Nokea
A nurse is caring for a man who states he is ready to start exercising. Which of the following actions should the nurse take next?
- A. Do nothing because he has already made the decision to implement a change.
- B. Provide him with information on the benefits of exercising.
- C. Develop an exercise prescription with him.
- D. Schedule a follow-up in 2 months to see if he still feels the same way.
Correct Answer: C
Rationale: Since the person is in the action phase of behavior change, the nurse should proceed to develop an exercise prescription to support the transition into the maintenance phase.
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Which of the following people is at greatest risk for injury prevention in a work environment?
- A. Using a pre-set list of topics
- B. Relying on printed materials
- C. Asking for a list of topics
- D. Beginning each session with a 2-mile walk
Correct Answer: C
Rationale: Allowing workers to choose the topics of discussion ensures greater engagement and better safety outcomes.
Which of the following illustrates that the objectives of health education and counseling have been met?
- A. Asthmatic who has a decrease in emergency department visits
- B. Asthmatic who has been prescribed an albuterol inhaler
- C. Asthmatic who attends an asthma education program
- D. Asthmatic who visits the emergency department with an exacerbation
Correct Answer: A
Rationale: A decrease in emergency department visits reflects the effectiveness of health education and improved health management.
Which of the following is the third leading cause of death in adolescents between 10 and 24 years of age?
- A. Accidents
- B. Suicide
- C. Cancer
- D. Sport injuries
Correct Answer: B
Rationale: Suicide is the third leading cause of death in adolescents.
An 18-year-old woman in whom a sexually transmitted disease (STD) was recently diagnosed asks the nurse not to tell her mother that she has an STD. Her mother asks the nurse what is causing her daughter’s vaginal discharge. Which of the following actions should the nurse take?
- A. Follow the principle of veracity and tell the mother the diagnosis.
- B. Respect the principle of confidentiality and support the client’s request not to tell her mother the diagnosis.
- C. Tell the client’s mother that she has a urinary tract infection, to protect the client’s privacy and honor the mother’s request.
- D. Ignore the mother’s request for information.
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) guarantees client confidentiality. The nurse must maintain confidentiality unless the client permits disclosure.
A health care provider is working with an African American woman who has recently suffered a stroke and is homebound. She insists that she must get out of the house and attend Sunday worship services. What is the most likely explanation for her insisting that she participate in this cultural practice?
- A. The church is the only place where prayer can be performed.
- B. The church serves as a social support for its members.
- C. The church is the place where the family meets on a weekly basis.
- D. The church serves as a site for folk healing practices.
Correct Answer: B
Rationale: The church is a significant support system for many African Americans, providing not just religious activities, but also social support and emotional strength.