Which of the following actions should be taken when a 32-year-old woman with malaise is suspected of experiencing achievement-oriented stress?
- A. Sleeping 10 hours per day
- B. Unintentional loss of 10 pounds in the past 3 weeks
- C. Expressed fear of company layoffs
- D. Calling in sick once every 2 weeks for the past month
Correct Answer: B
Rationale: Weight loss, a common sign of achievement-oriented stress, typically occurs due to neglect of health while focusing on career.
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Which of the following statements best describes the application of moral or ethical theory to the practices involved in health promotion?
- A. One can be assured of morally correct action in a given situation if one adheres to a theory of moral principles.
- B. There are no identifiable criteria that can be used effectively to determine correct actions in a given situation.
- C. The good of the larger population always takes precedence over the good of one individual.
- D. Making ethical decisions regarding human health involves the consideration of multiple factors.
Correct Answer: D
Rationale: Ethical decisions about human health require multiple factors to be considered, as it's not always clear-cut.
At a well-child visit, the parents of a toddler ask the nurse how they should teach their toddler the importance of dental hygiene. Which of the following actions should the nurse recommend to the parents?
- A. Remind the toddler to brush his teeth every day
- B. Have the dentist tell the toddler about the importance of dental hygiene
- C. Schedule a time to brush their own teeth with their toddler
- D. Have the toddler watch an educational cartoon video on teeth brushing
Correct Answer: C
Rationale: Toddlers learn best by observing their parents. Brushing teeth together sets a good example and reinforces the behavior.
Which of the following describes a nurse who is “being with” the client?
- A. Answers a call bell
- B. Completes a dressing change
- C. Silently prays with a client when requested to do so
- D. Teaches a client about his or her medication regime
Correct Answer: C
Rationale: Entering the client’s world and praying with him or her when requested to do so exemplifies truly “being with” the client.
In a family in which the mother and the father differ on how to spend and save money, the parents are constantly arguing with each other. Which of the following interventions should the nurse include in the plan of care for this couple?
- A. Assist them to develop strategies that are congruent with their values.
- B. Allow each of them to defend his or her own values.
- C. Focus on outcomes that each wants to accomplish.
- D. Divert their attention to areas in which they are successful.
Correct Answer: A
Rationale: Developing strategies congruent with each individual's values will help reduce conflict and improve their financial decisions.
A nurse is developing learning objectives for an individual who has been placed on a low-fat, low-cholesterol diet. Which is an example of an appropriately written cognitive learning objective?
- A. The individual will understand the importance of a low-fat, low-cholesterol diet
- B. The individual will correctly identify and purchase low-fat, low-cholesterol foods
- C. The individual will believe that his heart will benefit from a low-fat, low-cholesterol diet
- D. The individual will feel healthier if he follows a low-fat, low-cholesterol diet
Correct Answer: B
Rationale: Cognitive learning focuses on the application of knowledge, and identifying and purchasing the correct foods shows this in action.