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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.
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A mother is concerned because her 13-year-old daughter comes home happy one day and sad the next. Which of the following is the best initial response from the nurse?
- A. The changes during adolescence can be stressful as they struggle to come to terms with who they are. What other types of behaviors has she been displaying?
- B. Changes in affect can be a warning sign for suicide. Has she had any increase in risk-taking behaviors or physical violence?
- C. Is there any history of psychological disorders in your family?
- D. Withdrawal can be a sign of substance abuse. Has she given you any indication she might be using illicit drugs?
Correct Answer: A
Rationale: Mood swings are typical during adolescence, but further investigation is needed if other concerning behaviors are present.
A state of physical, mental, spiritual, and social functioning that realizes a person’s potential and is experienced within a developmental context is known as:
- A. Growth and development
- B. Health
- C. Functioning
- D. High-level wellness
Correct Answer: B
Rationale: Health is defined as the state of well-being that incorporates physical, mental, spiritual, and social aspects, and is experienced within a developmental context.
A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next?
- A. Call the pediatrician on call.
- B. Give ipecac syrup.
- C. Call the Poison Control Center.
- D. Wait to see if the child will vomit.
Correct Answer: C
Rationale: The mother should contact Poison Control before administering any treatment.
Risk of Osteoporosis
- A. 65-year-old Asian woman who smokes one pack of cigarettes per week
- B. 80-year-old White man who has three glasses of wine per day
- C. 74-year-old White woman on daily oral prednisone for emphysema
- D. 68-year-old Black man who has a sedentary lifestyle
Correct Answer: C
Rationale: Long-term prednisone use significantly increases osteoporosis risk, particularly in older women.
A school nurse is using height and weight measurements to calculate the BMI of the students. How will the nurse use these data?
- A. BMI can be correlated to a specific percentage of body fat.
- B. BMI can be used to determine if a child is obese or underweight.
- C. BMI can be used to determine if a child will develop Type 2 diabetes.
- D. BMI can be compared with others of the same ethnic background.
Correct Answer: B
Rationale: BMI is a helpful indicator of obesity and being underweight, but it is not diagnostic.