The school nurse is observing the development of gross motor skills of young children at the school and watches a child who is learning how to throw a ball overhand. How old is this child?
- A. 3 years old
- B. 4 years old
- C. 5 years old
- D. 6 years old
Correct Answer: B
Rationale: At age 4, most children have developed the ability to throw a ball overhand.
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A client reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and doesn’t want to move. What action should the nurse take next?
- A. Assess the client’s and family’s coping mechanisms in handling stress.
- B. Encourage the client to act excited about the move.
- C. Talk to the husband to get his perspective on the move.
- D. Tell her that all families must cope with new situations from time to time.
Correct Answer: A
Rationale: The nurse should assess how the family usually copes with stressful situations to help them manage the current stressor effectively.
A nurse believes that it is his responsibility to ensure the safety of the public by administering flu shots to everyone in the community. Which ethical theory is being used by the nurse?
- A. Descriptive value theory
- B. Normative theory
- C. Consequentialism theory
- D. Duty-based theory
Correct Answer: C
Rationale: Consequentialism theory focuses on actions that yield the greatest good or reduce harm, such as administering flu shots for public safety.
A nurse is providing primary prevention education to reduce the risk of lead poisoning to a mother of a toddler. Which of the following recommendations would the nurse make?
- A. Encourage the toddler to drink orange juice and eat yogurt.
- B. Encourage the toddler to eat plenty of cakes and cookies to help absorb the lead.
- C. Limit foods high in iron such as spinach to help reduce lead levels.
- D. Encourage dark-chocolate–containing products that contain antioxidants to help reduce lead levels.
Correct Answer: A
Rationale: Vitamin C (found in orange juice) and calcium (found in yogurt) help reduce lead absorption in the body.
A community nurse develops a plan to address the problem of teenage pregnancies. Which of the following actions should the nurse take next?
- A. Determine the rate of teenage pregnancies.
- B. Evaluate the success of her plan.
- C. Provide educational programs at local schools regarding pregnancy prevention.
- D. Determine which factors related to teenage pregnancy require intervention.
Correct Answer: C
Rationale: Providing education at local schools is an implementation step in the plan to address teenage pregnancies.
A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools?
- A. The number of questions asked on the assessment tool
- B. The linkages of the assessment to Healthy People 2020
- C. The amount of involvement that the family has in completing the tool
- D. The capability of the tool to assess goals and outcomes
Correct Answer: C
Rationale: The family’s involvement in completing the tool is essential for understanding their needs and fostering active participation in health promotion.