Nokea
Which middle-aged adult has successfully navigated Erikson’s generativity vs. stagnation stage?
- A. "A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a week."
- B. "A 63-year-old man who regrets his career choice and feels he cannot change careers."
- C. "A 45-year-old woman who resents having to care for her aging mother-in-law."
- D. "A 50-year-old man who has not saved for retirement but spends his discretionary income on vacations he takes by himself."
Correct Answer: A
Rationale: Generativity involves a sense of productivity and helping others, demonstrated by volunteering.
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A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?
- A. “This is a sign that he is not ready to toilet train yet.”
- B. “This behavior is developmentally normal.”
- C. “Tell him to stop touching himself.”
- D. “Don’t worry about it.”
Correct Answer: B
Rationale: Curiosity about genitals is a normal developmental phase during toilet training.
Which of the following statements can be identified as a method for clarifying a message?
- A. “I get very upset when you talk to me in that tone.”
- B. “You make me very angry when you drink alcohol.”
- C. “I can make you happy. I know I can.”
- D. “What I want from you is to be left alone!”
Correct Answer: A
Rationale: Using "I" statements helps clarify and qualify the message, making it more direct and less accusatory.
Which of the following would be considered part of a vulnerable population?
- A. Deaf man
- B. Cocaine-addicted teenage girl
- C. Handicapped child
- D. College graduate
Correct Answer: B
Rationale: Substance abusers are at high risk and part of the vulnerable population.
A nurse is educating a group of community members about how hypertension screening is effective in reducing the rate of cardiovascular disease, thus reducing the expenses that are spent on management of this disease. Which of the following ratios is being described?
- A. Cost-disease analysis
- B. Cost-efficiency analysis
- C. Cost-benefit ratio analysis
- D. Cost-effectiveness analysis
Correct Answer: C
Rationale: Cost-benefit analysis compares the costs of a screening program to the benefits in terms of reduced long-term healthcare costs.
Which of the following illustrates that the objectives of health education and counseling are being met?
- A. Diabetic who attends a diabetes education program
- B. Diabetic who watches a video about self-administration of insulin
- C. Diabetic who starts taking his medications regularly
- D. Diabetic who is admitted in diabetic ketoacidosis
Correct Answer: C
Rationale: A behavior change, such as regularly taking medications, is a sign that health education objectives are being met.