Nokea
The process of dynamic change with adaptation in the system’s parts, and how community systems and subsystems interact is known as:
- A. Structure of a community
- B. Community health promotion
- C. Community diagnosis
- D. Function of a community
Correct Answer: D
Rationale: The function of a community refers to the dynamic processes and interactions between its systems and subsystems.
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The school nurse conducting an in-service program for teachers is asked about general growth and development of school-age children. Which of the following statements would be the best response by the nurse?
- A. “By age 11, blood pressure readings are the same as for an adult.”
- B. “Because of the rapid growth pattern in this age group, snacks are important to ensure sufficient caloric intake.”
- C. “Children in this age group have some difficulty with coordination and balance, so playground supervision is important.”
- D. “Overall growth in school-age children is slower than during infancy and adolescence.”
Correct Answer: D
Rationale: Growth in school-age children slows compared to infancy and adolescence, making this the most accurate response.
After offering a teenager the HPV vaccine, the teenager responds by saying, “I can’t have the vaccine because I have already been sexually active.” Which of the following statements is the best response by the nurse?
- A. You can still benefit from the vaccine, but there is a chance it will not be as effective.
- B. The best way to protect yourself now is to make sure all your future sexual partners have received the vaccine.
- C. You are correct, the vaccine is only indicated for females who have never been sexually active.
- D. It depends on the number of partners you have had. If you have had less than five partners, you are still eligible for the vaccine.
Correct Answer: A
Rationale: The vaccine is most effective if given before sexual activity, but sexually active teens can still benefit, though it may be less effective.
Which of the following actions demonstrates a health care professional providing culturally competent care?
- A. Encouraging the person to take medications as prescribed
- B. Asking the person to describe his folk healing methods
- C. Demonstrating the proper way to administer an insulin injection
- D. Assisting the person with discussing his health problems with the family
Correct Answer: B
Rationale: A culturally competent healthcare professional seeks to understand and incorporate the patient's cultural healing practices.
A 2-month-old infant is in for a well-baby visit. Which of the following immunizations should the nurse administer to the infant?
- A. DTaP-1
- B. MMR
- C. Varicella
- D. Influenza
Correct Answer: A
Rationale: The recommended immunizations for 2-month-olds include DTaP-1, Hib-1, PCV, Polio, and RV.
A postmenopausal woman fears developing osteoporosis like her mother. What is the most appropriate nurse response?
- A. "The American diet is much better now than when your mother was your age."
- B. "You have a strong genetic risk factor. There is not much we can do to stop the process."
- C. "You need about 1000 mg of calcium a day to keep your bones strong."
- D. "Tell me about your diet, how much walking you do each day, and what medications you take."
Correct Answer: D
Rationale: The nurse should assess the patient's diet, physical activity, and medications before providing tailored advice.