Nokea
Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives. Which of the following would be the priority for this nurse to promote?
- A. Health promotion activities
- B. Accident prevention activities
- C. Drug prevention activities
- D. Pregnancy prevention activities
Correct Answer: A
Rationale: The priority would be health promotion activities to encourage physical activity, especially for older adults.
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A nurse is assessing a community to determine the appropriateness of conducting a Type 2 diabetes screening. Which of the following questions would the nurse need to answer?
- A. What are the health benefits of screening for Type 2 diabetes?
- B. Is Type 2 diabetes a community problem?
- C. Can Type 2 diabetes be detected by screening?
- D. What is the cost-benefit ratio of implementing this screening?
Correct Answer: C
Rationale: The nurse needs to determine if Type 2 diabetes can be detected effectively through screening as part of the decision-making process.
A nurse is working at a women’s health clinic and is asked by a client when she should return for her next Pap smear. Which of the following resources would the nurse use to find the most current recommendations?
- A. National Health Information Center
- B. Healthy People 2020
- C. U.S. Preventive Services Task Force (USPSTF) website
- D. Centers for Disease Control and Prevention (CDC) website
Correct Answer: C
Rationale: The USPSTF website provides the most current recommendations based on scientific evidence.
Which scenario places a toddler at risk for injury?
- A. Toddler playing with his preschool sibling’s toy
- B. Mop and a bucket of clean water in the kitchen
- C. Cup of hot coffee on the kitchen counter
- D. Twenty-five-pound toddler sitting in a forward-facing car seat in the back seat of a car
Correct Answer: C
Rationale: Hot coffee can cause burns and is a significant risk factor for toddler injury.
A nurse whose religious beliefs prohibit abortion has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. According to the revised American Nurses Association’s (ANA’s) Code of Ethics for Nurses, which of the following actions should the nurse take next?
- A. Suspend her religious beliefs and provide comfort and support for the client.
- B. Quit her job and find another source of employment.
- C. Notify her supervisor about her beliefs and request a change in assignment.
- D. Refuse to participate in the abortion.
Correct Answer: C
Rationale: The ANA Code of Ethics allows nurses to refuse procedures that conflict with their personal values, but they must ensure client care is arranged.
A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue?
- A. Ban smoking on parish property
- B. Invite local experts to participate in a health fair at the parish
- C. Find literature about smoking cessation
- D. Hand out free nicotine-replacement systems
Correct Answer: B
Rationale: The nurse should invite experts to educate the parish on smoking cessation and foster health promotion through community events.