139 multiple choice final
A client who is 36 weeks of gestation is at her prenatal visit. The nurse tells the client that she will be screened for group B Streptococcus during today's visit. Which of the following statements would be made by the nurse when providing client education about this screening test? a. "Screening for group B Streptococcus is necessary as this infection can cause complications with pregnancy and to the unborn infant." b. "This screening will help us to determine if your unborn infant will be susceptible to respiratory distress when he or she is born." c. "Screening for group B Streptococcus will help us identify if you have been exposed to this or any other infections during your pregnancy." d. "This screening is necessary to determine if there is any Rh blood group incompatibility between you and your unborn child."
a. "Screening for group B Streptococcus is necessary as this infection can cause complications with pregnancy and to the unborn infant."
A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action? a. 6 pound increase b. 11 pound increase c. 14 pound increase d. 20 pound increase
a. 6 pound increase
What is the main focus of the National Institutes of Health (NIH)? a. Addressing and reducing health disparities b. Outlining nationwide health promotion and disease prevention c. Protecting minority populations through development of health policies d. Supporting communities in addressing health disparities
a. Addressing and reducing health disparities
Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide? a. American Indian/Alaska Native Americans b. Asian Americans c. Latino/Hispanic Americans d. Black/African Americans
a. American Indian/Alaska Native Americans
Which model of health is most likely used by a person who does not believe in preventive health care? a. Clinical model b. Role performance model c. Adaptive model d. Eudaimonistic model
a. Clinical model
Which of the following best describes an abnormality in structure or function that occurs during fetal development? a. Congenital defect b. Genetic defect c. Embryonic defect d. Chromosomal defect
a. Congenital defect
Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives. Which of the following would be the priority for this nurse to promote? a. Health promotion activities b. Accident prevention activities c. Drug prevention activities d. Pregnancy prevention activities
a. Health promotion activities
A woman reports that she has strong spiritual practices. Which of the following is she most likely to experience? a. Improved coping skills and social support b. Increased understanding of religious differences c. Decreased pain and improved healing d. Decreased use of Western medicine
a. Improved coping skills and social support
Which of the following would be described as a family structural component? a. Income earner of the house b. Socialization for the family c. Immunization of infants d. Launching of children
a. Income earner of the house
Which of the following changes is experienced by the urinary system during pregnancy? a. Increased urinary output secondary to total body water increase b. Decreased bladder capacity c. Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge d. Increased renal excretion of acidic drugs
a. Increased urinary output secondary to total body water increase
Which of the following represents a method of primary prevention? a. Informational session about healthy lifestyles b. Blood pressure screening c. Interventional cardiac catheterization d. Diagnostic cardiac catheterization
a. Informational session about healthy lifestyles
A woman tells the nurse that she is very nervous about their meeting today. Which of the following relationship stages are the nurse and woman most likely experiencing? a. Orientation phase b. Working phase c. Therapeutic phase d. Termination phase
a. Orientation phase
Which of the following is most influenced by the social and economic environment of a community? a. Social health policies b. Quality of care c. Evidence-based practice d. Practice guidelines
a. Social health policies
A nurse is planning a home visit for a family. Which of the following actions would be most appropriate for the nurse to take? a. Study information regarding the family from agency records and other sources. b. Make a contract with the family that states specific goals and objectives. c. Identify how the home visit will be financed. d. Understand the situation from the family's perspective.
a. Study information regarding the family from agency records and other sources.
A nurse is counseling someone who has recently been diagnosed with diabetes. The nurse says, "Tell me more about how this diagnosis has affected your daily activities." Which of the following best describes the type of communication the nurse is using? a. Verbal communication b. Nonverbal communication c. Metacommunication d. Functional communication
a. Verbal communication
During a home visit, a nurse assists an individual to complete an application for disability services. The nurse is acting as a(n): a. advocate .b. care manager. c. consultant. d. educator.
a. advocate
. A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a "shot" to keep her baby alive. Which of the following statements would be the best response by the nurse?a. "Yes, you will need an injection of RhoGAM at 28 weeks gestation and within 72 hours after birth." b. "Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection." c. "Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies." d. "No, you will not need the injection because you are White. Rh incompatibility affects only Black women."
b. "Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection."
A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up? a. "I have been feeling more tired lately." b. "My husband complains every time I ask him to do something for me." c. "Sometimes, the smell of food makes me nauseous." d. "I need to get up two times a night to go to the bathroom."
b. "My husband complains every time I ask him to do something for me."
A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy? a. "You should gain 11 to 20 pounds during your pregnancy." b. "You should gain 15 to 25 pounds during your pregnancy." c. "You should gain 25 to 35 pounds during your pregnancy." d. "You should gain 28 to 40 pounds during your pregnancy."
b. "You should gain 15 to 25 pounds during your pregnancy."
A pregnant woman is having a TORCH screening done at today's prenatal visit. She states she is anxious to get the results back because she recently had unprotected sex with someone she just met and is afraid she might have HIV. Which of the following statements would be the best response by the nurse? a. "You will know your HIV status in about 1 week when the results come back." b. "You will require additional testing for HIV as it is not tested for with the TORCH screen." c. "You will need to be tested for HIV after you deliver because pregnancy can produce false HIV results." d. "You need to be exposed for at least 6 months before being tested for HIV in order for the results to be accurate."
b. "You will require additional testing for HIV as it is not tested for with the TORCH screen."
Which of the following mothers would be most likely to bond appropriately with their infant? a. A mother who feels unloved will bond appropriately because now the baby will love her. b. A mother who feels great about herself will show love toward the infant and bond appropriately. c. A mother who feels empty by the birth of her child will bond appropriately once she holds the baby. d. A mother who feels ugly will bond appropriately with her child because her child will bring self-esteem.
b. A mother who feels great about herself will show love toward the infant and bond appropriately.
Which of the following best demonstrates the practice of transcultural nursing? a. Using previous knowledge about ethnic minority cultures to plan care b. Adapting nursing care to meet the need of a person from an ethnic minority c. Requesting an interpreter when caring for a person from an ethnic minority d. Attending a presentation about cultural diversity
b. Adapting nursing care to meet the need of a person from an ethnic minority
A nurse is assessing a community from both a developmental and risk perspective. Which of the following characteristics would be of most interest to the nurse? a. Gender b. Age c. Race d. Socioeconomic level
b. Age
A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take? a. Tell the woman she should not be sexually active at this point in her pregnancy because it may harm the fetus. b. Ask her to elaborate on the difficulties. c. Tell her that they should modify their positions during intercourse and that will take care of the problem. d. Tell her men like the way pregnant women look.
b. Ask her to elaborate on the difficulties.
A nurse is planning to deliver an educational program to individuals with diabetes. Which of the following should be the initial action taken by the nurse to ensure the success of the program? a. Assess the motivation level of the individuals b. Assess the knowledge level of the individuals c. Establish teacher-learner goals with the individuals d. Establish multiple teaching sessions with the individuals
b. Assess the knowledge level of the individuals
A nurse is collecting data for a family assessment using Gordon's functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain? a. Roles-relationship b. Cognitive-perceptual c. Health-perception-health-management d. Self-perception-self-concept
b. Cognitive-perceptual
Erikson's task of autonomy vs. shame and doubt occurs during which stage of development? a. Infancy b. Early childhood c. Late childhood d. Early adolescence
b. Early childhood
A nurse is assessing a community's exposure to pollutants by examining contaminated soil, air, water, and food. Which functional health pattern is being assessed by the nurse? a. Nutritional-metabolic pattern b. Elimination pattern c. Health-perception-health management pattern d. Values-beliefs pattern
b. Elimination pattern
A nurse has started admitting a new person on home care and is beginning to establish a relationship. Which of the following would be the most important thing for the nurse to do? a. Complete the paperwork in a timely fashion b. Establish open communication c. Conduct a complete physical health assessment d. Provide feedback to the person's questions
b. Establish open communication
Which of the following statements about race and culture in the United States is correct? a. The United States ranks 22nd in the world for infant mortality rate .b. Ethnic minority populations have higher rates of low-birth-weight infants. c. Black infants are more likely to have cleft palates than Native American infants. d. Whites have more fraternal twin pregnancies than non-Whites.
b. Ethnic minority populations have higher rates of low-birth-weight infants.
What is the most effective policy a staff nurse can implement to help decrease medical errors on the unit? a. Forgo opportunities for continuing education so the unit is never understaffed. b. Foster a collaborative working environment on the unit. c. Check all medications a minimum of three times before administering them. d. Develop a policy that mandates the firing of any nurse who commits an error.
b. Foster a collaborative working environment on the unit.
Which of the following best describes a primary prevention method for colon cancer? a. Hemoccult testing b. High fiber diet c. Colonoscopy d. Laparoscopy
b. High fiber diet
A health care professional is leading a community action coalition to address the problem of homelessness within the neighborhood. Which of the following statements would most likely be made by health care professional? a. Homelessness should be addressed by improving financial assistance programs. b. Homelessness should be of concern to everyone in the neighborhood. c. Homelessness should be addressed by encouraging job growth in the area. d. Homelessness should be of concern to the mental health providers in the area.
b. Homelessness should be of concern to everyone in the neighborhood.
A nurse has implemented a smoking cessation program for teenagers and is now evaluating the rate of teenage smoking in the community. Which of the following functions is being demonstrated by the nurse? a. Codependent function b. Independent function c. Interdependent function d. Dependent function
b. Independent function
A young couple is deciding if they should get married and start a family. Which of Erikson's life stages are they experiencing? a. Identity vs. role confusion b. Intimacy vs. isolation c. Generativity vs. stagnation d. Ego integrity vs. despair
b. Intimacy vs. isolation
Which of the following statements about ethnic minorities in the United States is accurate? a. It is estimated that the percentage of ethnic minorities will decrease during the next 30 years. b. It is estimated that ethnic minorities will increase to one in two by 2050. c. The increasing population of refugees has been a significant contributor to the increase in ethnic minorities. d. The increasing population of ethnic minorities has helped decrease the health disparities faced by this population.
b. It is estimated that ethnic minorities will increase to one in two by 2050.
Which of the following demonstrates the nurse using subjective data to indicate a health concern in the health-perception-health-management pattern? a. Examining high sexually transmitted disease rates recorded by the health department b. Listening to community members discuss the high smoking rate among teenagers c. Analyzing the high infant mortality rate reported by state hospitals d. Discussing the high rate of teenage motor vehicle crashes recorded by the local police department
b. Listening to community members discuss the high smoking rate among teenagers
Which of the following statements about nonverbal communication is true? a. Nonverbal behavior is not usually contextual. b. Nonverbal behavior is culturally and situationally bound. c. Nonverbal communication is the most important type of communication. d. Nonverbal communication is easy to interpret.
b. Nonverbal behavior is culturally and situationally bound.
A client is experiencing an alteration in the health-perception-health-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person? a. Never sees a physician b. Only sees a physician if not feeling well c. Sees a physician for screenings only d. Sees a physician for follow-up care of a chronic disease
b. Only sees a physician if not feeling well
A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor? a. First b. Second c. Third d. Fourth
b. Second
During the first prenatal visit, the pregnant woman informs the nurse that she cannot wait to start wearing maternity clothes. This finding is based on an assessment of which functional health pattern? a. Cognitive-perceptual pattern b. Self-perception-self-concept pattern c. Health-perception-health-management pattern d. Values-beliefs pattern
b. Self-perception-self-concept pattern
The nurse has determined that a person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take? a. Weigh the person. b. Set a goal weight with the person. c. Ask the person what her favorite foods are. d. Develop a plan for weight loss.
b. Set a goal weight with the person.
Which of the following theories is an attempt to explain families as a set of interacting individuals with patterns of living that influence health decisions? a. Feminist theory b. Systems theory c. Developmental theory d. Resiliency theory
b. Systems theory
A nurse is told by a colleague that an Asian American individual on home care is using complementary and alternative medicine (CAM). Which of the following conclusions can accurately be drawn from this statement? a. The client will have adverse complications from using this form of medicine. b. The client may be using meditation, acupuncture, or another therapy. c. The client will soon be returning to his or her native country for further treatment. d. The client does not agree with the current professional care medication regimen.
b. The client may be using meditation, acupuncture, or another therapy.
Which factor has the greatest implication for a community nurse when developing a health promotion program for church members? a. The majority of members live within a 3-mile radius. b. The majority of members are African American. c. The majority of members are high school graduates. d. The majority of members are employed.
b. The majority of members are African American.
The nurse shares with her client the news that she, the nurse, is going to be married soon and tells the client about her wedding plans. Which of the following best describes the nurse's actions? a. The nurse is sharing inappropriate personal information with her client. b. The nurse is exhibiting a communication technique called self-disclosure. c. The nurse is attempting to show empathy with her client. d. The nurse is violating client confidentiality rights of the Health Insurance Portability and Accountability Act (HIPAA).
b. The nurse is exhibiting a communication technique called self-disclosure.
When assessing a person's nutritional-metabolic pattern, which objective finding would have implications for nursing intervention? a. The person's 24-hour diet diary b. The person's dentition c. The person's food preferences d. The person's financial status
b. The person's dentition
The nurse makes sure that the distance between himself and the client is at least 6 feet before he begins to ask questions related to the client's health history. Which of the following statements is true? a. This is the ideal space for intimate communication. b. This distance is too far for the nurse to build a therapeutic relationship while obtaining the information. c. This is the recommended distance between client and nurse for effective therapeutic communication. d. The nurse should position himself an additional foot away to facilitate the conversation.
b. This distance is too far for the nurse to build a therapeutic relationship while obtaining the information.
Which of the following statements about values is true? a. It is impossible for someone to understand his or her values. b. Values evolve over time; they are not static. c. Values assimilated in childhood are those held for a lifetime. d. Values clarification tells a person how to act.
b. Values evolve over time; they are not static.
Which scenario indicates a potentially dysfunctional pattern? a. Adult with frequent urination b. Woman who lost her job c. Elderly person with blurred vision d. Overweight adult with a sweet tooth
b. Woman who lost her job
Which of the following represents a method of secondary prevention? a. Self-breast examination education b. Yearly mammograms c. Chemotherapy for advanced breast cancer d. Complete mastectomy for breast cancer
b. Yearly mammograms
The client who is taking prescribed _____ would require preconception management to minimize the potential for drug-related birth defects. a. antiemetics b. antiepileptics c. iron d. non-narcotic analgesics
b. antiepileptics
A state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a developmental context is known as: a. growth and development. b. health. c. functioning. d. high-level wellness
b. health.
A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by: a. administering and reading the purified protein derivative (PPD) of all close contacts b. providing direct observed therapy (DOT) for the individual with TB c. isolating the person because it is likely drug resistant d. telling the person to wear a mask when leaving the home
b. providing direct observed therapy (DOT) for the individual with TB
The devaluing of beliefs, values, and customs of others is known as: a. ethnocentrism. b. racism .c. cultural competency. d. empathy.
b. racism
A nurse and a man are involved in a conversation. When the person folds his arms across his chest, the nurse almost simultaneously folds her arms across her chest. This behavior is recognized as: a. empathy. b. reciprocity. c. flexibility. d. spacing
b. reciprocity.
A woman who is 23 weeks pregnant is concerned because her baby is moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse?a. "Your infant is in distress. We should call an ambulance." b. "You need to be more active; take a dance class once a week." c. "At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus." d. "You probably counted incorrectly."
c. "At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus."
During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman's concern? a. "Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately." b. "Frequent heartburn is caused by high levels of hormones during pregnancy." c. "Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy." d. "Frequent heartburn during pregnancy requires immediate consultation with a gastroenterologist."
c. "Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy."
A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating? a. Visual acuity b. Pupil reactivity c. Ability to drive d. The red reflex
c. Ability to drive
A nurse is using the technique of mapping while implementing the nursing process in the community setting. The nurse is engaging in which aspect of the nursing process? a. Collection b. Planning c. Analysis d. Implementation
c. Analysis
A nurse is working with a community that is experiencing an alteration in its values-beliefs pattern. Which of the following is most likely to result because of a disturbance in this functional health pattern? a. Respiratory disorders b. Hearing loss c. Coronary artery disease d. Stress
c. Coronary artery disease
Which of the following is the leading cause of death among women? a. Accidents b. Cancer c. Coronary artery disease d. Stroke
c. Coronary artery disease
A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse? a. Highlight past successes b. Discuss the benefits of changing c. Develop strategies to prevent relapse d. Provide information
c. Develop strategies to prevent relapse
A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. Which action should the nurse take next? a. Develop a plan to address the high rates of alcohol-related motor vehicle accidents .b. Partner with high school nurses to educate students about the risks of drinking and driving. c. Diagnose the community with ineffective health management patterns related to the high levels of drunk driving. d. Establish support groups for teenagers with alcohol abuse.
c. Diagnose the community with ineffective health management patterns related to the high levels of drunk driving.
A nurse is caring for a woman who is in labor. The nurse anticipates that the labor will progress through which of the following sequences? a. Dilation stage, pressure stage, placental stage, recovery stage b. Dilation stage, pushing stage, pain stage, recovery stage c. Dilation stage, pushing stage, placental stage, recovery stage d. Dilation stage, pushing stage, placental stage, refractory stage
c. Dilation stage, pushing stage, placental stage, recovery stage
During the second prenatal visit, the pregnant woman informs the nurse that she has stopped smoking. This finding is based on an assessment of which functional health pattern? a. Cognitive-perceptual pattern b. Self-perception-self-concept pattern c. Health-perception-health-management pattern d. Values-beliefs pattern
c. Health-perception-health-management pattern
Which of the following was the fastest-growing minority group in the United States between 2000 and 2010? a. Asian American b. Arab American c. Hispanic American d. Native American
c. Hispanic American
A nurse who is using Gordon's functional health patterns is planning to assess its roles-relationships pattern. Which of the following questions would be most appropriate for the nurse to ask? a. What is the family's philosophy of health? b. What does the family do to have fun? c. How are problems in the family resolved? d. Who decides when and how children go to sleep?
c. How are problems in the family resolved?
A health care professional is offering an educational session about providing culturally congruent care. Which of the following information would be included the presentation? a. Hispanic Americans value keeping balance and harmony with the earth. b. The oldest male is the decision maker in African American families. c. Native Americans are present oriented, taking one day at a time. d. The hot and cold concept of disease is part of the Asian American culture.
c. Native Americans are present oriented, taking one day at a time.
Which addition to a community best demonstrates the concept of the Healthy People 2020 report? a. New cardiothoracic intensive care unit at a major hospital b. New rehabilitation center c. New recreational health center d. New children's hospital
c. New recreational health center
A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele's rule, which of the following dates would be the most accurate estimated date of delivery? a. September 16 b. September 22 c. October 29 d. October 17
c. October 29
A health care professional is searching for a funding source to develop a colorectal cancer screening program for ethnic and racial minorities in the community. Which of the following federal agencies would most likely be able to assist with this initiative? a. The National Institute on Minority Health and Health Disparities b. The Centers for Disease Control and Prevention c. The Office of Minority Health d. The National Institutes of Health
c. The Office of Minority Health
A health care professional is caring for an individual who is homeless. Which of the following considerations should be made? a. The prevalence of substance abuse is much lower among the homeless population than the general population. b. The prevalence of HIV/AIDS is much lower among the homeless population than the general population. c. The percentage of the population who has health insurance is much lower among the homeless than the general population. d. The percentage of the population who has limited access to medical care is much lower among the homeless than the general population.
c. The percentage of the population who has health insurance is much lower among the homeless than the general population.
A nurse is assessing the nutritional-metabolic patterns of a pregnant woman. Which of the following findings would be of concern to the nurse? a. The woman drinks about 1 gallon of water a day. b. The woman works out at the gym daily. c. The woman does not like vegetables. d. The woman usually eats three meals a day in addition to two snacks a day.
c. The woman does not like vegetables.
Building a partnership with an obese individual who is trying to lose weight requires the nurse to: a. schedule a day to exercise with the individual. b. go grocery shopping for the individual. c. learn about the methods of weight loss. d. give the individual a weight loss goal.
c. learn about the methods of weight loss.
During which week would pregnancy begin to pose health concerns for the fetus? a. 36 weeks b. 38 weeks c. 40 weeks d. 42 weeks
d. 42 weeks
Which factor may have the most influence in changing the health behavior of a single, adult woman who smokes and is the care provider for her mother, her own children, and granddaughter? a. Education regarding effects of smoking on her health b. The satisfaction that she will not contribute to secondhand smoke c. The availability of a weekly support group d. A gift card for $10 to a local grocery store for every week she is smoke free
d. A gift card for $10 to a local grocery store for every week she is smoke free
Which of the following best describes the nurse's role in health promotion and disease prevention? a. Educating about home safety measures b. Identifying areas for family improvement c. Implementing the nursing process using a systems perspective d. Acting as a role model for the family
d. Acting as a role model for the family
A family has recently become homeless. Which of the following factors most likely contributed to this situation? a. Being from an ethnic minority background b. Declining rates of poverty c. Having multiple chronic illnesses d. Being unable to find affordable housing
d. Being unable to find affordable housing
Which of the following is the first step in the valuing process? a. Acting out the choice b. Selecting from alternatives c. Being happy with personal beliefs and actions d. Choosing freely
d. Choosing freely
A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual's nursing plan of care? a. Decreased sense of hearing b. Decreased sense of smell c. Decreased sense of taste d. Decreased visual acuity
d. Decreased visual acuity
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
d. Developmental
A nurse is caring for a family with an adolescent child. Which of the following problems would the nurse anticipate that the family would report? a. Concerns about career decisions b. Concerns about exposure to environmental hazards c. Difficulty with parents finding fulfillment with raising the child d. Difficulty with open communication with the child
d. Difficulty with open communication with the child
A person with chronic back pain is cared for by her primary care provider as well as receives acupuncture. Which model of health does this person likely favor? a. Clinical model b. Role performance model c. Adaptive model d. Eudaimonistic model
d. Eudaimonistic mode
A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed? a. Assessment b. Implementation c. Planning d. Evaluation
d. Evaluation
A health care professional is caring for an individual who is homeless and has recently been diagnosed with Type II diabetes. Which of the following factors is the most important to consider when planning care? a. Considering the cost of the purchasing medications b. Determining the pharmacy where medications will be obtained c. Obtaining insurance that will pay for the follow-up care d. Finding supportive housing for the individual
d. Finding supportive housing for the individual
Which of the following statements is true with regard to health promotion? a. Health promotion efforts are not concerned with addressing environmental obstacles to health. b. Advocates of health promotion are not involved in political campaigns against harmful products .c. The business of eliminating health disparities is a unique function of Healthy People 2010 goals. d. Health promotion involves collaboration of many professional groups.
d. Health promotion involves collaboration of many professional groups.
When providing an educational session about the Arab American population, which of the following information would be included? a. The largest group of Arab Americans was refugees in the 1960s. b. The largest groups of Arab Americans are from Palestine and Iraq. c. Members of the Arab American population are most likely to live in rural communities. d. Members of the Arab American population are more likely to have college degrees than Americans at large.
d. Members of the Arab American population are more likely to have college degrees than Americans at large.
A nurse would like to improve his cultural competence. Which of the following is the best strategy to use? a. Explore complementary and alternative medicine practices used by other cultures. b. Discuss cultural differences with coworkers. c. Provide care to diverse populations. d. Participate in continuing education programs about cultural diversity.
d. Participate in continuing education programs about cultural diversity.
Which of the following represents a method of tertiary prevention? a. Drunk driving campaign b. Road blocks for drunk driving c. Emergency surgery for head trauma after a motor vehicle accident d. Physical and occupational therapy after a motor vehicle accident with head trauma
d. Physical and occupational therapy after a motor vehicle accident with head trauma
A person has just been admitted to the hospital. In talking with the person, the nurse is able to elicit from her that the reason for her hospitalization is that her husband beat her up. Which characteristic of the therapeutic relationship is being demonstrated? a. Empathy b. Trust c. Rapport d. Purposeful communication
d. Purposeful communication
During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating clay. Which of the following actions should be taken by the nurse? a. Tell the client that many pregnant women crave such nonfood substances, and it is not a problem. b. Ignore the comment because pica is acceptable in some rural Black cultures. c. Encourage the client to eat it with plenty of water because of the risk of constipation. d. Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way.
d. Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way.
A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage? a. Providing constant reinforcement and education about the labor process and assisting the woman with pushing b. Explaining unusual interventions such as the use of a fetal heart monitor c. Assisting with labor discomfort by modeling breathing d. Teaching the new mother positioning of the infant to assist with breast-feeding
d. Teaching the new mother positioning of the infant to assist with breast-feeding
Which of the following health concerns should the nurse have as a priority when planning care for a community? a. The limited recreational areas identified through a windshield survey b. The high crime rate reported in the town records c. The absence of health clinics on the local bus route d. The lack of grocery stores within walking distance identified by the community
d. The lack of grocery stores within walking distance identified by the community
Which of the following scenarios best describes a nurse using metacommunication? a. Using both touch and silence when counseling an individual b. Practicing reflection when interaction with an individual c. Discussing with an individual how to solve a problem d. Understanding that an individual needs a break before proceeding
d. Understanding that an individual needs a break before proceeding
A nurse has developed a family nursing diagnosis. Which of the following best describes the purpose of this action? a. Describes the strengths of the family b. Allows for creation of goals for the family c. Promotes behavioral change among family members d. Validates health problems with the family
d. Validates health problems with the family
During a prenatal visit, a pregnant woman informs the nurse that she and her husband have chosen godparents for the baby. This finding is based on an assessment of which functional health pattern? a. Cognitive-perceptual pattern b. Self-perception-self-concept pattern c. Health-perception-health-management pattern d. Values-beliefs pattern
d. Values-beliefs pattern
A major cause of death in the early twentieth century was: a. cancer. b. cerebrovascular disease. c. heart disease d. infections.
d. infections.
A nurse and her client are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective client-centered communication, the nurse should: a. ask the person what he is thinking, so they can understand each other. b. restate what the person said before silence ensued, to get clarification. c. change the subject to one that is more pleasant for the person to discuss. d. wait quietly to give the person time to reflect where he wants to lead the conversation.
d. wait quietly to give the person time to reflect where he wants to lead the conversation.
A nurse is making a final home visit with a family to evaluate the nursing care plan. Which of the following actions would the nurse most likely complete during this visit? a. Obtain vital signs from all members of the family. b. Ask the family members to state the goals that were previously developed .c. Collect data similar to that which was collected at the initial visit for comparison. d. Educate about the importance of using role relationships to create a healthy family.
.c. Collect data similar to that which was collected at the initial visit for comparison.
