Which person is at highest risk for being uninsured?
- A. 68-year-old retired mailman
- B. 48-year-old on renal dialysis
- C. 2-year-old whose parents work but do not have benefits through their employers
- D. 27-year-old who attends college and works part time in a small pizza parlor
Correct Answer: D
Rationale: Young adults are often at risk of being uninsured due to the high cost of insurance and ineligibility for coverage under their parents' plans.
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Which of the following actions demonstrates a health care professional providing culturally competent care?
- A. Encouraging the person to take medications as prescribed
- B. Asking the person to describe his folk healing methods
- C. Demonstrating the proper way to administer an insulin injection
- D. Assisting the person with discussing his health problems with the family
Correct Answer: B
Rationale: A culturally competent healthcare professional seeks to understand and incorporate the patient's cultural healing practices.
Which ethical concept is described as the “duty to maximize the benefits of actions while minimizing harm”?
- A. Advocacy
- B. Justice
- C. Beneficence
- D. Autonomy
Correct Answer: C
Rationale: Beneficence involves actions that promote good and minimize harm, ensuring positive outcomes for individuals.
A postmenopausal woman fears developing osteoporosis like her mother. What is the most appropriate nurse response?
- A. "The American diet is much better now than when your mother was your age."
- B. "You have a strong genetic risk factor. There is not much we can do to stop the process."
- C. "You need about 1000 mg of calcium a day to keep your bones strong."
- D. "Tell me about your diet, how much walking you do each day, and what medications you take."
Correct Answer: D
Rationale: The nurse should assess the patient's diet, physical activity, and medications before providing tailored advice.
A pregnant woman is having a TORCH screening done at today’s prenatal visit. She states she is anxious to get the results back because she recently had unprotected sex with someone she just met and is afraid she might have HIV. Which of the following statements would be the best response by the nurse?
- A. “You will know your HIV status in about 1 week when the results come back.”
- B. “You will require additional testing for HIV as it is not tested for with the TORCH screen.”
- C. “You will need to be tested for HIV after you deliver because pregnancy can produce false HIV results.”
- D. “You need to be exposed for at least 6 months before being tested for HIV in order for the results to be accurate.”
Correct Answer: B
Rationale: TORCH screening does not test for HIV. The woman will need additional testing for HIV.
The mother of an 8-month-old asks what the minimum recommended amount of fat intake is for her 10-kg infant. Which of the following would be the minimum recommended fat intake?
- A. 18 grams a day
- B. 28 grams a day
- C. 38 grams a day
- D. 48 grams a day
Correct Answer: C
Rationale: The recommended fat intake for infants this age is 3.8 g/kcal, so for a 10-kg infant, the minimum intake would be 38 grams.