Nokea
Which represents a disadvantage of screening?
- A. Utilization of group screening methods
- B. Utilization of multiple test screening
- C. Utilization of a test with high specificity
- D. Utilization of a test with low sensitivity
Correct Answer: D
Rationale: Tests with low sensitivity produce false negatives, potentially leading to missed diagnoses and delays in treatment.
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Respecting Spirituality
- A. Changing the position of the bed in a Muslim client’s room so that it faces east
- B. Contacting the chaplain to assess spiritual needs
- C. Saying a silent prayer with a client at their request
- D. Praying out loud in a dying client's room
Correct Answer: C
Rationale: Praying quietly with respect for the client's beliefs is more appropriate than imposing religious actions.
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.
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.
The mother of a 2-year-old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information?
- A. Give the mother information about local support groups
- B. Provide the mother the name of a prominent local attorney
- C. Do not offer any advice unless the mother asks
- D. Help the mother find a job
Correct Answer: A
Rationale: The nurse should offer information about support groups to help the mother cope with her current stressors and reduce the risk of child abuse.
A new young mother asks the nurse what she should do to play with her 3-month-old infant. Which of the following suggestions should the nurse provide?
- A. Take the infant for a walk outside.
- B. Place several toys around the infant when lying on the floor.
- C. Rock the infant in a rocking chair.
- D. Search the Internet for toys highly recommended for infants.
Correct Answer: C
Rationale: Rocking provides important sensory stimulation and physical bonding, essential for a 3-month-old's development.