Nokea
Which of the following is the first step in the valuing process?
- A. Acting out the choice
- B. Selecting from alternatives
- C. Being happy with personal beliefs and actions
- D. Choosing freely
Correct Answer: D
Rationale: The valuing process begins by freely choosing from alternatives, followed by careful consideration of the outcomes.
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A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a woman who is pregnant. Which of the following statements made by the woman indicates a need for further teaching?
- A. “It is safe to eat up to 12 ounces of cooked fish weekly.”
- B. “I should avoid using caffeine during pregnancy.”
- C. “Consumption of one drink per day will not cause any harm to my unborn baby.”
- D. “Use of nicotine during pregnancy may cause my child to be born prematurely.”
Correct Answer: C
Rationale: No level of alcohol use is safe during pregnancy, so the mother should avoid alcohol entirely.
A client who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse?
- A. “Vitamin E supplements are unnecessary, so I don’t recommend you use this supplement.”
- B. “Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin.”
- C. “Vitamin E supplements can interfere with the absorption of iron and create additional health problems.”
- D. “Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient.”
Correct Answer: B
Rationale: Vitamin E can interact with Coumadin and affect clotting, which is a concern for individuals on blood thinners.
The nurse is discussing an exercise prescription with a person. To help him determine the appropriate intensity, the nurse tells him that he should monitor his rate of perceived exertion. Which of the following should the nurse tell the man he should experience while exercising?
- A. Talking and singing without difficulty
- B. Feeling extremely fatigued
- C. Having mild musculoskeletal discomfort
- D. Being out of breath
Correct Answer: C
Rationale: The rate of perceived exertion helps people determine a comfortable, beneficial level of exercise intensity. Mild musculoskeletal discomfort corresponds to an appropriate target range for most individuals.
An 18-month-old toddler is being seen for a well-child visit. Which of the following strategies would the nurse use to enlist the toddler’s cooperation?
- A. Ask the toddler if he wants to be examined today.
- B. Ask his mother leave the room while the nurse examines him.
- C. Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest.
- D. Have his mother hold him down while the nurse examines him.
Correct Answer: C
Rationale: Toddlers are more cooperative when they can actively participate, like holding the stethoscope.
Which of the following best describes the nurse’s role in health promotion and disease prevention?
- A. Educating about home safety measures
- B. Identifying areas for family improvement
- C. Implementing the nursing process using a systems perspective
- D. Acting as a role model for the family
Correct Answer: D
Rationale: The nurse’s role involves acting as a role model to encourage healthier behaviors and guide the family through health promotion efforts.