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A nurse would like to be involved in promoting change in health care policies. Which of the following actions would be most appropriate for the nurse to accomplish this goal?
- A. Be an active member of a national nursing organization.
- B. Vote for political leaders in favor of health care reform.
- C. Enroll in a health policy class.
- D. Learn about community resources.
Correct Answer: A
Rationale: Being an active member of a national nursing organization provides a platform for advocating for health policy changes.
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After offering a teenager the HPV vaccine, the teenager responds by saying, “I can’t have the vaccine because I have already been sexually active.” Which of the following statements is the best response by the nurse?
- A. You can still benefit from the vaccine, but there is a chance it will not be as effective.
- B. The best way to protect yourself now is to make sure all your future sexual partners have received the vaccine.
- C. You are correct, the vaccine is only indicated for females who have never been sexually active.
- D. It depends on the number of partners you have had. If you have had less than five partners, you are still eligible for the vaccine.
Correct Answer: A
Rationale: The vaccine is most effective if given before sexual activity, but sexually active teens can still benefit, though it may be less effective.
The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individuals is known as:
- A. Health-related quality of life
- B. Evidence-based practice
- C. A Healthy People 2010 goal
- D. The ecological model of health
Correct Answer: B
Rationale: Evidence-based practice integrates clinical expertise with the best available research to make informed care decisions.
A nurse is conducting an environmental assessment as part of a family assessment. Which of the following would the nurse assess?
- A. Convenience stores in the neighborhood
- B. Garbage collection in the neighborhood
- C. Safety of the home
- D. Climate of the home
Correct Answer: C
Rationale: Environmental assessments should evaluate home safety to ensure the family’s living conditions support their health.
A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?
- A. 6 pound increase
- B. 11 pound increase
- C. 14 pound increase
- D. 20 pound increase
Correct Answer: A
Rationale: At 20 weeks, a woman should have gained at least 10 pounds to avoid risks for intrauterine growth restriction.
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: Pattern recognition helps identify sequences of behavior, allowing the nurse to analyze health data over time.