering with school-based clinics and local pediatric dentists so that children can have access to preventive dental care is an example of a(n):
- A. Codependent function
- B. Independent function
- C. Interdependent function
- D. Dependent function
Correct Answer: C
Rationale: This is an interdependent function, as it involves collaboration between multiple entities to improve community health.
A mother asks the nurse when she should start feeding her infant solid foods. Which of the following is the most appropriate response by the nurse?
- A. “It is recommended that solid foods are introduced no earlier than 3 months of age.”
- B. “It is recommended that solid foods are introduced no earlier than 6 months of age.”
- C. “You should wait until your child is 9 months old to start solid foods.”
- D. “You should wait until your child is 1 year old to start solid foods.”
Correct Answer: B
Rationale: The AAP recommends introducing solid foods at 6 months to reduce the risk of food allergies and obesity.
A mother is concerned because her daughter has been taking a nap every day after school. Which statement would be the best response by the nurse?
- A. Don’t worry; all teenagers do that.
- B. Tell me about your daughter’s schedule.
- C. Let’s bring her in for some blood work.
- D. Have you addressed the topic of drugs with your daughter?
Correct Answer: B
Rationale: Further information about the daughter’s schedule is needed to determine if the behavior is normal or a concern.
A nurse is using the Healthy People 2020 health promotion and disease prevention objectives for preschoolers when planning for health policy development in the community. Which of the following health policies would the nurse support?
- A. Elimination of the school requirement for the MMR vaccine
- B. Regulation of the use of electronic devices used by preschoolers
- C. Regulation of the paint allowed for use with toys
- D. Elimination of WIC programs
Correct Answer: C
Rationale: Regulating the paint used in toys addresses the risk of lead poisoning, a Healthy People 2020 objective.
A nurse visits a 3-month-old infant of a single mother for a weight check. She finds two older children running around the home, the infant is crying, the mother yelling at the two children and a half-lit cigarette is in an ashtray. The mother tells the nurse the visit needs to be cut short today because she has to pick up her other children from the bus stop. Which of the following would be the most beneficial intervention this nurse can provide during this visit?
- A. Leave and tell the mother to call her to reschedule the appointment.
- B. Weigh the infant and contact the Department of Children and Families.
- C. Weigh the infant and offer community resources to the mother.
- D. Offer to go pick up the other children at the bus stop.
Correct Answer: C
Rationale: Offering community resources helps provide support to the mother and helps prevent potential abuse while maintaining a positive relationship.