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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Which of the following disorders is characterized by males having an extra chromosome, typically being tall and initially thin, and not developing secondary sex characteristics?
- A. Gynecomastia
- B. Menstruation
- C. Turner syndrome
- D. Klinefelter syndrome
Correct Answer: D
Rationale: Klinefelter syndrome occurs in males with an extra X chromosome, affecting their secondary sex characteristics.
A nurse is encouraging parents to immunize their infants. Which of the following strategies would be the best way for the nurse to facilitate this?
- A. Send a reminder for immunizations to the parents.
- B. Talk to the parents about immunizations during office visits.
- C. Track clients who have not been immunized.
- D. Memorize the CDC immunization schedule.
Correct Answer: B
Rationale: Direct communication with parents during office visits is most effective in encouraging immunizations.
A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: A
Rationale: Failure to take insulin regularly indicates issues with health management and understanding the need for treatment.
A nurse in a college health center is preparing a program on meningococcal disease. What information should be included?
- A. Living in the dorm increases one’s risk of developing meningococcal disease.
- B. The mortality rate from meningococcal disease is very low.
- C. There are no antiviral medications to treat meningococcal outbreaks.
- D. A vaccine for meningococcal disease has not been developed.
Correct Answer: A
Rationale: Dorm living increases the risk for meningococcal disease, and a vaccine is available for prevention.
The nurse is caring for a person who is obese, sedentary, and has recently been diagnosed with Type 2 diabetes mellitus. Which of the following goals for the person is correctly stated?
- A. The person will exercise more often.
- B. The person will consume 900 calories a day.
- C. The person will walk one-quarter mile a day, 5 days a week.
- D. The person will eliminate all refined sugar and processed foods from her diet.
Correct Answer: C
Rationale: Goals must be realistic, specific, and measurable. Exercising “more often” is too broad a statement.