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When assessing a client’s activity-exercise pattern, which subjective finding has implications for nursing practice?
- A. A person’s decreased muscle tone
- B. A person’s amount of leisure time
- C. A person’s decreased range of motion
- D. A person’s use of a cane
Correct Answer: B
Rationale: Leisure time is a subjective finding influencing the assessment of activity and exercise patterns.
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Which of the following toddlers would require further investigation from the nurse?
- A. Sitting quietly on a couch
- B. Experiencing a temper tantrum
- C. Playing with a toy next to another child also playing with a toy
- D. Exploring his environment and playing with new toys
Correct Answer: A
Rationale: Toddlers are typically active and curious. A toddler who is sitting quietly might be a sign of developmental concerns or possible neglect.
The interrelationship of poverty and health care dollars spent by Blacks and other minorities is affected greatly by:
- A. Lack of access to preventive health care services
- B. Low numbers of minority health care providers
- C. Use of emergency rooms for care
- D. Increased infant mortality rates in African American populations
Correct Answer: A
Rationale: Lack of access to preventive care leads to higher health care costs and reliance on emergency rooms for more expensive treatments.
A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse?
- A. Highlight past successes
- B. Discuss the benefits of changing
- C. Develop strategies to prevent relapse
- D. Provide information
Correct Answer: C
Rationale: During the maintenance stage, the nurse should focus on developing strategies to prevent relapse and sustain the positive changes.
A state of physical, mental, spiritual, and social functioning that realizes a person’s potential and is experienced within a developmental context is known as:
- A. Growth and development
- B. Health
- C. Functioning
- D. High-level wellness
Correct Answer: B
Rationale: Health is defined as the state of well-being that incorporates physical, mental, spiritual, and social aspects, and is experienced within a developmental context.
A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take?
- A. Tell the woman she should not be sexually active at this point in her pregnancy because it may harm the fetus.
- B. Ask her to elaborate on the difficulties.
- C. Tell her that they should modify their positions during intercourse and that will take care of the problem.
- D. Tell her men like the way pregnant women look.
Correct Answer: B
Rationale: The nurse should ask the woman to elaborate on the difficulties to understand the root of the problem and provide an appropriate intervention.