Nokea
When assessing a person’s nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?
- A. The person’s 24-hour diet diary
- B. The person’s dentition
- C. The person’s food preferences
- D. The person’s financial status
Correct Answer: B
Rationale: Dentition is an objective factor that impacts nutritional care and can be assessed physically.
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A person with chronic back pain is cared for by her primary care provider as well as receives acupuncture. Which model of health does this person likely favor?
- A. Clinical model
- B. Role performance model
- C. Adaptive model
- D. Eudaimonistic model
Correct Answer: D
Rationale: The eudaimonistic model focuses on the interaction of physical, social, psychological, and spiritual aspects, which aligns with alternative care like acupuncture.
During a prenatal visit, pregnant parents ask the nurse what they can do to prepare their 4-year-old child for the birth of the new baby. Which of the following actions would be most appropriate for the nurse to suggest?
- A. Discourage any negative comments the child makes about the baby or the pregnancy.
- B. Do not make any plans regarding the baby in front of the 4-year-old child.
- C. Provide him with very detailed information about the pregnancy and the birth.
- D. Ask the 4-year-old boy to help decorate the new baby’s room.
Correct Answer: D
Rationale: Involving the child in preparations for the new baby helps them adjust to the changes and feel included
The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7 lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which of the following conclusions would the nurse make about the child’s weight?
- A. The infant is gaining weight faster than anticipated.
- B. The infant is malnourished.
- C. The infant is at the expected weight for his or her age.
- D. The infant is having a growth spurt.
Correct Answer: C
Rationale: A 12-month-old should have doubled their birth weight by this age, which is consistent with normal growth.
A new young mother asks the nurse what she should do to play with her 3-month-old infant. Which of the following suggestions should the nurse provide?
- A. Take the infant for a walk outside.
- B. Place several toys around the infant when lying on the floor.
- C. Rock the infant in a rocking chair.
- D. Search the Internet for toys highly recommended for infants.
Correct Answer: C
Rationale: Rocking provides important sensory stimulation and physical bonding, essential for a 3-month-old's development.
Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person’s function pattern by utilizing which area of focus?
- A. Age-developmental
- B. Functional
- C. Individual-environmental
- D. Pattern
Correct Answer: D
Rationale: The nurse uses a pattern focus to observe trends or sequences of behavior over time to assess functional health patterns.