Which of the following lifestyle changes is most likely to decrease a patient's risk of coronary heart disease?
- A. Switching from 2% milk to 1% low-fat milk
- B. Exercising on a daily basis
- C. Taking a multivitamin supplement
- D. Cutting back on work schedule
Correct Answer: B
Rationale: Daily exercise significantly reduces coronary heart disease risk.
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The most appropriate nursing intervention with Marie (from question 9) would be to:
- A. Refer her to her family physician for a complete physical examination.
- B. Suggest she seek outside employment now that her children have left home.
- C. Identify convenient support systems for times when she is feeling particularly despondent.
- D. Begin grief work and assist her to recognize areas of self-worth separate and apart from her children.
Correct Answer: D
Rationale: The correct answer is D because Marie is experiencing empty nest syndrome, a common emotional response when children leave home. Grief work helps her process and cope with the loss, while recognizing self-worth beyond motherhood promotes self-identity. Referring her to a physician (A) may not address her emotional needs. Seeking outside employment (B) may not address her emotional concerns. Identifying support systems (C) is helpful but doesn't directly address her need for grief work and self-worth recognition.
With growing age motivation reduces naturally
- A. Extrinsic
- B. Frequent
- C. Intrinsic
- D. Concentrated
Correct Answer: C
Rationale: Intrinsic motivation declines with age due to priority shifts.
Which of the following statements is correct regarding identifying patients at risk for HIV infection?
- A. All patients should be considered as being at risk for HIV infection
- B. Only homosexual patients should be considered at risk for HIV infection
- C. Only patients who use intravenous drugs should be considered at risk for HIV infection
- D. A monogamous heterosexual woman is not considered at risk for HIV infection
Correct Answer: A
Rationale: HIV risk is not limited to specific groups; universal screening is recommended.
Which nursing intervention best demonstrates an understanding of the effects of mental illness in the creation of secondary at-risk populations?
- A. Educating junior high school students concerning the dangers of drug and alcohol abuse
- B. Assessing the parenting skills of a father diagnosed with obsessive-compulsive disorder (OCD)
- C. Assessing the friends of a teenager who was recently hospitalized for an eating disorder for signs of the same disorder
- D. Providing the parents of a child diagnosed with obsessive-compulsive disorder (OCD) with information on behavior modification
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct:
1. Mental illness can impact parenting skills.
2. Assessing parenting skills of a father with OCD is crucial to understand potential risks to the child.
3. OCD may affect parenting abilities, leading to neglect or inappropriate care.
4. By assessing parenting skills, nurses can identify and address risks to the child's well-being.
Summary of why other choices are incorrect:
A: Educating junior high students on drug abuse is important but does not directly address at-risk populations created by mental illness.
C: Assessing friends for signs of eating disorders is relevant but does not focus on understanding the impact of mental illness on caregiving roles.
D: Providing information on behavior modification to parents is helpful but does not directly assess the impact of mental illness on parenting skills.
For learning and growth to occur, positive feedback needs to be present
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Positive feedback amplifies change, not stability; learning can occur without it.