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Which of the following statements about financing health care in the US is accurate?
- A. Insurance premiums increased minimally
- B. State tax dollars fund 50% of Medicaid
- C. Largest spending is on hospital care
- D. Most workers enroll in PPOs
Correct Answer: C
Rationale: In 2010, a third of health care spending was on hospital care.
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A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?
- A. Providing constant reinforcement and education about the labor process and assisting the woman with pushing
- B. Explaining unusual interventions such as the use of a fetal heart monitor
- C. Assisting with labor discomfort by modeling breathing
- D. Teaching the new mother positioning of the infant to assist with breast-feeding
Correct Answer: D
Rationale: In the fourth stage of labor, the nurse supports breastfeeding and assists with positioning the infant.
Which of the following statements about ethnic minorities in the United States is accurate?
- A. It is estimated that the percentage of ethnic minorities will decrease during the next 30 years.
- B. It is estimated that ethnic minorities will increase to one in two by 2050.
- C. The increasing population of refugees has been a significant contributor to the increase in ethnic minorities.
- D. The increasing population of ethnic minorities has helped decrease the health disparities faced by this population.
Correct Answer: B
Rationale: By 2050, it is estimated that ethnic minorities will comprise half of the U.S. population, contributing to the growing diversity.
Which factor has the greatest implication for a community nurse when developing a health promotion program for church members?
- A. The majority of members live within a 3-mile radius.
- B. The majority of members are African American.
- C. The majority of members are high school graduates.
- D. The majority of members are employed.
Correct Answer: B
Rationale: Demographic data, such as the race of the population, provides significant insight into health risks and necessary interventions, especially for health disparities.
A nurse is providing education about safe driving with a group of newly licensed teenagers. Which factor would most likely influence a teenager’s decision to drive within the speed limit?
- A. A speed limit sign
- B. Having his parents telling him not to speed
- C. A previous traffic violation for speeding
- D. Seeing someone get pulled over for speeding
Correct Answer: C
Rationale: Previous experiences, like receiving a speeding ticket, are likely to influence behavior more than external factors.
Older adult sleep disturbances: What should the nurse ask?
- A. "Older adults need as much sleep as younger adults."
- B. "I’ll ask the nurse practitioner to prescribe a sleeping pill."
- C. "Taking naps during the day can help relieve fatigue."
- D. "Let’s talk about your sleep schedule and potential barriers."
Correct Answer: D
Rationale: Sleep patterns should be assessed to understand underlying issues, and medication should not be the first solution.