Nokea
Which of the following teenagers is exhibiting a behavior that causes concern and requires further evaluation?
- A. Is always very happy
- B. Is agitated and has trouble sleeping
- C. Has a lot of homework and stays up late to finish it
- D. Values his friend’s opinion more than his parent’s opinion
Correct Answer: B
Rationale: Agitation and insomnia are signs of potential substance abuse, requiring further evaluation.
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A man states that he would like to change his dietary habits to decrease his risk of developing cancer in the future. Which of the following statements would be the best response for the nurse?
- A. “Consume at least cups of fruits and vegetables each day.”
- B. “Dietary habits have minimal effect in reducing your risk of developing cancer.”
- C. “A glass of red wine should be consumed daily.”
- D. “Dietary supplements of specific nutrients will maximize the effects of dietary changes.”
Correct Answer: A
Rationale: Consuming a variety of fruits and vegetables can help reduce cancer risk.
A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D as well as exercise for this woman. This recommendation is important because by the time the client is 56, she will have experienced another bone loss of:
- A. 3%
- B. 7%
- C. 10%
- D. 15%
Correct Answer: D
Rationale: Postmenopausal women experience rapid bone loss, especially during the first 5 years, with losses of 15% or more.
During the first prenatal visit, the pregnant woman informs the nurse that she cannot wait to start wearing maternity clothes. This finding is based on an assessment of which functional health pattern?
- A. Cognitive-perceptual pattern
- B. Self-perception–self-concept pattern
- C. Health-perception–health-management pattern
- D. Values-beliefs pattern
Correct Answer: B
Rationale: Excitement about wearing maternity clothes suggests the woman has accepted her changing body image, part of the self-perception–self-concept pattern.
A nurse is assessing a community’s exposure to pollutants by examining contaminated soil, air, water, and food. Which functional health pattern is being assessed by the nurse?
- A. Nutritional-metabolic pattern
- B. Elimination pattern
- C. Health-perception–health management pattern
- D. Values-beliefs pattern
Correct Answer: B
Rationale: The elimination pattern includes exposure to pollutants, which impacts health through contaminated environmental factors.
Nursing priority for incontinence: What should be the focus?
- A. "Risk for social isolation."
- B. "Risk for impaired skin integrity."
- C. "Risk for inadequate fluid intake."
- D. "Risk for impaired coping."
Correct Answer: B
Rationale: Impaired skin integrity is a primary concern due to the risk of skin breakdown from incontinence.