Nokea
Which of the following interventions are appropriate relative to preconceptual assessment for childbearing?
- A. Encouraging moderate-fat diet
- B. Referral to genetic counseling
- C. Counseling to avoid “hard” liquor
- D. Substituting a nutritional supplement for a meal
Correct Answer: B
Rationale: Genetic counseling is essential for addressing risks related to family history and genetic disorders before conception.
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A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. Which finding would be of most concern to the nurse?
- A. The bedroom is located on the second floor.
- B. She has a pet cat.
- C. There is an area rug in the living room.
- D. She has a 1-year-old child.
Correct Answer: B
Rationale: Handling cat litter can expose pregnant women to toxoplasmosis, which can affect the fetus.
What factor should a nurse consider when organizing a stress reduction workshop?
- A. Women experience less workplace stress than men.
- B. A first job causes little stress.
- C. Young adults adapt easily to job demands like telecommuting.
- D. Work is of primary importance and forms young adults’ self-image.
Correct Answer: D
Rationale: Employment is central to young adults’ self-esteem and social interactions, making it an important factor in stress.
Disaster Preparedness for Nurses
- A. Completing a risk assessment in the community
- B. Implementing strategies to decrease post-traumatic stress disorder
- C. Coordinating meetings among multiple agencies and disciplines
- D. Evaluating the economic impact of the disaster
Correct Answer: A
Rationale: Nurses play a role in assessing risks and coordinating responses with multiple agencies during disaster preparedness.
Which of the following represents a method of primary prevention?
- A. Informational session about healthy lifestyles
- B. Blood pressure screening
- C. Interventional cardiac catheterization
- D. Diagnostic cardiac catheterization
Correct Answer: A
Rationale: Primary prevention aims to prevent disease before it occurs, which is represented by education on healthy lifestyles.
The nurse in the pediatric oncology unit is working with a family whose toddler has been diagnosed with leukemia. The nurse can best assist the family to deal with this extrinsic stressor by doing which of the following?
- A. Setting treatment goals for them until they are able to do so themselves
- B. Encouraging them to talk about their concerns
- C. Discussing relaxation techniques such as guided imagery with them
- D. Asking them if they would like to meet with a member of a pediatric oncology support group
Correct Answer: B
Rationale: Encouraging the family to talk about concerns and introducing them to support groups are effective methods of dealing with this stressor.