Nokea
Which of the following health concerns should the nurse have as a priority when planning care for a community?
- A. The limited recreational areas identified through a windshield survey
- B. The high crime rate reported in the town records
- C. The absence of health clinics on the local bus route
- D. The lack of grocery stores within walking distance identified by the community
Correct Answer: D
Rationale: The nurse should prioritize the community's concerns. The lack of grocery stores directly impacts access to nutrition, making it a priority.
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The nurse is explaining the concept of growth to a parent. Which of the following statements should be made by the nurse?
- A. “Growth means adding height and weight to your body.”
- B. “We continue to grow in various ways throughout life.”
- C. “How much we grow is based on gender.”
- D. “Growth stops when we are young adults.”
Correct Answer: B
Rationale: Growth continues throughout life, not just during puberty, and involves more than height and weight changes.
A woman who just found out she is pregnant starts crying. She tells the nurse that over the last 3 days she was not feeling herself, so she took some Tylenol. She states if she knew she was pregnant, she never would have taken the medication. Which of the following actions should be taken by the nurse?
- A. Tell the client that there is a high probability that her baby will have a birth defect.
- B. Tell the client not to worry because research indicates that in recommended doses Tylenol is safe.
- C. Tell the client not to worry because she did not know she was pregnant, but in the future, she should use herbal products instead of over-the-counter medication.
- D. Tell the client that there is a high probability of a stillbirth.
Correct Answer: B
Rationale: Tylenol in recommended doses is generally safe during pregnancy. The nurse should reassure the client.
Disease Prevention and Advocacy
- A. Educate about violence rates
- B. Administer flu shots
- C. Participate in disaster planning
- D. Advocate for improved access to health care
Correct Answer: D
Rationale: Advocating for improved access to health care for the uninsured and underinsured is a key nursing role.
A nurse discussing the care of a person on the surgical unit following gastric bypass surgery with a friend is in violation of the:
- A. Patient Self-Determination Act
- B. Health Insurance Portability and Accountability Act of 1996
- C. Americans with Disabilities Act
- D. Civil Rights Act
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy standard that requires safeguards to protect the security and confidentiality of health information. Disclosures without individual authorization are allowed only to public health authorities authorized by law to collect and receive information for the purpose of preventing or controlling disease, injury, or disability.
Which of the following mothers would be most likely to bond appropriately with their infant?
- A. A mother who feels unloved will bond appropriately because now the baby will love her.
- B. A mother who feels great about herself will show love toward the infant and bond appropriately.
- C. A mother who feels empty by the birth of her child will bond appropriately once she holds the baby.
- D. A mother who feels ugly will bond appropriately with her child because her child will bring self-esteem.
Correct Answer: B
Rationale: Mothers who feel good about themselves are more likely to bond well with their infants.