Nokea
Which addition to a community best demonstrates the concept of the Healthy People 2020 report?
- A. New cardiothoracic intensive care unit at a major hospital
- B. New rehabilitation center
- C. New recreational health center
- D. New children’s hospital
Correct Answer: C
Rationale: Healthy People 2020 promotes health care and wellness, not just illness care, which aligns with the goal of increasing access to recreational health centers.
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A mother is concerned because her 13-year-old daughter comes home happy one day and sad the next. Which of the following is the best initial response from the nurse?
- A. The changes during adolescence can be stressful as they struggle to come to terms with who they are. What other types of behaviors has she been displaying?
- B. Changes in affect can be a warning sign for suicide. Has she had any increase in risk-taking behaviors or physical violence?
- C. Is there any history of psychological disorders in your family?
- D. Withdrawal can be a sign of substance abuse. Has she given you any indication she might be using illicit drugs?
Correct Answer: A
Rationale: Mood swings are typical during adolescence, but further investigation is needed if other concerning behaviors are present.
The nurse is caring for a family who has 2-year-old twins. Which of the following health promotion advice would be included in the nurse’s plan of care for this couple?
- A. Wear bicycle helmets for safety.
- B. Use caution around the family swimming pool.
- C. Cross the street at using the crosswalks.
- D. Advocate for the day care to provide adequate socialization.
Correct Answer: B
Rationale: Two-year-olds are at high risk of wandering into dangerous situations, such as a swimming pool.
A nurse is asked to provide an expert opinion about the development of an education program for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
- A. Advocate
- B. Care manager
- C. Consultant
- D. Educator
Correct Answer: C
Rationale: A consultant offers expert advice on a specific area, such as designing an educational program for diabetics.
A delivery room nurse senses disappointment when a mother is told she just delivered a baby girl. Which of the following would be the most therapeutic response by the nurse?
- A. “Yes, you just delivered a healthy, beautiful baby girl.”
- B. “This is your first baby. You can always try again for a boy.”
- C. “Don’t worry, many parents often feel the same way you do.”
- D. “You are tired. I think you should get some rest.”
Correct Answer: A
Rationale: The nurse should acknowledge the mother’s feelings and provide positive reinforcement, emphasizing the health of the baby.
Which of the following women should be screened for breast cancer?
- A. A 35-year-old woman with three children and no family history of breast cancer
- B. A 59-year-old woman with no children who still gets her period every month
- C. A 25-year-old woman with one child whom she gave birth to when she was a teenager
- D. A 17-year-old woman with one child who started menstruating at the age of 13
Correct Answer: B
Rationale: Breast cancer screening is recommended for women over 40, as the incidence increases with age.