Nokea
Which statement is most appropriate when discussing a woman concerned about osteoporosis and menopause?
- A. “The American diet is much better now.”
- B. “You have a strong genetic risk factor.”
- C. “You need about 1000 mg of calcium a day.”
- D. “Tell me about your diet, walking, and medications.”
Correct Answer: D
Rationale: The nurse should gather more information about the client’s lifestyle before providing specific advice, including dietary habits and physical activity.
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The nurse at a well-baby clinic is assessing a 12-month-old child. At birth, the child weighed 7 lb. 3 oz. During this visit, the child weighs 21 lb. 10 oz. Which of the following conclusions would the nurse make about the child’s weight?
- A. The infant is gaining weight faster than anticipated.
- B. The infant is malnourished.
- C. The infant is at the expected weight for his or her age.
- D. The infant is having a growth spurt.
Correct Answer: C
Rationale: A 12-month-old should have doubled their birth weight by this age, which is consistent with normal growth.
A blended family has six children, ages 2, 4, 4, 5, 7, and 10. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation?
- A. This child has most likely been abused.
- B. This child is one of multiple children closely spaced in age.
- C. This family suffers from low self-esteem.
- D. This family provides harsh punishment for their children.
Correct Answer: B
Rationale: Risks in blended families include multiple closely spaced children, which can make it difficult for parents to attend to each child’s individual needs.
Which functional health pattern provides information about problem-solving and decision-making within communities?
- A. Cognitive-perceptual pattern
- B. Self-perception–self-concept pattern
- C. Coping-stress tolerance pattern
- D. Health-perception–health-management pattern
Correct Answer: A
Rationale: The cognitive-perceptual pattern provides insight into how individuals and communities make decisions, solve problems, and perceive their health.
An overweight woman joins a support group to help her lose weight. During her first session, the nurse explains the components of a healthy diet and discusses with the woman how she can eat out and still maintain a healthy diet. She asks the woman what her goal is and emphasizes that she herself is the key to success. What is the nurse promoting through the use of this strategy?
- A. Communication
- B. Values
- C. Advanced planning
- D. Empowerment
Correct Answer: D
Rationale: Empowering the individual by involving her in setting her own goal increases the likelihood of sustained behavior change.
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.