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During an office visit, a nurse provides counseling to a 70-year-old woman with osteoporosis who is otherwise very healthy. Which of the following information should the nurse provide to the woman?
- A. Avoid all forms of exercise because of the risk of fractures.
- B. Walk with a partner at least 30 minutes a day 5 days a week.
- C. Use a wheelchair to get around so that she can prevent falls.
- D. Take a step aerobics class 5 days a week.
Correct Answer: B
Rationale: Walking with a partner is a safe, weight-bearing activity that can help improve bone density and prevent falls.
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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.
A woman reports that she has strong spiritual practices. Which of the following is she most likely to experience?
- A. Improved coping skills and social support
- B. Increased understanding of religious differences
- C. Decreased pain and improved healing
- D. Decreased use of Western medicine
Correct Answer: A
Rationale: Spiritual practices often provide emotional support and promote coping skills, improving overall well-being and health outcomes.
Erikson’s theory of development: Who has achieved ego integrity vs. despair?
- A. "72-year-old man who is reluctant to retire."
- B. "78-year-old woman scheduling her third facelift."
- C. "80-year-old man who made funeral arrangements."
- D. "67-year-old woman depressed about not being promoted."
Correct Answer: C
Rationale: Ego integrity involves accepting aging and preparing for the inevitable, such as making funeral arrangements.
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.
A nurse is using a genogram to represent a family. Which of the following statements is accurate?
- A. A genogram identifies the genetic disorders of the family.
- B. A genogram includes information about the past two generations.
- C. A genogram can be used to make connections about family health patterns.
- D. A genogram begins with a circle in the center of the page.
Correct Answer: C
Rationale: A genogram helps identify family health patterns and relationships, and typically includes data from at least three generations.