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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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Building a partnership with an obese individual who is trying to lose weight requires the nurse to:
- A. Schedule a day to exercise with the individual
- B. Go grocery shopping for the individual
- C. Learn about the methods of weight loss
- D. Give the individual a weight loss goal
Correct Answer: C
Rationale: Nurses must understand the options available for weight loss to develop appropriate and realistic goals with the individual.
A nurse is assessing a woman for positive signs of pregnancy. Which of the following assessment findings would the nurse discover?
- A. Positive test for HCG in the maternal urine
- B. Detection of fetal heart tones
- C. Enlargement of the uterus
- D. Palpation of fetal body parts
Correct Answer: B
Rationale: Positive signs of pregnancy include detection of fetal heart tones and palpation of fetal body parts.
A nurse has developed a family nursing diagnosis. Which of the following best describes the purpose of this action?
- A. Describes the strengths of the family
- B. Allows for creation of goals for the family
- C. Promotes behavioral change among family members
- D. Validates health problems with the family
Correct Answer: D
Rationale: A family nursing diagnosis helps identify and validate the family’s health issues, forming the basis for the development of appropriate interventions and goals.
A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following findings will require the nurse to collect additional information?
- A. The infant’s shirt is wet from drooling.
- B. The infant has gained one pound since her 2-month well-child visit.
- C. The infant holds his or her head steady when in a sitting position.
- D. The infant grasps objects with two hands.
Correct Answer: B
Rationale: A weight gain of only 1 pound in 2 months is below the expected growth, suggesting a need for further assessment.
Erikson’s theory of development: Who has achieved ego integrity vs. despair?
- A. "72-year-old man who is reluctant to retire."
- B. "78-year-old woman scheduling her third facelift."
- C. "80-year-old man who made funeral arrangements."
- D. "67-year-old woman depressed about not being promoted."
Correct Answer: C
Rationale: Ego integrity involves accepting aging and preparing for the inevitable, such as making funeral arrangements.