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Which of the following individuals would be at greatest risk to develop Type 2 diabetes?
- A. White, 50-year-old woman, obese, second child weighed 10 pounds at birth
- B. African American, 55-year-old man, hypertension, exercises regularly
- C. Hispanic, 22-year-old woman, healthy weight, family history of diabetes
- D. White, 75-year-old man, history of prostate cancer and high triglycerides
Correct Answer: A
Rationale: Obesity, age, and a large baby increase the risk of Type 2 diabetes.
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A nurse is conducting an environmental assessment as part of a family assessment. Which of the following would the nurse assess?
- A. Convenience stores in the neighborhood
- B. Garbage collection in the neighborhood
- C. Safety of the home
- D. Climate of the home
Correct Answer: C
Rationale: Environmental assessments should evaluate home safety to ensure the family’s living conditions support their health.
A nurse is providing education about improving self-awareness to a small group of women who have been victims of domestic violence. Which of the following should the nurse recommend the clients do first to improve their self-awareness?
- A. Use self-disclosure to share aspects of self.
- B. Listen to and learn from others.
- C. Listen to oneself and pay attention to emotions, thoughts, and reactions.
- D. Use others to bounce back your own thoughts and recollections.
Correct Answer: C
Rationale: The first step in improving self-awareness is to listen to oneself and pay attention to emotions, thoughts, and reactions.
Which of the following foods will a 5-year-old child need help eating?
- A. Pudding
- B. Macaroni and cheese
- C. Chicken
- D. Jelly sandwich
Correct Answer: C
Rationale: A 5-year-old will need help cutting meats like chicken, especially as they lack the dexterity for cutting at this age.
Which person is at highest risk for being uninsured?
- A. 68-year-old retired mailman
- B. 48-year-old on renal dialysis
- C. 2-year-old whose parents work but do not have benefits through their employers
- D. 27-year-old who attends college and works part time in a small pizza parlor
Correct Answer: D
Rationale: Young adults are often at risk of being uninsured due to the high cost of insurance and ineligibility for coverage under their parents' plans.
The school nurse conducting an in-service program for teachers is asked about general growth and development of school-age children. Which of the following statements would be the best response by the nurse?
- A. “By age 11, blood pressure readings are the same as for an adult.”
- B. “Because of the rapid growth pattern in this age group, snacks are important to ensure sufficient caloric intake.”
- C. “Children in this age group have some difficulty with coordination and balance, so playground supervision is important.”
- D. “Overall growth in school-age children is slower than during infancy and adolescence.”
Correct Answer: D
Rationale: Growth in school-age children slows compared to infancy and adolescence, making this the most accurate response.