Nokea
Within a community there is an elevated high-school dropout rate and its high school students are experiencing a decreased sense of self-worth. Based on this data, the community is at highest risk to experience an alteration in which of the following functional health patterns?
- A. Self-perception–self-concept pattern
- B. Role-relationships pattern
- C. Cognitive-perceptual pattern
- D. Sexuality-reproduction pattern
Correct Answer: A
Rationale: Decreased self-worth in students correlates with issues in the self-perception–self-concept pattern, impacting the community's overall well-being.
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Which of the following women should be screened for breast cancer?
- A. A 35-year-old woman with three children and no family history of breast cancer
- B. A 59-year-old woman with no children who still gets her period every month
- C. A 25-year-old woman with one child whom she gave birth to when she was a teenager
- D. A 17-year-old woman with one child who started menstruating at the age of 13
Correct Answer: B
Rationale: Breast cancer screening is recommended for women over 40, as the incidence increases with age.
A new father is installing a car seat for an infant in the car. Which of the following information should be given to the father by the nurse?
- A. The infant should be in a rear-facing car seat in the front seat.
- B. The infant should be in a rear-facing car seat in the back seat.
- C. The infant should be in a front-facing car seat in the front seat.
- D. The infant should be in a front-facing car seat in the back seat.
Correct Answer: B
Rationale: Rear-facing car seats in the back seat are recommended by the AAP for infants up to 2 years of age.
A nurse is educating a group of community members about how hypertension screening is effective in reducing the rate of cardiovascular disease, thus reducing the expenses that are spent on management of this disease. Which of the following ratios is being described?
- A. Cost-disease analysis
- B. Cost-efficiency analysis
- C. Cost-benefit ratio analysis
- D. Cost-effectiveness analysis
Correct Answer: C
Rationale: Cost-benefit analysis compares the costs of a screening program to the benefits in terms of reduced long-term healthcare costs.
Which of the following toddlers would require further investigation from the nurse?
- A. Sitting quietly on a couch
- B. Experiencing a temper tantrum
- C. Playing with a toy next to another child also playing with a toy
- D. Exploring his environment and playing with new toys
Correct Answer: A
Rationale: Toddlers are typically active and curious. A toddler who is sitting quietly might be a sign of developmental concerns or possible neglect.
A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing?
- A. Risk-factor
- B. Structural-functional
- C. Open systems
- D. Developmental
Correct Answer: D
Rationale: This is the developmental perspective, where the nurse assesses the family’s ability to adapt during life cycle transitions, like a child leaving for college.