Which health care provider represents a primary care provider?
- A. Psychiatric advanced practice nurse
- B. Clinical nurse specialist
- C. Pediatric nurse practitioner
- D. Acute care nurse practitioner
Correct Answer: C
Rationale: A pediatric nurse practitioner provides primary care and serves as a gatekeeper for referrals and procedures.
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Which factor has the greatest implication for a community nurse when developing a health promotion program for church members?
- A. The majority of members live within a 3-mile radius.
- B. The majority of members are African American.
- C. The majority of members are high school graduates.
- D. The majority of members are employed.
Correct Answer: B
Rationale: Demographic data, such as the race of the population, provides significant insight into health risks and necessary interventions, especially for health disparities.
A nurse is caring for a person who has a diagnosis of “Sleep disturbance related to stress as evidenced by excessive daytime fatigue.” Which of the following nursing interventions would most likely assist this person?
- A. Encourage daytime naps.
- B. Encourage exercise one hour before bedtime.
- C. Encourage a cool shower before bedtime.
- D. Encourage a consistent sleep-wake schedule.
Correct Answer: D
Rationale: Following a consistent sleep-wake cycle seven days a week will help establish a sleep pattern.
Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. Which of the following recommendations should the nurse give to the parents?
- A. Talk to their daughter at length regarding the dangers associated with drinking.
- B. Tell their daughter she will not be allowed to use her cell phone if this continues.
- C. Enroll their daughter in a peer support group focused on teenage drinking.
- D. Provide their daughter with literature regarding the dangers of drinking.
Correct Answer: C
Rationale: Peer support groups are more effective than parental advice alone for influencing teenage behavior.
A nurse is discussing resistance training with a 24-year-old woman. The woman is resistant to weight lifting because she does not want to get too muscular. She prefers a program that is strictly aerobic. Which of the following would be the most appropriate response from the nurse?
- A. “Ok, just make sure you perform one hour of aerobics every day.”
- B. “Lifting weights is a necessary part of exercise.”
- C. “Weight lifting has many purposes and benefits; can we talk about them?”
- D. “Looking muscular at your age is attractive.”
Correct Answer: C
Rationale: Weight training helps develop healthy muscles and stimulates bone health. The nurse should offer the opportunity to discuss the benefits and address concerns.
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: The amount of leisure time is a subjective finding related to the person’s lifestyle, impacting nursing care.