Nokea
Which scenario represents a dysfunctional pattern?
- A. Sexually active teenager who does not use condoms
- B. Salesman who sleeps only 5 hours a night
- C. Single mother of three children
- D. Woman with a small extended family
Correct Answer: A
Rationale: The sexually active teenager who does not use condoms has a sexual behavior that indicates a dysfunction in the sexuality-reproductive pattern, which places her at risk for sexually transmitted diseases and pregnancy.
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The interrelationship of poverty and health care dollars spent by Blacks and other minorities is affected greatly by:
- A. Lack of access to preventive health care services
- B. Low numbers of minority health care providers
- C. Use of emergency rooms for care
- D. Increased infant mortality rates in African American populations
Correct Answer: A
Rationale: Lack of access to preventive care leads to higher health care costs and reliance on emergency rooms for more expensive treatments.
Which of the following demonstrates a nurse taking action to promote health and prevent disease?
- A. Making a home visit to a person who is recovering from a heart attack
- B. Administering medications to a cardiac client in the hospital
- C. Providing cardiopulmonary resuscitation during a heart attack
- D. Educating a person about the advantages of a heart-healthy diet during a home visit
Correct Answer: D
Rationale: Educating about a heart-healthy diet influences lifestyle choices and is primary prevention, which is the key to health promotion and disease prevention.
Which middle-aged adult has successfully navigated Erikson’s generativity vs. stagnation stage?
- A. "A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a week."
- B. "A 63-year-old man who regrets his career choice and feels he cannot change careers."
- C. "A 45-year-old woman who resents having to care for her aging mother-in-law."
- D. "A 50-year-old man who has not saved for retirement but spends his discretionary income on vacations he takes by himself."
Correct Answer: A
Rationale: Generativity involves a sense of productivity and helping others, demonstrated by volunteering.
A 2-year-old Asian American boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child?
- A. Report the suspected child abuse to the Department of Children and Families
- B. Assume the bruises are the result of a fall
- C. Ask the mother about the bruises
- D. Schedule a follow-up appointment in 2 weeks to see if the bruises are still present
Correct Answer: C
Rationale: The nurse should ask the mother directly about the bruises, considering cultural practices like coining, which may cause bruising.
A nurse administers the Draw-a-Person and Draw-a-Family tests with a preschool student. Which of the following purposes will these tests serve?
- A. Assess verbal development
- B. Assess intelligence development
- C. Assess social development
- D. Assess emotional development
Correct Answer: D
Rationale: The tests assess emotional and intelligence development in preschoolers.