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A nurse visits a 3-month-old infant of a single mother for a weight check. She finds two older children running around the home, the infant is crying, the mother yelling at the two children and a half-lit cigarette is in an ashtray. The mother tells the nurse the visit needs to be cut short today because she has to pick up her other children from the bus stop. Which of the following would be the most beneficial intervention this nurse can provide during this visit?
- A. Leave and tell the mother to call her to reschedule the appointment.
- B. Weigh the infant and contact the Department of Children and Families.
- C. Weigh the infant and offer community resources to the mother.
- D. Offer to go pick up the other children at the bus stop.
Correct Answer: C
Rationale: Offering community resources helps provide support to the mother and helps prevent potential abuse while maintaining a positive relationship.
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Which of the following individuals will most likely experience a disparity in health and health care?
- A. African American man
- B. Unemployed woman
- C. White middle-aged man
- D. Single white woman
Correct Answer: B
Rationale: Disparities are more likely to affect individuals based on socioeconomic status and employment.
Reducing Constipation in Older Adults
- A. Offering pureed foods that are easy to digest
- B. Encouraging fluids between meals
- C. Administering laxatives daily
- D. Assisting with ambulation
Correct Answer: B
Rationale: Encouraging fluids and assisting with ambulation are key strategies for preventing constipation in older adults.
The nurse is assisting an individual who is interested in music therapy. Which of the following statements made by the person indicates an understanding of this type of therapy?
- A. “I will select the music I listen to carefully. Energetic or rap music is not a good choice.”
- B. “I will need to find someone who has specialized in this type of therapy for best results.”
- C. “Chants, electronic sounds, or ‘designer music’ is generally the best choice.”
- D. “The music I choose may be different than what my spouse prefers.”
Correct Answer: D
Rationale: Music selection is an individual choice. There is no one “best” type of music.
Which of the following represents a method of tertiary prevention?
- A. Drunk driving campaign
- B. Road blocks for drunk driving
- C. Emergency surgery for head trauma after a motor vehicle accident
- D. Physical and occupational therapy after a motor vehicle accident with head trauma
Correct Answer: D
Rationale: Tertiary prevention aims to reduce the impact of a disease or disability, such as through physical therapy post-injury.
A nurse would like to assist Americans in improving their health. Which strategy would be most beneficial to improve the health of the American public?
- A. Encourage Americans to stop smoking
- B. Lobby for state-of-the-art magnetic resonance imaging machines in all hospitals
- C. Provide free medications for Americans
- D. Offer free condoms to teenagers
Correct Answer: A
Rationale: Encouraging behavior changes such as smoking cessation has the potential to significantly improve public health and reduce chronic disease.