NSG 325 Final
A nurse is talking with parents of a 12‑year‑old child. Which of the following issues verbalized by the parents should the nurse identify as the priority? A. "We just don't understand why our son can't keep up with the other kids in simple activities like running and jumping." B. "Our son keeps trying to find ways around our household rules. He always wants to make deals with us." C."We think our son is trying too hard to excel in math just to get the top grades in his class." D."Our son is always afraid the kids in school will laugh at him because he likes to sing."
A
A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy? A. Collaborating with providers to perform obesity screenings during routine office visits B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity C. Providing specialized intraoperative training regarding surgical treatments for obesity D. Educating acute care nurses on postoperative complications related to obesity
A
The client who would be least likely to participate in health teaching activities would choose which model? a. Clinical model b. Adaptive model c. Role performance model d. Eudaimonistic model
A
A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? A. Monitoring evidence‑based practice for clients who have a specific diagnosis B. Ensuring that health care providers comply with regulations C. Setting quality standards for accreditation of health care facilities D. Determining if medications are safe for administration to clients
B
A nurse is explaining the various types of health care coverage clients might have to a group of nursing students. Which of the following health care financing mechanisms are federally funded? (Select all that apply.) A. Preferred provider organization (PPO) B. Medicare C. Long‑term care insurance D. Exclusive provider organization (EPO) E. Medicaid
BE
A nurse is caring for a 20‑year‑old client who is sexually active and has come to the college health clinic for a first‑time checkup. Which of the following interventions should the nurse perform first to determine the client's need for health promotion and disease prevention? A. Measure vital signs. B. Encourage HIV screening. C. Determine risk factors. D. Instruct the client
C
A client who has had a cerebrovascular accident has persistent problems with dysphagia (difficulty swallowing). The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team? A. Social worker B. Certified nursing assistant C. Occupational therapist D. Speech‑language pathologist
D
A goal for a client who has difficulty with self‑feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team? A. Social worker B. Certified nursing assistant C. Registered dietitian D. Occupational therapist
D
A mother tells the nurse that her 2‑year‑old toddler has temper tantrums and says "no" every time the mother tries to help her get dressed. The nurse should recognize, the toddler is manifesting which of the following stages of development? A. Trying to increase her independence B. Developing a sense of trust C. Establishing a new identity D. Attempting to master a skill
a
A nurse in a health clinic is caring for a 21‑year‑old client who reports a sore throat. The client tells the nurse that he has not seen a doctor since high school. Which of the following health screenings should the nurse expect the provider to perform for this client? A. Testicular examination B. Blood glucose C. Fecal occult blood D. Prostate‑specific antigen
a
A nurse is advocating for local leaders to place a newly approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following ethical principles? A. Distributive justice B. Fidelity C. Respect for autonomy D. Veracity
a
A nurse is caring for a client who has left‑sided hemiplegia resulting from a cerebrovascular accident. The client works as a carpenter and is now experiencing a situational role change based on physical limitations. The client is the primary wage earner in the family. Which of the following describes the client's role problem? A. Role conflict B. Role overload C. Role ambiguity D. Role strain
a
A nurse is cautioning the mother of an 8‑month‑old infant about safety. Which of the following statements by the mother indicates an understanding of safety for the infant? A. "My baby loved to play with his crib gym, but I took it away from him." B. "I just bought a soft mattress so my baby will sleep better." C."My baby really likes sleeping on the fluffy pillow we just got for him." D."I put the baby's car seat out of the way on the t
a
A nurse is conducting a home visit with an older-adult couple. While in the home the nurse weighs each individual and reviews the 3-day food diary with them. She also checks their blood pressure and encourages them to increase their fluids and activity levels to help with their voiced concern about constipation. The nurse is addressing which level of need according to Maslow? a. Physiological b. Safety and security c. Love and belonging d. Self-actualization
a
A nurse is presenting a program to workers in a factory covering safety topics, including the wearing of hearing protectors when workers are in the factory. Which level of prevention is the nurse practicing? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention
a
A nurse is reading a research article. The nurse just finished reading a brief summary of the research study that included the purpose of the study and its implications for nursing practice. Which part of the article did the nurse just read? a. Abstract b. Analysis c. Discussion d. Literature Review
a
A nurse is teaching the parents of a toddler about discipline. Which of the following actions should the nurse suggest? A. Establish consistent boundaries for the toddler. B. Place the toddler in a room with the door closed. C. Inform the toddler how you feel when he misbehaves. . D. Use favorite snacks to reward the toddler.
a
A nurse is using the I PREPARE mnemonic to assess a client's potential environmental exposures. Which of the following questions should the nurse ask when assessing for "A" in the mnemonic? A. "What do you like to do for fun?" B. "What year was your residence built?" C."What jobs have you had in the past?" D."What industries are near where you live?"
a
A nurse needs to teach a young woman newly diagnosed with asthma how to manage her disease. Which of the following topics does the nurse teach first? a. How to use an inhaler during an asthma attack b. The need to avoid people who smoke to prevent asthma attacks c. Where to purchase a medical alert bracelet that says she has asthma d. The importance of maintaining a healthy diet and exercising regularly
a
A patient with chest pain is having an emergency cardiac catheterization. Which teaching approach does the nurse use in this situation? a. Telling approach b. Selling approach c. Entrusting approach d. Participating approach
a
A single young adult interacts with a group of close friends from college and work. They celebrate birthdays and holidays together. In addition, they help one another through many stressors. These individuals are viewed as: a. Family. b. Siblings. c. Substitute parents. d. Alternative family structure.
a
According to Piaget's theory of cognitive development, the young adult is in the stage of formal operational thought and demonstrates abilities to: a. analyze concepts. b. manipulate concrete objects. c. participate in cooperative interactions. d. perceive specific examples.
a
An 8-year-old child is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. Which of the following will most help her adjust to the hospital? a. Explain hospital routines such as mealtimes to her. b. Use terms such as "honey" and "dear" to show a caring attitude. c. Explain when her parents can visit and why siblings cannot come to see her. d. Since she is young, orient her parents to her room and hospital facility.
a
An effective method for older adults to feel engaged in the community is through: a. volunteering. b. downsizing. c. retirement. d. gardening.
a
At a well-child examination, the mother comments that her toddler eats little at mealtime, will only sit briefly at the table, and wants snacks all the time. Which of the following should the nurse recommend? a. Provide nutritious snacks. b. Offer rewards for eating at mealtimes. c. Avoid snacks so she is hungry at mealtime. d. Explain to her firmly why eating at mealtime is important.
a
During a visit to a family clinic, a nurse teaches a mother about immunizations, car-seat use, and home safety for an infant and toddler. Which type of nursing interventions are these? a. Health promotion activities b. Acute care activities c. Restorative care activities d. Growth and development care activities
a
Emphasis on disease prevention for the young adult, after age 25, is on modifying risk factors related to: a. coronary artery disease. b. cirrhosis of the liver. c. cervical cancer. d. colon cancer.
a
In an interview with a pregnant patient, the nurse discussed the three risk factors that have been cited as having a possible effect on prenatal development. They are: a. Nutrition, stress, and mother's age. b. Prematurity, stress, and mother's age. c. Nutrition, mother's age, and fetal infections. d. Fetal infections, prematurity, and placenta previa.
a
Middle-age adults frequently find themselves trying to balance responsibilities related to employment, family life, care of children, and care of aging parents. People finding themselves in this situation are frequently referred to as being a part of: a. The sandwich generation. b. The millennial generation. c. Generation X. d. Generation Y.
a
Nurses in the school setting can participate in health promotion activities through creating nut-free schools. This would protect hypersensitive children from life-threatening allergic reactions to peanuts and other nut products. This type of program is an example of which of the following interventions? a. Primary b. Secondary c. Tertiary d. Emergent
a
Nurses play an active role in __________ individuals to make their own informed decisions about health care. a. empowering b. coercing c. persuading d. directing
a
Priority nursing assessments of Asian Americans/Pacific Islanders should be on which disease process? a. COPD b. Hypertension c. Diabetes mellitus d. Breast cancer
a
Research has documented what symptom one of the strongest predictors of adolescent obesity? a. Depression b. Excessive TV watching c. Lack of physical activity d. Meal skipping
a
Sexually transmitted infections (STIs) continue to be a major health problem in young adults. Men ages 20 to 24 years have the highest rate of which STI? a. Chlamydia b. Syphilis c. Gonorrhea d. Herpes zoster
a
The client asks the nurse, "Should I take a nutrient supplement?" The nurse explains that nutrient supplementation is indicated in situations such as: a. folic acid prior to pregnancy. b. vitamin A during the first trimester of pregnancy. c. vitamin E during anticoagulation therapy. d. calcium in iron-deficiency anemia.
a
The leading causes of death in middle adulthood, in both White and Black populations, are the same and include: a. heart disease. b. kidney disease. c. respiratory disease. d. gastrointestinal disease.
a
The nurse assessing conventional level moral development in 12-year-old children would expect to see which behaviors? a. The child looks to others for approval. b. The child views behavior as completely right or wrong. c. The child behaves because there is a fear of punishment. d. The child's moral development is characterized by self-interest.
a
The nurse in a new community based clinic is requested to complete a community assessment. What is the order for completing this assessment? 1. Structure or locale 2. Social systems3. Population a. 1, 3, 2 b. 2, 1, 3 c. 3, 2, 1 d. 3, 1, 2
a
The nurse incorporates cultural considerations into the health teaching plan by: a. assessing a person's beliefs. b. using medical terminology. c. presenting evidence-based information. d. explaining that universal health practices are the best.
a
The nurse is completing a health history with the daughter of a newly admitted patient who is confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer's disease 1 year ago but became extremely confused last evening and was hallucinating. She was unable to calm her, and her mother thought she was a stranger. On the basis of this history, the nurse suspects that the patient is experiencing: a. Delirium. b. Depression. c. New-onset dementia. d. Worsening dementia.
a
The nurse is explaining services provided in assisted living to a couple considering a move to long-term housing for older adults. The nurse explains that assisted living includes: a. 24-hour protective oversight. b. medications administered by staff personnel. c. client responsibility for preparation of own medications. d. expectation that clients are independent in all care areas.
a
The nurse is reviewing the immunization record of a sexually active adolescent. The nurse determines that the adolescent should receive a: a. hepatitis B vaccine. b. Haemophilus influenzae vaccine. c. measles, mumps, and rubella vaccine. d. pneumococcal meningitis vaccine.
a
The nurse is teaching a group of mothers about toddlers and their play activities by explaining that toddlers: a. participate in parallel play. b. demonstrate skill in sharing and cooperative play. c. enjoy playing together with a group of toddlers. d. learn best with intensive drill during play.
a
The nurse suggests stimulating experiences for development of their infant to the parents of a 6-month-old infant. These experiences would include: a. singing lullabies to the baby. b. inviting another infant over to play. c. keeping the top of the crib free of hanging mobiles. d. providing a toy that emits animal sounds when the buttons are pushed.
a
The nurse's role with the family with older adults includes serving as a counselor of: a. bereavement. b. menopause. c. family planning. d. sexually transmittable diseases.
a
The nurse, teaching a class on reducing the incidence of heart disease, emphasizes that the major risk factors for heart disease are: a. peripheral arterial disease. b. HDL greater than 40 mg/dL. c. age between 45 and 55. d. fasting blood glucose between 90 and 100 mg/dL.
a
The nurse, teaching a class on smoking cessation to a group of middle-age adults, presents the adverse effects of smoking, which include that nicotine: a. acts to stimulate the heart. b. calms the central nervous system. c. assists in decreasing blood pressure. d. causes a decrease in carbon monoxide.
a
The preoperative stage of thinking is displayed by the child as: a. transductive reasoning. b. the trait of irreversibility. c. understanding the perspectives of others. d. an ability to consider more than one factor when solving simple problems.
a
The school nurse is developing an information pamphlet on prevention of obesity in school age children. Interventions stated on the pamphlet would include which of the following? a. Provide foods high in vitamin A and C, fruits, and vegetables for afterschool snacks. b. Eating may occur in front of the television as long as the program is news-related. c. Make different meals for the child based on their likes and dislikes. d. Reward the child with food for school achievement.
a
When evaluating the health perception of a preschooler, the nurse understands that this age group views pain or illness as: a. punishment. b. separation anxiety. c. a result of their actions. d. painful regardless of the intervention.
a
When nurses are communicating with adolescents, they should: a. Be alert to clues to their emotional state. b. Ask closed-ended questions to get straight answers. c. Avoid looking for meaning behind adolescents' words or actions. d. Avoid discussing sensitive issues such as sex and drugs.
a
When taking care of patients, a nurse routinely asks if they take any vitamins or herbal medications, encourages family members to bring in music that the patient likes to help the patient relax, and frequently prays with her patients if that is important to them. The nurse is practicing which model? a. Holistic b. Health belief c. Transtheoretical d. Health promotion
a
Which of the following statements about evidence-based practice (EBP) made by a nursing student would require the nursing professor to correct the student's understanding? a. "In evidence-based practice the patients are the subjects." b. "It is important to talk with experts and patients when making an evidence-based decision." c. "A nurse wanting to investigate the evidence to solve a problem starts by forming a PICOT question." d. "It is important to ask a librarian for help when searching for literature to help you answer your PICOT question."
a
Which physical growth and development change in toddlers places them at risk for airway obstruction? a. The diameter of the upper respiratory tract is small. b. The respiratory rate decreases to 25 breaths per minute. c. All 20 primary or deciduous teeth erupt be the end of toddlerhood. d. The swallowing pattern using the tongue is fully developed.
a
Which statement made by a new graduate nurse about the teachback technique requires intervention and further instruction by the nurse's preceptor? a. "After teaching a patient how to use an inhaler, I need to use the Teach Back technique to test my patient's understanding." b. "The Teach Back technique is an ongoing process of asking patients for feedback." c. "Using Teach Back will help me identify explanations and communication strategies that my patients will most commonly understand." d. "Using pictures, drawings, and models can enhance the effectiveness of the Teach Back technique."
a
Which theory of development asserts that learning precedes development? a. Vygotsky's theory of cognitive development b. Piaget's theory of cognitive development c. Erikson's theory of psychosocial development d. Kohlberg's theory of moral development
a
Why do infants in developed countries have better outcomes in natural disasters? a. Most infants in developed countries are breastfed. b. Most infants in developed countries are bottle fed. c. Mothers have an adequate supply of diapers. d. Infants in developed countries have lower rates of immunization.
a
n an interview with a pregnant patient, the nurse discussed the three risk factors that have been cited as having a possible effect on prenatal development. They are: a. Nutrition, stress, and mother's age b. Prematurity, stress, and mother's age. c. Nutrition, mother's age, and fetal infections. d. Fetal infections, prematurity, and placenta previa.
a
A family has decided to care for a grandparent with terminal cancer in the daughter's home. Family caregiving is new to the family. When helping this family as they begin to plan for their caregiving roles, what are the two top priority assessments to best learn about family functioning? (Select all that apply.) a. Communication b. Decision making c. Development d. Economic status e. Family structure
ab
Nurses caring for the Black/African American population need to maintain an awareness of which of the following health-related cultural aspects of care? (select two that apply) a. Severe high blood pressure is more common for African Americans. b. Cancer and mortality rates for African Americans is higher than that for White Americans. c. African Americans are less likely to be diagnosed with diabetes. d. African Americans have the highest percentage of women with low or no prenatal care in the first trimester.
ab
What are some of the benefits of assessing a family through the use of an ecomap and genogram? (select all that apply) a. A genogram allows a visual display of family health conditions. b. Family histories provide the nurse with a unique perspective of family risk for inherited diseases. c. Slashed lines on an ecomap are used to signify death. d. The ecomap uses a structural approach to the assessment of family roles and function. e. The ecomap is useful in determining environmental hazards related to geography.
ab
What are some of the benefits of assessing a family through the use of an ecomap and genogram? (select all that apply) a. A genogram allows a visual display of family health conditions. b. Family histories provide the nurse with a unique perspective of family risk for inherited diseases. c. Slashed lines on an ecomap are used to signify death. d. The ecomap uses a structural approach to the assessment of family roles and function. e. The ecomap is useful in determining environmental hazards related to geography.
ab
What are the two overarching goals of Healthy People 2010? (select two that apply) a. Increase quality and years of life b. Eliminate health disparities c. Create access to preventive services for all. d. Increase the span of healthy life
ab
Which entities recommend that health practitioners within the United States use growth charts for children from birth to 24 months? (select two that apply) a. Centers for Disease Control and Prevention b. World Health Organization c. The Joint Commission d. Healthy People 2020
ab
The public health nurse is working with the county health department on a task force to fully integrate the goals of Healthy People 2020. In the immigrant community, most of the population does not have a primary care provider, nor do they participate in health promotion activities; the unemployment rate in the community is 25%. How does the nurse determine which goals need to be included or updated? (Select all that apply.) a. Assess the health care resources within the community b. Assess the existing health care programs offered by the county health department c. Compare existing resources and programs with Healthy People 2020 goals d. Initiate new programs to meet Healthy People 2020 goals. e. Implement educational sessions in the schools to focus on nutritional needs of the children.
abc
Which of the following components are included in the World Health Organization's (WHO) definition of malnutrition? (select all that apply) a. Obesity b. Inadequate intake of vitamins/minerals c. Inadequate protein intake d. Inadequate fluid intake
abc
A nurse is preparing a wellness presentation for families about health screening for adolescents. Which of the following information should the nurse include? (Select all that apply.) A. Obtain a periodic mental status evaluation. B. Discuss prevention of sexually transmitted infections. C. Regularly screen for tuberculosis. D. Provide education about drug and alcohol use. E. Teach monthly breast examinations for girls.
abcd
Common visual conditions which may occur in middle-aged adults include which of the following? (select all that apply) a. Presbyopia b. Glaucoma c. Cataracts d. Macular degeneration e. Presbycusis
abcd
Health is considered to be a metaparadigm for nursing and includes which of the following components? (select all that apply) a. Person b. Health c. Environment d. Nursing e. Psychosocial wellness
abcd
How can a nurse work on developing cultural awareness? (Select all that apply.) a. Reflect on his or her past learning about health, illness, race, gender, and sexual orientation b. Develop greater self-knowledge about personal biases c. Recognize consciously the multiple factors that influence his or her own world view d. Engage in an in-depth self-examination of his or her own background e. Learn as many facts as possible about an ethnic group
abcd
What are the four types of nursing interventions used in health-promotion and disease-prevention planning for the family? (select four correct answers) a. Increasing knowledge and skills b. Increasing strengths c. Decreasing exposure to risks d. Decreasing susceptibility e. Decreasing interdependence
abcd
Which of the following patients seen in a clinic has an increased risk of experiencing interpersonal violence? (select all that apply) a. An 8-year-old male who has witnessed his mother being verbally abused by her boyfriend b. A 14-year-old female whose parents are problem drinkers c. A 10-year-old boy who has difficulty making friends d. A 16-year-old girl who is 70 pounds overweight and concerned about her weight
abcd
Which of the following projects fall under the guidance of WHO collaborating nutrition centers? (select all that apply) a. Research related to preserving the freshness of foods b. Educational seminars related to nutritional requirements c. Comparison of the effectiveness of vitamin pills versus fresh fruit and vegetables d. Research related to BMI and cardiovascular disease
abcd
Improvement of which five of the following habits would substantially reduce mortality rates? (select all that apply) a. Smoking b. Stress c. Poor diet d. Alcohol abuse e. Medication use f. Lack of exercise g. Emergency room visits
abcdf
The nurse provides anticipatory guidance to people during middle age to meet developmental tasks of: (select all that apply) a. helping children become responsible, happy adults. b. rediscovering new satisfaction in the relationship with one's spouse. c. developing an affectionate but independent relationship with aging parents. d. reaching the peak in one's career. e. passing on traditions and skills to grandchildren. f. developing leisure-time activities.
abcdf
Which of the following are considered social determinants of health? (Select all that apply.) a. Lack of primary health care providers in a zip code b. Poor-quality public school education that prevents a person from developing adequate reading skills c. Lack of affordable health insurance d. Employment opportunities that do not provide paid vacation or sick leave e. The number of times a person exercises during a week f. Neighborhood safety that prevents a person from walking around the block or socializing with neighbors outside of his or her home
abcdf
A nurse in a clinic is planning health promotion and disease prevention strategies for a client who has multiple risk factors for cardiovascular disease. Which of the following interventions should the nurse include? (Select all that apply.) A. Help the client see the benefits of her actions. B. Identify the client's support systems. C. Suggest and recommend community resources. D. Devise and set goals for the client. E. Teach stress management strategies.
abce
A nurse is planning a health promotion and primary prevention class for the parents of school‑age children. Which of the following information should the nurse include? (Select all that apply.) A. Provide information about the risk of childhood obesity. B. Discuss the danger of substance use disorders. C. Promote discussion about sexual issues. D. Recommend the school‑age child sit in the front seat of the car. E. Reinforce stranger awareness.
abce
A nurse is planning diversionary activities for school‑age children on an inpatient pediatric unit. Which of the following activities should the nurse include? (Select all that apply.) A. Building models B. Playing video games C. Reading books D. Using toy carpentry tools E. Playing board games
abce
A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following factors are influenced by an individual's culture? (Select all that apply.) A. Nutritional practices B. Family structure C. Health care interactions D. Biological variations E. Views about illness
abce
On the basis of an assessment, the nurse identifies an increase in the immigrant population group in the community. How would the nurse determine some of the health needs of this population? (Select all that apply). a. Identify what the immigrant population views as the two most important health needs. b. Apply information from Healthy People 2020 c. Determine how the population uses available health care resources d. Determine which health care agencies will accept immigrant populations e. Identify perceived barriers for health care
abce
Which of the following are major public health problems commonly affecting older adults? (Select all that apply.) a. Substance abuse b. Confusional states c. Financial limitations d. Communicable diseases e. Acute and chronic physical illnesses
abce
Which of the following changes can help create a more inclusive environment for lesbian, gay, bisexual, and transgender (LGBT) patients? (Select all that apply.) a. Explicitly including sexual orientation and gender identity into nondiscrimination policies b. Displaying art that reflects LGBT community c. Modifying health care forms to provide opportunities for gender identity and sexual orientation disclosure d. Not asking patients about their gender identity and sexual orientation to avoid making them uncomfortable e. Ensuring access to unisex or single-stall bathrooms
abce
A family is facing job loss of the father, who is the major wage earner, and relocation to a new city where there is a new job. The children will have to switch schools, and his wife will have to resign from the job she likes. Which of the following contribute to this family's hardiness? (Select all that apply.) a. Family meetings b. Established family roles c. New neighborhood d. Willingness to change in time of stress e. Passive orientation to life
abd
A new immigrant family consisting of a grandparent, two adults, and three school-age children has decided to receive their health promotion care at the Community Wellness Center. This is their first visit, and a family assessment, a health history, and a physical of each family member are needed. Which of the following are included in a family function assessment? (Select all that apply.) a. Cultural practices b. Decision making c. Neighborhood services d. Rituals and celebrations e. Neighborhood crime data f. Availability of parks
abd
A nurse is talking with the parents of a 6‑month‑old infant about gross motor development. Which of the following gross motor skills are expected findings in the next 3 months? (Select all that apply.) A. Rolls from back to front B. Bears weight on legs C. Walks holding onto furniture D. Sits unsupported E. Sits down from a standing position
abd
A nursing student in the last semester of the baccalaureate nursing program is beginning the community health practicum and will be working in a community based clinic with a focus on asthma and allergies. What is the focus of the community health nurse in this clinic setting? (Select all that apply.) a. Decrease the incidence of asthma attacks in the community. b. Increase patients' ability to self-manage their asthma. c. Treat acute asthma attack in the home care setting d. Provide asthma education programs for the teachers in the local schools e. Provide scheduled immunizations to people who come to the clinic
abd
Independent seniors may experience which of the following barriers to obtaining adequate nutritional intake? (select all that apply) a. Transportation issues b. Income c. Socialization d. Social support resources e. Cultural food preferences
abd
The nurse caring for a Bosnian community identifies that the children are undervaccinated and the community is unaware of resources. The nurse assesses the community and determines that there is a health clinic within a 5-mile radius. The nurse meets with the community leaders and explains the need for immunizations, the location of the clinic, and the process of accessing health care resources. Which of the following practices is the nurse providing? (Select all that apply.) a. Providing community resources for the children b. Teaching the community about health promotion and illness prevention c. Promoting autonomy in decision-making about health practices d. Improving the health care of the community's children e. Participating in professional development activities to maintain nursing competency
abd
The parents of a school age child report that their 9-year-old son walks in his sleep almost every night. The school nurse includes which of the following elements of education? (select all that apply) a. Sleep disturbances are more common in the preschool and school-age years. b. Sleep disturbances occur most often in the first 1 to 2 hours after going to sleep. c. Girls are more prone to sleep disturbances than boys. d. Problems may be influenced by fatigue and stress within the child. e. Sleep disturbances are usually related to respiratory problems.
abd
A nurse on a pediatric unit is caring for an adolescent who has multiple fractures. Which of the following interventions should the nurse take? (Select all that apply.) A. Suggest that his parents bring in video games for him to play. B. Provide a television and DVDs for the adolescent to watch. C. Limit visitors to the adolescent's immediate family. D. Involve the adolescent in treatment decisions when possible. E. Allow the adolescent to perform his own morning care
abde
Chronic illness (e.g., diabetes mellitus, hypertension, rheumatoid arthritis) may affect a person's roles and responsibilities during middle adulthood. When assessing the health-related knowledge base of both the middle-age patient with a chronic illness and his family, your assessment includes which of the following? (Select all that apply.) a. The medical course of the illness b. The prognosis for the patient c. Socioeconomic status d. Coping mechanisms of the patient and family e. The need for community and social services
abde
Using Healthy People 2020 as a guide, which of the following would improve delivery of care to a community? (Select all that apply.) a. Community assessment b. Implementation of public health policies c. Home safety assessment d. Increased access to care. e. Determining rates of specific illnesses
abde
Nurses caring for the young adult population maintain awareness about screening for hypertension. Which of the following statements are true about hypertension in young adults? (select all that apply) a. The Mexican American population has the lowest percentage of individuals with high blood pressure. b. African Americans have the highest rates of high blood pressure. c. Health insurance has a direct correlation with hypertension control. d. Adopting healthy behaviors after being diagnosed with hypertension will not reduce the incidence. e. The prevalence of treatment and control of hypertension is lowest in young adults.
abe
The nurse caring for the infant in the community setting observes for which of the following passive manifestations of abuse? (select all that apply) a. Poor nutrition b. Neglected visits to primary care providers c. Soft tissue injuries d. Fractures in varying stages of healing e. Emotional neglect
abe
The nurse emphasizes warning signs of suicidal risks in adolescents during a health education class. These signs include: (select all that apply) a. difficulty concentrating. b. increased accidents. c. hyperactivity. d. lethargy. e. sleep disorders
abe
A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the differences between community‑based and community‑oriented nursing, the nurse should include which of the following situations as an example of community‑based nursing? (Select all that apply.) A. A home health nurse performing wound care for a client who is immobile B. An occupational health nurse providing classes on body mechanics at a local industrial plant C. A school nurse teaching a student who has asthma about medications D. A parish nurse teaching a class on low‑sodium cooking techniques E. A mental health nurse discussing stress management techniques with a support group
ac
A nursing student is preparing to read the methods section of a research article. What type of information will the student expect to find in this section? (Select all that apply.) a. How the researcher conducted the study b. A description about how to use the findings of the study c. The number and type of subjects who participated in the study d. Summaries of other research articles that support the need for this study e. Implications for future research studies
ac
The nurse in a community health clinic noticed an increase in the number of positive tuberculosis (TB) skin tests from students in a local high school during the most recent academic year. After comparing these numbers to the previous years, 10% increase in positive tests was found. The nurse contacts the school nurse and the director of the health department. Together they begin to expand their assessment to all students and employees of the school district. The community health nurse was acting in which nursing role(s)? (Select all that apply.) a. Epidemiologist b. Counselor c. Collaborator d. Case manager e. Caregiver
ac
The nurse working at a crisis hotline center assesses that which of the following callers is most at risk for suicide? (select two that apply) a. A 16-year-old girl who broke up with her boyfriend b. A 26-year old male who lost his job c. An 80-year-old male in constant pain from metastatic cancer d. A 40-year-old male whose brother died suddenly
ac
What are the two main types of dementia in older adults? (select two that apply) a. Multiinfarct dementia b. Parkinson-related dementia c. Alzheimer's disease d. Lewy body dementia e. Huntington disease
ac
. A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident‑prevention strategies should the nurse include? (Select all that apply.) A. Store toxic agents in locked cabinets. B. Keep toilet seats up. C. Turn pot handles toward the back of the stove. D. Place safety gates across stairways. E. Make sure balloons are fully inflated.
acd
A 45-year-old woman who is obese tells a nurse that she wants to lose weight. After conducting a thorough assessment, the nurse concludes that which of the following may be contributing factors to the woman's obesity? (Select all that apply.) a. The woman works in an executive position that is very demanding. b. The woman works out at the corporate gym at 5 am two mornings per week. c. The woman says that she has little time to prepare meals at home and eats out at least four nights a week. d. The woman says that she tries to eat "low-cholesterol" foods to help lose weight. e. The woman says that she vacations annually to reduce stress.
acd
A nurse is reviewing CDC immunization recommendations with a young adult client. Which of the following vaccines should the nurse recommend as routine, rather than catch‑up, during young adulthood? (Select all that apply.) A. Influenza B. Measles, mumps, rubella C. Pertussis D. Tetanus E. Polio
acd
The nurse working with the preschool age group educates parents about which of the following nutritional guidelines? (select all that apply) a. Preschool children should eat at least five servings of fruits and vegetables per day. b. Children aged 3 to 5 should receive 1000 to 1200 calories per day. c. Preschool children should consume approximately half of their diet in carbohydrates. d. Fat requirements in preschool children are higher than those for older children. e. Preschool fat intake should consist of saturated fats.
acd
What are the leading nutritional guidelines that are used for translation into law, policy, programs and consumer messages in the United States? (select all that apply) a. Dietary Reference Intakes b. Recommended Dietary Allowances c. Dietary Guidelines for Americans d. My Plate e. Food and Drug Administration
acd
What biological risk factors may be an issue when working with families? (select all that apply) a. Genetic inheritance b. Stress and anxiety c. Congenital malformation d. Mental retardation e. Water pollution
acd
Which of the following are possible outcomes with clear family communication? (Select all that apply.) a. Family goals b. Increased socialization c. Decision making d. Methods of discipline e. Improved education f. Impaired coping
acd
A nurse is planning diversionary activities for preschoolers on an inpatient pediatric unit. Which of the following activities should the nurse include? (Select all that apply.) A. Assembling puzzles B. Pulling wheeled toys C. Using musical toys D. Playing with puppets E. Coloring with crayons
acde
A nurse is preparing a health promotion course for a group of middle adults. Which of the following strategies should the nurse recommend? (Select all that apply.) A. Eye examination every 1 to 3 years B. Decrease intake of calcium supplements C. DXA screening for osteoporosis D. Increase intake of carbohydrate in the diet E. Screening for
acde
A nurse is talking with an older adult client about improving her nutritional status. Which of the following interventions should the nurse recommend? (Select all that apply.) A. Increase protein intake to increase muscle mass. B. Decrease fluid intake to prevent urinary incontinence. C. Increase calcium intake to prevent osteoporosis. D. Limit sodium intake to prevent edema. E. Increase fiber intake to prevent constipation.
acde
A patient is admitted through the emergency department (ED) after a serious car accident. The nurse assesses the patient and quickly learns that he speaks little English. Spanish is his primary language. The nurse speaks some Spanish. Which interventions would be appropriate at this time? (Select all that apply.) a. The nurse requests a professional interpreter. b. Since this is an emergent situation, the nurse will interpret and identify the patient's priority needs. c. The nurse determines the interpreter's qualifications and makes sure that the interpreter can speak the patient's dialect. d. The nurse uses short sentences to explain the treatments provided in the ED. e. The nurse directs questions to the patient by looking at the patient instead of at the interpreter.
acde
Intimate partner violence (IPV) is linked to which of the following factors? (Select all that apply.) a. Alcohol abuse b. Marriage c. Pregnancy d. Unemployment e. Drug use
acde
Which of the following are Healthy People 2020 objectives for heart disease? (select all that apply) a. Reduce the proportion of adults with high total blood cholesterol levels. b. Decrease the number of persons requiring open-heart surgery. c. Reduce consumption of calories from solid fats and added sugars in the population aged 2 years and older. d. Increase the proportion of adults with coronary heart disease or stroke who have their LDL cholesterol level at or below recommended levels. e. Reduce the proportion of adults who are obese (to 30.6% from 34%). f. Increase the number of persons with heart disease who receive an aspirin at discharge.
acde
Which of the following are examples of problems with the health care system that contribute to health disparities? (Select all that apply.) a. A health care provider assumes that the patient missed two appointments because the patient does not care about his or her health and does not inquire about the reasons for missed visits. b. The discharge nurse at a hospital uses Teach Back with a patient to ensure that she has communicated the discharge instructions clearly. c. A community hospital lacks an adequate staff of social workers who are able to ensure patients' access to resources they need to take care of their health. d. A hospital discharges a patient without ensuring that the patient has a primary care provider and has made a follow-up appointment. e. A nurse uses a family member as an interpreter to explain the patient's medications. f. The hospital conducts quality improvement without stratifying data by race, ethnicity, language, socioeconomic status, sexual orientation, and other axes of social group identities.
acdef
A 48-year-old woman complains to her nurse that she is experiencing frequent episodes of insomnia. What are some measures the nurse should educate her about? (select all that apply) a. Insomnia is common for this age group. b. Engage in activity 1 to 2 hours before bed to encourage sleep. c. Avoid or reduce the amount of caffeinated beverages that are consumed. d. Occasional napping should be avoided. e. Have a regular schedule for waking and sleep
ace
A nurse is collecting history and physical examination data from a middle adult. The nurse should expect to find decreases in which of the following physiologic functions? (Select all that apply.) A. Metabolism B. Ability to hear low‑pitched sounds C. Gastric secretions D. Far vision E. Glomerular filtration
ace
Formation of positive health habits may prevent the development of chronic illness later in life. Which of the following are examples of positive health habits? (Select all that apply.) a. Routine screening and diagnostic tests b. Unprotected sexual activity c. Regular exercise d.eExcess alcohol consumption e. Consistent seat belt use
ace
Major goals in assessing each person's functional pattern are to determine: (select all that apply) a. ability to manage health-promoting activities. b. herbal medications that promote health. c. knowledge of health promotion. d. the need for physician referral for illness care. e. the value that the person ascribes to health promotion.
ace
The nurse counsels the older adult about the benefits of regular physical activity. What are the educational points to use when promoting strength training? (select all that apply) a. Strength training can improve balance. b. Strength training can increase the risk of falls. c. Strength training can strengthen bones. d. Strength training can reduce the incidence of acute illnesses. e. Strength training reduces blood glucose levels
ace
Which of the following actions should the nurse take when using the communication technique of active listening? (Select all that apply.) A. Use an open posture. B. Write down what the client says to avoid forgetting details. C. Establish and maintain eye contact. D. Nod in agreement with the client throughout the conversation. E. Respond positively when giving feedback.
ace
Which of the following agencies or initiatives have been driving forces in health care reform and the prevention of disease in society? (select all that apply) a. Healthy People b. Health Insurance Portability and Accountability Act c. U.S. Department of Health, Education, and Welfare d. Patient Protection and Affordable Care Act e. U.S. Department of Health and Human Services
ace
Which of the following techniques will help the infant development of trust vs. mistrust? (select all that apply) a. Respond to the infant in a consistent manner. b. Allow the infant to cry to avoid spoiling the child, particularly if the infant has just been fed and diapered. c. Respond to the infant in a prompt manner even if the child has physical needs met. d. Use a pacifier to soothe the infant when crying. e. Provide the infant with predictable and organized routines.
ace
You are caring for a family that consists of a father and 3-year-old boy who has well-managed asthma but misses care infrequently. They live in state-supported housing. The father is in school studying to be an information technology professional. His income and time are limited, and he admits to going to fast-food restaurants frequently for dinner. However, he and his son spend a lot of time together. The family receives state-supported health care for his son, but he does not have health insurance or a personal physician. He has his son enrolled in a government-assisted day care program. Which of the following are risks to this family's level of health? (Select all that apply.) a. Economic status b. Chronic illness c. Underinsured d. Government-assisted day care e. Frequency of fast-food dinners f. State-supported housing
ace
Nurses provide health education to people to assist them in achieving a goal of: (select all that apply) a. enhanced wellness. b. physician-directed care. c. management of a chronic condition. d. admission to tertiary-care facilities. e. wisely handling daily health care decisions. f. fostering successful changes in health behaviors.
acef
The nurse utilizes strategies associated with client-centered communication by doing which of the following? (select all that apply) a. Not being "too busy" to talk b. Focusing on the nurse's views c. Developing mutual understanding d. Emphasizing the technical aspects of care e. Using a conversational interviewing style f. Tuning in to the client's preferences and style
acef
A family is undergoing a major change. Just as twins graduate from college and leave home to begin their careers, the husband loses his executive well-paying job. Because the family had two children in college at the same time, they did not save for retirement. They planned to save aggressively after the children left college. In this situation, which of the following demonstrate family resiliency? (Select all that apply.) a. Resuming full-time work when spouse loses job b. Increasing problems among siblings c. Developing hobbies when children leave home c. Placing blame on family members e. Expecting children to help financially f. Consulting a financial planner
acf
The nurse is preparing a class on young adult risk factors for violence. The nurse includes content on which of the following? (select all that apply) a. Homicide is the second leading cause of death in young adults. b. Violence is becoming less prevalent globally. c. Homicide is the leading cause of death for black young men. d. Firearms are involved in less that ½ of homicides. e. More women than men are at risk for death from a firearm. f. The presence of firearms in the home is associated with the increased risk of firearm injury to children.
acf
A school nurse is counseling an obese 10-year-old child. Which factors would be important to consider when planning an intervention to support the child's health? (Select all that apply.) a. Consider both the child and the family when addressing the issue. b. Consider the use of medications to suppress the appetite. c. First plan for weight loss through dieting and then add activity as tolerated. d. Plan food intake to allow for growth. e. Consider consulting a bariatric surgeon if other measures fail.
ad
Which of the following methods of communication are most appropriate for use with individuals who are deaf, hard of hearing, or have a language barrier? (select all that apply) a. Utilize written communication with someone who is deaf or hard of hearing. b. Untrained personnel or relatives are acceptable interpreters as long as they are fluent in the language. c. Nonverbal messages are universal. d. Touch is an acceptable form of communication with the blind. e. Braille is used in communication with the deaf and hard of hearing.
ad
Which of the following physical activities are most appropriate for the preschool age group? (select all that apply) a. Ring around the Rosy b. Watching television c. Electronic video games d. Tee ball e. Paintball
ad
A 71-year-old patient enters the emergency department after falling down stairs in the home. The nurse is conducting a fall history with the patient and his wife. They live in a one-level ranch home. He has had diabetes for over 15 years and experiences some numbness in his feet. He wears bifocal glasses. His blood pressure is stable at 130/70. The patient does not exercise regularly and states that he experiences weakness in his legs when climbing stairs. He is alert, oriented, and able to answer questions clearly. What are the fall risk factors for this patient? (Select all that apply.) a. Impaired vision b. Residence design c. Blood pressure d. Leg weakness e. Exercise history
ade
A nurse is assessing from a 2‑week‑old newborn during a routine checkup. Which of the following findings should the nurse expect? Select all that apply: A. Sleeps 14 to 16 hr each day B. Posterior fontanel closed C. Pincer grasp present D. Hands remain in a closed position E. Current weight same as birth weight
ade
Ethnicity is evident in customs of particular groups. Which of the following statements accurately reflect the definitions of culture, values and value orientation? (select all that apply) a. Culture refers to patterns of human behavior that include language, communication, customs and beliefs. b. Ethnicity is shaped by values, beliefs, norms, and practices that are shared by members of the same group. c. Health care beliefs and attitudes among ethnic groups are congruent with health care providers. d. Values are beliefs about the worth of something and serve as standards that influence behavior. e. Value orientations reflect the personality type of a particular society.
ade
Nurses have a responsibility to ensure health literacy when providing health education. What are some strategies that nurses can use to promote health literacy? (select all that apply) a. Speak clearly and distinctly b. Speak louder than usual. c. Use medical terminology. d. Face the person when speaking. e. Conclude with a summary of key points.
ade
Parents and caregivers who teach and model health-promotion concepts to school-age children can expect which of the following behaviors? (select all that apply) a. Children who develop good personal hygiene and dental care b. Children who become passive health care consumers c. Children who obey authority figures and do as they are told d. Children who make a link between behavior and improved health e. Children who develop health values as part of education
ade
The nurse offers interventions to parents to enhance toddlers' nutritional pattern by telling the parents to (select all that apply) a. avoid foods that may cause choking. b. serve the toddlers' favorite foods when he or she refuses to eat. c. send the toddler to bed if he or she does not want to eat. d. do not use food to bribe, reward, or punish the toddler. e. serve small portions, and let the toddler ask for more. f. serve single foods as mixtures of foods.
ade
The school nurse teaches which of the following dietary guidelines to the parents of children and adolescents? (select all that apply) a. Children should consume at least 3 cups of fruits and vegetables per day. b. Children require 4 cups of whole milk products per day. c. Children should consume 5 ounces of steak daily. d. Children should consume 5 ounces of lean meat or beans each day. e. Children and adolescents should consume 4 to 6 ounces of grains each day.
ade
What are some ethical standards that nurses can utilize for interpersonal communications? (select all that apply) a. Communicate information accurately. b. Take a laissez-faire approach to minimize conflict c. Change the subject when unsure of the correct answer. d. Be sensitive to gender and cultural context. e. Communicate verbal and nonverbal messages in a congruent manner.
ade
Which of the following statements accurately describe poverty in the United States according to the 2010 U.S. Census? (select all that apply) a. 15.1% of the population lived below poverty level. b. Hispanics have the highest rates of poverty. c. Poverty is higher in the West. d. Growth in income has not increased equally for all households. e. 25% of people living in poverty are older Americans.
ade
The nurse is teaching parents about strategies to help reduce preschooler unintentional poisonings in the home. Instructions would include: which of the following?(select all that apply) a. Post the poison control number near every telephone. b. Administer ipecac syrup immediately to the child suspected of swallowing poison. c. Transfer cleaning supplies to old, unattractive canisters. d. Teach the child about poisons at an early age. e. Use safety latches for drawers and cabinet doors. f. Store products in their original container.
adef
A male patient has been laid off from his construction job and has many unpaid bills. He is going through a divorce from his marriage of 15 years and has been seeing his pastor to help him through this difficult time. He does not have a primary health care provider because he has never really been sick and his parents never took him to a physician when he was a child. Which external variables influence the patient's health practices? (Select all that apply.) a. Difficulty paying his bills b. Seeing his pastor as a means of support c. Age of patient (46 years) d. Stress from the divorce and the loss of a job e. Family practice of not routinely seeing a health care provider
ae
. A nurse is caring for a client who states, "I have to check with my wife and see if she thinks I am ready to go home." The nurse replies, "How do you feel about going home today?" Which clarifying technique is the nurse using to enhance communication with the client? A. Pacing B. Reflecting C. Paraphrasing D. Restating
b
. A nurse is caring for a client whose partner passed away 4 months ago and who has been recently diagnosed with diabetes mellitus. He is tearful and states, "How could you possibly understand what I am going through?" Which of the following responses should the nurse make? A. "It takes time to get over the loss of a loved one." B. "You are right. I cannot really understand. Perhaps you'd like to tell me more about what you're feeling." C."Why don't you try something to take your mind off your troubles, like watching a funny movie." D."I might not share your exact situation, but I do know what people go through when they deal with a loss."
b
. A nurse is planning care for a client who is a devout Muslim and is 3 days postoperative following a hip arthroplasty. The client is scheduled for two physical therapy sessions today. Which of the following statements by the nurse indicates culturally appropriate care to the client? A. "I will make sure the menu includes kosher options." B. "I will discuss the daily schedule with the client to make sure the client will have time for prayer." C."I will make sure to use direct eye contact when speaking with this client." D."I will make sure daily communion is available for this client."
b
. A nurse is talking with a parent who is concerned about several issues with her preschooler. Which of the following issues should the nurse identify as the priority? A. "My son mimics my husband getting dressed." B. "My son has temper tantrums every time we tell him to do something he doesn't want to do." C."I think my son truly believes that his toys have personalities and talk to him." D."I feel bad when I see my son trying so hard to button his shirt."
b
. Which of the following strategies should a nurse use to establish a helping relationship with a client? A. Make sure the communication is equally reciprocal between the nurse and the client. B. Encourage the client to communicate his thoughts and feelings. C. Give the nurse‑client communication no time limits. D. Allow communication to occur spontaneously throughout the nurse‑client relationship.
b
A 50-year-old male patient is seen in the clinic. He tells a nurse that he has recently lost his job and his wife of 26 years has asked for a divorce. He has a flat affect. Family history reveals that his father committed suicide at the age of 53. The nurse assesses for the following: a. Cardiovascular disease b. Depression c. Sexually transmitted infection d. Iron deficiency anemia
b
A homebound older American would likely receive which of the following nutrition services? a. Congregate Nutrition Services Program b. Meals on Wheels c. Nutrition Services Incentive Program (NSIP) d. Indian Tribal Organization (ITO)
b
A hospice nurse is caring for a family that is providing end-of-life care for their grandmother, who has terminal breast cancer. When the nurse visits, the focus is on symptom management for the grandmother and helping the family with coping skills. This approach is an example of which of the following? a. Family as context b. Family as patient c. Family as system d. Family as structure
b
A nurse at a provider's office is talking about routine screenings with a 45‑year‑old female client who has no specific family history of cancer or diabetes mellitus. Which of the following client statements indicates that the client understands how to proceed? A. "So I don't need the colon cancer procedure for another 2 or 3 years." B. "For now, I should continue to have a mammogram each year." C."Because the doctor just did a Pap smear, I'll come back next year for another one." D."I had my blood glucose test last year, so I won't need it again till next year."
b
A nurse conducted an assessment of a new patient who came to the medical clinic. The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years. He is alert but becomes easily distracted during the assessment. He recently moved to a new apartment, and his pet beagle died just 2 months ago. He is most likely experiencing: a. Dementia. b. Depression. c. Delirium. d. Hypoglycemic reaction.
b
A nurse in a provider's office is collecting data from the mother of a 12‑month‑old infant. The client states that her son is old enough for toilet training. Following an educational session with the nurse, the client now states that she will postpone toilet training until her son is older. Learning has occurred in which of the following domains? A. Cognitive B. Affective C. Psychomotor D. Kinesthetic
b
A nurse is assessing an older adult brought to the emergency department following a fall and wrist fracture. She notes that the patient is very thin and unkempt, has a stage 3 pressure ulcer to her coccyx, and has old bruising to the extremities in addition to her new bruises from the fall. She defers all of the questions to her caregiver son who accompanied her to the hospital. The nurse's next step is to: a. Call social services to begin nursing home placement. b. Ask the son to step out of the room so she can complete her assessment. c. Call adult protective services because you suspect elder mistreatment. d. Assess patient's cognitive status.
b
A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment, which of the following actions should the nurse take first? A. Determine the client's perception of his current health status. B. Gather data about the client's cultural beliefs. C. Determine how the client's culture can affect the effectiveness of nursing actions. D. Gather information about previous client interactions with the health care system.
b
A nurse is caring for a school‑age child who is sitting in a chair. To facilitate effective communication, which of the following actions should the nurse take? A. Touch the child's arm. B. Sit at eye level with the child. C. Stand facing the child. D. Stand with a relaxed posture.
b
A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care? A. "I don't drive, and my son is only available to take me places in the mornings." B. "I can't take off during the day, and the local after‑hours clinic is no longer in operation." C."Only one doctor in my town is a designated provider by my health maintenance organization." D."I would like to schedule an appointment with the local doctor in my town who speaks Spanish and English."
b
A nurse is counseling a middle adult client who describes having difficulty dealing with several issues. Which of the following client statements should the nurse identify as the priority to assess further? A. "I am struggling to accept that my parents are aging and need so much help." B. "It's been so stressful for me to think about having intimate relationships." C."I know I should volunteer my time for a good cause, but maybe I'm just selfish." D."I love my grandchildren, but my son expects me to relive my parenting days."
b
A nurse is evaluating how well a client learned the information he presented in an instructional session about following a heart‑healthy diet. The client states that she understands what to do now. Which of the following actions should the nurse take to evaluate the client's learning? A. Encourage the client to ask questions. B. Ask the client to explain how to select or prepare meals. C. Encourage the client to fill out an evaluation form. D. Ask the client if she has resources for further instruction on this topic.
b
A nurse is observing a client drawing up and mixing insulin. Which of the following findings should the nurse identify as an indication that psychomotor learning has taken place? A. The client is able to discuss the appropriate technique. B. The client is able to demonstrate the appropriate technique. C. The client states that he understands. D. The client is able to write the steps on a piece of paper
b
A nurse is planning a teaching session about healthy nutrition with a group of children who are in first grade. The nurse determines that after the teaching session the children will be able to name three examples of foods that are fruits. This is an example of: a. A teaching plan. b. A learning objective. c. Reinforcement of content. d. Enhancing the children's self-efficacy.
b
A nurse is reviewing car seat safety with the parents of a 1‑month‑old infant. When reviewing car seat use, which of the following instructions should the nurse include? A. Use a car seat that has a three‑point harness system. B. Position the car seat so that the infant is rear‑facing. C. Secure the car seat in the front passenger seat of the vehicle. D. Convert to a booster seat after 12 months
b
A nurse is talking with a client who recently attended a cholesterol screening event and a heart‑healthy nutrition presentation at a neighborhood center. The client's total cholesterol was 248 mg/dL. After seeing the provider, the client started taking medication to lower his cholesterol level. The client was later hospitalized for severe chest pain, and subsequently enrolled in a cardiac rehabilitation program. Which of the following activities for the client is an example of primary prevention? A. Cholesterol screening B. Nutrition presentation C. Medication therapy D. Cardiac rehabilitation
b
A nurse is teaching a young adult client about health promotion and illness prevention. Which of the following statements by the client indicates an understanding of the teaching? A. "I already had my immunizations as a child, so I'm protected in that area." B. "It is important to schedule routine health care visits even if I am feeling well." C."I will just go to an urgent care center for my routine medical care." D."There's no reason to seek help if I am feeling stressed because it's just part of life."
b
A patient comes to the local health clinic and states: "I've noticed how many people are out walking in my neighborhood. Is walking good for you?" What is the best response to help the patient through the stages of change for exercise? a. "Walking is OK. I really think running is better." b. "Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?" c. "Yes, I want you to begin walking. Walk for 30 minutes every day and start to eat more fruits and vegetables." d. "They probably aren't walking fast enough or far enough. You need to spend at least 45 minutes if you are going to do any good."
b
A patient is worried about her 76 year old grandmother who is in very good health and wants to live at home. The patient's concerns are related to her grandmother's safety. The neighborhood does not have a lot of crime. Using this scenario, which of the following are the most relevant to assess for safety? a. Crime rate, locks, lighting, neighborhood traffic b. Lighting, locks, clutter, medications c. Crime rate, medications, support system, clutter d. Locks, lighting, neighborhood traffic, crime rate
b
A patient needs to learn how to administer a subcutaneous injection. Which of the following reflects that the patient is ready to learn? a. Describing difficulties a family member has had in taking insulin b. Expressing the importance of learning the skill correctly c. Being able to see and understand the markings on the syringe d. Having the dexterity needed to prepare and inject the medication
b
A patient who is hospitalized has just been diagnosed with diabetes. He is going to need to learn how to give himself injections. Which teaching method does the nurse use? a. Simulation b. Demonstration c. Group instruction d. One-on-one discussion
b
A person reports his exercise pattern is one golf game per week. The nurse evaluates this pattern and teaches the individual that: a. exercise should include jogging. b. exercises should be repetitive. c. golfing one time per week is adequate. d. weekly workouts at the gym should be included.
b
A researcher is studying the effectiveness of an individualized evidence-based teaching plan on young women's intention to wear sunscreen to prevent skin cancer. In this study, which of the following research terms best describes the individualized evidence-based teaching plan? a. Sample b. Intervention c. Survey d. Results
b
According to Piaget, which of the following operations are displayed as the child begins to add flexibility and control to their thinking? a. Formal b. Concrete c. Abstract d. Egocentric
b
After a class on Pender's health promotion model, students make the following statements. Which statement does the faculty member need to clarify? a. "The desired outcome of the model is health-promoting behavior." b. "Perceived self-efficacy is not related to the model." c. "The individual has unique characteristics and experiences that affect his or her actions." d. "Patients need to commit to a plan of action before they adopt a health-promoting behavior."
b
As part of a faith community nursing program in her church, a nurse is developing a health promotion program on breast self-examination for the women's group. Which statement made by one of the participants is related to the individual's perception of susceptibility to an illness? a. "I have a door hanging tag in my bathroom to remind me to do my breast self-examination monthly." b. "Since my mother had breast cancer, I know that I am at increased risk for developing breast cancer." c. "Since I am only 25 years of age, the risk of breast cancer for me is very low." d. "I participate every year in our local walk/run to raise money for breast cancer research."
b
Following a community assessment that focused on adolescent health behaviors, the nurse determines that a large number of adolescents smoke and designs a smoking cessation at the youth community center. This is an example of which nursing role: a. Educator b. Counselor c. Collaborator d. Case manager
b
In the United States, there has never been a president of Asian or Hispanic culture. This is an example of: a. Social inequality b. Marginalization c. Under inclusion d. Social location
b
Nurses caring for the toddler population instruct parents that one of the leading causes of visits to health care providers is: a. amblyopia. b. otitis media. c. burns. d. neglect.
b
One concern that nurses have when using self-disclosure during therapeutic interactions is that: a. revealing oneself assists in developing a helping relationship. b. it may cross a boundary from a professional to a personal relationship. c. care recipients value nurses who engage in interactions as real people. d. it creates reciprocity involving a mutual exchange between the nurse and the care recipient.
b
Piaget's stage of cognitive development states that characteristics of the sensorimotor stage include: a. development of egocentric animistic and magical thinking. b. development of the concept of object permanence. c. consideration of others' points of view. d. thought dominated by senses.
b
The communication of health information in a manner which is clear and understandable is known as: a. empowerment. b. health literacy. c. health disparities. d. health education.
b
The increasing number of ethnic groups in the United States has been influenced by what? a. Communicable diseases in disadvantaged countries b. Increasing immigration c. Homelessness d. Healthcare reform
b
The nurse assesses the preschooler's coping mechanisms as being developmentally appropriate through observation of: a. temper tantrums. b. fantasy play. c. separation anxiety. d. flexible bedtime rituals.
b
The nurse in the well-baby clinic informs the mother of a 6-month-old infant about introducing solid foods by instructing her to: a. feed the baby solids before the milk. b. make the baby's solid foods smooth and runny. c. introduce solid foods by adding it to the baby's formula bottle. d. mix a little honey in the fruit to stimulate the infant's taste buds.
b
The nurse initiates an exercise program with middle-aged adults by: a. planning physical activity for a minimum of 45 minutes. b. considering activities that have the least potential for injury. c. counseling the adult that exercise should be rigorous to produce results. d. advising that the heart rate should double during exercise for cardiovascular benefits to be achieved.
b
The nurse is performing an initial antepartal assessment on a woman who has missed two periods. Assessment of this woman for alcohol consumption is best determined by the: a. CAGE test. b. T-ACE test. c. non-stress test. d. protein dipstick test.
b
The nurse is preparing education on prevention of urinary tract infections. A principle emphasized in the teaching plan would be: a. Decreasing oral intake facilitates urinary dilution. b. Empty the bladder at the first sensation of fullness. c. Frequency is a common symptom that can be ignored. d. Increasing time between urinations decreases the risk of infection.
b
The nurse is teaching about primary prevention and includes which educational statement in the instructions? a. Everyone should participate in colorectal cancer screening. b. Health teaching about the risk factors of heart disease should be performed. c. Limiting disability is a vital role of nursing since preventive measures are therapeutic. d. The nurse is involved in minimizing the effects of disease and disability by surveillance and maintenance.
b
The nurse is teaching prenatal couples about the critical principles of attachment. These principles include: a. parents of sick infants become attached as quickly as those of healthy infants. b. the mother and father should have close contact with their infant within minutes after birth. c. it is mandatory for the father to witness the birth process so that bonding and attachment will occur. d. parents take on the active role when interacting with their infant, realizing that their infant will be unresponsive.
b
The nurse recognizes that a minority group is perceived as: a. capturing biological variations within human populations. b. people who receive less than their share of wealth, power, or social status. c. people set apart on the basis of cultural or national origin characteristics. d. socially organized groups with salient differences with respect to other groups in society.
b
The nurse teaches parents that the most important factor in the child's physical, emotional, and cognitive development is: a. parental maturity. b. parental influence. c. experiences with children. d. how they were nurtured as children.
b
The nurse, teaching a class on primary prevention at a women's health club, emphasizes participation in: a. physician visits during illness. b. recommended immunization schedules. c. taking antibiotics at the first sign of symptoms. d. water aerobics to develop muscle building.
b
What is the most common reason for calling on grandparents to raise their grandchildren? a. Single parenthood b. Legal interventions c. Dual-income families d. Increased divorce rate
b
When a nurse is teaching a patient about how to administer an epinephrine injection in case of a severe allergic reaction, the nurse tells the patient to hold the injection like a dart. Which of the following instructional methods did the nurse use? a. Telling b. Analogy c. Demonstration d. Simulation
b
When assessing the older adult for sleep quality, the nurse expects to find that the person will state: a. "I continue to be a night owl." b. "I experience difficulty returning to sleep." c. "I experience a night of deep sleep." d. "I rarely wake up during the night."
b
When the nurse is assessing a toddler for signs of child abuse, observations of parental behavior may include: a. difficulty leaving the child. b. parental delays in seeking help. c. spontaneous reporting of the details of the injury. d. parental questions about progress and discharge.
b
Which assessment technique will elicit the best information on the quality of life from individuals and families in a target population? a. Collect information on infant mortality. b. Involve the people in a self-study. c. Analyze health care coverage statistics. d. Review the epidemiological data of the people.
b
Which information about anthrax is correct? a. Anthrax is a viral infection. b. Anthrax can cause skin lesions or pneumonia. c. Anthrax is spread by person-to-person contact. d. Anthrax is treated by IV penicillin for 30 days.
b
Which question best assists the nurse who is helping a person to formulate the problem as a step in the problem-solving process? a. "What pattern is there?" b. "What do you want to see changed?" c. "What would you do the next time?" d. "What meaning does this have for you?"
b
Which statement made by a nurse shows that the nurse is engaging in an activity to help cope with secondary traumatic stress and burnout? a. "I don't need time for lunch since I am not very hungry." b. "I am enjoying my quilting group that meets each week at my church." c. "I am going to drop my gym membership because I don't have time to go." d. "I don't know any of the other nurses who met today to discuss hospital-wide problems with nurse satisfaction."
b
Which theorist developed his ideas based on interviews that focused on hypothetical moral dilemmas? a. Gilligan b. Kohlberg c. Piaget d. Erikson
b
With the exception of pregnant or lactating women, the young adult has usually completed physical growth by the age of: a. 18. b. 20. c. 25. d. 30.
b
You are caring for a 4-year-old child who is hospitalized for an infection. He tells you that he is sick because he was "bad." Which is the most correct interpretation of his comment? a. Indicative of extreme stress b. Representative of his cognitive development c. Suggestive of excessive discipline at home d. Indicative of his developing sense of inferiority
b
Young adults are screened for cervical cancer through assessment of known risk factors that include: a. obesity. b. smoking. c. hypertension. d. alcohol use.
b
A group of nurses on the research council of a local hospital are measuring nursing-sensitive outcomes. Which of the following is a nursing-sensitive outcome that the nurses need to consider measuring? (Select all that apply.) a. Frequency of low blood sugar episodes in children at a local school b. The number of patients who develop a urinary tract infection from a Foley catheter c. Number of patients who fall and experience subsequent injury on the evening shift d. Number of sexually active adolescent girls who attend the community-based clinic for birth control e. Patient reported quality of life following coronary artery bypass graft surgery and cardiac rehabilitation
bc
A nurse is reviewing information about the local health department to prepare for an interview. Which of the following services should the nurse expect the local health department to provide? (Select all that apply.) A. Managing the Women, Infants, and Children program B. Providing education to achieve community health goals C. Coordinating directives from state personnel D. Reporting communicable diseases to the CDC E. Licensing of registered nurses
bc
According to the Centers for Disease Control, what are the leading causes of death in the older population? (select two that apply) a. Diabetes b. Heart disease c. Cancer d. Stroke e. Alzheimer's disease
bc
The nurse is planning to teach a patient about the importance of exercise. When is the best time for teaching to occur? (Select all that apply.) a. When there are visitors in the room b. When the patient states that he or she is pain free c. Just before lunch, when the patient is most awake and alert d. When the patient is talking about current stressors in his or her life e. When the patient is being transported for a procedure
bc
What two groups comprise emerging populations in the United States? (select two that apply) a. Older Americans b. Ethnic minorities c. Homeless d. Baby boomers
bc
A family has decided to care for their father who is in the last stages of a debilitating neurological illness. Although he is alert, he cannot speak clearly or carry out self-care activities; he indicates that he wants to remain involved in family life as long as possible and loves spending time with his wife and two teenage children. Which best defines family caregiving? (Select all that apply.) a. Designing a nurturing family to raise children b. Providing physical and emotional care for a family member c. Establishing a safe physical environment for a family d. Monitoring for side effects of illness and treatments e. Reducing the use of community resources
bcd
A nurse is providing information on prevention of sudden infant death syndrome (SIDS) to the mother of a young infant. Which of the following statements indicates that the mother has a good understanding? (Select all that apply.) a. "I won't use a pacifier to help my baby sleep." b. "I'll be sure that my baby doesn't spend any time on her abdomen." c. "I'll place my baby on her back for sleep." d. "I'll be sure to keep my baby's room cool." e. "I'll keep a crib bumper in the bed to prevent drafts."
bcd
A nurse is reviewing safety precautions with a group of young adults at a community health fair. Which of the following recommendations should the nurse include to address common health risks for this age group? (Select all that apply.) A. Install bath rails and grab bars in bathrooms. B. Wear a helmet while skiing. C. Install a carbon monoxide detector. D. Secure firearms in a safe location. E. Remove throw rugs from the home.
bcd
A nurse researcher wants to conduct historical research. Which of the following ideas for a study could the nurses conduct? (Select all that apply.) a. Determining the effect of unemployment on emergency room usage b. Understanding how Clara Barton shaped nursing in America c. Evaluating the effect of the Vietnam war on nursing leadership and practice d. Analyzing the evolution of nursing and patient care during recent disasters e. Investigating barriers to exercise in women who have become mothers in the past year
bcd
The mother of a 7‑month‑old infant tells the nurse at the pediatric clinic that her baby has been fussy with occasional loose stools since she started feeding him fruits and vegetables. Which of the following responses should the nurse make? (Select all that apply.) A. "It might be good to add bananas, as they can help with loose stools." B. "Let's make a list of the foods he is eating so we can spot any problems." C."Did the changes begin after you started one particular food?" D."Has he been vomiting since he started these new foods?" E. "Most babies react with a little indigestion when you start new foods."
bcd
A nurse is planning a presentation for a group of older adults about health promotion and disease prevention. Which of the following interventions should the nurse plan to recommend? (Select all that apply.) A. Human papilloma virus (HPV) immunization B. Pneumococcal immunization C. Yearly eye examination D. Periodic mental health screening E. Annual fecal occult blood test
bcde
Which of the following are symptoms of secondary traumatic stress and burnout that commonly affect nurses? (Select all that apply.) a. Regular participation in a book club b. Lack of interest in exercise c. Difficulty falling asleep d. Lack of desire to go to work e. Anxiety while working
bcde
. A nurse is collecting data to evaluate a middle adult's psychosocial development. The nurse should expect middle adults to demonstrate which of the following developmental tasks? (Select all that apply.) A. Develop an acceptance of diminished strength and increased dependence on others. B. Spend time focusing on improving job performance. C. Welcome opportunities to be creative and productive. D. Commit to finding friendship and companionship. E. Become involved with community issues and activities
bce
A 50-year-old man is initiating an exercise program to help improve his cardiovascular health. What are some of the recommended guidelines that the nurse should instruct him on? (select all that apply) a. Every adult over the age of 50 should start with a daily running program. b. Overexertion should be avoided. c. Increase fluid intake during periods of strenuous exercise in hot weather. d. Adults over the age of 50 benefit from intense strength training. e. Suggested activities include walking, jogging, swimming and bicycling
bce
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following nursing interventions for stress, coping, and adherence to the treatment plan should the nurse initiate at this time? (Select all that apply.) A. Suggest coping skills for the client to use in this situation. B. Allow the client to provide input in the treatment plan. C. Assist the client with time management, and address the client's priorities. D. Provide extensive instructions on the client's treatment regimen. E. Encourage the client in the expression of feelings and concerns
bce
A nurse is caring for a patient preparing for discharge from the hospital the next day. The patient does not read. His family caregiver will be visiting before discharge. What can the nurse do to facilitate the patient's understanding of his discharge instructions? (Select all that apply.) a. Yell so the patient can hear you. b. Sit facing the patient so he is able to watch your lip movements and facial expressions. c. Present one idea or concept at a time. d. Send a written copy of the instructions home with him and tell him to have the family review them. e. Include the family caregiver in the teaching session
bce
A nurse is participating in a health and wellness event at the local community center. A woman approaches and relates that she is worried that her widowed father is becoming more functionally impaired and may need to move in with her. The nurse inquires about his ability to complete activities of daily living (ADLs). ADLs include independence with: (Select all that apply.) a. Driving. b. Toileting c. Bathing. d. Daily exercise. e. Eating.
bce
A nurse is reviewing the Centers for Disease Control and Prevention's (CDC) immunization recommendations with the parents of preschoolers. Which of the following vaccines should the nurse include in this discussion? (Select all that apply.) A. Haemophilus influenzae type B B. Varicella C. Polio D. Hepatitis A E. Seasonal influenza
bce
A patient's family member is considering having her mother placed in a nursing center. The nurse has talked with the family before and knows that this is a difficult decision. Which of the following criteria does the nurse recommend in choosing a nursing center? (Select all that apply.) a. The center needs to be clean, and rooms should look like a hospital room. b. Adequate staffing is available on all shifts. c. Social activities are available for all residents. d. The center provides three meals daily with a set menu and serving schedule. e. Staff encourage family involvement in care planning and assisting with physical care.
bce
The nurse assesses the following risk factors for coronary artery disease (CAD) in a female patient. Which factors are classified as genetic and physiological? (Select all that apply.) a. Sedentary lifestyle b. Mother died from CAD at age 48 c. History of hypertension d. Eats diet high in sodium e. Elevated cholesterol level
bce
When you care for a patient who does not speak English, it is necessary to call on a professional interpreter. Which of the following are proper principles for working with interpreters? (Select all that apply.) a. Expect the interpreter to interpret your statements word-for-word so there is no misunderstanding by the patient. b. If you feel an interpretation is not correct, stop and address the situation directly with the interpreter. c. Pace a conversation so there is time for the patient's response to be interpreted d. Direct your questions to the interpreter. e. Ask the patient for feedback and clarification at regular intervals
bce
During a home health visit a nurse talks with a patient and his family caregiver about the patient's medications. The patient has hypertension and renal disease. Which of the following findings place him at risk for an adverse drug event? (Select all that apply.) a. Taking two medications for hypertension b. Taking a total of eight different medications during the day c. Having one physician who reviews all medications d. Patient's health history of renal disease e. Involvement of the caregiver in helping with medication administration
bd
Which of the following physical changes are expected during the toddler years? (select all that apply) a. Growth in height of 4 to 6 inches per year b. Weight gain of 4 to 6 pounds per year c. Urine specific gravity lower than that of an adult d. Bowel control generally occurs before urinary control e. Increase in heart rate because of increase in size
bd
A nurse is collecting data from an older adult client as part of a comprehensive physical examination. Which of the following findings should the nurse expect as associated with aging? (Select all that apply.) A. Skin thickening B. Decreased height C. Increased saliva production D. Nail thickening E. Decreased bladder capacity
bde
A nurse is reviewing the CDC's immunization recommendations with the parents of an adolescent. Which of the following recommendations should the nurse include in this discussion? (Select all that apply.) A. Rotavirus B. Varicella C. Herpes zoster D. Human papilloma virus E. Seasonal influenza
bde
A nurse is using an interpreter to communicate with a client. Which of the following actions should the nurse use when communicating with a client and his family? (Select all that apply.) A. Talk to the interpreter about the family while the family is in the room. B. Ask the family one question at a time. C. Look at the interpreter when asking the family questions. D. Use lay terms if possible. E. Do not interrupt the interpreter and the family as they talk.
bde
Four distinct models have been used to describe concepts of health. Which of the following statements accurately describes some of the models used? (select all that apply) a. In the clinical health model, health and illness are defined by signs and symptoms of disease. b. The role performance model of health defines health in terms of individuals' ability to perform social roles. c. The clinical model is the basis for occupational health evaluations. d. In the adaptive model of health, people's ability to adjust positively to social, mental, and physiological change is the measure of their health. e. In the eudaimonistic model, exuberant well-being indicates optimal health.
bde
Health literacy is the capacity to read, comprehend, and follow through on health information and is a crucial component of health promotion. What are some of the techniques nurses can utilize to reduce low health literacy? (select all that apply) a. Communicate in a standing position to demonstrate authority. b. Create a safe and comfortable environment. c. Refer the client to websites for clarification of conditions and procedures. d. Establish eye contact during communication. e. Have the client teach back the information they have been provided to assess understanding.
bde
The nurse assesses a community for evidence of health-promotion strategies. Which of the following are health-promotion strategies? (select all that apply) a. Seeking primary care in the acute care hospital b. Self-care for minor illness c. Entry into acute care facilities to manage chronic illness d. Environmental changes to enhance clean air e. Supporting Habitat for Humanity house construction
bde
The nurse is assessing a 12-year-old female with an admission diagnosis of anorexia nervosa. The data collected that support this diagnosis should include: (select all that apply) a. binge eating followed by purging. b. compulsive physical activity. c. eating an amount of food that is definitely larger than most people would eat. d. preoccupation with food. d. self-starvation with significant weight loss.
bde
Which of the following statements are true about cultural competency in health care? (select all that apply) a. Recognizing and accepting cultural diversity achieves cultural competency. b. Cultural competency is a major element in eliminating health disparities. c. There is no association between the care recipient's cultural background and the health care providers' cultural beliefs. d. Health care services are to be provided that are respectful of and responsive to the diverse health beliefs of the care recipient. e. Health care providers must be aware of how people interpret their health issues or illnesses.
bde
The nurse discusses discipline for school-age children with a group of parents at a parent-teacher association meeting. Principles include (select all that apply) a. focusing on the misbehavior in an attempt to eliminate it. b. using distraction or substitution to avoid a problem situation. c. ignoring the child's whining after a decision has been made. d. using humor to decreases the intensity of the situation. e. modeling appropriate behavior. f. setting age-relevant limits.
bdef
Which of the following are goals of Gilligan's stages of moral development for women in the postconventional stage? (select all that apply) a. Agree upon rights b. Principle of nonviolence c. Justice d. Personal moral standards e. Do not hurt self or others
be
The nurse is organizing a disease prevention program for a specific cultural group. To effectively meet the needs of this group the nurse will: (Select all that apply.) a. Assess the needs of the community in general. b. Involve those affected by the problem in the planning process. c. Develop generalized goals and objectives for the program. d. Use educational materials that are simplistic and have many pictures. e. Assess commonly held health beliefs among the cultural group. f. Educate the specific cultural group about Western concepts of health and illness. g. Include cultural practices that are relevant to the specific community.
beg
The nurse, teaching a class to primiparas about risk factors associated with sudden infant death syndrome (SIDS), explains that prevention strategies include: (select all that apply) a. Prone sleeping position b. Supine sleeping position c. Postnatal smoking d. Sleeping on soft surfaces e. Sleeping on firmer surface f. Overwrapping the baby g. Allowing the baby to sleep with the parents h. Breast-feeding the baby
beh
A 50-year-old woman has elevated serum cholesterol levels that increase her risk for cardiovascular disease. One method to control this risk factor is to identify current diet trends and describe dietary changes to reduce the risk. This nursing activity is a form of: a. Referral. b. Counseling. c. Health education. d. Stress-management techniques.
c
A charge nurse is explaining the various stages of the lifespan to a group of newly licensed nurses. Which of the following examples should the charge nurse should include as a developmental task for a young adult? A. Becoming actively involved in providing guidance to the next generation B. Adjusting to major changes in roles and relationships due to losses C. Devoting a great deal of time to establishing an occupation D. Finding oneself "sandwiched" between and being responsible for two generations
c
A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention? A. Performing a home safety check at a client's home B. Teaching healthy nutrition to clients who have hypertension C. Providing influenza immunizations to employees at a local preschool D. Implementing a program to notify individuals exposed to a communicable disease
c
A condition of the bone that is the result of bone lysis exceeding the rate of bone matrix synthesis is called: a. osteoarthritis. b. kyphosis. c. osteopenia. d. osteoporosis.
c
A new nurse is caring for a hospitalized obese patient who is homeless. This is the first time the patient has been admitted to the hospital, and the patient is scheduled for surgery. Which of the following is a universal skill that will help the nurse work effectively with this patient? a. The nurse shifts her focus to understanding the patient by asking her, "Describe for me the course of your illness." b. The nurse tells the patient, "Your choices of foods and unwillingness to exercise are adding to your health problems." c. The nurse asks the patient, "Tell me about the main problems you have had with your health from not having a home." d. The nurse explains, "Because you have obesity, it is important to know the effects it has on wound healing because of reduced tissue perfusion."
c
A nurse has worked in a home health agency for a number of years. She goes to visit a patient who has diabetes and who lives in a public housing facility. This is the first time the nurse has cared for the patient. The patient has four other family members who live with her in the one-bedroom apartment. Which of the following, based on Campinha-Bacote's (2002) model of cultural competency, is an example of cultural awareness? a. The nurse begins a discussion with the patient by asking, "Tell me about your family members who live with you?" b. The nurse asks, "What do you believe is needed to make you feel better?" c. The nurse silently reflects about how her biases regarding poverty can influence how she assesses the patient. d. The nurse uses a therapeutic and caring approach to how she interacts with the patient.
c
A nurse is caring for a client who is crying while reading from his devotional book. Which of the following interventions should the nurse take? A. Contact the hospital's spiritual services. B. Ask him what is making him cry. C. Provide quiet times for these moments. D. Turn on the television for a distraction.
c
A nurse is caring for a client who shares the nurse's religious background. Which of the following information should the nurse anticipate? A. Members of the same religion share similar feelings about their religion. B. A shared religious background generates mutual regard for one another. C. The same religious beliefs can influence individuals differently. D. The nurse and client should discuss the differences and commonalities in their beliefs.
c
A nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass graft. Just as the transport team arrives, the nurse takes the client's vital signs and notes an elevation in blood pressure and heart rate. The nurse should recognize this response as which part of the general adaptation syndrome (GAS)? A. Exhaustion stage B. Resistance stage C. Alarm reaction D. Recovery reaction
c
A nurse is completing an assessment on a male patient, age 24. Following the assessment, the nurse notes that his physical and laboratory findings are within normal limits. Because of these findings, nursing interventions are directed toward activities related to: a. Instructing him to return in 2 years. b. Instructing him in secondary prevention. c. Instructing him in health promotion activities. d. Implementing primary prevention with vaccines.
c
A nurse is counseling a young adult who describes having difficulty dealing with several issues. Which of the following client statements should the nurse identify as the priority to assess further? A. "I have my own apartment now, but it's not easy living away from my parents." B. "It's been so stressful for me to even think about having my own family." C."I don't even know who I am yet, and now I'm supposed to know what to do." D."My girlfriend is pregnant, and I don't think I have what it takes to be a good father."
c
A nurse is providing preoperative education for a client who will undergo a mastectomy the next day. Which of the following statements should the nurse identify as an indication that the client is ready to learn? A. "I don't want my spouse to see my incision." B. "Will you give me pain medicine after the surgery?" C."Can you tell me about how long the surgery will take?" D."My roommate listens to everything I say."
c
A nurse is reviewing nutritional guidelines with the parents of a 2‑year‑old toddler. Which of the following parent statements should indicate to the nurse an understanding of the teaching? A. "I should keep feeding my son whole milk until he is 3 years old." B. "It's okay for me to give my son a cup of apple juice with each meal." C."I'll give my son about 2 tablespoons of each food at mealtimes." D."My son loves popcorn, and I know it is better for him than sweets."
c
A nurse is talking with an adolescent who is having difficulty dealing with several issues. Which of the following issues should the nurse identify as the priority? A. "I kind of like this boy in my class, but he doesn't like me back." B. "I want to hang out with the kids in the science club, but the jocks pick on them." C."I am so fat, I skip meals to try to lose weight." D."My dad wants me to be a lawyer like him, but I just want to dance."
c
A nurse is talking with the parent of a 4‑year‑old child who states that his child is waking up at night with nightmares. Which of the following interventions should the nurse suggest? A. Offer the child a large snack before bedtime. B. Allow the child to watch an extra 30 min of TV in the evening. C. Have the child take an afternoon nap. D. Increase physical activity
c
A nurse is talking with the parents of a 10‑year‑old child who is concerned that their son is becoming secretive, such as closing the door when he showers, and dresses. Which of the following responses should the nurse make? A. "Perhaps you should try to find out what he is doing behind those closed doors." B. "Suggest that he leave the door ajar for his own safety." C."At this age, children tend to become modest and value their privacy." D."You should establish a disciplinary plan to
c
A nurse is teaching the father of a 12‑year‑old boy about manifestations of puberty. The nurse should explain that which of the following physical changes occurs first? A. Appearance of downy hair on the upper lip B. Hair growth in the axillae C. Enlargement of the testes and scrotum D. Deepening of the voice
c
A nurse researcher is collecting data following approval from the institutional review board (IRB). In which part of the research process is this nurse? a. Analyzing the data b. Designing the study c. Conducting the study d. Identifying the problem
c
A nurse researcher wants to know what factors are associated with a person's decision to exercise. The nurse distributes a survey to people who recently joined an exercise wellness program and analyzes the data to determine what factors and characteristics are most significantly linked to the decision to start exercising. What type of a research study is this? a. Qualitative b. Descriptive c. Correlational d. Randomized controlled trial
c
A nurse tells a childbirth education class consisting of pregnant women and their coaches that alcohol use poses serious risks to the fetus. After the class, one woman comments, "Do you really think that having a drink once in a while is bad for the baby? I'm sick of being told that I can't do things because of the baby." This is an example of: a. self concept. b. bias. c. values clarification. d. empowering beliefs.
c
A nurse working on a postpartum unit of a large urban hospital has received a grant to begin a "Baby-friendly Hospital Initiative" developed by WHO. When explaining the major premises of the initiative to her unit manager, the nurse should stress which of the following? a. "This program is meant to encourage sibling visits in the early postpartum period so adjustment to a new baby is a smooth process." b. "A major goal of this program is to ensure that all infant/pediatric units have implemented basic safety initiatives." c. "Improving nutrition by promoting breast feeding of newborns through age four months is what this program is all about." d. "The purpose of this program is to make sure that all health care providers who care for newborns and children up to the age of 18 really understand basic principles of growth and development."
c
A nursing student is giving a presentation to a group of other nursing students about the needs of patients with mental illnesses in the community. The nursing professor needs to clarify the student's presentation when the student states: a. "Many patients with mental illness do not have a permanent home." b. "Unemployment is a common problem experienced by people with a mental illness." c. "The majority of patients with mental illnesses live in long-term care settings." d. "Patients with mental illnesses are often at a higher risk for abuse and assault."
c
A parent has brought her 6-month-old infant in for a well-child check. Which of her statements indicates a need for further teaching? a. "I can start giving her whole milk at about 12 months." b. "I can continue to breastfeed for another 6 months." c. "I've started giving her plenty of fruit juice as a way to increase her vitamin intake." d. "I can start giving her solid food now."
c
A patient had surgery for a total knee replacement a week ago and is currently participating in daily physical rehabilitation sessions at the surgeon's office. In what level of prevention is the patient participating? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention
c
A patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurse's best plan in teaching this patient? a. Teach the patient's spouse b. Focus on knowledge the patient will need in a few weeks c. Provide only the information that the patient needs to go home d. Convince the patient that learning about her health is necessary
c
A patient registered at the local fitness center and purchased a pair of exercise shoes. The patient is in what stage of behavioral change? a. Precontemplation b. Contemplation c. Preparation d. Action
c
A woman is scheduled for ambulation in the early morning of the first day after undergoing an abdominal hysterectomy. The nurse uses consensual validation of the individual's understanding of the plan of care by stating: a. "I will be back at 9 AM to take you on a walk." b. "The doctor wants you to walk one time this morning." c. "Tell me where you would like to walk this morning." d. "Walking soon after a surgical procedure prevents complications."
c
According to Erikson, what is the developmental task of toddlers? a. Doubt b. Shame c. Autonomy d. Preoperational
c
According to the National Resource Center on Nutrition, Physical Activity and Aging, it is estimated that between __________ of older residents living in long-term care facilities are malnourished. a. 10% and 15% b. 20% and 25% c. 35% and 50% d. 55% and 70%
c
Any combination of planned experiences based on sound theories that provide individuals, groups, and communities the opportunity to acquire the information and skills needed to make quality health decisions is known as: a. health promotion. b. health counseling. c. health education. d. health knowledge.
c
Based on the transtheoretical model of change, what is the most appropriate response to a patient who states: "Me, stop smoking? I've been smoking since I was 16!" a. "That's fine. Some people who smoke live a long life." b. "OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see you in 1 month." c. "I understand. Can you think of the greatest reason why stopping smoking would be challenging for you?" d. "I'd like you to attend a smoking cessation class this week and use nicotine replacement patches as directed."
c
Bloom (1984) has developed a hierarchy of cognitive levels in the adult learner. The analysis cognitive level for the adult learner would be: a. recalling specific facts. b. grasping the meaning of the communicated message. c. breaking down material into its constituent parts while noting their relationship. d. applying knowledge in the form of abstractions and ideas to concrete situations.
c
During an encounter with an elderly patient, the nurse recognizes that a thorough cultural assessment is necessary because the patient has recently come to the United States from Russia and has never been hospitalized before. The nurse wants to discuss cultural similarities between herself and the patient. Which step of the LEARN mnemonic is this? a. Listen b. Explain c. Acknowledge d. Recommend treatment e. Negotiate agreement
c
During middle adulthood, physiological changes affect most bodily systems. These changes include: a. increased cardiac output. b. increased glomerular filtration rates. c. thinning of the intervertebral disks. d. decreased bone density and mass.
c
During the 1-month well-baby visit, a pediatric nurse explains to the mother that she should expect to hear babbling in her infant by: a. 2 months. b. 4 months. c. 6 months. d. 9 months.
c
In addition to changes in ethnic and racial distribution within the population, it is expected that changes in _______ distribution will affect health promotion practice. a. geographic b. environmental c. age d. social
c
In assessing the nutritional-metabolic pattern, the nurse performs an examination of: a. attention span. b. blood pressure. c. mucous membranes. d. urine color.
c
Nurses in a community clinic have seen an increase in the numbers of obese children. The nurses who care for children are discussing ways to reduce childhood obesity. One nurse asks a colleague, "I wonder what the most effective ways are to help school-aged children maintain a healthy weight?" This question is an example of a/an: a. Hypothesis. b. PICOT question. c. Problem-focused trigger. d. Knowledge-focused trigger.
c
Parents are concerned about their toddler's negativism. To avoid a negative response, which of the following is the best way for a nurse to demonstrate asking the toddler to eat his or her lunch? a. Would you like to eat your lunch now? b. When would you like to eat your lunch? c. Would you like apple slices or applesauce with your sandwich? d. Would you like to sit at the big table to eat?
c
Pregnant women are counseled about rubella screening and vaccination. Which of the following conditions are associated with congenital rubella syndrome? a. Blindness b. Sudden infant death syndrome (SIDS) c. Developmental delay d. Autism
c
The Collins family includes a mother; stepfather, two teenage biological daughters of the mother; and a 25-year-old biological daughter of the father. The father's daughter just moved home following the loss of her job in another city. The family is converting a study into Stacey's bedroom and is in the process of distributing household chores. When you talk to members of the family, they all think that their family can adjust to lifestyle changes. This is an example of family: a. Diversity. b. Durability. c. Resiliency. d. Configuration.
c
The individual's perceived health and well-being and how health is managed describes the: a. cognitive-perceptual pattern. b. coping-stress tolerance pattern. c. health perception-health management pattern d. self-perception-self-concept pattern
c
The nurse assesses a family's coping-stress tolerance pattern by exploring their: a. cultural beliefs. b. traditions and practices. c. dysfunctional adaptive strategies. d. expectations of marriage and parenthood.
c
The nurse assesses the cognitive abilities of the adolescent according to Piaget's stage of formal operations as: a. accepting family beliefs and values. b. developing extrovert behaviors. c. having an intolerance of things as they are d. recognizing the importance of putting others' needs ahead of one's own.
c
The nurse assessing a 24-month-old toddler expects expressive language to include: a. repeats 2 digits from memory. b. jargon and echolalia are predominately used. c. talks in word phrases, and 2 to 3 word sentences. d. average sentence length is approximately 2½ words.
c
The nurse is preparing a class on wellness and health promotion for a group of middle school students. Developmental tasks of early adolescence include a learning focus emphasis on: a. coping with life events and problems. b. economic responsibility. c. risk taking and its consequences. d. social responsibility for self and others.
c
The nurse is teaching 8- and 9-year-old children about safe bicycling. The nurse emphasizes the principles of transportation safety, including: a. riding on the side of the road traveling opposite to the traffic. b. riding the bike through the cross walks after checking for traffic. c. wearing an approved, properly fitting helmet when bicycling. d. using a backpack to carry objects instead of the back basket.
c
The nurse is teaching parents about typical sleep disturbances of the preschooler. Which recommendation would the nurse make to the parents? a. Bedtime rituals of 1 hour or more should decrease sleep disturbances b. Frightening television shows and stories should be banned before bedtime c. Parents should help the child differentiate between "pretend" and "real" occurrences d. When the child has night wakening events, reassurance occurs when the child is taken to the parent's bed
c
The nurse is working with an older adult after an acute hospitalization. The goal is to help this person be more in touch with time, place, and person. Which intervention will likely be most effective? a. Reminiscence b. Validation therapy c. Reality orientation d. Body image interventions
c
The nurse sees a 76-year-old woman in the outpatient clinic. She states that she recently started noticing a glare in the lights at home. Her vision is blurred; and she is unable to play cards with her friends, read, or do her needlework. The nurse suspects that the woman may have: a. Presbyopia. b. Presbycusis c. Cataract(s). d. Depression.
c
The nurses on a medical unit have seen an increase in the number of medication errors on their unit. They decide to evaluate the medication administration process based on data gained from chart reviews and direct observation of nurses administering medications. Which process are the nurses using? a. Evidence-based practice. b. Research. c. Quality improvement. d. Problem identification.
c
The school nurse is performing scoliosis screening on 14-year-old girls. Signs indicative of scoliosis include: a. alignment of the spinous processes. b. lower scapula height on the side of thoracic convexity. c. thoracic convexity with lateral spine curvature. d. waist and leg symmetry.
c
The time during which infants develop the coordination to master activities which allow them to interact with the environment is known as the: a. reflexive period. b. psychosocial period. c. sensorimotor period. d. immunological period.
c
What is the appropriate order for the following steps of evidence-based practice (EBP)? 1. Integrate the evidence. 2. Ask the burning clinical question. 3. Create a spirit of inquiry 4. Evaluate the practice decision or change. 5. Share the results with others. 6. Critically evaluate the evidence you gather. 7. Collect the most relevant and best evidence. a. 2, 3, 7, 6, 4, 1, 5 b. 3, 2, 7, 1, 6, 5, 4 c. 3, 2, 7, 6, 1, 4, 5 d. 2, 3, 6, 7, 1, 4, 5
c
What is the expected order of gross-motor development beginning with the earliest skill? 1. Move from prone to sitting unassisted 2. Sit down from standing position 3. Sit upright without support 4. Roll from abdomen to back 5. Can turn from side to back a. 5, 4, 2, 1, 3 b. 5, 4, 1, 2, 3 c. 5, 4, 3, 1, 2 d. 4, 5, 1, 3, 2
c
When planning for instruction on cardiac diets to a patient with heart failure, which of the following instructional methods would be the most appropriate for someone identified as a visual/spatial learner? a. Printed pamphlets on cardiovascular disease and dietary recommendations from the American Heart Association b. A role-play activity requiring the patient to select proper foods from a wide selection c. Colored visual diagrams that categorize foods according to fat and sodium content d. A lecture-style discussion on heart healthy diet options
c
When recruiting subjects to participate in a study about the effects of an educational program to help patients at home take their medications as ordered, the researcher tells the subjects that their names will not be used and no one but the research team will have access to their information and responses. This is an example of: a. Bias. b. Anonymity. c. Confidentiality. d. Informed consent.
c
Which activity shows a nurse engaged in primary prevention? a. A home health care nurse visits a patient's home to change a wound dressing. b. A nurse is assessing risk factors of a patient in the emergency department admitted with chest pain. c. A school health nurse provides a program to the first-year students on healthy eating. d. A nurse schedules a patient who had a myocardial infarction for cardiac rehabilitation sessions weekly.
c
Which of the following diseases are Arab Americans at the highest risk for? a. colon cancer. b. hypertension. c. adult-onset diabetes. d. end-stage renal disease.
c
Which statement, if made by a parent after attending a teaching session on initiating a toilet training program for toddlers, indicates a need for further teaching? a. "I take my child to the potty after a meal." b. "I offer praise when my child uses the potty." c. "I require my child to sit on the potty until she goes." d. "I have given my child underpants as a reward for using the potty."
c
You are working in an adolescent health center when a 15-year-old patient shares with you that she thinks she is pregnant and is worried that she may now have a sexually transmitted infection (STI). Her pregnancy test is negative. What is your next priority of care? a. Contact her parents to alert them of her need for birth control. b. Refer her to a primary health care provider to obtain a prescription for birth control. c. Counsel her on safe sex practices. d. Ask her to have her partner come to the clinic for sexually transmitted infection testing.
c
A nurse is preparing an education program on disease transmission for employees at a local day care facility. When discussing the epidemiological triangle, the nurse should include which of the following factors as agents? (Select all that apply.) A. Resource availability B. Ethnicity C. Toxins D. Bacteria E. Altered immunity
cd
A nurse is caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. Which of the following statements should the nurse make? (Select all that apply.) A. "You will do great! You just have to get used it." B. "Why are you worried about going home?" C."Your daily routines will be different when you get home." D."Tell me about your support system you'll have after you leave the hospital." E. "Let me tell you about a friend of mine with a colostomy who also enjoys swimming."
cde
A nurse is planning diversionary activities for toddlers on an inpatient unit. Which of the following activities should the nurse include? (Select all that apply.) A. Building models B. Working with clay C. Filling and emptying containers D. Playing with blocks E. Looking at books
cde
A nurse is providing teaching for an older adult client who has lost 4.5 kg (9.9 lb) since his last admission 6 months ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. "Eat three large meals a day." B. "Eat your meals in front of the television." C."Eat foods that are easy to eat, such as finger foods." D."Invite family members to eat meals with you." E. "Exercise every day to increase appetite."
cde
In health promotion, the nurse-person relationship is the context for care. Which of the following elements of communication are important considerations? (select all that apply) a. Health promotion requires sensitivity to the goals and values of the nurse and the care recipient's family. b. Helping a person adopt health-promoting behaviors is a matter of providing education. c. Successful health promotion involves interpersonal skills. d. Health promotion requires communication skills. e. Values clarification is an essential element of communication and health promotion.
cde
What are some of the components of the health belief model that can assist nurses in determining the probability of an individual to make change? (select all that apply) a. External pressure to change b. The value of health as determined by significant others c. Perceived susceptibility to a health problem, disease, or complications d. Perceived seriousness of disease e. Risk factors of disease attributed to heredity, race, or culture
cde
Which of the following concepts are accurate regarding the biological changes in the young adult period? (select all that apply) a. Young adulthood sees the highest illness rate of any other age group. b. Physical growth continues into the 30s. c. Most concerns are related to ensuring optimal body functioning. d. Physical abilities of the young adult are at their peak. e. Illness compensatory mechanisms generally operate optimally.
cde
Which of the following family assessments are most important for successful family caregiving? (Select all that apply.) a. Educational level of family members b. Cultural food preferences c. Collaboration between family members d. Social support e. Conflict resolution practices
cde
Which of the following statements accurately describe biological growth? (select all that apply) a. Expected growth patterns exist in infants and children. b. Growth is steady throughout life. c. Extremely rapid growth occurs in the prenatal, infancy, and adolescent periods. d. Slower rates of growth occur during the toddler, preschool, and school-age periods. e. Infants typically double their birth weight by 6 months of age.
cde
Which of the following statements accurately describe race and ethnic categories in the United States as defined by the Office of Management and Budget? (select all that apply) a. Race and ethnicity have the same definition. b. Ethnicity is associated with power and indexes the history or ongoing imposition of one group's authority above another. c. Ethnicity focuses on differences in meaning, values, and ways of living. d. Ethnicity refers to commonalities in language, history, nation, or region of origin. e. A minority group consists of people living in society that is usually disadvantaged.
cde
Which of the following statements accurately describe the five stages of health-related behavior change according to the Transtheoretical Model (TTM)? Select all that apply. a. Sustained change over time occurs in the contemplation phase. b. When a person is considering the adoption of a change within the next 6 months, she or he is said to be in the precontemplation phase. c. Small, sporadic changes occur in the planning phase, as the individual is seriously thinking about making a change within the next month. d. In the action phase, the person has made behavior change which has persisted for 30 days. e. Maintenance begins 6 months after the action has started, and continues indefinitely.
ce
A 34-year-old female executive has a job with frequent deadlines. She notes that, when the deadlines appear, she has a tendency to eat high-fat, high-carbohydrate foods. She also explains that she gets frequent headaches and stomach pain during these deadlines. The nurse provides a number of options for the executive, and she chooses yoga. In this scenario yoga is used as a (n): a. Outpatient referral. b. Counseling technique. c. Health promotion activity. d. Stress-management technique.
d
A 63-year-old patient is retiring from his job at an accounting firm where he was in a management role for the past 20 years. He has been with the same company for 42 years and was a dedicated employee. His wife is a homemaker. She raised their five children, babysits for her grandchildren as needed, and belongs to numerous church committees. What are the major concerns for this patient? (Select all that apply.) a. The loss of his work role b. The risk of social isolation c. A determination if the wife will need to start working d. How the wife expects household tasks to be divided in the home in retirement e. The age the patient chose to retire
d
A community nurse in a diverse community is working with health care professionals to provide for prenatal care for under employed and under insured South African women. Which overall goal of Healthy People 2020 does this represent? a. Assess the health care needs of individuals, families, or communities b. Develop and implement public health policies and improve access to care c. Gather information on incident rates of certain diseases and social problems d. Increase life expectancy and quality of life and to eliminate health disparities
d
A group of nurses have identified that the elderly patients on their unit have a high incidence of pressure ulcers after they have a stroke. During a unit meeting, they discuss different interventions they think may reduce the development of pressure ulcers. What is the nurses' next step to investigate this clinical problem further? a. Conduct a literature review. b. Share the findings with others. c. Conduct a statistical analysis. d. Create a well-defined PICOT question.
d
A hospital creates a Facebook page for the bariatric surgery program. The owner of the site posts healthy recipes, lifestyle information, and information about upcoming workshops. This is an example of: a. health literacy. b. coercive advertising. c. a teaching plan. d. social marketing.
d
A new mother asks the nurse when the baby's anterior fontanel will close. The nurse explains that it will close at: a. 2 months. b. 6 months. c. 12 months. d. 18 months.
d
A nurse is caring for a client who is a Jehovah's Witness and is scheduled for surgery as a result of a motor vehicle crash. The surgeon tells the client that a blood transfusion is essential. The client tells the nurse that based on his religious values and mandates, he cannot receive a blood transfusion. Which of the following responses should the nurse make? A. "I believe in this case you should really make an exception and accept the blood transfusion." B. "I know your family would approve of your decision to have a blood transfusion." C."Why does your religion mandate that you cannot receive any blood transfusions?" D."Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution."
d
A nurse is caring for a family who is experiencing a crisis. Which of the following approaches should the nurse use when working with a family using an open structure for coping with crisis? A. Prescribing tasks unilaterally B. Delegating care to one member C. Speaking to the primary client privately D. Convening a family meeting
d
A nurse is counseling an older adult who describes having difficulty dealing with several issues. Which of the following problems verbalized by the client should the nurse identify as the priority? A. "I spent my whole life dreaming about retirement, and now I wish I had my job back." B. "It's been so stressful for me to have to depend on my son to help around the house." C."I just heard my friend Al died. That's the third one in 3 months." D."I keep forgetting which medications I have taken during the day."
d
A nurse is developing a community health education program for a group of clients who have a new diagnosis of diabetes mellitus. Which of the following learning strategies should the nurse include for clients who are auditory learners? A. Showing informational videos B. Providing equipment to practice hands‑on skills C. Supplying outlines for note‑taking D. Facilitating small group discussions
d
A nurse is evaluating teaching about nutrition with the parents of an 11‑year‑old child. Which of the following statements should indicate to the nurse an understanding of the teaching? A. "She wants to eat as much as we do, but we're afraid she'll soon be overweight." B. "She skips lunch sometimes, but we figure it's okay as long as she has a healthy breakfast and dinner." C."We limit fast‑food restaurant meals to three times a week now." D."We reward her school achievements with a point system instead of a pizza or ice cream."
d
A nurse is preparing an instructional session for an older adult about managing stress incontinence. Which of the following actions should the nurse take first when meeting with the client? A. Encourage the client to participate actively in learning. B. Select instructional materials appropriate for the older adult. C. Identify goals the nurse and the client agree are reasonable. D. Determine what the client knows about stress incontinence.
d
A nurse is preparing to perform a cultural assessment of a patient. Which of the following questions is an example of a contrast question? a. Tell me about your ethnic background. b. Have you had this problem in the past? c. Where do other members of your family live? d. How different is this problem from the one you had previously?
d
A nurse is teaching a group of young college-age women the importance of using sunscreen when going out in the sun. Which type of content is the nurse providing? a. Simulation b. Restoring health c. Coping with impaired function d. Health promotion and illness prevention
d
A nurse researcher studies the effectiveness of a new program designed to educate parents to promote the immunization of children. The nurse divides the parents randomly into two groups. One group receives the typical educational program and the other group receives the new program. This is an example of which type of study? a. Historical b. Qualitative c. Correlational d. Experimental
d
A nurse who works on a pediatric unit asks, "I wonder if children who interact with therapy dogs have reduced anxiety when they are in the hospital." In this example of a PICOT question, which of the following is the O? a. Children. b. Therapy dogs. c. The pediatric unit. d. Anxiety.
d
A nursing instructor is explaining the various stages of the lifespan to a group of nursing students. Which of the following examples should the nurse include as a developmental task for middle adulthood? A. The client evaluates his behavior after a social interaction. B. The client states he is learning to trust others. C. The client wishes to find meaningful friendships. D. The client expresses concerns about the next generation.
d
A nursing student is caring for a 78-year-old patient with multiple sclerosis. The patient has had an indwelling Foley catheter in for 3 days. Eight hours ago the patient's temperature was 37.1° C (98.8° F). The student reports her recent assessment to the registered nurse (RN): the patient's temperature is 37.2° C (99° F); the Foley catheter is still in place, draining dark urine; and the patient is uncertain what time of day it is. From what the RN knows about presentation of symptoms in older adults, what should he recommend first? a. Tell the student that temporary confusion is normal and simply requires reorientation b. Tell the student to increase the patient's fluid intake since the urine is concentrated c. Tell the student that her assessment findings are normal for an older adult d. Tell the student that he will notify the patient's health care provider of the findings and recommend a urine culture
d
A patient is laboring with her first baby, who is about to be delivered 2 weeks early. Her husband is in the military and might not get back in time, and both families are unable to be with her during labor. The doctor decides to call in which of the following people employed by the birthing area as a support person to be present during labor? a. Nurse b. Midwife c. Geneticist d. Lay doula
d
A patient needs to learn to use a walker. Which domain is required for learning this skill? a. Affective domain b. Cognitive domain c. Attentional domain d. Psychomotor domain
d
A target goal of Healthy People 2020 is to reduce the incidence of hepatitis C. The nurse focuses on individuals most at risk, which includes persons with: a. hepatitis A. b. Epstein-Barr virus. c. human papilloma virus. d. chronic renal disease on hemodialysis.
d
According to Healthy People 2020, the leading causes of death among children and young adults are due to injuries from which of the following? a. Homicide b. Suicide c. Burns d. Motor vehicle crashes
d
According to the U.S. Census Bureau, the fastest-growing group within the older population is: a. 65 to 70. b. 70 to 75. c. 75 to 80. d. 85 and older.
d
An older adult is being started on a new antihypertensive medication. In teaching the patient about the medication, the nurse: a. Speaks loudly. b. Presents the information once. c. Expects the patient to understand the information quickly. d. Allows the patient time to express himself or herself and ask questions.
d
Characteristic behaviors of older adults who have successfully met Erikson's ego integrity versus despair developmental task include: a. fear of death. b. feelings that life has been lived in vain. c. identity is related to career and work only. d. honest acceptance of the life that has passed.
d
During a health screening of Hispanic children for lead poisoning, the initial question the nurse should ask is: a. "How old is the house you are living in?" b. "Do you eat canned foods from the United States only?" c. "Are there any areas in your home where paint is chipping off?" d. "Do you use ceramic containers made outside the United States for cooking?"
d
Erikson's theory of psychosocial development identifies the toddler stage as: a. trust versus mistrust. b. initiative versus guilt. c. industry versus inferiority. d. autonomy versus shame and doubt.
d
In viewing the family as context, what is the primary focus? a. Family members within a system b. Family process and relationships c. Family relational and transactional concepts d. Health needs of an individual member
d
Older adults frequently experience a change in sexual activity. Which best explains this change? a. The need to touch and be touched is decreased. b. The sexual preferences of older adults are not as diverse. c. Physical changes usually do not affect sexual functioning. d. Frequency and opportunities for sexual activity may decline.
d
Parents of a 7-year-old boy request a discussion with the school nurse on how they can resolve the child's nighttime enuresis. The nurse advises that nighttime enuresis: a. is an intentional act with a psychological basis. b. should have consequences to eliminate the behavior. c. has no serious physical problems and should be ignored. d. requires a family plan to deal with the wet bed to decrease family arguments.
d
Priority nursing assessments of Latino/Hispanic Americans should focus on what disease process, because of its higher incidence in this population? a. Cancer b. Stroke c. Diabetes d. Cardiovascular
d
Public health nurses are involved in supporting active health promotion strategies such as: a. supporting clean water. b. advocating for vitamin D in all milk. c. supporting sanitary sewage systems. d. participating in an individual daily exercise program
d
Sexuality is maintained throughout our lives. Which of the following answers best explains sexuality in an older adult? a. When the sexual partner passes away, the survivor no longer feels sexual. b. A decrease in an older adult's libido occurs. c. Any outward expression of sexuality suggests that the older adult is having a developmental problem. d. All older adults, whether healthy or frail, need to express sexual feelings.
d
Sharing eating utensils with a person who has a contagious illness increases the risk of illness. This type of health risk arises from: a. Lifestyle. b. Community. c. Family history. d. Personal hygiene habits.
d
The cognitive-perceptual pattern assessment includes: a. who decides when children go to sleep. b. what types of daily activities include physical exercise. c. what kinds of feelings family members have for each other. d. how the family makes decisions about health promotion and disease prevention.
d
The hallmark of the first substage of Piaget's preoperational stage is the ability of the preschooler to function using: a. abstract thinking. b. concrete thinking. c. auditory cues. d. language.
d
The most common childhood school-age cancer is: a. retinoblastoma. b. neuroblastoma. c. Wilms tumor. d. leukemia
d
The most widely accepted form of exercise among older adults is reported to be: a. swimming. b. running. c. strength-training. d. walking.
d
The nurse demonstrates empathy toward a crying mother whose baby was stillborn by stating: a. "I know exactly how you feel; that happened to me once." b. "You are young and will be able to have another baby." c. "It was God's will that your baby was taken to heaven with him." d. "Loss of a baby is truly a sad occurrence."
d
The nurse facilitates the adolescent's self-perception-self-concept development by: a. complementing the adolescent for what is accomplished. b. developing a plan for the adolescent's future growth. c. encouraging the adolescent to join in group activities. d. praising the adolescent for who he or she is.
d
The nurse incorporates epidemiological findings in assessing for risks associated with intimate partner violence, which include: a. adequate economic resources. b. equal job position of the partners. c. both partners achieved college graduation. d. differences in prestige associated with the partners' careers
d
The nurse is completing an admission assessment with an 80-yearold man who experienced a hip fracture following a fall. He is alert, lives alone, and has very poor hygiene. He reports a 20-pound weight loss in the last 6 months following his wife's death, as well as estrangement from his only child. He admits to falls before this most recent fall. What should the nurse suspect? a. Dementia. b. Elder abuse. c. Delirium. d. Alcohol abuse.
d
The nurse is preparing an educational activity for adolescents. The primary reason that emphasis is placed on teaching testicular self-examination is because: a. adolescents are naturally interested in their developing bodies. b. baseline assessment data is necessary for comparison in the future. c. rapid anatomical changes are occurring in the testes. d. testicular cancer is the number one cancer in the adolescent male.
d
The nurse is teaching a class to students of pediatric nursing on comparing the concepts of growth and development. Which statement most accurately represents these concepts? a. Growth patterns are qualitative changes. b. Growth is from the head to toe or cephalocaudal. c. Development reflects an increase in the number and size of cells. d. Development is a gradual change that includes advances in skills.
d
The nurse provides educational information to the female adolescent on decreasing the incidence of acne, which includes: a. "Decrease chocolate intake in your diet." b. "Expose your face to sunlight at least 2 hours per day." c. "Remove all pustules and papules with special instruments." d. "Wash your face with soap and water two to three times per day."
d
The nurse teaches new mothers about research on pacifiers and breast-feeding. Which statement by a mother indicates an understanding of the instruction? a. "I have no problem giving a pacifier to a breast-feeding baby." b. "I offer a pacifier after each feeding to satisfy my baby's sucking needs." c. "There is significant research that indicates harm is associated with occasional pacifier use." d. "I do not give my baby a pacifier because I know it is associated with shorter breast-feeding duration."
d
The nurse uses developmental theory by evaluating the family's: a. analysis of baseline data. b. rigid and permeable boundaries. c. structural and functional components. d. prospective tasks and progression through cycles.
d
The nurse's educational role reflecting health promotion and disease prevention during the couple stage of family development is the: a. teacher of risk factors to health. b. coordinator with pediatric services. c. teacher of first aid and emergency measures. d. coordinator for genetic counseling.
d
The nurse, presenting a class on strategies to prevent drowning in toddlers, instructs parents to: a. teach their toddler how to swim. b. place the toddler in the tub with 1 or 2 inches of water. c. make sure pails of water are less than ½ full. d. use personal flotation devices on the toddler when boating.
d
The nurse, presenting a nutrition class to high school students, emphasizes that the leading cause of death associated with diet is: a. anemia. b. infection. c. cirrhosis of the liver. d. coronary heart disease.
d
The process of gaining specific knowledge or skills that result from exposure, experience, education, and evaluation is known as: a. maturation. b. growth. c. development. d. learning.
d
The school nurse assesses preschoolers for genetic conditions such as: a. Down syndrome. b. congenital hypothyroidism. c. sickle cell disease. d. Duchenne muscular dystrophy.
d
The school nurse has been asked to present a workshop on community-associated methicillin resistant Staphylococcus aureus (CA-MRSA) for high school teachers. The nurse should stress that CA-MRSA is a: a. common viral infection that responds well to anti-viral meds. b. serious bacterial infection that does not spread easily. c. fungal infection common in school settings. d. potentially fatal skin infection that is difficult to treat
d
The type of injury to which a child is most vulnerable at a specific age is most closely related to which of the following? a. Provision of adult supervision b. Educational level of the parent c. Physical health of the child d. Developmental level of the child
d
To facilitate the adolescent's need for controlling behaviors, the nurse implements an intervention that: a. asks the adolescent how he or she would like to handle the situation. b. consults with the parents regarding the adolescent's health care needs. c. gives specific, detailed instructions in writing. d. partners with the adolescent to develop a plan.
d
Two single mothers are active professionals and have teenage daughters. They also have busy social lives and date occasionally. Three years ago they decided to share a house and housing costs, living expenses, and child care responsibilities. The children consider one another as their family. What type of family form does this represent? a. Diverse family relationship b. Blended family relationships c. Extended family relationship d. Alternative family relationship
d
Using the Transtheoretical Model of Change, what is the correct order for the steps that a patient goes through to make a lifestyle change related to physical activity?1.The individual recognizes that he is out of shape when his daughter asks him to walk with her after school.2.Eight months after beginning walking, the individual participates with his wife in a local 5K race.3.The individual becomes angry when the physician tells him that he needs to increase his activity to lose 30 lbs.4.The individual walks 2 to 3 miles, 5 nights a week, with his wife.5.The individual visits the local running store to purchase walking shoes and obtain advice on a walking plan. a. 3, 1, 4, 5, 2 b. 3, 1, 4, 2, 5 c. 1, 3, 5, 2, 4 d. 3, 1, 5, 4, 2
d
Vulnerable populations of patients are those who are more likely to develop health problems as a result of: a. Chronic diseases, homelessness, and poverty b. Poverty and limits in access to health care services c. Lack of transportation, dependence on others for care, and homelessness d. Excess risks, limits in access to health care services, and dependency on others for care
d
When assessing elderly adults, the nurse determines that malnutrition may be present in the person with: a. serum albumin level of 5.0 gm/dL. b. midarm muscle circumference at the 25th percentile. c. triceps skinfold thickness at the 20th percentile. d. involuntary decrease of weight of more than 10 lb in the last 6 months.
d
When teaching about proper nutrition to a person with congestive heart failure, which affective component should be included in the educational plan? a. Eating with someone b. Food preparation techniques c. Knowledge of dietary restrictions d. Values of adhering to the diet
d
Which approach would be best for a nurse to use with a hospitalized toddler? a. Always give several choices. b. Set few limits to allow for open expression. c. Use noninvasive methods when possible. d. Establish a supportive relationship with the mother.
d
Which of the following interventions will be most helpful in preventing premature death in children under the age of 5? a. Use of mosquito netting in sleeping areas b. Vaccination programs c. Accident prevention programs d. Nutritional supplements
d
Which of the following most greatly affects a family's access to adequate health care, opportunity for education, and sound nutrition? a. Development b. Family function c. Family structure d. Economic stability
d
Which of the following statements is most descriptive of the psychosocial development of school-age children? a. Boys and girls play equally with each other. b. Peer influence is not yet an important factor to the child. c. They like to play games with rigid rules. d. Children frequently have "best friends."
d
Which play activity would the nurse plan for a 4-year-old girl 2 days after undergoing an appendectomy? a. Playing a game of Monopoly b. Dressing up in a Cinderella gown c. Participating in a game of hopscotch d. Drawing pictures of her mother and father
d
Which statement about smallpox is correct? a. Smallpox results in a rash that looks like the chickenpox rash. b. Side effects from a smallpox vaccine include acute renal failure. c. The last case of smallpox occurred in 1997. d. People who received the smallpox vaccine 50 years ago may still be protected from the disease
d
Which statement requires further teaching related to food safety practices? a. Always drink pasteurized juices. b. Wash fresh fruits and vegetables thoroughly. c. When shopping, buy perishable foods last and take them straight home. d. Cooked meat, poultry, and eggs may be left out at room temperature for up to 3 hours.
d
Who has priority for being served? a. Non-breastfeeding postpartum women with any nutritional risk b. Individuals at nutritional risk only because they are homeless c. Children (up to age 5) at nutritional risk from serious medical problems d. Infants determined to be at risk at nutritional risk from serious medical problems
d
A nurse is preparing to administer medications to a preschooler. Which of the following strategies should the nurse implement to increase the child's cooperation in taking medications? (Select all that apply.) A. Reassure the child an injection will not hurt. B. Mix oral medications in a large glass of milk. C. Offer the child choices when possible. D. Have the parents bring in a favorite toy from home. E. Engage the child in pretend play with a toy medical kit.
de
A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (Select all that apply.) A. Intensive care unit B. Oncology treatment center C. Burn center D. Cardiac rehabilitation E. Home health care
ABC
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers
ABCD
A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical‑surgical unit. When she gives examples of the types of tasks certified nursing assistants (CNAs) may perform, which of the following client activities should she include? (Select all that apply.) A. Bathing B. Ambulating C. Toileting D. Determining pain level E. Measuring vital signs
ABCE
A nurse is caring for a group of clients on a medical‑surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? (Select all that apply.) A. A client who has terminal cancer requests hospice care in her home. B. A client asks about community resources available for older adults. C. A client states that she wants her child baptized before surgery. D. A client requests an electric wheelchair for use after discharge. E. A client states that he does not understand how to use a nebulizer
ABD
A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medication's effects? (Select all that apply.) A. Provider B. Certified nursing assistant C. Pharmacist D. Registered nurse E. Respiratory therapist
ACD
