Which question should a nurse ask a 26-year-old individual being screened for depression or suicide ideation?
- A. “Tell me about your pets.”
- B. “What do you do for work? How has your work been affected by this disaster?”
- C. “Have you thought of harming yourself?”
- D. “Have you seen your friends since the disaster?”
Correct Answer: C
Rationale: Direct questioning about harm to oneself is critical when screening for depression or suicide ideation.
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Which of the following teenagers is at increased risk for acquiring a sexually transmitted disease and should be provided with anticipatory guidance?
- A. Asks the nurse for information about condoms
- B. Feels her friends and family do not care about her
- C. Has multiple friends and feels good about herself
- D. Talks to her boyfriend on the phone for hours
Correct Answer: B
Rationale: Teens who feel neglected or unsupported are at increased risk of risky sexual behaviors.
A nurse is developing a primary prevention strategy to address the problem of obesity. Which of the following interventions is being created?
- A. Encouraging an active lifestyle during childhood years
- B. Prescribing orlistat (Alli)
- C. Recommending the Jenny Craig program
- D. Recommending gastric banding surgery
Correct Answer: A
Rationale: Primary prevention strategies focus on preventing conditions before they occur, such as encouraging an active lifestyle in childhood to prevent obesity.
A mother expresses her concern and frustration over the fact that her toddler has not been successful at toilet training yet. Which of the following would be the best response by the nurse?
- A. “Don’t worry; it will happen eventually.”
- B. “How long does the child stay dry during the day?”
- C. “Train him on a regular toilet instead of a potty chair.”
- D. “Here is a training schedule to follow.”
Correct Answer: B
Rationale: It's important to assess developmental readiness before beginning toilet training.
Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis?
- A. A 66-year-old White woman
- B. A 66-year-old African American woman
- C. A 66-year-old White man
- D. A 66-year-old African American man
Correct Answer: A
Rationale: White postmenopausal women are at the greatest risk for osteoporosis and hip fractures
When assessing a client’s activity-exercise pattern, which subjective finding has implications for nursing practice?
- A. A person’s decreased muscle tone
- B. A person’s amount of leisure time
- C. A person’s decreased range of motion
- D. A person’s use of a cane
Correct Answer: B
Rationale: The amount of leisure time is a subjective finding related to the person’s lifestyle, impacting nursing care.