Nokea
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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Which scenario indicates a potentially dysfunctional pattern?
- A. Adult with frequent urination
- B. Woman who lost her job
- C. Elderly person with blurred vision
- D. Overweight adult with a sweet tooth
Correct Answer: B
Rationale: The stress of losing a job could lead to ineffective coping, representing a potentially dysfunctional pattern that needs intervention.
Which stage of male genital development is characterized by initial enlargement of the penis?
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: C
Rationale: Stage 3 is marked by the initial enlargement of the penis and further growth of the testes and scrotum.
A 30-year-old woman with a BMI of 36 is being counseled on weight reduction. In what order should interventions be discussed?
- A. 4, 3, 2, 1
- B. 4, 2, 3, 1
- C. 3, 4, 2, 1
- D. 3, 2, 1, 4
Correct Answer: A
Rationale: The nurse should start with a full assessment (lipid profile and blood pressure), followed by education on diet and exercise, then medication, and finally surgery if needed.
A blended family has six children, ages 2, 4, 4, 5, 7, and 10. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation?
- A. This child has most likely been abused.
- B. This child is one of multiple children closely spaced in age.
- C. This family suffers from low self-esteem.
- D. This family provides harsh punishment for their children.
Correct Answer: B
Rationale: Risks in blended families include multiple closely spaced children, which can make it difficult for parents to attend to each child’s individual needs.
A mother is concerned because her 22-month-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother?
- A. Put the child in time out whenever he skips a meal
- B. Offer him foods he likes such as cookies and chips
- C. Limit the child’s consumption of juices and cookies
- D. Talk to the child about how important it is to eat three meals a day
Correct Answer: C
Rationale: Toddlers often assert independence by refusing food, and empty calorie foods like juices and cookies should be limited to promote healthy eating habits.