Nokea
Which clients are at greatest risk of mortality from cardiac disease?
- A. Black man with a blood pressure of 130/80
- B. Mexican American man with a blood pressure of 110/60
- C. White woman with a blood pressure of 120/80
- D. Black woman with a blood pressure of 128/78
Correct Answer: A
Rationale: Black individuals, particularly men with higher blood pressure, are at increased risk for mortality from cardiac disease.
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Which of the following teenage behaviors is cause for concern?
- A. Has difficulty waking up in the morning and naps during the day
- B. Goes to bed late and naps during the day
- C. Takes frequent naps and states it is because he is bored
- D. Participates in after school activities and has difficulty waking up
Correct Answer: C
Rationale: Taking frequent naps due to boredom could be a sign of depression.
A nurse has started admitting a new person on home care and is beginning to establish a relationship. Which of the following would be the most important thing for the nurse to do?
- A. Complete the paperwork in a timely fashion
- B. Establish open communication
- C. Conduct a complete physical health assessment
- D. Provide feedback to the person’s questions
Correct Answer: B
Rationale: Open communication is the foundation of a professional relationship and is key to building rapport and understanding.
A 45-year-old man has been diagnosed with metabolic syndrome. Which of the following characteristics would this man exhibit?
- A. Blood pressure: 146/88 mm Hg
- B. Waist measurement: 36 inches
- C. HDL: 48 mg/dL
- D. Triglycerides: 140 mg/dL
Correct Answer: A
Rationale: Metabolic syndrome includes elevated blood pressure, among other factors.
The client who is taking prescribed medication would require preconception management to minimize the potential for drug-related birth defects.
- A. Antiemetics
- B. Antiepileptics
- C. Iron
- D. Non-narcotic analgesics
Correct Answer: B
Rationale: Antiepileptic drugs can pose risks for birth defects, requiring careful preconception management.
An individual reveals to the nurse that he is having an affair with his wife’s best friend. Which of the following statements will enhance effective therapeutic communication between him and the nurse?
- A. “You know that what you are doing is wrong.”
- B. “Why would you want do something like that?”
- C. “How could you do that to your wife and children?”
- D. “This affair seems to be troubling you.”
Correct Answer: D
Rationale: The nurse is focusing on the client's feelings about the affair, which encourages further conversation without judgment.