The nurse performs a home visit for a new mother and infant. The nurse observes that the infant lacks a regular feeding schedule, has diapers that are not changed promptly, and cries for long periods of time before being consoled. Which of the following problems is the infant most at risk for encountering in the future?
- A. Developing enuresis as a toddler
- B. Having difficulty forming relationships
- C. Becoming a picky eater
- D. Taking longer to toilet train
Correct Answer: B
Rationale: Inadequate attention to an infant’s needs can hinder the development of trust, which may lead to difficulty forming relationships later in life.
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A nurse is counseling someone who has recently been diagnosed with diabetes. The nurse says, “Tell me more about how this diagnosis has affected your daily activities.” Which of the following best describes the type of communication the nurse is using?
- A. Verbal communication
- B. Nonverbal communication
- C. Metacommunication
- D. Functional communication
Correct Answer: A
Rationale: The nurse's use of words to ask for more information from the client is an example of verbal communication.
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: Setting a goal weight is essential before developing an intervention plan for weight loss.
What should the nurse include in a program about STDs for young adults?
- A. STDs are the third most common infection in young adults.
- B. STDs can only be transmitted through sexual intercourse.
- C. STDs usually occur as a single infection.
- D. STDs are the most common reason for health center visits.
Correct Answer: B
Rationale: STDs can be transmitted by all forms of intimate contact, including oral and anal sex.
Urinary incontinence: Which type is associated with environmental barriers?
- A. "Urge incontinence."
- B. "Stress incontinence."
- C. "Functional incontinence."
- D. "Incontinence with high post-void residual."
Correct Answer: C
Rationale: Functional incontinence occurs when environmental barriers prevent access to the toilet.
Which of the following teenagers is at risk for not meeting his developmental task?
- A. Arrested for petty theft
- B. Decided he wants to major in accounting
- C. Has recently broke up with his girlfriend
- D. Is a member of the varsity basketball team
Correct Answer: A
Rationale: Delinquent behavior, such as petty theft, can interfere with achieving Erikson’s task of establishing identity.