HP FINALS

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Which model of health is most likely used by a person who does not believe in preventive health care? a Clinical model b Role performance model c Adaptive model d Eudaimonistic model

1. A nurse would like to assist Americans in improving their health. Which strategy would be most beneficial to improve the health of the American public? a Encourage Americans to stop smoking. b Lobby for state-of-the-art magnetic resonance imaging machines in all hospitals. c Provide free medications for Americans. d Offer free condoms to teenagers.

1. Which of the following was the fastest-growing minority group in the United States between 2000 and 2010? a Asian American and Pacific Islanders b Arab American c Hispanic American d Native American

14. Which of the following age groups is experiencing the greatest increase in suicide rates? a 15 to 24 b 25 to 39 c 40 to 59 d 60 to 70

14. Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide? a American Indian/Alaska Native Americans b Asian Americans c Latino/Hispanic Americans d Black/African Americans

2. Which of the following types of ethical theories tells us how people act toward each other and their environments and what they believe are good or moral actions? a Descriptive value theories b Normative theories c Consequentialism theory d Duty-based theories

20. A nurse is providing primary prevention education to reduce the risk of lead poisoning to a mother of a toddler. Which of the following recommendations would the nurse make? a Encourage the toddler to drink orange juice and eat yogurt. b Encourage the toddler to eat concentrated carbohydrates to absorb the lead. c Limit foods high in iron such as spinach because iron retains lead in the body d Encourage dark chocolate, which contains antioxidants to help reduce lead levels.

20. Where do most accidents occur? a In the home b In the car c At day care d On the playground

21. A nurse complies with the Patient Self-Determination Act when asking a a person upon admission to the hospital if he or she has an advanced directive. b the family in the recovery room whether the care recipient has an advanced directive. c a person being discharged from the hospital if he or she has an advance directive. d the family about an advanced directive after the person has been intubated.

30. The country with the highest life expectancy for women in 2011 was a France. b Germany. c Sweden. d the United States.

34. A 2-month-old infant is in for a well-baby visit. Which of the following immunizations should the nurse administer to the infant? a. DTaP-1 b. MMR c. Varicella d. Influenza

8. Which of the following is NOT characteristic of anorexia nervosa? Increased frequency or heavy menses due to increased ovulation Co-morbid depression or anxiety Perfectionism Compulsive physical activity

8. Which of the following statements is correct concerning hearing in the toddler? a Toddlers characteristically endlessly repeat sounds, words, and word combos. b Mild hearing loss will not affect speech skills but moderate or worse loss will do so. c Infants at risk who passed neonatal screening need diagnostic audiometry by age 15 to 18 months. d All of the above statements are correct

9. A 27-year-old woman has not received a Pap test in 3 1 2 pattern? a Health perception-health management pattern b Elimination pattern c Activity-rest pattern d Self-perception-self-concept pattern

9. During a physical exam, a teenager asks the nurse if she can have a stronger medication for her constipation because the laxatives she has been taking are not helping. During the physical exam, the nurse observes mild to moderate erosion of the tooth enamel. Which of the following disorders is the client most likely experiencing? Bulimia nervosa Binge eating disorder Idiopathic constipation Irritable bowel syndrome

9. The proportion of people with a condition who correctly test positive when screened is known as a. sensitivity. b. specificity. c. validity. d. efficacy.

Which of the following groups of people are likely to show an increase in numbers between the years 2010 to 2030? a Persons age 65 and older b Persons of White European descent c Infants due to rising birth rates d Population growth and character are unpredictable

Which of the following is most influenced by the social and economic environment of a community? a Social health policies b Quality of care c Evidence-based practice d Practice guidelines

Which of the following represents a method of primary prevention? a Informational session about healthy lifestyles b Blood pressure screening c Interventional cardiac catheterization d Diagnostic cardiac catheterization

1. A home health nurse is admitting a 54-year-old man for services following a coronary artery bypass graft (CABG). As part of the initial visit the nurse completes a family assessment. What is the purpose of this nursing action? (Select all that apply.) a Allows for health promotion and disease prevention appraisal b Allows for inclusion of family members in decision-making c Allows for data collection necessary for comparison to Healthy People 2020 d Allows for development of patient-centered care

a,b

3. A nurse is developing an educational session for adolescents related to avoidance of risky behaviors. Which of the following steps of the teaching-learning process will need to be considered? (Select all that apply.) a. Assessment b. Diagnosis c. Development d. Implementation

a,c,d

2. A nurse is reviewing an exercise prescription for a person. Which of the following aspects should be included? (Select all that apply.) a Frequency of exercise b Intensity level of exercise c Time and duration of exercise d Type of exercise

abcd

2. Which of the following individuals would be susceptible to CA-MRSA? (Select all that apply.) a 16-year-old student who plays football b 48-year-old person who has taken antibiotics for sinus infections c 36-year-old man serving 12 months in jail for robbery d 22-year-old woman who shares a towel after a swimming meet

abcd

6. An 80-year-old person is admitted to the hospital. During the health assessment process, the nurse should screen for which of the following conditions? (Select all that apply.) a Polypharmacy b Renal insufficiency c Illegal drug use d Alcoholism

abcd

1. Which of the following interventions will have the greatest impact on reducing constipation in older adults? (Select all that apply.) a Offering strained fruit and vegetable juices to increase fiber content in the diet b Encouraging fluids between meals c Administering laxatives on a daily basis d Assisting with ambulation

abd

2. A nurse is assessing a toddler during a well-child visit. Which of the following findings warrant further investigation? (Select all that apply.) a Barely spots on the scalp, and broken hair. b Overly concerned parents c Burns with sharply demarcated edges d Bruises to the knees and chin, reportedly from a fall.

2. A public health nurse is interested in writing a grant to improve vaccination rates of young adults. His focus should be on obtaining funding to support which of the following vaccination initiatives? (Select all that apply.) Pertussis Lyme disease prevention Hepatitis B prevention Human papilloma virus (HPV) prevention

acd

11. When assessing a person's nutritional-metabolic pattern, which objective finding would have implications for nursing intervention? a The person's 24-h diet diary b The person's dentition c The person's food preferences d The person's financial status

11. Which of the following statements about race and culture in the United States is correct? a The United States ranks 22nd in the world for infant mortality rate. b Ethnic minority populations have higher rates of low-birth-weight infants. c Black infants are more likely to have cleft palates than Native American infants. d Whites have more fraternal twin pregnancies than non-Whites.

17. Which concept is aimed at interrupting potential ethical problems before they develop? a Feminist ethics b Preventive ethics c Metaethics d Normative ethics

17. Which of the following is the SECOND leading cause of death for teens and young adults, 15 to 24 years? Accidents Suicide Bone cancer Sport injuries, especially head trauma

19. A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child? a A fenced-in pool in the backyard b An entertainment center with the remote control on the top shelf c A closed window in the child's bedroom d A toy box overflowing with toys

2. A nurse is working with a group of individuals to start an exercise program. Which of the following would require the most attention and assistance? a White man who works 50 to 60 h a week as a business executive b Unemployed, obese Hispanic woman c Employed White woman with hypertension d White man with a high school diploma

21. Which of the following statements made by a parent is most helpful when discussing rules of the household? "You did not feed the dog like you promised, so you cannot have ice cream for dessert." "I was upset when you did not feed the dog like you promised. We all need to help take care of him because he depends on us. Let's talk about what happened." "Why did you forget to feed the dog? Would you like me to forget to feed you?" "What you did was bad. We all need to care for the dog."

24. Which of the following statements is correct regarding firearms? As with video games, toy guns has been shown to increase violence later in life. For safety, guns should be stored apart from ammunition. The second amendment exempts hand guns. All of the above statements are correct.

29. On average, how old is a preschooler with a receptive vocabulary of up to 5600 words? 42 months old 48 months old 54 months old 60 months old

3. Who authored the framework that provides the foundation for nursing assessment and diagnosis using the functional health patterns? a. Erikson b. Gordon c. Newman d. Nightingale

4. A nurse is conducting a community education program. Which of the following should be stressed the leading cause of death in middle-age adults? Automobile accidents Malignant disease Homicide Suicide

7. A teenager, who lives at home with her parents and school-aged brother, has been diagnosed with anorexia nervosa. Which of the following would be the most appropriate teaching goal for this family? a Increased energy level b Improved coping c Enhanced self-esteem d Facilitated family conversation

9. The person known as the father of British and American public health is a Lillian Wald. b Edwin Chadwick. c Lemuel Shattuck. d Paul Ehrlich.

A state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a developmental context is known as a growth and development. b health. c functioning. d high-level wellness.

The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individuals is known as a health-related quality of life. b evidence-based practice. c a Healthy People 2020 goal. d the ecological model of health.

1. Which of the following is an example of screening? (Select all that apply.) a Asking if someone performs self-breast exam b Performing a self-breast exam c Obtaining a mammogram d Undergoing a needle biopsy

2. A nurse is completing an initial genetic counseling interview with a couple. Which of the following data would be collected during the interview? (Select all that apply.) a Paternal age b Maternal age c Family history d Religious affiliation

1. When do females usually begin puberty? 1 year before males 1 year after males 2 years before males 2 years after males

22. A Hispanic mother tells the nurse that she has been using home remedies for her child's asthma. Which home remedy might this mother be using? a Acupuncture b Cupping c Hot tea dMassage

2. Which of the following statements are correct concerning testing of developmental level? (Select all that apply.) The various approved screening tools serve as valid diagnostic tools. The Parent's Evaluation of Developmental Status (PEDS) is valid for ages 5 to 12 years. Positive findings on screening tests warrant referral to developmental and medical specialists. The Battelle Developmental Inventory Screening Tool is commonly used in the primary care setting.

14. A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic care recipient. Which finding has implications for the individual's nursing plan of care? a Decreased sense of hearing b Decreased sense of smell c Decreased sense of taste d Decreased visual acuity

14. During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating clay. Which of the following actions should be taken by the nurse? a Tell the client that many pregnant women crave such nonfood substances, and it is not a problem. b Ignore the comment because pica is acceptable in some rural Black cultures. c Encourage the client to eat it with plenty of water because of the risk of constipation. d Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way.

14. Parents of an 8-year-old boy tell the nurse that they are concerned about their son because he occasionally sleepwalks. Which of the following is the best response from the nurse? "Sleepwalking is much more common in girls than boys." "I am glad you mentioned this. Sleepwalking is sometimes a sign of a neurological deficit." "Nightmares are the cause of most cases of sleepwalking." "This is not abnormal for a child of this age. He will most likely outgrow this tendency as his nervous system matures."

15. A 19-year-old college student is seen by the health services nurse. The young woman is distraught that she had unprotected sex 4 days ago and is afraid she may have become pregnant. Which of the following statements should be made by the nurse? "You must be 21 years of age to purchase emergency contraception." "You can purchase Plan B without a prescription; it will terminate the pregnancy." "Let's talk about how to deal with an unplanned pregnancy and childbirth. "You have several options. Let's discuss what would be the best thing for you to do next."

16. A family has recently become homeless. Which of the following factors most likely contributed to this situation? a Being from an ethnic minority background b Declining rates of poverty c Having multiple chronic illnesses d Being unable to find affordable housing

16. A nurse is counseling a person with heart disease. Which of the following statements made by the individual would require the nurse to provide additional education? a "I drink skim milk on a regular basis." b "I try not to eat foods that have added salt on the label." c "I eat American cheese about once every 2 weeks." d "I add salt to many of the food that I eat to enhance the flavor."

16. The school nurse has written a grant to obtain funding for a vision screening program and glasses for children in his pre-K to 6th grade elementary school. Which of the following statements should be included with the rationale for the need for funding? Many preschool children are hyperopic and need glasses to prevent headaches. Most states require vision screening on entering school. Vision screening can diagnose vision/eye problems before they become severe. Approximately one in four children has a vision problem.

17. The community health nurse has obtained a grant to offer a "Safe Driving" series for older adults. Which of the following information should the nurse stress during the series? a Traffic fatalities involving older adults occur mainly at dusk. b The cause of two-vehicle accidents is frequently an older driver striking another car. c The average blood alcohol level in older adults involved in accidents is higherthan the blood alcohol level of younger drivers involved in accidents. d Relearning the art of defensive driving can reduce the likelihood that an older driver will be involved in a motor vehicle accident.

17. The primary objective of social marketing is to a plan behavior. b analyze behavior. c limit behavior. d change behavior.

18. A health care professional is caring for an individual who is homeless and has recently been diagnosed with Type II diabetes. Which of the following factors is the most important to consider when planning care? a Considering the cost of the purchasing medications b Determining the pharmacy where medications will be obtained c Obtaining insurance that will pay for the follow-up care d Finding supportive housing for the individual

19. A community health nurse is providing education about the "Dietary Approaches to Stop Hypertension" (DASH) eating plan to people attending cardiac rehabilitation. Which of the following recommendations would be included in this presentation? a The use of this dietary plan has the same health effects as a daily exercise program. b The use of this dietary plan will eliminate the need for medication to treat hypertension. c This dietary plan is excludes the consumption of processed foods. d This dietary plan includes eating greater amounts of fruits and vegetables.

21. A nurse is discussing sexuality with middle-age men and women. Which of the following information should be stressed by the nurse? Contraception usage should be decreased as a woman nears menopause. Men are less vulnerable to sexual dysfunction than are women. Cardiovascular disease but not diabetes can result in erectile dysfunction. The majority of new HIV/AIDS cases occur among middle-age adults.

1. Activity that uses large muscle groups in a repetitive, rhythmic fashion over an extended period to improve the efficiency of the oxidative energy producing system and improve cardiorespiratory endurance is known as a aerobic activity. b anaerobic activity. c flexibility. d muscular fitness.

1. An infant is lying in a crib watching and listening to a colorful mobile. Which of the following statements is correct concerning a mobile for an infant? a Provides stimulation necessary for continued growth and development for the infant b Provides too much stimulation for the infant, making it difficult for the infant to focus c Serves as inadequate stimulation for the infant because it is an inanimate object d Serves as a distractor for the infant, making it easier to fall asleep

1. Which of the following statements about the current prevalence of obesity is accurate? a The current generation of children may be less healthy and have a shorter life expectancy than their parents. b The current incidence of obesity among American adults has stabilized. c The current statistics show that greater than 75% of American adults are either overweight or obese. d The current statistics report that about 50% of American children are either overweight or obese.

10. A child who has a BMI of 34 visits the school nurse. Which of the following factors does the nurse recognize that the child may be experiencing? Increased bullying by peers Increased self-esteem Increased resiliency Increased motivation to lose weight

10. A nurse is counseling a person on how to effectively deal with stress. Which of the following actions would the nurse recommend the person take first? a Recognize signs of stress. b Take action to reduce stress. c Connect warning signs with stressors. d Develop effective coping skills.

10. A nurse is using the four-step public health approach to address violence in the community. Using the four-step public health approach designed by WHO, which of the following actions would the nurse take first? a Analyze a variety of data sources to determine the extent and cause of the problem. b Examine risk factors that have contributed to the violence. c Develop an evidence-based program to address the problem. d Train community members to discuss the problem within their neighborhoods.

10. Which of the following is correct concerning heat regulation in the older adult? a Remaining indoors where temps are 90 degrees or higher is recommended. b Increased sweating, characteristic of older adults, increases the risk of dehydration. c Increased use of salt, secondary to declining taste, increases the risk for heat stroke. d The ability to feel heat and cold is typically enhanced in the elderly due to thinner skin.

10. Which of the following theorists has been associated with the ethics of care? a Carole Gilligan b Immanuel Kant c Jeremy Bentham d John Stuart Mill

11. A nurse determined the interobserver reliability of a blood pressure reading. Which of the following describes the method that was used by the nurse? a Blood pressure readings of 124/82 were obtained two days in a row by two different nurses. b Three consecutive blood pressure readings of 124/82 were obtained by the same nurse. c Blood pressure readings of 124/82 in the right arm and 124/82 in the left arm were obtained. d A blood pressure reading of 124/82 was obtained immediately followed by another blood pressure reading of 147/92.

11. Which of the following emphasizes that an individual's belief in being personally capable of performing the behavior is required to influence one's own health? a Social cognitive theory b Self-efficacy theory c Health belief model d Transtheoretical model

11. Which of the following represents a limitation to the Ethic of Care model? a There are no criteria for right or wrong actions. b The model fosters an ethnocentric view. c The model, as practiced, is not holistic in focus. d The model does not account for interrelationships nor the context of actions.

11. Which of the following statements about alcohol intake is correct? Women have a higher death rate related to alcoholism than men. A woman who drinks two glasses of wine per day with her evening meal is considered a moderate drinker. More women than men are considered problem drinkers. Women who experience fewer cognitive effects from drinking are less likely to drink excessively.

12. A couple in their sixties has assumed responsibility for raising their two grandchildren ages 9 and 12 because the children's parents died in a car accident. Which of the following is nursing interventions is a priority to help the grandparents cope with the responsibility of raising their grandchildren? a Connecting them with the "Grandparents Raising Grandchildren" support group b Encouraging them by reminding them how they successfully raised their own children c Volunteering to provide respite time for them as needed d Assuring them that their stress level will lessen, as they gain confidence

12. A nurse is counseling a teenager who smokes one pack of cigarettes a day. The teenager states he likes to smoke with his friends and does not recognize the connection between his smoking and his asthma. When planning an intervention for this person, the nurse must first recognize that the teenager is in the a precontemplation stage of change. b preparation stage of change. c action stage of change. d maintenance stage of change.

12. A nurse is using a sweat test to screen people for cystic fibrosis. Which of the following results demonstrates poor sensitivity? a When 6 out of every 10 sweat tests performed are negative, but the six individuals actually have cystic fibrosis. b When 6 out of every 10 sweat tests performed are positive, but the six individuals do not actually have cystic fibrosis. c When 6 out of every 10 sweat tests performed are negative, and the six individuals really do not have cystic fibrosis. d When 6 out of every 10 sweat tests performed are positive, and the six individuals really do have cystic fibrosis.

12. Considering the provider and care recipient perspective, which of the following is the most autonomous form of insurance? a Fee-for-service plan b Health maintenance organization (HMO) c Preferred provider organization (PPO) d Independent practice association (IPA)

12. During a well-child visit, a parent tells the nurse that their preschooler occasionally wakes up during the middle of the night and tells them about "scary things." He is fully awake when the parents enter the room. The child often recalls the incident the following morning. Based on growth and development, which of the following would be the most common reason for the preschooler to wake up? a Nightmares b Night terrors c Enuresis d Hunger

12. The interrelationship of poverty and health care dollars spent by Blacks and other minorities is affected greatly by a lack of access to preventive health care services. b low numbers of minority health care providers. c the practice of folk medicine. d increased infant mortality rates in African American populations.

13. A care recipient reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and does not want to move. What action should the nurse take next? a Assess the care recipient's and family's coping mechanisms in handling stress. b Encourage the care recipient to act excited about the move. c Talk to the husband to get his perspective on the move. d Tell her that all families must cope with new situations from time to time.

13. A nurse is creating a hypertension screening program. Which of the following methods would be the best way to design a successful program? a Work with stakeholders to conduct a community assessment. b Purchase state-of-the-art sphygmomanometers to measure blood pressures. c Use the program developed at a previous place of employment. d Contact a local church to see if the program can be implemented there.

13. A nurse is educating a 35-year-old woman about the best type of exercises to choose in an effort to prevent bone loss. Which of the following exercises would the nurse recommend? a Walking b Swimming c Bike riding d The type does not matter—the key is for the person to engage in exercise

13. A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action? a 6 pound increase b 11 pound increase c 14 pound increase d 20 pound increase

13. A school nurse is preparing to discuss food safety practices with high school students enrolled in a family and consumer science "foods" course. Which of the following information would be included in the presentation? a Wash hands thoroughly with running warm water with soap for 30 seconds. b Scrub firm services of all fruits and vegetables with a produce brush before eating. c Pay close visual attention to assure that meat is cooked all of the way through. d Refrigerate leftovers within 30 minutes of serving.

13. According to Erikson, which of the following teenagers is at risk for not meeting his developmental task? Arrested for petty theft Decided he wants to major in accounting Has recently broke up with his girlfriend Is a member of the varsity basketball team

13. The mother of a 2-year-old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information? a Give the mother information about local support groups. b Provide the mother the name of a prominent local attorney. c Do not offer any advice unless the mother asks. d Help the mother find a job.

13. Which of the following is a hallmark of Piaget's preconceptual substage? a Using language to function symbolically b Using concrete thought processes c Using mental abstracting d Using transductive reasoning

14. A nurse is planning to offer a depression screening at a local community center. Which of the following should be considered prior to implementation of the program? a Limited referral sources in the community b Limited support groups in the community c Insufficient evidence that depression screening tools are cost-effective d Insufficient evidence mental health screening is appropriate

14. In a family in which the mother and the father differ on how to spend and save money, the parents are constantly arguing with each other. Which of the following interventions should the nurse include in the plan of care for this couple? a Assist them to develop strategies that are congruent with their values. b Allow each of them to defend his or her own values. c Focus on outcomes that each wants to accomplish. d Divert their attention to areas in which they are successful.

15. A nurse is developing an educational program about SIDS for a new mothers' support group in the community. Which of the following information would be included in this presentation? a Parents are encouraged to place their infants in the supine sleeping position. b SIDS is the leading cause of death among infants aged 6 months to 1 year old. c SIDS is associated with infants who have had difficulty sleeping at night. d Parents are encouraged to limit the amount of "tummy time" of their infant.

15. A nurse is helping a person reduce stress disinhibition related to poor dietary choices. Which of the following nursing interventions would be most appropriate? a Work with the person to develop a plan to slowly replace high-fat, high-calorie foods with more healthy choices. b Encourage the person to eliminate all high-calorie, high-fat foods from the diet as quickly as possible. c Give the person a standard list of low-fat, low-calorie foods. d Provide the person a copy of the Food Guide Pyramid.

15. A school nurse is planning to assess the visual acuity of the preschool students at the school. Which of the following tests would be used? a Snellen Screening test b Denver Eye Screening test c Ishihara's test d Cover test

15. Which of the following statements is correct regarding exercise for persons with low back pain? a Exercise that strengthens paraspinal muscles has been shown to be effective b Unweighted or suspended exercise should be avoided. c Limit physical therapy referrals to the more severe cases of back pain. d All of the above statements are correct.

16. A nurse is conducting a home visit for an older adult in the summer. Which of the following items should the nurse should locate in the home in the interest of preventing a heat stroke? a Fan b Porch chair c Synthetic blend clothing d Air thermometer

16. During a screening, a test with a high specificity and low sensitivity is utilized. Which of the following issues could arise by using this test? a Ethical issues b Race issues c Gender issues d Cultural issues

16. Under what circumstances would a nurse likely experience moral distress? a The nurse feels powerless to take the correct action. b The nurse is uncertain regarding the appropriate course of action. c The nurse is caring for a breast cancer care recipient shortly after her own mother died from cancer. d The nurse has been served with a subpoena for a malpractice suit.

16. Which of the following statements is correct concerning adolescent pregnancies? Low birth weight is associated with teen pregnancies. Teen pregnancies have increased over the last two decades. Blacks have the highest rate of teen pregnancies. All of the above statements are correct.

16. Which of the following statements is correct concerning stress and coping for toddlers? a Toddlers commonly imitate their parent's behavior in dealing with stressors. b Siblings are viewed as allies and, thus, not common sources of stress for toddlers. c Regressing to earlier infantile behavior is serious developmental problem. d Discussing upcoming stressful events is ill-advised; it intensifies the child's stress.

16. Which scenario represents a dysfunctional pattern? a Sexually active teenager who does not use condoms b Salesman who sleeps only 5 h a night c Single mother of three children d Woman with a small extended family

17. A 4-year-old child tells the school nurse that he invented a new song. Which of the following would be the best response by the nurse? Congratulate the child on a job well done. Tell the child that he is too young to invent anything. Nicely tell the child that it does not sound like a song. Ask the child to come back later when there is more time to listen to the song.

17. A 45-year-old man has been diagnosed with metabolic syndrome. Which of the following characteristics would this man exhibit? a Blood pressure: 146/88 mm Hg b Waist measurement: 36 inches c HDL: 48 mg/dL d Triglycerides: 140 mg/dL

17. A nurse is conducting a health-promotion assessment for a family with a 9-month-old. Which of the following should be of most concern to the nurse? a The age of the house in which the family lives b Genetic diseases in the family c Driving practices in the family d Toilet training for the child

17. A nurse is helping a man restructure his eating, sleeping, exercise, and thinking patterns to reduce stress. Which of the following nursing interventions would be most effective for this person? a Encourage writing in a journal on a daily basis. b Suggest joining a support group. c Offer referral to individual or group therapy sessions. d Promote purchasing a gym membership.

17. Which of the following middle-age adults has successfully transitioned to Erikson's generativity-versus-stagnation stage of development? A 60-year-old woman who retired last year and volunteers at a homeless shelter 2 days a week A 63-year-old man who regrets his career choice and feels he cannot change careers at this late stage of his life. A 45-year-old woman who resents having to care for her aging mother-in-law A 50-year-old man who has not saved for retirement and also spends his discretionary income on solo vacations.

17. Which of the following statements concerning hearing in school-age children is correct? The rate of otitis media infections met Healthy People 2010 targets. Hearing and visual problems occur with the same frequency. All 50 states require routine hearing evaluations. The use of tympanograms has improved the accuracy of hearing screenings.

18. A nurse distributes a demographic questionnaire to attendees of a weight management program. Which step in the teaching-learning process is being implemented? a. Assessment b. Development c. Implementation d. Evaluation

18. After offering a teenager the HPV vaccine, the teenager responds by saying, "I can't have the vaccine because I have already been sexually active." Which of the following statements is the best response by the nurse? "You can still benefit from the vaccine, but there is a chance it will not be as effective." "The best way to protect yourself now is to make sure all your future sexual partners have received the vaccine." "You are correct, the vaccine is only indicated for females who have never been sexually active." "It depends on the number of partners you have had. If you have had less than five partners, you are still eligible for the vaccine."

18. An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have? a High deductible health insurance plan (HDHP) b Point-of-service plan (POS) c Health maintenance organization (HMO) d Preferred provider organization (PPO)

18. As part of a community-wide flu vaccination program for older adults, the nurse is assisting at a vaccination clinic. Which of the following questions should the nurse ask before administering the vaccine? a "Do you have any food allergies?" b "Have you had the pneumococcal vaccine?" c "Have you had the flu in the past 5 years?" d "Do you have Medicare?"

18. Which of the following statements are correct concerning natural disasters? a Infections and undernutrition are common sequela of natural disasters. b Natural disasters occur primarily in developing countries. c PSTD caused by natural disaster tends to have a short duration. d Natural disasters are primarily caused by disastrous effects of excess water.

19. A man tells a nurse that he is concerned about his risk and his wife's risk of developing cancer. Which of the following statements concerning cancer is accurate? a PSA assessment alone is not ideal for purposes of screening for prostate cancer. b Breast cancer risks are lower in women who have never had children. c Smoking does increase the risk of cancer but non-smoking tobacco products do not increase risk. d Increased immune function to adults after age 65 impacts cancer rates.

19. A nurse is using primary prevention strategies to prevent child abuse in the community. Which of the following interventions would the nurse implement? Educate the public about violence and the potential for abuse. Remove a child who has been abused from the home. Report a case of child abuse. Refer a parent who abused their child to counseling.

19. The occupational health nurse is asked to develop a plan to reduce work-related injuries. Which of the following recommendations would the nurse implement as the most effective way to reduce work-related injuries? Make the work environment smoke-free. Reduce environmental noise levels. Conduct regular walk-through assessments at the work site. Increase paid personal days from one to three.

19. Which of the following comments best illustrates the technique of active listening? a You sound upset about the committee's recommendations. b I heard your remarks when you addressed the committee last Tuesday. c I have been listening to many people speak to the same issues you raise. d I noticed that you were listening intently when the chairman was speaking.

19. Which of the following statements is correct concerning health services and health delivery system? Young adults have the highest emergency room visits. The Affordable Care Act exempts young adults up to age 26 from insurance. Young adults should be screened for cardiovascular disease starting at age 30. Young adults, as a group, have a high rate of outpatient healthcare visits.

2. A 45-year-old care recipient who has experienced a ten pound weight gain during the past year asks the nurse if she thinks iron supplements would help increase her energy. Which of the following would be the most appropriate action for the nurse to take? Ask the care recipient to describe her daily activity and diet. Leave a note requesting an iron supplement on the care recipient's chart for the doctor. Provide the care recipient with information related to aerobic exercise classes. Ask the care recipient if she is still menstruating.

2. A nurse is working at a clinic in a third world country and suspects a child has severe acute malnutrition (SAM). Which of the following assessment findings would be expected? a Distended abdomen b Bulging eyes c Large tears when crying d Lethargy

2. According to the American Academy of Pediatrics, at what age should blood pressure screening begin? a. 3 b. 6 c. 9 d. 12

2. Which of the following best describes an abnormality in structure or function that occurs during fetal development? a Congenital defect b Genetic defect c Embryonic defect d Chromosomal defect

2. Which of the following statements is correct concerning the Affordable Care Act (ACA), signed into law in March 2010? a Penalties are imposed for persons who fail to acquire health insurance b The ACA was challenged in 2012, requiring Supreme Court mandated revisions c It passed secondary to bipartisan support d All of the above statements are correct.

2. Which of the following statements made by a client best identifies someone who would likely to be receptive to health-promotion interventions? a "I have a new grandchild and want to be part of her life." b "My mother lived until she was 90, so a long life is in my genes." c "Some chronic illness is just a part of aging." d "I hope I'll live a lot longer, but one never knows."

20. A 24-year-old man with severe cognitive impairment, and no relatives participating in his care, needs to make a decision about removal of a brain tumor that will render him totally dependent for completion of all activities of daily living. The nurse participates in ethical decision-making on his behalf, knowing that the care recipient is unable to benefit from which of the following ethical concepts? a. Autonomy b. Justice c. Beneficence d. Advocacy

20. A man states that he would like to change his dietary habits to decrease his risk of developing cancer in the future. Which of the following statements would be the best response for the nurse? a "Consume at least 2 1 2 cups of fruits and vegetables each day." b "Dietary habits have minimal effect in reducing your risk of developing cancer." c "A glass of red wine should be consumed daily." d "Dietary supplements of specific nutrients will maximize the effects of dietary changes."

20. The goal for the educational session is to have the individual explain when he should check his blood sugar level. Which of the following teaching strategies would be most effective for the nurse to implement? a Provide the individual with one-on-one education about blood sugar monitoring. b Provide the individual with a scenario about blood sugar monitoring. c Provide the individual with the opportunity to practice blood sugar monitoring. d Provide the individual with a blood sugar monitor.

20. What is the main focus of the National Institutes of Health (NIH)? a Addressing and reducing health disparities b Outlining nationwide health promotion and disease prevention c Protecting minority populations through development of health policies d Supporting communities in addressing health disparities

20. Which of the following statements is correct concerning tobacco use in adolescents? Smoking is most prevalent in Caucasian teenagers as compared to Blacks and Hispanics. Advertising has not been shown as effective in promoting smoking in teens. Rather peer pressure is effective. Electronic cigarettes involve flavored liquids with very low levels of actual smoke. All of the above statements are correct.

21. A nurse administers the T-ACE test to a pregnant woman. The woman's responses result in a score of 3. This score indicates that the woman a requires interventions for problem drinking. b lacks evidence of problem drinking. c requires interventions for sexually transmitted disease risks. d lacks evidence of sexually transmitted disease risks.

21. A primary care clinic is being established in a rural county that recently experienced a hurricane severely damaging its infrastructure for medical care. Which of the following considerations would be the priority when planning for this clinic? a The ability to provide mental health services to community members b The ability to deliver preventive care screening services to community members c The ability to refer community members to other services d The ability to supply community members with daily necessities

21. Which of the following people is at greatest risk for a hip fracture secondary to osteoporosis? a A 66-year-old White woman b A 66-year-old African American woman c A 66-year-old White man d A 66-year-old African American man

23. Which of the following statements is correct concerning lifestyle change programs? Programs lasting 8 to 12 weeks are appropriate. Evaluation components should be discouraged in the interest of increasing enrollment and participation. Cultural factors, but not corporate policies, should be i

24. A 15-month-old infant has been brought into the office by his Spanish-speaking mother for symptoms of an upper respiratory infection. Which of the following should be the initial action taken by the nurse? a Ask the mother if she would like an interpreter. b Ask the mother what home remedies have been used. c Ask the mother how long the child has had these symptoms. d Ask the mother about any allergies the child may have.

24. A client who is 36 weeks of gestation is at her prenatal visit. The nurse tells the client that she will be screened for group B Streptococcus during today's visit. Which of the following statements would be made by the nurse when providing client education about this screening test? a "Screening for group B Streptococcus is necessary as this infection can cause complications with pregnancy and to the unborn infant." b "This screening will help us to determine if your unborn infant will be susceptible to respiratory distress when he or she is born." c "Screening for group B Streptococcus will help us identify if you have been exposed to this or any other infections during your pregnancy." d "This screening is necessary to determine if there is any Rh blood group incompatibility between you and your unborn child."

24. A nurse is planning a home visit for a family. Which of the following actions would be most appropriate for the nurse to take? a Study information regarding the family from agency records and other sources. b Make a contract with the family that states specific goals and objectives. c Identify how the home visit will be financed. d Understand the situation from the family's perspective.

24. A woman reports that she has strong spiritual practices. Which of the following is she most likely to experience? a Improved coping skills and social support b Increased understanding of religious differences c Decreased pain and improved healing d Decreased use of Western medicine

24. Which of the following individuals would be at greatest risk to develop Type 2 diabetes? a White, 50-year-old woman, obese, second child weighed 10 pounds at birth b African American, 55-year-old man, hypertension, exercises regularly c Hispanic, 22-year-old woman, healthy weight, family history of diabetes d White, 75-year-old man, history of prostate cancer and high triglycerides

24. Which of the following medications is generally recommended to help preserve cardiovascular health in middle-age women? a Aspirin b Folic acid c Estrogen d Estrogen receptor modulator

24. Which of the following statements regarding screening for Down's Syndrome via blood work is NOT accurate? a It is an invasive but highly accurate test. b It can detect occult maternal cancer. c It is a form of genomic testing. d It has decreased the incidence of amniocentesis.

25. A nurse is counseling a 19-year-old person who has recently been diagnosed with Type 1 diabetes mellitus. He will be injecting prescribed insulin twice daily. The care recipient asks if there is anything specific concerning his insulin which should be done before playing tennis with a friend. Which of the following instructions should the nurse give the person to avoid hypoglycemia? a Inject the insulin into the abdomen. b Inject the insulin into the arm. c Inject the insulin into the thigh. d Skip taking any insulin before exercising.

25. A nurse would like to be involved in promoting change in health care policies. Which of the following statements would be accurate as applied to this goal? a Becoming a member of a health planning counsel or joining an advisory group to a legislator would be a good first start. b Nurses must have a minimum of a master's degree to directly advise legislators on a one-to-one basis regarding healthcare. c Engaging in political lobbying activities is unprofessional and inappropriate to the nursing role. d All of the above statements are correct.

26. A mother asks a nurse what the best toy would be for her 2-month-old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse? a Colorful mobile with music b Rattle c Stuffed teddy bear d Play telephone

26. A nurse is providing health education about the importance of dental health to Latino residents in a community. Which of the following considerations should be made to promote health literacy within this program? a. Use simple, every day words. b. Refer the client to an interpreter. c. Avoid using words in person's language as this appears condescending. d. Consider methods to facilitate empowerment.

26. The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam? Let the child listen to the nurse's heart with the stethoscope. Tell him to sit quietly while the nurse examines him. Ask his parents to leave the room to minimize distractions. Ask another nurse to hold him while the nurse examines him.

28. Which of the following statements is correct regarding the Pender Health Promotion model? a The model assists to identify factors which will influence behavioral changes. b The model promotes health through standard, time-tested strategies. c The model avoids asking subjective questions thus is non-threatening to the care recipient. d The model is excellent for screening but less useful for teaching or primary prevention.

3. Researchers are studying a particular disease which occurs among Americans at a rate of 36 per 100 annually. What type of rate is this statement describing? a Prevalence rate b Incidence rate c Morbidity rate d Mortality rate

30. Which of the following represents a developmental task(s) normally accomplished in infancy? a Develops a feeling of affection for others b Able to run c Uses short sentences d Choices "A" and "C" are correct

33. Which of the following statements is correct concerning weaning? a Weaning should not be started until the infant can sit only slightly supported. b Weaning can not be started until the extrusion reflex is fully developed. c Once the child has learned to use as cup, he or she should no longer have a bottle or breast. d AAP recommends weaning begin at 8 to 9 months and be completed by age 1 year.

4. Which nurse is functioning as a care manager? a A nurse working with a family to coordinate care for a child with multiple previous hospital admissions due to exacerbation of asthma b A nurse providing asthma education in an office setting to a child with moderate, persistent asthma c A nurse administering the appropriate anti-inflammatory medication to a child hospitalized for exacerbation of asthma dNurse making a home visit to perform a respiratory assessment on a child discharged from the hospital following an admission for an asthma exacerbation

4. Which of the following changes is experienced by the urinary system during pregnancy? a Increased urinary output secondary to total body water increase b Decreased bladder capacity c Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge d Increased renal excretion of acidic drugsa

4. Which of the following is a disadvantage of screening? a Uncertainties of scientific evidence b Negative patient perception c Some tests have high sensitivity and high specificity d Lack of patient autonomy

5. A delivery room nurse senses disappointment when a mother is told she just delivered a baby girl. Which of the following would be the most therapeutic response by the nurse? a "Yes, you just delivered a healthy, beautiful baby girl." b "This is your first baby. You can always try again for a boy." c "Don't worry, many parents often feel the same way you do." d "You are tired. I think you should get some rest."

5. A nurse is providing care for a 10-year-old child with a BMI at the 80th percentile. Which of the following best describes this child? a Normal weight b Overweight c Obese d Morbidly obese

5. The university health services nurse is preparing a disease prevention program for college students. Which of the following information should the nurse include in the program? Living in the dorm increases one's risk of developing meningococcal disease. The mortality rate from meningococcal disease is very low. There are no antiviral medications that can treat meningococcal outbreaks. A vaccine for meningococcal disease has not been developed.

5. Which of the following statements concerning spirituality is correct? a Spirituality is a search for the meaning of existence. b To fully experience spirituality, one needs a religious affiliation. c Stress always strengthens the quest for spirituality. d Spirituality always prevents depression, which is common following a stressful

5. Which of the following toddlers would require further investigation from the nurse? a Sitting quietly on a couch b Experiencing a temper tantrum c Playing with a toy next to another child also playing with a toy d Exploring his environment and playing with new toys

5. Which of the following would be described as a family structural component? a Income earner of the house b Socialization for the family c Immunization of infants d Launching of children

6. A 30-year-old woman with a BMI of 36 is counseled by the nurse regarding interventions to assist with weight reduction. In which order would the nurse discuss the implementation of these interventions? 1. Gastric stapling2. Medication to reduce appetite3. Nutrition and exercise education4. Assessment of lipid profile and blood pressure 4, 3, 2, 1 4, 2, 3, 1 3, 4, 2, 1 3, 2, 1, 4

6. Which of the following illustrates that the objectives of health education and counseling have been met? a Asthmatic who has a decrease in emergency department visits b Asthmatic who has been prescribed an albuterol inhaler c Asthmatic who attends an asthma education program d Asthmatic who visits the emergency department with an exacerbation

6. Which of the following statements regarding childhood obesity is correct according to the 2011-2014 National Health and Nutrition Examination Survey (NHANES)? a The prevalence of obese children, adolescents, and adults has increased and is epidemic. b Ten percent (10%) of children and adolescents are obese. c The rate of childhood obesity shows sex differences. d All of the above statements are correct.

7. A nurse has received a grant to provide a community-based education series for middle-age adults. Which of the following topics would allow the nurse to have the greatest impact on the health of members of this age group? Diet and exercise Seat belt use Depression screening Cancer prevention

7. Which of the following behaviors is most reflective of a teenager? Riding an ATV without a helmet Not skiing for fear of falling and getting hurt Obeying a new parental rule without a challenge Walking away from a group of friends who are smoking cigarettes

8. A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents? a Have him change his own pajamas before returning to bed. b Take away one video game. c Tell his 6-year-old sister about the incident. d Make him wear his diaper to bed.

8. A nurse has recently accepted the position of unit nurse manager on a long-term care unit. Which of the following directives should the nurse give to the staff nurses? a Encourage residents to participate in unit activities such as ScrabbleTM and bingo. b Demonstrate the caring aspect of nursing by dressing residents before breakfast. c Discourage exercise for patients with Parkinson because it has been shown to accelerate muscle stiffness. d Switch places at the table every 3 weeks and change roommates every 6 weeks to alleviate boredom.

8. A nurse is providing care to HIV positive care recipients living in sub-Saharan communities in Africa. Which of the following statements is correct concerning HIV/AIDS as viewed from an international perspective? a The greatest number of people living with HIV disease are in sub-Saharan Africa. b Cultural practices are not a factor in contributing to HIV infection. c The majority of the new cases in Africa are caused by IV drug abuse. d HIV incidence refers to the percentage of all cases (old and new) at a certain time point.

8. A person asks the nurse if it is safe to use dietary supplements. Which of the following would be the best reply from the nurse? a "It is important to be cautious when using any supplements." b "All dietary supplements must be approved by the FDA before they can be sold and are safe." c "No, dietary supplements have very limited regulations and should not be used." d "Be sure to read the product label before using the supplement to see what health claims have been made by the product."

8. A school nurse is planning a series on nutrition. Which of the following factors should the nurse take into account? Television commercials frequently advertise food-related products. Children watch approximately 2 h of television a day. Each day, approximately 60% of children eat fast food. A child is three times more likely to eat in a restaurant than at home.

8. Which nurse is at risk of making a medical error? a A nurse working overtime b A nurse who works in a hospital that advocates multidisciplinary care c A nurse caring for four care recipients during the shift d A nurse who attends regular continuing education programs

8. Which nurse is rendering culturally attuned care? a A nurse who assists the wife of a Hispanic care recipient to safely light candles b A nurse who assists a Native American care recipient to choose hot and cold care foods c A nurse who assists an African care recipient to find an acupuncture provider d A nurse who arranges for a drumming ceremony for an Asian care recipient

8. Which of the following describes a nurse with a perspective consistent with an ecological model of health behavior? a A nurse who considers the role of the individual's church on healthcare choices b A nurse who focuses on genetic determinants and genomic screening for health promotion c A nurse who recognizes that perceptions are neither reliable nor valid in promoting heath d All of the above are consistent with an ecological model of health behavior.

9. A nurse is planning activities to help children learn about good nutritional practices. Which of the following strategies should the nurse implement? Coordinate a "Try This" food day offering a variety of nutritious snacks. Find a book about nutrition to read the students. Plan a video using the concept of MyPlate. Search on-line for a video about nutrition to the students.

9. A nurse is working in the community to prevent bicycle and motorcycle fatalities. Which of the following measures would be most effective for the nurse to promote? Use of helmets Increasing the minimum age for motorcycle licensure Construction of bike paths along busy roads Right-of-way laws for bicyclists

A health care professional is providing education to the parents of an Asian American child who has recently been diagnosed with Type I diabetes. Which of the following actions should be taken by the health care professional? a Provide instructions to the child's father. b Encourage the parents to bring other siblings into the clinic for screening. c Schedule multiple educational sessions for the child and family. d Watch for nonverbal gestures by the adults to indicate understanding.

A nurse who uses findings from a randomized, controlled trial on the care of Foley catheters to change practice at an institution is practicing a evidence-based medicine. b qualitative research. c quantitative research. d clinical judgment.

A person states, "My grandmother is the decision maker in our family." Which of the following is being described by the person? a. Culture b. Race c. Ethnicity d. Values

During a home visit, a nurse assists an individual to complete an application for disability services. The nurse is acting as a(n) a advocate. b care manager. c consultant. d educator.

Which interventions address both the National Institute of Nursing Research themes and the overall goals of the Healthy People 2020 leading health indicators? (Select all that apply.) a Establishing a new park with a well-lit track b Establishing a smoking cessation campaign c Providing reduced-cost transportation passes to senior citizens d Providing free condoms at all federally funded health clinics

a b d

Which of the following would be considered part of a vulnerable population? (Select all that apply.) a Deaf man b Cocaine-addicted teenage girl c Handicapped child d College graduate

a,b,c

A nurse is conducting an environmental assessment as part of a family assessment. Which of the following would the nurse assess? (Select all that apply.) a Garbage collection in the neighborhood b Convenience stores in the neighborhood c Safety of the home d Climate of the home

a,b,c,d

Which individual is at risk for a dysfunction in elimination pattern? (Select all that apply) a 46-year-old mother of two b 32-year-old male who eats primarily burgers, sandwiches, and pizza c 15-year-old girl d 72-year-old white woman

a,b,c,d

1. A care recipient who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns? (Select all that apply) a Health perception-health management b Cognitive-perceptual c Elimination d Values-beliefs

a,b,d

1. A community health nurse is presenting information about the current health of the nation to a local political action group in 2011. Which of the following information would be included in this presentation? (Select all that apply.) a Funding of public health programs has improved the health of the nation. b Provision of health care has improved the health of the nation. c Advances in technology have improved the health of the nation. d Consumer education has improved the health of the nation.

a,b,d

1. A nurse is developing health-education content for an educational session with adults about the prevention of cardiovascular disease. Which of the following domains should be considered when developing the teaching plan? (Select all that apply.) a. Cognitive b. Psychomotor c. Gross motor d. Affective

a,b,d

1. Which of the following individuals will most likely experience a disparity in health and health care? (Select all that apply.) a African American man b Unemployed woman c White middle-aged man d Single white woman

a,b,d

1. Which of the following causes of death is/are directly associated with diet? (Select all that apply.) a Diabetes mellitus b Cirrhosis of the liver c Stroke d Coronary heart disease (CHD)

a,c,d

2. A nurse is providing a group presentation about the importance of healthy eating. Which of the following activities must be addressed to ensure an adequate learning climate? (Select all that apply.) a. Creating a sense of preparedness and organization b. Planning for alternative learning activities c. Assessing group needs d. Observing group interactions

a,c,d

A nurse is developing a continuing education program about strategies to work with culturally diverse populations for health care professionals in the community. Which of the following organizations would provide information that could be included in this presentation? (Select all that apply.) a The American Nurses Association b Sigma Theta Tau International c The National League for Nursing d The American Association of Colleges of Nursing

a,c,d

1. Which of the following individuals is at risk for developing osteoporosis? (Select all that apply.) a A 55-year-old man who is on a low dose of oral prednisone every day because of rheumatoid arthritis b A 40-year-old woman who works as a secretary c A 60-year-old woman who walks three miles a day d A 50-year-old man who works as a mason

1. Which of the following statements are correct concerning language development? (Select all that apply.) a Infants initially make vowel sounds using the front part of their mouth. b Cooing sounds begin at 2 to 3 months. c Babbling begins at approximately 9 to 12 months. d By one year words such as "ma-ma" or "bye-bye" begin to emerge.

6. A nurse is planning community health programming for young adults. Based on the objectives for Healthy People 2020, which of the following topics would be priority areas for programming? (Select all that apply.) Prenatal care Physical activity HIV Suicide

6. Which of the following is responsible for ensuring that children are up-to-date on their immunizations? (Select all that apply.) School nurse Parent or caregiver Teacher School principal

1. Which of the following are classifications within the World Health Organization's (WHO) definition of malnutrition? (Select all that apply.) a Obesity b Micronutrients deficiencies c Protein-energy malnutrition d Water insufficiency

abc

1. Which of the following signs may be indicative of childhood cancer? (Select all that apply.) Bruises Pale skin Enlarged lymph nodes Hives

abc

1. Which properties must the sperm possess for conception to occur? (Select all that apply.) a High motility b Uniform size c Ability to secrete enzymes that dissolve the membrane surrounding the egg d Life span of at least 3 h

abc

1. Which scenario places a toddler at risk for injury? (Select all that apply.) a Toddler playing with his preschool sibling's toy b Mop and a bucket of clean water in the kitchen c Cup of hot coffee on the kitchen counter d A 25 pound toddler sitting in a forward-facing car seat in the back seat of a car

abc

2. Which of the following diseases disproportionately affects non-Hispanic black persons? These persons are affected with a greater incidence than what would be expected based on population demographics OR because they have a higher morbidity/mortality for the disease as compared to Whites. (Select all that apply.) a. Cancer b. Heart disease c. HIV disease d. Osteoporosis

abc

3. A nurse is conducting a community health-education program for Hispanic women ages 18 to 35. Which of the following items should the nurse recommend that they increase in their diet on a daily basis? (Select all that apply.) Calcium Folic acid Iron Sodium

abc

3. The nurse working in a retirement community for older adults is conducting a psychosocial assessment of all residents to screen for depression and suicidal ideation. Which of the following questions should the nurse ask during the assessment process? (Select all that apply.) a "Have you thought about harming yourself?" b "Are you still playing bridge every Thursday?" c "How does your congestive heart failure affect your life?" d "Do you still have any money left in your IRA account"

abc

4. A community health nurse has received a grant to present a program about violence prevention. Which of the following individuals has a higher than average risk of homicide? (Select all that apply.) 33-year-old woman who served 5 years in prison 20-year-old homeless man 28-year-old man with a history of bipolar disorder 24-year-old woman who has a female partner

abc

4. Which of the following nursing interventions implies respect for a person's spirituality? (Select all that apply.) a Changing the position of the bed in a Muslim client's room so that it faces east b At the request of a Buddhist patient, asking the home health aide to pick up incense when she next shops for the patient. c Saying a silent prayer with a client, at the client's request d Praying out loud in the room of a dying client

abc

5. A nurse is conducting a community health-education program about osteoporosis with a group of older adults. Which of the following individuals in attendance is at greatest risk for developing osteoporosis? (Select all that apply.) a 65-year-old Asian woman who smokes one pack of cigarettes per week b 80-year-old White man who has three glasses of wine per day c 74-year-old White woman on daily oral prednisone for emphysema d 68-year-old Black man who has a sedentary lifestyle

abc

1. A nurse is educating a group of adults about stress-management strategies. Which of the following examples would the nurse include in the presentation? (Select all that apply.) a Participation in a swimming class b Keeping a food diary as part of a weight reduction program c Joining a smoking cessation support group d Setting a goal of walking one mile a day

abcd

1. Which of the following are symptoms or warning signs of anorexia nervosa? (Select all that apply.) Lack of menstruation in females Preoccupation with food Eating only small amounts of certain foods Dramatic weight fluctuations

abcd

2. A nurse is assessing a community and is trying to determine the appropriateness of conducting a Type 2 diabetes screening in the community. Which of the following questions would the nurse need to answer when making this decision? (Select all that apply.) a Is Type 2 diabetes considered a community problem? b What are the health benefits of screening for Type 2 diabetes? c Can Type 2 diabetes be detected by screening? d What are the tangible and intangible costs?

abcd

5. A nurse is working in a domestic violence shelter. Which of the following individuals would the nurse expect to encounter? (Select all that apply.) 34-year-old White woman who is vice president of a communications company 26-year-old Black woman who has a live-in boyfriend 29-year-old Hispanic man who has been married for 2 years 21-year-old unemployed White woman who has been with her boyfriend for 3 years

abcd

1. A nurse is providing an educational program addressing the importance of being physically active. The nurse states that individuals should engage in exercise for a minimum of 30 minutes of activity on most days of the week. For which of the following individuals is that recommendation appropriate? (Select all that apply.) a A 54-year-old with hypercholesterolemia b A 66-year-old with hypertension c A 48-year-old with obesity d A 58-year-old with Type 2 diabetes mellitus

abd

2. A nurse is planning a flu prevention fair for 9- to 11-year-old children. Which of the following activities should be included? (Select all that apply.) Microscopes set up to show bacteria on common objects Games such as "find the germs" in a cartoon picture Research poster showing germ transmission Handwashing booth with colored soap

abd

3. A community health nurse is caring for a variety of different people in the community. Which of the following individuals would the nurse recognize as being at risk to experience increased stress related to family dynamics? (Select all that apply.) a A 54-year-old couple whose young adult daughter and grandson move back into their home b A 44-year-old single mother raising three adolescent children without child support c A 60-year-old couple whose children have established successful careers in another state d A 36-year-old couple whose child plays competitive tennis

abd

4. A school nurse is planning an educational presentation for high school students about violence. Which of the following statements would be included in the presentation? (Select all that apply.) a "Violent behavior happens when someone bullies another person." b "Withholding food from a child as a punishment is violent behavior." c "Collective violence occurs during an argument between two people." d "Painting a racial slur on a building is violent behavior."

abd

5. The school nurse is evaluating children for signs and symptoms of depression. Which of the following children may be most at risk for depression? (Select all that apply.) 11-year-old girl who has been involved in fighting during the past month 10-year-old boy who no longer wants to play on the school's soccer team 12-year-old boy who has started lifting weights 9-year-old girl who visits the nurse on a daily basis for vague complaints

abd

7. A nurse is conducting a school-wide in-service program about child abuse and is asked to describe common indicators of abuse. Which of the following signs would the nurse include? (Select all that apply.) Caregivers and parents who are reluctant to take the child for treatment for an injury Statement by the day care provider that the child was injured by falling off a chair Explanation of the injury from the child and caregiver or parent that is similar Lack of emotional response from child to a playground injury

abd

3. A nurse employed by the World Health Organization is working with HIV positive clients in Africa and is teaching them about ways to reduce transmission of this disease. Which of the following barriers should be considered when planning this education? (Select all that apply.) a Culture-specific practices b Unavailability of antibiotic therapy c Lack of understanding about the transmission process d Overcrowded living areas

4. Which of the following statements is correct regarding neonatal abstinence syndrome (NAS)? (Select all that apply.) a It results from exposure of the fetus in utero to illicit substances. b Cocaine does cause this syndrome but opioids do not cause it. c Infants with NAS have prolonged hospital stays for serious medical complications. d This problem is limited to lower socioeconomic levels, primarily in the inner cities.

6. A nurse is participating in disaster preparedness planning for the local community. Which of the following would be an appropriate responsibility for the nurse? (Select all that apply.) a Completing a risk assessment in the community b Implementing strategies to decrease posttraumatic stress disorder c Coordinating meetings among multiple agencies and disciplines d Evaluating the economic impact of the disaster

4. The occupational health nurse working for a large corporation is a member of a task force to improve the work environment. Which of the following suggestions by the nurse would help to improve work conditions? (Select all that apply.) a On-site walking paths b On-site food vendors c On-site counseling services d On-site meetings of support groups such as Alcoholics Anonymous

acd

4. Which of the following children may have difficulty with Erikson's "industry versus inferiority" stage of development? (Select all that apply.) Poor motor skills and is rarely chosen for team play during recess Difficulty with math homework Difficulty making friends Cannot speak his or her native language fluently

acd

1. An occupational health nurse is conducting a blood pressure screening. Which of the following clients is at greatest risk of mortality from cardiac disease? (Select all that apply.) Black man with a blood pressure of 130/80 Mexican American man with a blood pressure of 110/60 White woman with a bold pressure of 120/80 Black woman with a blood pressure of 128/78

0. A mother asks the nurse when she should start feeding her infant solid foods. Which of the following is the most appropriate response by the nurse? a "It is recommended that solid foods are introduced no earlier than 3 months of age." b "It is recommended that solid foods are introduced no earlier than 6 months of age." c "You should wait until your child is 9 months old to start solid foods." d "You should wait until your child is 1 year old to start solid foods."

1. A nurse is defining stress to a person. Which of the following statements should the nurse should make? a "Happy events, such as the birth of a child, are rarely as stressful as unhappy events." b "Stress is a state of threatened homeostasis that triggers an adaptive response." c "All stressors create a challenge to health." d "Once stressors are identified, they can be controlled."

1. A nurse is planning a community health-education program for young adults. Which of the following considerations should be made by the nurse? The age span encompassing young adulthood is between 20 and 30 years of age. The number one cause of death for young adults is injury. The number of young adults in the United States is increasing. The maternal mortality rate is at its lowest point since 1980.

1. The nurse is about to administer prescribed medication to a 4 year old. The medication is renally excreted. Which of the following statements is correct concerning this scenario? a The dosage reflects the status that kidneys are not fully matured until after age 5. b The dosage reflects the status that kidneys have reached full maturity. c The dosage reflects the status that kidneys are hyperactive from birth to age 5. d Renally excreted meds are contraindicated for children under 5 years. The nurse needs to call the physician for clarification.

10. A care recipient is experiencing an alteration in the health perception-health management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person? a Never sees a physician b Only sees a physician if not feeling well c Sees a physician for screenings only d Sees a physician for follow-up care of a chronic disease

10. A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by a administering and reading the purified protein derivative (PPD) of all close contacts. b providing direct observed therapy (DOT) for the individual with TB. c isolating the person because it is likely drug resistant. d telling the person to wear a mask when leaving the home.

10. A teenager has a family history of Type 2 diabetes mellitus. He asks the nurse what he can do to try to prevent developing it himself. Which of the following instructions should the nurse give this client? Tell him to avoid any and all sweets. Tell him to be active, eat a balanced diet, and maintain normal weight. Tell him he should talk to his physician about genetic testing. Tell him that very little can be done to avoid developing this disorder.

10. A toddler has been diagnosed with amblyopia. Which of the following treatment measures would most likely be prescribed for the child? a Using corrective lenses b Patching of the eye c Applying artificial tears to the eye d Allowing the passage of time

10. The Denver Developmental Screening Test (DDST) has been said to have excellent test specificity. What does this statement mean? a Rarely identifies children who have developmental delays. b Rarely identifies children who do not actually have developmental delays. c Has a large number of false positive results. d Has a large number of false negative results.

10. The Jones family comprises Ralph, 49, and Mary, 45, Jones plus their 3 children, Maria 19, Nicholas 17, and Mark 13. Last year, Nicholas was arrested and convicted for drunken driving and underage drinking. The family members were distraught but they worked together to keep the family unit intact and also to deal with Nicholas' behavior. Nicholas initially resisted attending a rehab program but subsequently, he agreed to do so in order to avoid a juvenile detention sentence. Thus far, he has not re-offended. Which of the following statements is correct concerning this scenario? a The family has good family spirituality. b The family shows good family resilience. c The family is enmeshment, i.e., has diffuse personal boundaries. d The family is dysfunctional.

11. A care recipient who is taking Coumadin tells the nurse that she has started taking a vitamin E supplement as she has heard that this will help decrease the likelihood of her developing cancer. Which of the following would be the most appropriate response by the nurse? a "Vitamin E supplements are unnecessary, so I don't recommend you use this supplement." b "Vitamin E can interfere with the actions of vitamin K and enhance the effects of Coumadin." c "Vitamin E supplements can interfere with the absorption of iron and create additional health problems." d "Vitamin E must be used cautiously, as it is easy to experience a toxicity of this nutrient."

11. During a home visit, a nurse notes that a person with hypertension lives on the third floor of a subsidized housing project, located, on a busy road with no sidewalks and few street lights. Which of the following would be the best recommendation for exercise which the nurse could offer this individual? a Join a gym to provide for a safer environment to exercise. b Use the stairs whenever you are entering or leaving the building. c Go for short walks around the block but during the daytime hours only. d Purchase an exercise bike.

11. Which of the following behaviors exemplifies a toddler working through his developmental task? a Clinging to his mother b Refusing to take a bath c Playing quietly with one toy d Having no interest in a new toy

11. Which of the following statements concerning sleep patterns in teenagers is correct? Adolescents need 7 to 8 h of sleep nightly. Electronic devises have been associated with sleep deprivation. Extra-curricular sports, like all exercise, help teens maintain adequate sleep. All of the above statements are correct.

11. Which sleep ritual is age appropriate for a preschooler? a Asking for every light in the home to be turned on at bedtime b Saying good night to all 20 stuffed animals in the room before going to sleep c Going right to sleep d Asking the parent to read multiple books on the bookshelf before going to bed

12. A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process? a Assists in predicting all of the possible consequences of future actions b Facilitates gathering of the most important information to solve the problem c Considers the importance of caring when solving the problem d Highlights salient aspects of future actions

12. According to Piaget, which of the following developmental stages is applicable for the teenage years? Concrete operational Formal operations Abstract operations Inductive operational

12. When assessing a care recipient's activity-exercise pattern, which subjective finding has implications for nursing practice? a A person's decreased muscle tone b A person's amount of leisure time c A person's decreased range of motion d A person's use of a cane

13. A health care provider is working with an African American woman who has recently suffered a stroke and is homebound. She insists that she must get out of the house and attend Sunday worship services. What is the most likely explanation for her insisting that she participate in this cultural practice? a The church is the only place where prayer can be performed. b The church serves as a social support for its members. c The church is the place where the family meets on a weekly basis. d The church serves as a site for folk healing practices.

13. Which could result in a change in a nurse practitioner's practice? a Holding a master's degree or higher b Moving to another state when she gets married c Caring for Medicare care recipients d Changing to another office within the same practice

14. A nurse responded to a natural disaster and used expressive writing as a means of coping with the stress related to this experience. Which of the following benefits of expressive writing should the nurse expect? a Immediate relief of stress through storytelling b Insight into the personal meaning of the experience c Absence of the symptoms of stress d Feeling a great sense of relief immediately after making a journal entry

14. A preschooler and her school-age brother both have received the same swimming tube as a gift. The brother accidentally took his sister's swimming tube. The sister protested that she needed her swimming tube to go swimming. Which of the following is being demonstrated by this behavior by the sister? a Abstract thinking b Concrete thinking c Jealousy d A temper tantrum

14. From the perspective of the parents of the teenager, which of the following is an adaptive and beneficial approach to the task of parenting teenagers? Set strict rules to prevent the teenager from getting into any trouble. Learning how to let go Transition from the role of parent to friend/peer Drop rules and limits so as to foster maturity and self-determination.

14. The clinic nurse has seen the following four widows today. Which of the following persons is demonstrating a healthy coping pattern for her loss? a The widow who discusses very little except the loss of her husband 3 years ago b The widow who talks about the "good times" she and her husband had before his illness and death 1 year ago c The widow who states that life is not worth living without her husband, who died 2 years ago d The widow who blames herself for her

14. Which of the following scenarios is outcome for the dissolution of families or divorce in young adults? There has been a movement toward increased church membership for solace. Many women will be forced to shelter in welfare hotels and group shelters. Marital counseling tends to be ineffective in this age group. All of the above statements are correct.

15. A blended family has six children, aged 2, 4, 4, 5, 7, and 10, respectively. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation? a This child has most likely been abused. b This child is one of multiple children closely spaced in age. c This family suffers from low self-esteem. d This family provides harsh punishment for their children.

15. A nurse conducted a 5-week education series about health maintenance. Which of the following statements by a participant indicates the analysis stage of cognition as defined by Bloom's taxonomy? "If I eat too much food and do not exercise, I will gain weight." "Fat is more calorie-dense than is protein. If I eat calorie-dense foods and do not moderately exercise at least 5 days a week, I will gain weight." "I will walk briskly at least a mile a day, 6 days a week, to maintain a healthy weight." "I can eat more if I exercise more."

15. A nurse is counseling a person who has recently started to receive treatment for alcohol abuse. Which factor would most negatively influence the person's decision to stop abusing alcohol? a He is a Catholic. b His wife recently died from breast cancer. c Buying alcohol is expensive. d He was educated on the dangers of excessive drinking.

15. A nurse is implementing a test that screens for hypercholesterolemia. Which of the following parameters should this test have? a No cutoff point b Low cutoff point c Intermediate cutoff point d High cutoff point

15. A school nurse is discussing the income eligibility requirements for free and reduced-price school meals with a family who is new to the school district. Which of the following statements would the nurse most likely make? a "If the employed member of your family earns less than $50,000 per year, your child will qualify for reduced-price meals." b "If your family's income is less than 185% above the federal poverty level, your child will qualify for free or reduced-price meals." c "If you have more than five members living in your household, your child will qualify for reduced-price meals." d "If your family has an income above the federal poverty level, your child will not qualify for free or reduced-price meals."

15. An individual's style of emotional and behavioral response across situations, especially those involving change or stress, is known as a ritual. b temperament. c coping. d autonomy.

15. During a school gift fair, a parent asks the school nurse what gift would be most appropriate for her 6-year-old child. Which of the following should the nurse encourage the parent to purchase? A box of wooden blocks of various sizes for sorting A jar of sea shells in various shapes, colors, and textures A world map A beginning encyclopedia of animals

15. Which form of managed care restricts providers to caring for individuals who are members of their organization? a Fee-for-service plan b Health maintenance organization (HMO) c Preferred provider organization (PPO) d Independent practice association (IPA)

15. Which of the following 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 10 days.

15. Which of the following scenarios describes a nurse facing an ethical dilemma? a A nurse who must work Christmas over the strong objections of her family. b A nurse who must choose between two undesirable options. c A nurse assigned to take care of an abusive care recipient. d A nurse who must choose between preferred employment or a better-paying job.

15. Which scenario indicates a potentially dysfunctional pattern? a Adult with frequent urination b Woman who lost her job c Elderly person with blurred vision d Overweight adult with a sweet tooth

16. A 62-year-old person states to the nurse, "I have trouble with my peripheral vision. Sometimes, I do not notice objects unless they are in front of me." Which of the following disorders is the client likely experiencing? Presbyopia Glaucoma Cataracts Diabetic retinopathy

16. A Medicare care recipient reports to the home care nurse that he is receiving care through an accountable care organization (ACO). Which of the following considerations should be made when delivering care to this individual? a The individual must see a primary care provider before being referred to a specialist. b The focus of care is prevention and management of individuals with chronic disease. c The individual has paid a membership fee to be part of this organization. d The focus of care is to conserve money in a health savings account

16. A nurse is educating a group of adults who are attempting smoking cessation. Which intervention would be most effective for the nurse to implement? a Give the group members a handout on the dangers of smoking. b Set a quit date with the group and determine which pharmacological method is most suitable for group members. c Provide a month's supply of nicotine replacement to use before the next visit. d Have a guest speaker who has been diagnosed with lung cancer speak to the group.

16. A nurse is reviewing the chart of a preschool child who has been diagnosed with Asperger's syndrome. Which of the following findings is the nurse most likely to discover? a Eating finger foods at 10 months old b Absent crawling at 10 months old c Separation anxiety at 10 months old d Saying "ma-ma" at 10 months old

16. The nurse is caring for a family who has 2-year-old twins. Which of the following health-promotion advice would be included in the nurse's plan of care for this couple? a Wear bicycle helmets for safety. b Use caution around the family swimming pool. c Cross the street at using the crosswalks. d Advocate for the day care to provide adequate socialization.

16. The nurse working in the college health center is planning a program about sexually transmitted diseases (STDs). Which of the following information should the nurse include in the program? STDs are the second most common infection in persons aged 15 to 24. STDs can be transmitted by any intimate contact, not just sexual intercourse. Multiple STDs increases the risk of ovarian cancer. Untreated genital herpes virus is a risk factor for invasive cervical cancers.

16. Which of the following statements concerning the effects of exercise on the immune system is correct? a Care recipients with impaired immune systems need to take a cautious approach to exercise. b Exercise may be protective versus some types of cancer. c Recommended parameters are that HIV patients limit exercise to 30 minutes weekly. d All of the above statements are correct.

17. A 32-year-old woman visits the occupational health nurse because of malaise. Which of the following assessment data indicates that the client may be experiencing achievement-oriented stress? Sleeping 10 h/day Unintentional loss of 10 pounds in the past 4 weeks Expressed fear of company layoffs Calling in sick once every 2 weeks for the past month

17. A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person? a Read in bed until he falls asleep. b Avoid fluids after 7 PM. c Exercise immediately before bedtime. d Watch television in the recliner in the evening.

17. A toddler needs to have blood drawn at his next appointment. Which of the following actions would the nurse suggest that the mother do with the child before the next visit? a Tell the child about the blood work early on the day of the appointment. b Tell the child about the blood work right before leaving for the appointment. c Tell the child at the office right before the phlebotomist enters the room. d Do not tell the child about the blood work.

17. Which of the following mothers would be most likely to bond appropriately with their infant? a A mother who feels unloved will bond appropriately because now the baby will love her. b A mother who feels great about herself will show love toward the infant and bond appropriately. c A mother who feels empty by the birth of her child will bond appropriately once she holds the baby. d A mother who feels ugly will bond appropriately with her child because her child will bring self-esteem.

17. Which of the following statements is correct concerning Medicare Advantage plans? a They are plans which can be purchased in addition to traditional Medicare for greater coverage. b They are a substitute for the traditional Medicare program. c They are funded under the Affordable Care Act to improve availability of healthcare insurance. d They are available to persons who would not otherwise qualify for Medicare.

18. A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following findings will require the nurse to collect additional information? a The infant's shirt is wet from drooling. b The infant has gained one pound since her 2-month well-child visit. c The infant holds his or her head steady when in a sitting position. d The infant grasps objects with two hands.

18. A nurse is caring for a person with a potential dysfunction in the health perception-health management pattern. Which of the following nursing interventions would most likely be performed? a Arranging for home delivery of medication from the pharmacy b Providing education regarding the dangers of smoking c Instituting visiting nurse services for blood pressure checks d Providing direct observed therapy for tuberculosis medications

18. During the first prenatal visit, the pregnant woman informs the nurse that she cannot wait to start wearing maternity clothes. This finding is based on an assessment of which functional health pattern? a Cognitive-perceptual pattern b Self-perception-self-concept pattern c Health perception-health management pattern d Values-beliefs pattern

18. Which of the following analyses is used to determine the optimal use of resources to reach a predetermined constant end-point or the desired health outcome? a Cost-benefit ratio analysis b Cost-effectiveness analysis c Cost-efficiency analysis d Cost-disease analysis

19. A health care professional is leading a community action coalition to address the problem of homelessness within the neighborhood. Which of the following statements would most likely be made by health care professional? a Homelessness should be addressed by improving financial assistance programs. b Homelessness should be of concern to everyone in the neighborhood. c Homelessness should be addressed by encouraging job growth in the area. d Homelessness should be of concern to major retailers and commerce in the area.

19. A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up? a "I have been feeling more tired lately." b "My husband complains every time I ask him to do something for me." c "Sometimes, the smell of food makes me nauseous." d "I need to get up two times a night to go to the bathroom."

19. A nurse states that many community members are concerned about the increasing number of natural disasters that have been occurring in the United States. Which of the following would the community members be referring to? a Massive fires from large-scale civil unrest within an inner city. b A hurricane making landfall c Twenty-five multi-vehicle pileup from a winter storm d Food poisonings affecting hundreds of people aboard a cruise ship

19. Each of the following children visits the school nurse on a regular basis. Which of these children would the nurse identify as being at risk for a learning disability and suggest follow-up care? 9-year-old whose parents recently divorced 10-year-old who is inattentive and fidgets constantly 12-year-old with a 4000-word vocabulary 11-year-old who scored 102 on an IQ test

19. The nurse has determined that a person has a dysfunction in the nutritional-metabolic pattern. Which action would be the next step for the nurse to take? a Weigh the person. b Set a goal weight with the person. c Ask the person what her favorite foods are. d Develop a plan for weight loss.

19. The nurse is counseling a care recipient who prefers to exercise every day of the week. Accordingly the nurse has recommended that the care recipient to perform different types of exercises on different days of the week. This practice is commonly called a multiple aerobic practice. b cross training. c diverse exercising. d bimodal exercise patterning.

2. A nurse is using a health-education component when teaching about smoking cessation. Which of the following actions is the nurse implementing? a Setting a quit date for people in a smoking cessation class b Providing education regarding the benefits of smoking cessation c Allowing smokers to participate in a smoking cessation program only if they use the patch nicotine replacement system d Encouraging attendees of a smoking cessation program to participate in a research study

2. A nurse is working with a family that is experiencing food insecurity. Which of the following statements best describes this family? a Members of this family are susceptible to food-borne illness. b This family's access to adequate food is limited by lack of money. c This family is unable to purchase fresh fruits and vegetables. d Members of this family are obese.

2. A school nurse is using height and weight measurements to calculate the body mass index (BMI) of the students. How will the nurse use these data? a BMI can be correlated to a specific percentage of body fat. b BMI can be used to help identify children who have the potential to become overweight. c BMI can be used to determine if a child will develop Type 1 diabetes. d BMI is higher with low muscle mass thus can identify children who do not exercise enough.

2. A teenager has been using acne medications for the last 14 days. Her acne is no better, and in fact, it is a little worse. What information should the nurse offer this girl? "Wash your face at least four times a day, making sure to scrub well." "The medications can make acne appear worse at first; try to give it a few more weeks." "Avoid all chocolate products." "Because it is summertime, it would be good for your skin if you lie out in the sun for a few hours each day."

2. An occupational health nurse is planning a cholesterol screening with the employees at the factory. Which of the following would be an advantage of conducting this screening? a Allows for the beginning of a multiple test screening process b Provides an opportunity for health education c Allows for preliminary diagnosis of coronary artery disease d Provides the opportunity for a referral to a physician

2. In reviewing a person's medical claims, a nurse realizes that the individual with moderate persistent asthma has had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma management guidelines. The nurse discusses this with the person's primary care provider. In this scenario, the nurse is acting as a(n) a advocate. b care manager. c consultant. d educator.

2. The nurse is conducting community education about stress. Which of the following statements should be made by the nurse? a "Stress always has a negative effect on the body." b "A moderate amount of short-term stress can make a person more efficient and goal-focused." c "Long-term stress is useful in helping one to meet goals." d "Stress always has a positive effect on the body."

2. The nurse performs a home visit for a new mother and infant. The nurse observes that the infant lacks a regular feeding schedule, has diapers that are not changed promptly, and cries for long periods of time before being consoled. Which of the following problems is the infant most at risk for encountering in the future? a Developing enuresis as a toddler b Having difficulty forming relationships c Becoming a picky eater d Taking longer to toilet train

2. Which of the following best describes a primary prevention method for colon cancer? a Hemoccult testing b High fiber diet c Colonoscopy d Laparoscopy

20. A nurse is assessing a low-income population in a community. Which of the following would be most appropriate for this population? a HIV screening b Blood pressure screening c Colorectal cancer screening d Breast cancer mammography screening

20. A nurse is discussing exercise intensity with a client. Which of the following medications that the client is taking may limit the usefulness of heart rate as an indicator of exercise intensity? a Ciprofloxacin (Cipro) b Metoprolol (Toprol) c Atorvastatin (Lipitor) d Lansoprazole (Prevacid)

20. A parent asks the nurse working in a pediatric clinic how she can help her 6-year-old child feel good about himself. Which of the following statements should be made by the nurse? "Doing most things for your child will give the child a sense of security, and the child will have a positive self-image." "Having your child help around the house with tasks such as setting the table will increase self-esteem." "Make sure to highly praise even the smallest effort your child makes at completing a task." "There is little you can do to increase your child's self-esteem. The child's peers have much more of an influence than parents at this age."

20. A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take? a Tell the woman she should not be sexually active at this point in her pregnancy because it may harm the fetus. b Ask her to elaborate on the difficulties. c Tell her that they should modify their positions during intercourse and that will take care of the problem. d Tell her men like the way pregnant women look.b

20. Which of the following circumstances accounts for one of the leading cause of death in young adults? Tobacco use Binge drinking and driving Illegal drug use HIV infection

20. Which of the following statements concerning hobbies is true? a Attention to hobbies diverts energy which should be used to deal with stressors. b Hobbies can help manage stress and are encouraged. c Hobbies promote perfectionism which, in turn, typically adds to stress. d Hobbies should be limited to monthly activity until stressor(s) resolves.

20. Which of the following statements is the best definition of polypharmacy? a The use of more than five medications prescribed by different physicians b The use of multiple medications for the same or different health problems c The use of multiple pharmacies and self-management of medications d The use of multiple medications and supplements simultaneously

21. A nurse is assisting a client in values clarification. Which of the following actions should the nurse assist the client to complete first? a Develop a religious affiliation to assist with the process. b Identify what is meaningful in one's life. c Act in a way that is consistent with one's beliefs. d Follow values held by one's mentors as a first step.

21. The goal is for the individual to verbalize the importance of checking blood sugar levels. Which of the following strategies would be best for the nurse to implement to achieve this goal? a Provide one-on-one education about blood sugar monitoring. b Provide the individual with a scenario about blood sugar monitoring. c Provide the individual with the opportunity to practice blood sugar monitoring. d Provide the individual with a blood sugar monitor.

22. A home care nurse is planning an intervention with a family focusing on decreasing susceptibility. Which of the following nursing interventions would be most appropriate to implement? a Education about building on current strengths of the family b Education about hand hygiene c Education about health care resources in the community d Education about child safety seats

22. A mother expresses her concern and frustration over the fact that her toddler has not been successful at toilet training yet. Which of the following would be the best response by the nurse? a "Don't worry; eventually all children become toilet-trained." b "How long does the child stay dry during the day?" c "Train him on a regular toilet instead of a potty chair." d "Here is a training schedule to follow which is almost always successful."

22. A nurse discussing the care of a person on the surgical unit following gastric bypass surgery with a friend is in violation of the a Patient Self-Determination Act. b Health Insurance Portability and Accountability Act of 1996. c Americans with Disabilities Act. d Civil Rights Act.

22. A nurse has recently accepted a position as a school nurse at a middle school and plans to offer sex education to the students and parents. Which of the following statements is NOT correct concerning how the nurse should implement this program? Offer gender-segregated sex education classes. Education on sexually transmitted diseases is not advised until high school. Determine how this education has been provided in the past, as a first step. Survey parents to determine their desire for this education to be provided.

22. A nurse is developing learning objectives for an individual who has been placed on a low-fat, low-cholesterol diet. Which is an example of an appropriately written cognitive learning objective? a The individual will understand the importance of a low-fat, low-cholesterol diet. b The individual will correctly identify and purchase low-fat, low-cholesterol foods. c The individual will believe that his heart will benefit from a low-fat, low-cholesterol diet. d The individual will feel healthier if he follows a low-fat, low-cholesterol diet.

22. A nurse is educating a 26-year-old, sexually active, female care recipient about preventive care and health screening. Which of the following screening services would the nurse include in this discussion? a Osteoporosis screening b HIV screening c Ovarian cancer screening d All of the above.

22. A pregnant woman is having a TORCH screening done at today's prenatal visit. She states she is anxious to get the results back because she recently had unprotected sex with someone she just met and is afraid she might have HIV. Which of the following statements would be the best response by the nurse? a "You will know your HIV status in about 1 week when the results come back." b "You will require additional testing for HIV as it is not tested for with the TORCH screen." c "You will need to be tested for HIV after you deliver because pregnancy can produce false HIV results." d "You need to be exposed for at least 6 months before being tested for HIV in order for the results to be accurate."

22. An 18-year-old woman in whom a sexually transmitted disease (STD) was recently diagnosed asks the nurse not to tell her mother that she has an STD. Her mother asks the nurse what is causing her daughter's vaginal discharge. Which of the following actions should the nurse take? a Follow the principle of veracity and tell the mother the diagnosis. b Respect the principle of confidentiality and support the care recipient's request not to tell her mother the diagnosis. c Tell the care recipient's mother that she has a urinary tract infection, to protect the care recipient's privacy and honor the mother's request. d Ignore the mother's request for information.

22. An occupational health nurse is planning injury-prevention educational sessions. Which of the following considerations should be made by the nurse? Food handlers should have TB testing every 2 years. Employees may need to be educated concerning the use of protective clothing or devises when needed. OSHA rules apply to all companies with more than 25 employees. In a union shop, the union steward's approval is needed to remove a worker from

22. Which of the following best demonstrates the practice of transcultural nursing? a Using previous knowledge about ethnic minority cultures to plan care b Adapting nursing care to meet the need of a person from an ethnic minority c Requesting an interpreter when caring for a person from an ethnic minority d Attending a presentation about cultural diversity

22. Which of the following statements is accurate concerning yoga as a form of exercise? a It is too mild a form of exercise to be beneficial. b It is suitable for warm up periods prior to exercise. c Too frequent practice will compromise joint flexibility. d All of the above.

22. Which of the following statements is correct concerning genetics as it pertains to childbearing? Genetic testing is available for just under 50 diseases. Genetic impairments or congenital defects account for 4% to 6% of perinatal deaths. Most of the genetic testing offered is for diseases with multi-gene etiologies. Genetic testing provides useful information but it cannot predict the probability of disease transmission.

23. A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse? a "This is a sign that he is not ready to toilet train yet." b "This behavior is developmentally normal." c "Tell him calmly to stop touching himself." d "Mentioning it to the child will increase the behavior; best to ignore it."

23. A new father is installing a car seat for an infant in the car. Which of the following information should be given to the father by the nurse? a The infant should be in a rear-facing car seat in the front seat. b The infant should be in a rear-facing car seat in the back seat. c The infant should be in a front-facing car seat in the front seat. d The infant should be in a front-facing car seat in the back seat.

23. A nurse is providing care to a 15-year old female who has recently been diagnosed with a sexually transmitted infection (STI). Which of the following actions should the nurse take next? a Seek advice from an ethics expert. b Facilitate interaction between the adolescent and her parents/guardians. c Report the STI to the appropriate authorities. d Contact the adolescent's parents/guardians

23. A nurse is told by a colleague that an Asian American individual on home care is using complementary and alternative medicine (CAM). Which of the following conclusions can accurately be drawn from this statement? a The care recipient will have adverse complications from using this form of medicine. b The care recipient may be using meditation, acupuncture, or another therapy. c The care recipient will soon be returning to his or her native country for further treatment. d The care recipient does not agree with the current professional care medication regimen.

23. A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. Which finding would be of most concern to the nurse? a The bedroom is located on the second floor. b She has a pet cat. c There is an area rug in the living room. d She has a 1-year-old child.

23. The school nurse has been asked to conduct a community awareness program about accidents that impact the school-age child. Which of the following facts should be included in the program? Poisonings and falls are the leading causes of death. Drowning and motor vehicle accidents are the leading causes of fatality. The majority of accidents happen inside the home. Burn accidents are more common in the summer months.

23. Which of the following teenagers is exhibiting a behavior that cause for concern and requires further evaluation? Feels happy on most days but on some days she feels sad Is agitated and has trouble sleeping Has a lot of homework and stays up late to finish it Values his friend's opinion more than his parent's opinion

24. A nurse is educating a person about the process of cognitive restructuring. Which of the following statements is correct regarding this technique for stress management? a An advantage is that no advanced training is required. b Replace negative thoughts with a realistic alternative thought. c Denying negative thoughts/feelings is used as a means to disempower them d All of the above statements are correct.

24. A woman who is being discharged from the hospital is oriented to person, place, and time, and her memory is intact. She has occasional forgetfulness without a consistent pattern of memory loss. Which of the following housing options would be most appropriate for this woman? a Independent living b Retirement community c Assisted living d Nursing facility

24. Erikson's task of autonomy vs. shame and doubt occurs during which stage of development? a Infancy b Early childhood c Late childhood d Early adolescence

24. The nurse suspects a 5-year-old child has asthma. Which information garnered from the child's medical history would be a risk factor for asthma or for exacerbating asthma? The child was breast-fed. The child sleeps every night with the family dog in his bed. The child was born via a C-section. The child had pressure equalizer tubes as an infant.

25. A nurse plans to use lectures, handouts, and a video to teach a group of teenagers the importance of safe sex practices. Which step in the teaching-learning process is the nurse demonstrating? a. Assessment b. Development c. Implementation d. Evaluation

25. A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a "shot" to keep her baby alive. Which of the following statements would be the best response by the nurse? a "Yes, you will need an injection of RhoGAM at 28 weeks of gestation and within 72 h after birth." b "Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection." c "Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies." d "No, you will not need the injection because you are White. Rh incompatibility affects only Black women."

25. A young couple is deciding if they should get married and start a family. Which of Erikson's life stages are they experiencing? a Identity vs. role confusion b Intimacy vs. isolation c Generativity vs. stagnation d Ego integrity vs. despair

25. How many words are in a toddler's receptive language at 24 months of age? a 500 words b 1200 words c 2400 words d 3600 words

25. Which of the following plans is appropriate when planning and implementing a health screening event directed at diverse and minority populations? a Provide a standard care approach for everyone in the interest of equality for all persons. b Partner with key individuals and organizations c Provide pre-screening sessions to help diverse populations integrate with themainstream culture. d Insure that all personnel at the screening site are members of minority populations.

25. Which stage of female breast development is characterized by enlargement of the areolar diameter along with a small area of elevation around the papillae? a. 1 b. 2 c. 3 d. 4

26. A mother asks her toddler if she is tired. The toddler responds by saying, "Sammy bed." Based on her expressive language and speech pattern, the nurse determines that this child is likely how old? a 18 months b 24 months c 30 months d 36 months

26. A nurse is conducting an initial nutritional assessment on a person who is HIV positive. Which of the following questions would be most important for the nurse to ask? a What fresh fruits and vegetables do you like to eat? b Are you taking a daily multivitamin? c How often do you eat at restaurants? d Do you have any questions about your current medications?

26. A nurse reflects on previous experiences with minority populations and considers how these interactions have influenced her present care to these populations. Which part of values clarification and reflection has the nurse used? a Formulate a possible course of action. b Examine the influence of beliefs. c Reflect on practice. d Determine the prevalent values.

26. A woman who just found out she is pregnant starts crying. She tells the nurse that over the last 3 days she was not feeling herself, so she took some Tylenol. She states if she knew she was pregnant, she never would have taken the medication. Which of the following actions should be taken by the nurse? a Tell the client that there is a high probability that her baby will have a birth defect b Tell the client not to worry because research indicates that in recommended doses Tylenol is safe. c Tell the client not to worry because she did not know she was pregnant, but in the future, she should use herbal products instead of over-the-counter medication. d Tell the client that there is a high probability of a stillbirth.

26. Which cultural group defines illness as a price that is being paid for the past or the future? a African b Native American c Arabian d Asian

27. An occupational health nurse is trying to promote regular activity at her institution. Which of the following interventions would most likely be the most successful? a Educate all employees regarding the benefits of exercise. b Initiate a lunchtime walking group that employees can join. c Provide all employees with an exercise prescription. d Recommend that employees who do not exercise be held accountable.

27. Which of the following would be correct with respect to the concept of social justice in the context of health promotion? a. A social justice view allocates kidneys to persons who had no fault in losing renal function. b. A social justice lens can identify the structural cause of targeted health disparities. c. Social justice initiatives serve to stigmatize low income and minority persons. d. Social justice measures can risk compromising self-determination.

28. A 9-month-old has mastered the pincer grasp. Which of the following tasks would the nurse anticipate that the infant can do by himself? a Play with a rattle. b Eat Cheerios off a hard surface. c Hold a spoon to feed himself. d Drink from a cup.

28. The nurse is observing the development of gross motor skills of young children at a community recreation center. The nurse is watching a particular child who alternates feet when descending stairs and uses a pencil with good control. On average, what is the youngest age this child is likely to be? 3 years old 4 years old 5 years old 6 years old

29. A Mexican American woman comes to the office for a visit. She is found to be 30 weeks pregnant. Which of the following conclusions can the nurse draw from this finding? a The woman does not value prenatal care. b Client education may require a different approach because of dissimilar cultural beliefs. c This culture does not believe in traditional medicine. d Signs of pregnancy were not recognized by the woman.

29. REACH (Racial and Ethnic Approaches to Community Health) provides strategies to facilitate health promotion within to diverse populations. The common thread to all of these strategies is a providing mentorship. b building trust. c creating safe and crime-free communities. d decreasing poverty and economic disparities.

3. A mother comments to the school nurse that her child has poor hygiene habits and asks the nurse for suggestions as to how to teach her child to improve on his hygiene. Which of the following recommendations would the nurse give the mother? a Have him learn it at school. b Model the behavior at home. c Lecture him about hygiene. d Punish him when he forgets to brush his teeth

3. A nurse includes the statement, "Treat others the way you would like to be treated." when teaching a group of adolescents about bullying. Which type of ethical theory is being used in this example? a Descriptive value theory b Normative theory c Consequentialism theory d Duty-based theory

3. Which of the following theories is an attempt to explain families as a set of interacting individuals with patterns of living that influence health decisions? a Feminist theory b Systems theory c Developmental theory d Resiliency theory

31. A woman usually eats an 1800-calorie diet. She is now in the second trimester of her pregnancy. Which of the following best describes the caloric nutritional needs for this woman during the second and third trimester? a 1800 calories b 2100 calories c 2400 calories d 2700 calories

31. An infant is going through the toys in his toy box. He looks at each one before dropping it to the floor and picking the next toy out of the box. Using a growth and development perspective, which of the following conclusions can the nurse draw by assessing this behavior? a The infant is testing his limits. b The infant is exploring his environment. c The infant is expressing his emotions. d The infant is developing fine motor skills.

4. A 5-year-old is consuming a daily caloric intake of 1400 calories. Approximately what portion of the diet should be comprised of carbohydrates? a 300 calories b 700 calories c 900 calories d 1200 calories

4. A nurse is caring for a person who has experienced a minor injury following a fall. Which of the following physiological responses to stress would the nurse anticipate? a Lowered blood pressure b Elevated heart rate c Lowered respiratory rate d Elevated blood supply to the gut

4. Health insurance plans, offered under the market place exchange program, must include which of the following features? a Low deductibles and low out-of-pocket costs b Birth control coverage c Dental coverage d Uniform monthly premiums for all persons

4. The president of the Parent-Teacher Association asks the school nurse about the appropriateness of sponsoring a health fair that focuses on oral health for school-age children. Which of the following statements indicates the nurse's correct understanding of this issue? "Dental problems are not as prevalent a problem as asthma, so you might want to consider a health fair about respiratory problems instead." "Over 40% of children age 2 to 11 have dental caries, so a health fair that focuses on oral care is very appropriate." "Children are not usually receptive to learning about dental care, so the topic is not the best choice for a health fair." "This is not an appropriate focus for a health fair because the incidence of dental caries has dropped dramatically due to the use of sealants."

4. Which of the following is the definition of physical fitness? a Painless joint mobility and muscle flexibility when engaging in exercise b The ability to perform physical activity without undue fatigue or risk of injury c Achieving at least 85% of age-specific activity levels d Heart rate and respiratory rate returning to baseline within 30 seconds after exercise

5. After the 2015-2020 Dietary Guidelines were released, a community health nurse updated a nutrition presentation that was being used to educate various community groups about healthy eating habits. Which of the following information would have been added to the presentation? a Consumption of increased amounts of carbohydrates b Follow healthy eating patterns across the life span c Revised guidelines for the use of MyPyramid d Inclusion of physical activity standards

5. Which of the following measure is appropriate for treating urinary incontinence? a Increase caffeine to tighten urinary sphincter. b Utilize voiding schedules. c Decrease fiber to lessen pressure on the bladder from the colon. d Avoid pilates, which have been shown to inflame pelvic floor in the elderly.

5. Which of the following projects would most likely be administered by International Micronutrient Malnutrition Prevention and Control (IMMPaCT) Program? a Researching best methods to preserve the freshness of foods b Monitoring and evaluating intervention systems concerning micronutrients c Comparing the effectiveness of vitamin pills versus fresh fruit and vegetables d Analyzing the relationship between BMI and cardiovascular disease

5. Which type of cases tends to be expressed in terms of incidence? a Chronic conditions b Acute conditions c Diseases which target primarily children d Conditions where full recovery is expected

6. A nurse has been asked to develop a visit plan for a mobile mammogram van. Which of the following considerations would be made by the nurse when deciding which neighborhoods to visit? Hispanic women have the highest rate of breast cancer as compared to other demographic groups in the United States. The death rate from breast cancer is higher in Hispanic women than for women in other ethnic groups. The death rate from breast cancer in Hispanic women has risen in the past 10 years. Breast cancer in Hispanic women is usually diagnosed at an early stage.

6. A nurse has stated that the person she is working with demonstrates stress hardiness. Which of the following individuals is most likely being described? a Refuses to see family members after the nurse practitioner tells him or her about test results b Conducts Internet research to learn about the latest treatment options for a health deviation c Calls in sick when faced with a personal relationship problem d Views stressors as negative life events

6. A nurse is examining the incidence, prevalence, and mortality rates of colon cancer in the community. Which of the following measures of life is being investigated? a Quality adjusted life year (QALY) b Quantity of life c Disability adjusted life year (DALY) d Satisfaction of life

6. The client who is taking prescribed _____ would require preconception management to minimize the potential for drug-related birth defects. a antiemetics b antiepileptics c iron d non-narcotic analgesics

6. Which of the following nurses is providing culturally competent care to the care recipient? a A nurse who refuses to care for a care recipient after an abortion when abortion violates the nurse's ethics. b A nurse who honors a Native American care recipient's request to allow an ICU visit from the tribe's medicine man. c A nurse who only assigns aides from the same culture to care for care recipients. d All of the above.

6. Which of the following statements is correct concerning family risk factors? a Psychological factors are too subjective to be valid b Risk factors can be inferred from lifestyle c Epidemiology explores disease outcomes but not risks d All of the above statements are correct.

6. Which philosophic approach evaluates ethical perspectives in terms of their congruence and usefulness in human decision-making, across multiple environments? a Utilitarian ethics b Metaethics c Virtue ethics d Practical wisdom ethics

7. A 2-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic reaction? a Apple juice b Oatmeal-peanut cookies c Jelly sandwich d Banana

7. A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy? a "You should gain 11 to 20 pounds during your pregnancy." b "You should gain 15 to 25 pounds during your pregnancy." c "You should gain 25 to 35 pounds during your pregnancy." d "You should gain 28 to 40 pounds during your pregnancy."

7. Adoption of a Canadian-style health care system in the United States has the potential to a decrease waiting times for tests and procedures. b create further health disparities. c increase the number of HMOs. d increase the amount of funding available for health care.

7. The inability of a toddler to put him- or herself in another's shoes is known as a. autonomy. b. egocentrism. c. self-perception. d. integrity.

7. The school nurse has been asked to present a workshop on how to prevent CA-MRSA spread in the school. Which of the following interventions should be emphasized? a Completing prophylactic antibiotic therapy for those in close contact with an infected person b Using correct handwashing technique c Requiring those infected stay home from school until the infection has resolved d Disinfecting all classrooms on a daily basis

8. A nurse is collecting data for a family assessment using Gordon's functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain? a Roles-relationship b Cognitive-perceptual c Health perception-health management d Self-perception-self-concept

8. During an office visit, a nurse meets with a woman who states she does not have time to exercise. Which of the following actions should the nurse take next? a Respect her decision in the name of honoring patient autonomy. b Provide her with information on the benefits of exercising. c Develop an exercise prescription with her. d Schedule a follow-up in 2 months to see if she still feels the same way.

8. The nurse collects the following assessment data from a woman: Hispanic ethnicity, BMI 29 kg/m2, age 41. Which of the following actions should be taken by the nurse? Encourage the care recipient to continue her dietary and exercise patterns. Discuss her current dietary and exercise lifestyle habits. Formulate a plan for increased exercise incorporating her preferences for type of exercise. Encourage the care recipient to adopt a low-calorie diet to help control her weight.

8. Which of the following represents a comprehensive view of all of the genes within a given individual? a. Genetics b. Genomics c. Genotype d. Phenotype

9. A nurse is assisting a person to cope with stress. Which statement by the nurse would be the most helpful? a "Most people in this situation feel the way you feel." b "Tell me what this event means to you." c "There are many support groups available for you to use." d "Your family wants to help you through this stressful event. May I call them?"

9. A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor? a. First b. Second c. Third d. Fourthb

9. A nurse is completing a home visit of a new mother who is breastfeeding her infant. Which of the following instructions should the nurse provide during this visit? a Consume 500 kcal/day above pre-pregnancy energy intake to avoid excessive weight loss. b Drink 1 quart of fluids daily to produce sufficient quantity of breast milk. c Be sure to wipe off all breast milk on the nipples between feedings to avoid infection d All of the above statements are correct.

9. A primary care nurse practitioner has advised a care recipient that she is positive for BrCA2, the gene associated with breast cancer in women. The care recipient has two small children. What would be the most appropriate next step for the nurse practitioner to take with respect to this care recipient? a Help the care recipient to understand that a prophylactic mastectomy would be in the best interest of her children. b Explore the care recipient's values, believes, and relationships. c Offer no counsel since respecting care recipient autonomy will be adequate. d Deferring the matter to the care recipient's physician.

9. A woman has asked the nurse about the benefits and risks of using ginseng to control her hot flashes associated with menopause. Which of the following governmental offices would most likely serve as a resource to answer the woman's question? a American Dietetic Association (ADA) b National Center for Complementary and Alternative Medicine (NCCAM) c Food and Drug Administration (FDA) d United States Department of Agriculture (USDA)

9. During an office visit, a nurse provides counseling to a 70-year-old woman with osteoporosis. The patient is otherwise very healthy. Which of the following information should the nurse provide to the woman? a Osteoporosis is an exception to the rule of exercise due to risk of fracture. b Walk, preferably with a partner, at least 30 minutes a day 5 days a week. c Use a scooter where feasible in the interest of preventing falls. d Use non-weight bearing exercise like swimming to avoid stressing the bones

A health care professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care? a This ethnic culture tends to be future oriented. b Religion plays an important role in this culture. c Traditional cultural practices are infrequently used during a health crisis. d Members of this culture tend to have smaller families.

A person reports that she has been seeking care from an acupuncturist to help relieve the chronic pain that she has been experiencing. Which of the following statements would be the most appropriate response from the nurse? a You should have told me that the current treatments were helping your pain. b Tell me more about your treatments from the acupuncturist. c Tell me why you decided not to continue with your treatment plan. d You should not be seeing an acupuncturist while receiving professional care.

Halbert Dunn (1961) introduced the concept of high level wellness, a health-illness continuum which factored in the individual's environment when determining a level of health. Which of the following statements is correct concerning his model? a Care recipients who are terminal or dying could not be classified as having high-level wellness. b The focus is on environment and the ability to achieve health on a personal and societal level. c It provides a view of health which is in opposition to the eudaimonistic model of health. d It is most closely aligned with a clinical model of health.

The question, "What is the experience of teenagers who lose a sibling to cancer?" can best be answered by using which research methodology? a Evidence-based practice research b Qualitative research c Quantitative research d Clinical judgment research

Which of the following actions demonstrates a health care professional providing culturally competent care? a Encouraging the person to take medications as prescribed b Asking the person to describe his folk healing methods c Demonstrating the proper way to administer an insulin injection d Assisting the person with discussing his health problems with the family

Which of the following is one of the four overreaching goals for Healthy People 2020 (US Department of Health and Human Services)? a Decreased tobacco use in youth throughout the nation b Achieve health equality and eliminate disparity for all groups c Increased public funding for health insurance d Decreased hospital re-admission rates

Which of the following nurses is most likely to provide culturally competent care? a A nurse who recognizes and accepts cultural diversity b A nurse who is knowledgeable in disease-specific epidemiology and treatment efficacy for different population groups. c A nurse who provides ethnocentric care in emergency scenarios where time matters d A nurse who assists diverse populations to integrate into the mainstream culture.

Which of the following represents a method of secondary prevention? a Self-breast examination education b Yearly mammograms c Chemotherapy for advanced breast cancer d Complete mastectomy for breast cancer

Which of the following statements about ethnic minorities in the United States is accurate? a It is estimated that the percentage of ethnic minorities will decrease during the next 30 years. b It is estimated that ethnic minorities will increase to one in two by 2050. c The increasing population of refugees has been a significant contributor to the increase in ethnic minorities. d The increasing population of ethnic minorities has helped decrease the health

Which of the following "investment" themes has been identified by the National Institute of Nursing Research? (Select all that apply.) a Interprofessional collaboration b Improving quality of life c End-of-life care d Increasing physical activity among Americans

b c

1. A nurse is working with a community to increase its awareness about the dangers of lead poisoning. Which of the following provides the best explanation as to why the nurse is performing this action? (Select all that apply.) a It is the right thing to do. b It is a moral responsibility. c It is an ethical responsibility. d It is the role of the nurse.

b,c

2. A nurse is using feminist ethics when planning a program for women to promote screening and early detection of breast cancer. Which of the following considerations would be made by the nurse? (Select all that apply.) a Importance of virtue in formulating ethical conduct b Concern for the rights and equality of all individuals c Importance of responsibility when caring for others d Understanding the dynamics and root cause of the imbalance of power

b,c

3. A health care provider is discussing the importance of receiving routine preventive care with a Hispanic family who has recently immigrated to the United States. Which of the following would best describe why they may be disinterested in receiving professional care? (Select all that apply.) a Lack of folk remedies b Lack of interpreter services c Lack of health insurance d Lack of family support

b,c

2. A community health nurse is preparing an educational brochure about improving the nutritional behaviors of Americans. Which of the following topics would most likely be included in the brochure? (Select all that apply.) a Explanation of the food pyramid b Decreasing daily sodium intake c Increasing daily intake of fruits and vegetables d Decreasing daily intake of sugar-sweetened drinks

b,c,d

2. A nurse is providing care for a family in the community. Which of the following characteristics would the nurse assess to determine the health of the family? (Select all that apply.) a Developmental stage of each family member b Coping mechanisms of each family member c Potential risk factors within the family d Maintenance of trust within the family

b,c,d

4. A person has been diagnosed with salmonellosis. Which of the following symptoms would the person most likely exhibit? (Select all that apply.) a Bloody diarrhea b Vomiting c Hypoactive bowel sounds d Abdominal cramping

b,d

A health care professional is providing culturally competent care. Which of the following actions is being performed by the professional? (Select all that apply.) a Recognizing and accepting cultural diversity b Respecting the patient's values, beliefs, and expectations c Understanding the pathophysiology of disease processes d Providing health care services that are respectful of the individual's cultural beliefs

b,d

3. Which of the following behaviors by a preschooler indicates use of an effective coping mechanism? (Select all that apply.) The preschooler walks away from the situation. The preschooler blames a friend for causing the problem. The preschooler states what he is upset about. The preschooler has a temper tantrum.

3. Which of the following statements is correct regarding Zika virus disease? (Select all that apply.) a Zika virus is transmitted primarily from a nocturnal mosquito bite. b Up to 80% of people infected have no symptoms. c The virus can cause microcephaly in the developing fetus. d Women who may become pregnant should receive a preventive vaccine.

1. Which of the following children should the school nurse monitor closely for hypertension (HTN)? (Select all that apply.) 7-year-old White male with no known family history of HTN 9-year-old White female whose 20 year old brother has HTN 6-year-old Black child with no family history of HTN 10-year-old Mexican American child with known family history of HTN

bcd

2. A nurse is discussing being a safe driver as part of a driver's education course. Which of the following recommendations would the nurse include in this presentation? (Select all that apply.) Driving mid-sized two door vehicles is recommended. Avoiding talking on cell phones Driving during daytime hours Wearing safety belt

bcd

2. The nurse in the pediatric oncology unit is working with a family whose toddler has been diagnosed with leukemia. The nurse can best assist the family to deal with this extrinsic stressor by doing which of the following? (Select all that apply.) a Setting treatment goals for them until they are able to do so themselves b Encouraging them to talk about their concerns c Discussing relaxation techniques such as guided imagery with them d Asking them if they would like to meet with a member of a pediatric oncology support group

bcd

2. A nurse is assessing a woman for positive signs of pregnancy. Which of the following assessment findings would the nurse discover? (Select all that apply.) a Positive test for HCG in the maternal urine b Detection of fetal heart tones c Enlargement of the uterus d Palpation of fetal body parts

2. Which of the following factors would be considered predictors of satisfaction with retirement? (Select all that apply.) a Participation in competitive sports but most especially golf b Adequate income c Having grandchildren d Good functional ability

3. The school nurse has been asked to plan play and recess activities for children in grades 2 through 6. Which of the following activities should be developed by the nurse? (Select all that apply.) Highly competitive games that focus on individual accomplishment and winning Family activity days that promote nature walks and biking Co-ed organized sports 4-H club activities

5. Which of the following individuals assessed by the nurse is experiencing interpersonal violence? (Select all that apply.) a A 16-year-old female who hides in her apartment due to civil unrest in the country b A 32-year-old male whose co-worker sends him insulting e-mails at work c A 19-year old male who has attempted suicide d A 78-year-old female living in a nursing home who is force-fed by aides

1. A 35-year-old person asks the nurse working in a dermatology clinic what causes skin to wrinkle. Which of the following statements would be most appropriate way for the nurse to reply? "It is simply a part of normal aging and it is not preventable" "As we age, we develop more cellulite under the skin which results in wrinkles." "Wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure." "Wrinkles are caused by genetic factors combined with Vitamin D deposits under the skin."

1. A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele's rule, which of the following dates would be the most accurate estimated date of delivery? a September 16 b September 22 c October 29 d October 17

1. Which addition to a community best demonstrates the concept of the Healthy People 2020 report? a New cardiothoracic intensive care unit at a major hospital b New rehabilitation center c New recreational health center d New children's hospital

1. Which is an example of asymptomatic pathogenesis? a Blood pressure of 170/98 experiencing headaches b Positive finding on colonoscopy and blood in his or her stool c Elevated prostate-specific antigen (PSA) d Elevated TSH who is always tired

10. A nurse is providing health education for a group of older adults about the risks of developing coronary heart disease. Which of the following group members is at highest risk? a A person who takes a beta-blocker for hypertension b A person who has a total cholesterol level of 201 c A person who does not participate in any form of regular physical activity d A person who has a family history of Type 2 diabetes mellitus

10. A nurse is using the health belief model as a framework when developing a community action campaign to increase the percentage of the population who receives the influenza vaccine. Which of the following considerations will need to be made? a How empowerment can be used to motivate community members b How modeling can be used in the community to increase public awareness c Perceived susceptibility in the community about getting influenza d Perceived stage of behavior change that exists in the community

11. A community planning committee is working on the development of a community nursing center. Which of the following essential components should be included in this center? a Physician as medical director b Interdisciplinary staff c Nurse as chief manager d Partnership with an academic institution

11. A new mother has decided to breastfeed her infant after having bottle-fed her other two children. Which of the following information about having a breast-fed infant should the nurse discuss with the mother? a Breast-fed infants have darker bowel movements than bottle-fed babies. b Breast-fed infants have smellier bowel movements than bottle-fed babies. c Breast-fed infants have more frequent bowel movements than bottle-fed babies. d Breast-fed infants have harder bowel movements than bottle-fed babies.

11. A nurse is using a genogram to represent a family. Which of the following statements is accurate? a A genogram identifies the genetic disorders of the family. b A genogram includes information about the past two generations. c A genogram can be used to make connections about family health patterns. d A genogram begins with a circle in the center of the page.

11. According to Erikson's theory of development, which of the following older adults has successfully navigated the stage of ego integrity versus despair? a 72-year-old man who is reluctant to retire because "work is everything to me" b 78-year-old woman who has scheduled her third face lift c 80-year-old man who has informed his children that he has made his funeral arrangements d 67-year-old woman who is depressed because she has not been promoted at work for the past 10 years

11. Which of the following adults has transitioned to Erikson's intimacy versus isolation and loneliness stage of development? A 21-year-old man who has had multiple intimate relationships with women over the course of one year A 25-year-old man who makes no effort to date anyone of either gender but he is very close to his two dogs. A stable young couple with a long-term close relationship who has decided not to marry All of the above meet the criteria on one level or another.

12. A nurse is explaining the relaxation response to a person. Which of the following statements would be most appropriate for the nurse to make? a "When the relaxation response is used, your sympathetic nervous system is activated and your pulse rate slows down." b "The relaxation response helps you to become more aware of your surroundings." c "Deep breathing is very effective in relaxing muscle groups and relieving stress." d "Holding your breath for 10 to 15 seconds will reduce your blood pressure and pulse rate."

12. A nurse is investigating an outbreak of a food-borne illness occurring at a local school. Which of the following would contribute to a chemical contamination resulting in food-borne illness? a Unintended allergen added to food b Bacteria on the countertops c Pesticide on the fresh fruit d Metal shavings in the food from a dull can opener

12. A nurse is providing anticipatory guidance to parents about the self-perception-self-concept pattern of a toddler. Which of the following statements would the nurse most likely make? a "Temper tantrums are expected, so giving into them reduces parental stress." b "Put your toddler in time out if he has a temper tantrum." c "Childproof your home." d "Always provide your toddler with challenging toys."

12. During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child? a For safety, suggest removing all toys except soft stuffed animals from the playpen. b Suggest keeping the infant in the playpen as much as possible to promote safe play. c Encourage providing the infant with supervised time outside of the playpen. d All of the above.

12. During the second prenatal visit, the pregnant woman informs the nurse that she has stopped smoking. This finding is based on an assessment of which functional health pattern? a Cognitive-perceptual pattern b Self-perception-self-concept pattern c Health perception-health management pattern d Values-beliefs pattern

12. The ecomap of a care recipient's family has slashed lines drawn from the son to the family church. Based on this information, what conclusion can the nurse make? a. The son is deceased. b. The son is actively involved with the family church. c. The son has a stressful relationship with the church. d. The son has no relationship with the church.

12. The school nurse is planning a workshop for high school students about interpersonal violence (IPV). Which of the following information would the nurse discuss as risk factors for IPV? a Cultural norms b Family support c Drug and alcohol abuse d Depression

12. Which of the following children is at risk for developing encopresis? A 6-year-old child who has occasional bed wetting A 3-year-old child who is not fully toilet-trained A 5-year-old child who has been in four foster care homes since age 3 A 4-year old child who passes stool every morning after breakfast

12. Which of the following young adults exemplifies Kohlberg's postconventional level of moral reasoning? 28-year-old person who calls in sick so as to help a friend move to a new location 22-year-old man who uses marijuana on the weekends with friends 30-year-old woman who volunteers at a soup kitchen several days a month 35-year-old who works long hours so as to be considered for a promotion

13. A new young mother asks the nurse what she should do to play with her 3-month-old infant. Which of the following suggestions should the nurse provide? a Take the infant for a walk outside. b Place several toys around the infant when lying on the floor. c Rock the infant in a rocking chair. d Search the Internet for toys highly recommended for infants.

13. A nurse is conducting a staff development program about human sexuality for nurses who work in a long-term care facility. Which of the following statements is accurate? a "The desire for sexual intimacy declines rapidly with age." b "Older adults are very well-informed about sexuality." c "Older adults need to practice safe sex." d "The danger of contracting STDs during sexual intimacy is extremely low in older adults."

13. An overweight woman is in the preparation stage of change. Which of the following interventions would be the most appropriate for the nurse to implement? a Inform her of the health risks associated with being overweight. b Prepare her for the setbacks. c Develop a low-calorie/low-fat diet with her so she can follow it at home. d Praise her for her recent successes.

13. The nurse is working at a crisis hotline center. Which of the following callers would be most at risk for suicide? a A 16-year-old girl who broke up with her boyfriend and is distraught b A 26-year-old male with a large college loan who has been laid off from his job c A 50-year-old female who has a history of alcohol abuse and depression d A 40-year-old male whose father has died suddenly from an MI

13. Which of the following statements is correct concerning a Code of Ethics for professionals? a The code is drawn in conjunction with input from the public. b They are absolute rules which must be observed and may not be changed. c They prescribe how members of a profession are expected to act. d All of the above statements are correct.

14. A 2-year-old Asian American boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child? a Report the suspected child abuse to the Department of Children and Families. b Not a significant concern as the vast majority of toddler bruises are from falls. c Ask the mother about the bruises. d Schedule a follow-up appointment in 2 weeks to see if the bruises are still present.

14. A 63-year-old woman complains to the nurse that she has insomnia and sleeps only 6 h a night. Which of the following responses should be made by the nurse? "Prescription sleeping pills are preferable. Over-the-counter sleeping aids have more undesirable side effects" "Make sure that you do not nap during the day, even if you are tired." "Do you feel excessively tired during the day?" "The nurse practitioner may want to run some simple tests to find out why you are having trouble sleeping."

14. A nurse is developing an exercise program for a person with moderate osteoarthritis of the knees. Which of the following forms of exercise would the nurse include in this program? a Step aerobics b Running c Water aerobics d Bike riding

14. A nurse is providing education about safe driving with a group of newly licensed teenagers. Which factor would most likely influence a teenager's decision to drive within the speed limit? a A speed limit sign b Having his parents telling him not to speed c A previous traffic violation for speeding d Seeing someone get pulled over for speeding

14. The mother of a 4-month-old infant is concerned about the possibility of SIDS because her neighbor's daughter passed away last year as a result of SIDS. The mother reports she is so nervous that she has taken up smoking again. The mother informs you that the 4-month-old sleeps supine and takes a pacifier to help her fall asleep. Which of the following statements would be the best response from the nurse? a "You should place the infant in the bed with you until 6 months of age." b "You should never give the infant a pacifier while she is sleeping." c "You should try to stop smoking." d "You should place the infant on her stomach."

14. Which health care provider represents a primary care provider? a Psychiatric advanced practice nurse b Clinical nurse specialist c Pediatric nurse practitioner d Acute care nurse practitioner

14. Which of the following statements concerning care recipient advocacy is correct? a Care recipient advocacy is not a justification for refusing to follow an order. b A nurse's responsibility is to the assigned care recipient(s) and not others affected. c Nurses are responsible to speak up on behalf of compromised or vulnerable individuals. d All of the above statements are correct.

15. A health care professional is offering an educational session about providing culturally congruent care. Which of the following information would be included the presentation? a Hispanic Americans value keeping balance and harmony with the earth. b The oldest male is the decision maker in African American families. c Native Americans are present oriented, taking one day at a time. d The hot and cold concept of disease is part of the Arabic-American culture.

15. A nurse is assessing the nutritional-metabolic patterns of a pregnant woman. Which of the following findings would be of concern to the nurse? a The woman drinks about 1 gallon of water a day. b The woman works out at the gym daily. c The woman does not like vegetables. d The woman usually eats three meals a day in addition to two snacks a day.

15. A nurse is assigned to provide care for a 96-year-old bedridden man who experiences severe pain from a chronic neurological disease. The man asks the nurse to please help him leave this world so that his suffering will end. Which of the following actions would be most appropriate for the nurse to take? a Assist the doctor with the man's request. b Refuse to care for the man. c Contact the pain care specialist. d Provide the man with names of doctors who participate in assisted suicide.

15. Which of the following statements is NOT correct concerning adolescent sexual issues? Sexting is becoming an increasingly common practice among teenagers. Experimenting with same sex intimacy may put teens at risk for suicide. Fantasizing about sexual activities has been shown to lead to promiscuity. Anticipatory guidance appropriately includes information about contraception and STDs.

16. A nurse is assessing the language development of a 6-month-old infant. Which of the following findings would the nurse anticipate? a The infant forms two-syllable sounds. b The infant coos and makes vowel sounds. c The infant babbles. d The infant says "ma-ma" and "bye-bye."

16. A woman who is 23 weeks pregnant is concerned because her baby is moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse? a "Your infant is in distress. We should call an ambulance." b "You need to be more active; take a dance class once a week." c "At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus." d "You probably counted incorrectly."

17. A health care professional is caring for an individual who is homeless. Which of the following considerations should be made? a The prevalence of substance abuse is much lower among the homeless population than the general population. b The prevalence of HIV/AIDS is much lower among the homeless population than the general population. c The percentage of the population who has health insurance is much lower among the homeless than the general population. d The percentage of the population who has limited access to medical care is much lower among the homeless than the general population.

17. A nurse is educating a group of community members about how hypertension screening is effective in reducing the rate of cardiovascular disease, thus reducing the expenses that are spent on management of this disease. Which of the following ratios is being described? a Cost-disease analysis b Cost-efficiency analysis c Cost-benefit ratio analysis d Cost-effectiveness analysis

17. A nurse is monitoring the exercise of a 42-year-old woman. Which of the following would be the estimated maximum heart rate (MHR) for this woman? a. 126 b. 142 c. 178 d. 184

17. A nurse is working in the emergency department (ED). Which of the following situations would cause the nurse to suspect bioterrorism? a When two people out of twenty who ate at a restaurant come to the ED with nausea and vomiting b When a worker in a lab comes to the ED complaining of a severe headache c When thirteen people, aged 24 to 33, come to the ED with ascending flaccid muscle paralysis d When five people come to the ED with an upper respiratory infection

17. Which of the following infants is most at risk to experience child abuse? a The father has experienced paternal engrossment. b The infant responds to parental touch. c The infant's parents have low self-esteem. d The infant has been adopted.

18. A 52-year-old woman going through menopause tells the nurse working in the women's health center that she is interested in slowing down the aging process and asks if she should take estrogen. Which of the following statements would be the best response by the nurse? "The latest research has shown that estrogen is safe to take and will help keep you healthy. I'll tell the nurse practitioner that you are interested in estrogen therapy." "Estrogen is safe to take for about 10 years. I'll get you some information on estrogen therapy that you can take home and read." "The safety of long-term estrogen therapy is inconclusive. It is primarily used short-term to relieve hot flashes." "You can get the same effects from natural products in a health food store, and each product is backed up by research showing that it is effective."

18. A nurse is counseling a 40-year-old person who is going to start an exercise program. The nurse will base her guidance on a goal of the patient achieving the recommended RPE of 11 to 14, while exercising. Accordingly, which of the following heart rate ranges would the nurse encourage the person to maintain while exercising? a 70 to 140 beats/min b 80 to 143 beats/min c 90 to 153 beats/min d 100 to 180 beats/min

18. A nurse volunteered to work at a natural disaster site. Which of the following questions should the nurse ask to determine if the 26-year-old individual, being screened for depression, has suicide ideation? "Tell me about your pets." "What do you do for work? How has your work been affected by this disaster?" "Have you thought of harming yourself?" "Have you seen your friends since the disaster?"

18. A third grade teacher asks the school nurse what she can reasonably expect from children in her classroom related to language ability. Which of the following statements would be the best response from the nurse? "Children in the second grade should have about a 4000-word vocabulary." "Research has shown that children will learn to read more quickly if you use the whole word approach." "You can expect that the children will write "b" and "d" without reversing them, and all of the letters in a word will be about the same size." "You can evaluate the cognitive ability of the children in your classroom by noting how legible their writing is."

18. Autism disorder is common and is invariably encountered by nurses providing care for children. Which of the following statements is correct concerning this disorder? It is caused by maternal drug abuse especially cocaine during the in utero period. It is caused by child vaccines. It is considered as a genetically determined disorder. It is more common with children who had high Apgar scores as newborns.

18. Which of the following events poses the greatest threat to a toddler's health? a Childhood diseases b Complications from adverse vaccine reactions c Accidents d Influenza in an unvaccinated child

18. Which of the following individuals has a modifiable, nutrition-related risk factor for stroke? a African American man, age 65, who has a low salt intake b White woman, age 32, who follows the MyPlate recommendations c Russian man, age 40, who drinks 3 oz of vodka daily d Hispanic man, age 42, who exercises regularly

19. A nurse visits a 3-month-old infant of a single mother for a weight check. She finds two older children running around the home, the infant is crying, the mother yelling at the two children and a half-lit cigarette is in an ashtray. The mother tells the nurse the visit needs to be cut short today because she has to pick up her other children from the bus stop. Which of the following would be the most beneficial intervention this nurse can provide during this visit? a Advise the mother that the nurse will wait in the home until mom returns from the bus stop. b Advise the mother that if she does not reschedule the visit within 1 week, the nurse will notify child protective services. c Weigh the infant and offer community resources to the mother. d Offer to go pick up the other children at the bus stop.

19. The goal for the educational session is for the individual to correctly demonstrate proper technique for checking blood sugar levels. Which of the following teaching strategies would be most effective? a Provide the individual with one-on-one education about blood sugar monitoring. b Provide the individual with a scenario about blood sugar monitoring. c Provide the individual with the opportunity to practice blood sugar monitoring. d Provide the individual with a blood sugar monitor.

19. The nurse is working with a middle-age married couple whose son has just graduated from college. Which developmental tasks would the nurse expect to find in this family? a Attending activities for their son b Strengthening their marital relationship for future family stages c Acting as a launching center for their son d Responding to the prospect of changing careers

19. There is sometimes a conflict between health promotion and autonomy within a society. Which of the following concepts may be jeopardized in the course of public safety? a Educational choices including freedom to attend charter schools b Family dynamics and especially spousal privilege in a court of law c Civil liberties within a society d Constraints on provider's choice due to Affordable Care Act

19. Which of the following is a health plan consisting of hospitals and physician providers providing health care services to plan members (usually at discounted rates) in return for expedited claims payment? a Health maintenance organization (HMO) b Health savings account (HSA) c Preferred provider organization (PPO) d Independent practice association (IPA)

19. Which of the following is an example of a screenable population for hypertension? a High school students b Professional hockey players c High-level business executives attending an annual conference d Cardiac rehabilitation clients

19. Which of the following statements is correct regarding substance abuse and teenagers? Marijuana is the most frequently abused substance by teenagers. Opioid overdosing is on the decline secondary to better education on the hazards. Heroin is now purer than in the past, sometimes laced with fentanyl. Opioids when legally prescribed are safe and rarely lead to the use of street drugs.

2. A 2 1 2 -year-old toddler is in for an office visit. He was born at 6 pounds, 10 ounces. At today's visit, the nurse expects his weight to be a 13 pounds, 4 ounces. b 19 pounds, 14 ounces. c 26 pounds, 8 ounces. d 33 pounds, 2 ounces.

2. A nurse is discussing genetic disorders with a local community group. Which of the following statements would the nurse make during the presentation? a Down syndrome is most likely to appear during the preschool years. b Hemophilia is most likely to appear during the preschool years. c Cystic fibrosis is most likely to appear during the preschool years. d Multiple sclerosis is most likely to appear during the preschool years.

20. During a well-child visit, a father tells the nurse that the preschool-aged child has been enjoying their "road trips" that they take together. On such occasions, the child gets to sit in the front seat of the car with him. Which of the following actions should the nurse take next? Report the father to the local child protective agency. Encourage the father to have the child sit in the back seat instead. Instruct the father on the dangers of having small children in the front seat. Provide the parent with educational materials about car seat safety.

20. Two working adults do not have access to health insurance for their family via their respective employers and they do not meet the financial criteria for Medicaid. For which of the following federal programs may the children in this family be eligible? a Medicare b Civilian Health Medical Program for Uniformed Services (CHAMPUS) c State Children's Health Insurance Program (SCHIP) d Veteran's Administration Program

20. Which of the following effects of divorce on middle-age adults and children has been documented by research? Children adapt to divorce more rapidly than do adults. Emotional healing after a divorce takes approximately 24 months in adults. Children of divorced parents may have emotional effects lasting for decades Children of divorced parents undergo similar emotional turmoil as their parents.

21. A health care professional is searching for a funding source to develop a colorectal cancer screening program for ethnic and racial minorities in the community. Which of the following federal agencies would most likely be able to assist with this initiative? a The National Institute on Minority Health and Health Disparities b The Centers for Disease Control and Prevention c The Office of Minority Health d The National Institutes of Health

21. A nurse is counseling a 23-year-old woman about hormone-containing (estrogen or estrogen/progestin) contraceptive methods: oral, transdermal, injectable, vaginal ring, and implant methods. Which of the following risks of using these methods should be stressed by the nurse? Toxic shock syndrome Heavy menses Thromboembolic disorders (blood clots) Ectopic pregnancy

21. A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents? Do not read to the child while sitting on the sofa in front of the fireplace. Do not cook on a gas grill until the child is a teenager. Do not leave cigarettes and matches on the kitchen counter. Do not cook with the child in the kitchen.

21. A nurse is working at a women's health clinic and is asked by a care recipient when she should return for her next Pap test. Which of the following resources would the nurse use to find the most current recommendations? a National Health Information Center b Healthy People 2020 c US Preventive Services Task Force (USPSTF) website d Centers for Disease Control and Prevention (CDC) website

21. A teenager asks the school nurse for advice before getting a tattoo. Which of the following responses would be most appropriate for the nurse? "You should only get tattoos which can be covered by clothing on a job interview." "It is okay to get a tattoo providing that you only go to a licensed artist." "Tattoos are popular; however, they can lead to infection and/or bleeding." "A body piercing would be safer and less permanent."

21. An 18-month-old toddler is being seen for a well-child visit. Which of the following strategies would the nurse use to enlist the toddler's cooperation? a Ask the toddler if he wants to be examined today. b Ask his mother to leave the room while the nurse examines him. c Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest. d Have his mother hold him down while the nurse examines him.

21. The nurse is discussing an exercise prescription with a person. To help him determine the appropriate intensity, the nurse tells him that he should monitor his rate of perceived exertion. Which of the following should the nurse tell the man he should experience while exercising? a Talking and singing without difficulty b Feeling extremely fatigued c Having mild musculoskeletal discomfort d Being out of breath

22. A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next? Call the pediatrician on call. Give ipecac syrup. Call the Poison Control Center. Wait to see if the child will vomit.

22. The nurse is caring for a person who is obese, sedentary, and has recently been diagnosed with Type 2 diabetes mellitus. Which of the following goals for the person is correctly stated? a The person will exercise more often. b The person will consume 900 calories a day. c The person will walk one-quarter mile a day, 5 days a week. d The person will eliminate all refined sugar and processed foods from her diet.

22. The son of a 70-year-old man dying of cancer asks the nurse to tell him about the hospice program, so he can help his father decide if the program would be of benefit to him. Which of the following responses should be given by the nurse? a "At hospice, your father will be heavily medicated, so he will not have pain." b "All of your father's care will be provided by nurses at hospice." c "Hospice care can take place either at home or in a hospice facility." d "Visiting hours are about the same at hospice as they are here in the hospital."

23. A community health nurse is educating health care providers in a local clinic about steps to take to help their care recipients improve their health-related behaviors. Which of the following would be included as the nurse teaches about the acronym LEARN? a Explain how small changes can affect health. b Acknowledge that action needs to be taken. c Negotiate an agreement. d Refer to community resources.

23. A community health nurse is working with a diverse population of older adults within the community. Based on the data from the National Health Interview Survey, which of the following assumptions should be made by the nurse when working with this diverse population? a White Non-Hispanic older adults tend to require more assistance with their activities of daily living. b Hispanic older adults tend to rate their health as poorer than other ethnic groups. c Older adults who tend to rate their health as fair or poor are also financially poor. d Older adults tend to require more assistance

23. A nurse is developing learning objectives for an individual who is becoming more physically active. Which of the following is an example of an appropriately written affective learning objective? a The individual will understand the importance of daily exercise. b The individual will demonstrate the importance of daily exercise. c The individual will verbalize the importance of daily exercise. d The individual will believe in the importance of daily exercise.

23. A nurse is making a final home visit with a family to evaluate the nursing care plan. Which of the following actions would the nurse most likely complete during this visit? a Obtain vital signs from all members of the family. b Ask the family members to state the goals that were previously developed. c Collect data similar to that which was collected at the initial visit for comparison. d Educate about the importance of using role relationships to create a healthy family.

23. A nurse is planning a comprehensive health-promotion activity to provide community members with a better opportunity to manage their own risk. Which of the following activities would be most appropriate for the nurse to perform? a Obtaining blood pressures and distributing free BP home measuring devises b Obtaining blood pressures and family histories during a screening c Obtaining blood pressures and discussing the importance of exercise during a screening d Obtaining blood pressures and scheduling follow up visits with a hypertension clinic.

23. An inborn set of physiological changes that offset those of the fight or flight response is known as a self-efficacy. b catecholamine surge. c relaxation response. d catabolic response.

23. Which classification system fulfills needs that are exclusive to nursing? a The International Classification of Nursing Practice (ICNP) b The International Classification of Functioning, Disability, and Health (ICF) c The International Nursing Diagnoses Classification (NANDA-I) d The Nursing Diagnostic System (NDS)

23. Which of the following is the most common intraocular tumor in young children? Neuroblastoma Wilms' tumor Retinoblastoma Leukemia

24. A nurse is caring for a man who states he is ready to start exercising. Which of the following actions should the nurse take next? a Ask questions to test his sincerity. b Provide him with information on the benefits of exercising. c Develop an exercise prescription with him. d Refer the patient to a professional trainer.

24. An elderly care recipient has recently been diagnosed with cancer. The care recipient's family has asked the nurse to withhold this information from the care recipient because they feel that this information would cause the care recipient to give up on life and become very depressed. The nurse believes the care recipient should be told this information. Which ethical principle is being upheld by the nurse? a. Justice b. Beneficence c. Veracity d. Nonmaleficence

24. Which Tanner stage of male genital development is characterized by initial enlargement of the penis, mainly in length along with further growth of the testes and scrotum? a. 1 b. 2 c. 3 d. 4

25. A pregnant woman with two toddlers living at less than 135% of the federal poverty level would be eligible for a Medicare Part A. b Medicare Part B. c Medicaid. d State Children's Health Insurance Program (SCHIP).

25. Which of the following concepts of ethics is described as the "duty to maximize the benefits of actions while minimizing harm"? a. Advocacy b. Justice c. Beneficence d. Autonomy

25. Which of the following statements is correct concerning affirmations in the context of stress management? a Creating and coaching care recipients in the use of affirmations requires specialized training. b A therapeutic affirmation can be either a positive or a negative thought. c Repeating an affirmation throughout the day can reduce stress. d All of the above statements are correct.

26. A 14-year-old female is in for a physical exam. Which finding requires further investigation? A height spurt since her last visit Facial acne The lack of breast buds or breast development Noticeable sweating and body odor with activity

26. Which of the following goals would be consistent with Healthy People 2020, as it pertains to screening and health promotion? a Promoting mammography for all women b Encourage colonoscopy to screen for colorectal cancer for all adults c Educate high-school students regarding sun safety d Increase screening via cat scans to detect for brain tumors.

26. Which of the following statements about smoking is true? Black children begin smoking at an earlier age than do White children. Almost 90% of schools prohibit tobacco use in all locations. Each day over 6000 children try smoking. Tobacco use prevention programs should be initiated in eighth grade.

27. A 5-month-old boy was born at 6 pounds, 7 ounces. He is being seen in the office for a well-child visit. The nurse would expect him to weigh approximately a 10 pounds, 14 ounces. b 11 pounds, 7 ounces. c 12 pounds, 14 ounces. d 13 pounds, 7 ounces.

27. A child's parents ask the school nurse if there is any help available to help their child receive health insurance. They state they earn too much money to qualify for Medicaid but not enough to purchase health insurance. Which of the following recommendations should the nurse provide? "Currently, there is no health care program available for your child." "The school district has a health insurance policy that you can access." "The state has an insurance program to assist you." "You will need to find coverage through another member of your family."

27. A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a woman who is pregnant. Which of the following statements made by the woman indicates a need for further teaching? a "It is safe to eat up to 12 ounces of cooked fish weekly." b "I should avoid using caffeine during pregnancy." c "Consumption of one drink per day will not cause any harm to my unborn baby." d "Use of nicotine during pregnancy may cause my child to be born prematurely."

27. A nurse is using the Healthy People 2020 health promotion and disease prevention objectives for preschoolers when planning for health policy development in the community. Which of the following health policies would the nurse support? Increased regulation of WIC programs to insure compliance Decrease the number of children exposed to pet dander Regulation of the paint allowed for use with toys All of the above

28. A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as a managed care. b gate keeping. c utilization review d capitation

28. Which of the following statements is correct concerning vaccinations for the school-aged child? The first of two HPV vaccines is given at age 10; the second given during high school. Tetanus booster every 5 years or when an unclean wound is acquired. Meningococcal vaccine at age 11 to 12 All of the above statements are correct.

29. During a parent-nurse conference, the parent tells the nurse that her child sleeps approximately 7 h per night. Which of the following potential health problems would be of concern to the nurse? Hypertension Hyperactivity Obesity Type 2 diabetes

29. The country with the lowest infant mortality rate in 2011 was a Canada. b Mexico. c Sweden. d the United States.

3. A 26-year-old care recipient has a total cholesterol of 206 mg/dL and an LDL of 110. Which of the following conclusions can be drawn by the nurse? The care recipient has achieved the target levels for cholesterol in young adults. The care recipient has a very low risk of developing heart disease. The care recipient requires counseling about cardiac disease risk factors. The care recipient has early-onset cardiac disease.

3. According to the physical activity and fitness section of the Healthy People 2020 report, what percentage of adults 18 years of age or older report no leisure-time physical activity? a. 16% b. 26% c. 30% d. 46%

3. 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 health a. promotion. b. counseling. c. education. d. knowledge.

3. At a well-child visit, the parents of a toddler ask the nurse how they should teach their toddler the importance of dental hygiene. Which of the following actions should the nurse recommend to the parents? a Remind the toddler to brush his teeth every day. b Have the dentist tell the toddler about the importance of dental hygiene. c Schedule a time to brush their own teeth with their toddler. d Have the toddler watch an educational cartoon video on the teeth brushing.

3. By what age is an infant's retina fully developed? a. Birth b. 2 months c. 4 months d. 6 months

3. The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. The girl developed breast buds and started her height spurt at 12 years of age. Which of the following statements would be the most appropriate response from the nurse? "Usually, girls start menstruating when they develop breast buds; an endocrine evaluation might be warranted." "Everyone is different; it will happen in the near future." "Based on when the breast buds first appeared, she should start menstruating around in the age of 14." "She will not start menstruating until her breasts are of adult size and contour."

3. The school nurse has seen several students in the health office. For which of the following students should the nurse suggest a follow-up exam? A 14-year-old girl who has not experienced menarche A 7-year-old boy who has grown 2 inches in a year A 10-year-old girl who has gained 11 pounds in a year An 8-year-old boy who has lost four deciduous teeth in the past year

3. Which of the following is a normal physiological change that occurs during middle age? Increase in gastric emptying resulting in acid reflux Reduction in height resulting in kyphosis Reduction of glomerular filtration by 50% Increase in the amount of estrogen produced in both genders

3. Which of the following persons would be eligible to participate in the market place exchange program? a Individual covered by the Children's Health Insurance Program (CHIP) b An individual looking to shop for a better plan than what his employer provides c A newly unemployed individual who has lost his health care insurance d Anyone may participate in the Market Place Exchange Program

3. Which of the following statements about the dietary reference intakes (DRI) is correct? a The DRI is used to monitor deficiencies in nutritional intakes of obese populations. b The DRI is used to establish minimal amounts of nutrients needed to protect against nutrient deficiency. c The DRI is used to plan and assess diets of healthy people. d The DRI is used to set minimal guidelines to reduce risk of adverse outcomes from inadequate consumption of nutrients.

30. At 1 minute of age, an infant has a heart rate of 95, a strong cry, some flexion of extremities, a cry reflex, and is completely pink. Which of the following is a correct assessment of the infant's Apgar score? a. 4 b. 6 c. 8 d. 10

32. The mother of a 16-month-old infant asks a nurse her opinion about holiday decorating. Which of the following recommendations should the nurse provide to the mother? a Avoid hanging a wreath with holly and berries on the front door. b Avoid hanging decorative pictures of a bearded Santa Claus on the window. c Avoid placing poinsettia plants around the home. d Avoid hanging stockings on the fireplace mantle.

4. A mother is concerned because her 22-month-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother? a Put the child in time out whenever he skips a meal. b Offer small amounts of favorite foods (cookies, chips) at meals to stimulate appetite. c Limit the child's consumption of juices and cookies. d Talk to the child about how important it is to eat three meals a day.

4. A nurse believes that it is his responsibility to ensure the safety of the public by administering flu shots to everyone in the community. Which ethical theory is being used by the nurse? a Descriptive value theory b Normative theory c Consequentialism theory d Duty-based theory

4. A nurse is completing a well-child assessment of a 6-month-old infant. Which of the following guidelines should be used when assessing the infant's height and weight? a CDC growth charts b CDC body mass index (BMI) charts c WHO growth standards d Denver Developmental Screening height and weight standards

4. A nurse working on a post-partum unit of a large urban hospital has received a grant to begin a "Baby-Friendly Hospital Initiative" developed by WHO. Which of the following statements would the nurse most likely make when explaining the major premises of the initiative to the unit manager? a "This program is meant to encourage sibling visits in the early postpartum period, so the 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 breastfeeding of newborns through four months of age 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."

4. The public health nurse is conducting a screening of young adults for metabolic syndrome. When asked about the syndrome, which of the following responses should be made by the nurse? "Anyone who has low blood sugar, high cholesterol, and high blood pressure has this syndrome and is at risk for cardiac disease." "This syndrome helps predict heart disease. Once it is diagnosed, the correct medication can be prescribed and heart disease avoided." "This syndrome is a warning sign that the person could develop heart disease. When someone has metabolic syndrome, dietary and activity level changes are recommended." "Anyone who has high cholesterol, high blood pressure, and high blood sugar has coronary artery disease. Once we make the diagnosis, we can begin to treat the disease."

4. Which genetic disorder affecting the x chromosome is found in females? Gynecomastia Menstruation Turner syndrome Klinefelter syndrome

4. Which of the following statements concerning urinary incontinence is correct? a Urge incontinence occurs when one has the urge to void but is unable to do so. b Stress incontinence is associated with emotional turmoil. c Functional incontinence is associated with environmental barriers. d Incontinence with high post-void residual occurs when someone laughs or sneezes.

5. A nurse formed a political action committee to advocate for health insurance for the uninsured. On which of the following populations would the nurse focus the group's efforts? Asian Americans Blacks Hispanic Americans Working-poor White Americans

5. A nurse is determining caloric needs for a preschooler who weighs 18 kg. Which of the following represents the daily caloric needs for this child? a 1360 calories b 1540 calories c 1620 calories d 1800 calories

5. A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating? a Visual acuity b Pupil reactivity c Ability to drive d The red reflex

5. During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman's concern? a "Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately." b "Frequent heartburn is caused by high levels of hormones during pregnancy." c "Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy." d "Frequent heartburn during pregnancy requires immediate consultation with a gastroenterologist."

5. Which ethical theory is rooted in character-based ethics? a Duty-based ethics b Utilitarian-based ethics c Virtue-based ethics d The ethics of care

5. Which of the following illustrates that the objectives of health education and counseling are being met? a Diabetic who attends a diabetes education program b Diabetic who watches a video about self-administration of insulin c Diabetic who starts taking his medications regularly d Diabetic who is admitted in diabetic ketoacidosis

6. A community health nurse is educating a community group about the 2015-2020 Dietary Guidelines for Americans. Which of the following information would be included in this presentation? a Limit consumption of dairy products. b Purchase organic fruits and vegetables. c Choose nutritionally dense food and beverages. d Consume fish on a weekly basis.

6. A nurse is working with a family of an infant to improve their health perception and health management pattern. Which of the following interventions would be most appropriate for the nurse to implement? a Assess the home for safety hazards. b Teach parents appropriate coping mechanisms. c Demonstrate effective parenting skills. d Encourage appropriate stimulation of the infant.

6. Approximately how much sleep do toddlers require each day? a. 10 h b. 11 h c. 12 h d. 13 h

6. Healthy People 2020 would be most concerned with which of the following healthcare issues? a Promoting reform regarding deaths from gun violence b Evaluating the merits of single-payer healthcare c Treating vulnerable populations d Eliminating healthcare fraud which consumes available funds

6. Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. They ask the nurse for advice on how best to help their daughter. In addition to closer supervision to prevent such activity, which of the following recommendations should the nurse give to the parents? Talk to their daughter at length regarding the dangers associated with drinking. Have her favorite aunt, with whom she is very close, talk to her about drinking. Enroll their daughter in a peer support group focused on teenage drinking. Provide their daughter with literature regarding the dangers of drinking.

6. Which of the following elements is most likely deficient in a school-age child's diet? Protein Sodium Iron Vitamin B12

6. Which of the following foods will a 5-year-old child need help eating? a Pudding b Macaroni and cheese c Chicken d Jelly sandwich

7. A nurse is conducting a community education program about cognition in older adults. Which of the following information should be included? a Some form of mild dementia is a normal part of aging. b Confusion is a reliable indicator of dementia. c Assessment for dementia should be part of routine physical exams. d Elders who score below 27 points on the Mini-Mental State Exam (MMSE) are not likely to have a cognition problem.

7. A nurse is describing adults who are in the "sandwich generation." Which of the following provides the best description of this term? a Middle-aged adults who are starting a family at an older age b Young adults who are beginning to find jobs, marry, and start a family c Middle-aged adults who are caring for children and aging parents d Young adults who have several small children

7. A nurse is providing care for a 40-year-old adult with a BMI of 32. Which of the following best describes this person? a Normal weight b Overweight c Obese d Morbidly obese

7. Gordon's functional health patterns outline eleven (11) areas, which should be pursued for purposes of family assessment. Of the eleven areas, which one should be pursued first so as to provide an overview and also identify other patterns or areas which should be pursued further? a Cognitive-perceptual patterns b Self-perception-self-concept patterns c Health perception-health management patterns d Roles-relationships patterns

7. The mother of an 8-month-old asks what the minimum recommended amount of fat intake is for her infant. Which of the following would be the minimum recommended fat intake? a 18 g/day b 25 g/day c 30 g/day d 48 g/day

7. What is a potential problem which can arise when applying utilitarian theories of ethics to a particular problem or ethical issue? a Utilitarian theories do not account for individual culpability. b Utilitarian theories are based on direct cause and effect which may not apply. c Utilitarian theories tend to compromise the individual in favor of the society. d Utilitarian theories are rooted in an agriculturalist society vs society at large.

7. Which of the following individuals is statistically the most likely to have a child who will succumb to a cause of infant mortality? a A 30-year-old teacher who insists on delivering her baby at home, with a midwife b A 17-year-old African American with credits toward her GED and in good health c An Asian woman who is having a C-section due to small pelvis d A 26-year-old accountant who quit smoking 18 months ago when she moved to NY

7. Which of the following initiatives related to childhood nutrition outlined in Healthy People 2010 was most successful? Reduction of fat consumption Increase in consumption of fruit Adequate food supplies at home Reducing obesity rates

7. Which of the following statements is correct concerning aerobic exercise for young adults? Exercise improves cardiovascular function by decreasing capillary diameter in the muscles and heart. Raising heart rate to 150 beats per minute is not recommended for persons over the age of 25. Young adults are encouraged to engage in activity that raises heart rate to 150 beats per minute. Aerobic exercise should not be paired with muscle-strengthening activities so as to avoid over-taxing the heart.

7. Which of the following statements is correct concerning functional focus in assessing a care recipient? a It is an assessment unique to nursing. b It emphasizes the underlying disease process. c It refers to an individual's level of performance. d It is a newer replacement for the NANDA-International Taxonomy.

8. A nurse is caring for a woman who is in labor. The nurse anticipates that the labor will progress through which of the following sequences? a Dilation stage, pressure stage, placental stage, recovery stage b Dilation stage, pushing stage, pain stage, recovery stage c Dilation stage, pushing stage, placental stage, recovery stage d Dilation stage, pushing stage, placental stage, refractory stage

8. A nurse is collecting health assessment data about a person's coping mechanisms in relation to stressors. Who would provide the best source of this information? a Person's primary care physician b Person's spouse/significant other c The person d Expert objective analysis skills of the nurse

8. The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who do not have the disease. Which of the following measures of accuracy of the instrument is being evaluated? a. Sensitivity b. Specificity c. Validity d. Efficacy

8. The nurse working at the college health center is asked about tanning. Which of the following statements is correct concerning sun exposure? Good quality sun-block agents protect for the entire day and should be applied in the morning. Tanning beds are much safer than exposure to actual sunlight. Sun tanning should be avoided between 10 am and 2 pm. All of the above statements are correct.

8. Which of the following statements concerning infant nutrition is correct? a During hot and especially dry weather, infants should have supplemental water. b 50% of an infant's intake should come from protein to insure adequate growth. c Breast milk and formulas contain 50% of their calories from fat. d Skim milk started during infancy will help prevent later childhood obesity.

9. A nurse is working with UNAIDS to fight against HIV/AIDS at the global level. Which of the following activities would the nurse most likely be involved in? a Determining prevalence rates of HIV/AIDS in African countries b Analyzing stats regarding which medications are most effective in raising T cell counts c Providing treatment access for all HIV-positive individuals who need medication d Reporting confirmed cases of HIV to the World Health Organization

9. A nurse who is using Gordon's functional health patterns is planning to assess its roles-relationships pattern. Which of the following questions would be most appropriate for the nurse to ask? a What is the family's philosophy of health? b What does the family do to have fun? c How are problems in the family resolved? d Who decides when and how children go to sleep?

9. A nurse working in a rural location is interested in starting a weight management group for care recipients in the area. Which of the following interventions is most likely to ensure success? Using a pre-set list of topics for discussion to be sure to cover all important areas Using standardized, validated State materials/tools to relay information to the group Asking for a list of topics that interest the group Beginning each session with a 1 to 2-mile walk

9. Which of the following would be consistent with viewing health behavior through an ecologic model? a Viewing health in terms of energy saving focus. b Viewing health in terms of an individual's inner feelings. c Viewing health in terms of an individual's interaction with their environment. d Viewing health in terms of an individual achieving self-actualization.

A nurse is asked to provide an expert opinion about the development of an education program for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n) a advocate. b care manager. c consultant. d educator.

A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools? a The number of questions asked on the assessment tool b The linkages of the assessment to Healthy People 2020 c The amount of involvement that the family has in completing the tool dThe capability of the tool to assess goals and outcomes

A nurse is planning to deliver an educational program to individuals with diabetes. Which of the following should be the initial action taken by the nurse to ensure the success of the program? a Assess the motivation level of the individuals b Assess the knowledge level of the individuals c Establish teacher-learner goals with the individuals d Establish multiple teaching sessions with the individuals

Healthy People 2020 objectives provide a framework for a. assessment. b. diagnosis. c. prevention. d. treatment.

The nurse recommended to a 50-year-old woman that she schedule a routine mammogram. Which of the following would be the most important factor in this woman's decision to schedule this exam? a Race b Ethnicity c Cultural values d Value orientation

Which US report is considered a landmark document in creating a global approach to health? a The 1990 Health Objectives for the Nation: A Midcourse Review b Healthy People 2020 c Healthy People 2000 d The US Surgeon General Report

Which of the following best describes a care recipient who has an illness? a Someone who has well-controlled diabetes b Someone with hypercholesterolemia c Someone with a headache d Someone with coronary artery disease without angina

Which of the following statements accurately reflect primordial prevention? a It concerns interventions directed at the fetus while in utero to assure lifelong health. b It is a more modern term used interchangeably with primary prevention. c It is a health-promotion strategy which reflects policy-level interventions. d It refers administering vaccines to prevent individuals from developing the disease.

Which research methodology should be used to address the question, "What is the difference in the infection rates between individuals who receive twice-a-day dressing changes versus once-a-day dressing changes?" a Evidence-based practice research b Qualitative research c Quantitative research d Clinical judgment research

3. A community health nurse is developing educational materials related to nutrition. Which of the following resources would be most appropriate for the nurse to use? (Select all that apply.) a FDA pre-market review of dietary supplements b MyPyramid c Dietary reference intakes (DRIs) e MyPlate

c,d

Which of the following statements about the financing of health care in the United States is accurate? (Select all that apply.) a Employee-sponsored health insurance premiums experienced minimal increases from 2001 to 2011. b State tax dollars must fund at least 50% of a state's Medicaid cost. c The largest percentage of health care dollars is spent on hospital care. d Most workers who have an employer-sponsored health insurance plan are enrolled in preferred provider organizations (PPOs).

c,d

1. A nurse is planning to write a grant for a health-promotion project in the community. Which of considerations should the nurse make when determining the appropriate population for this project? a The fastest growing population is children under the age of 12. b The fastest growing population is young Black American adults. c The fastest growing population is White middle-age adults. d The fastest growing population is non-White older adults age 65 and older.

1. At a well-child visit, a 2-year-old toddler measures 2 feet 8 inches tall. The nurse estimates the toddler's approximate final adult height to be a 4 feet 8 inches. b 5 feet. c 5 feet 2 inches. d 5 feet 4 inches.

1. The school nurse conducting an in-service program for teachers is asked about general growth and development of school-age children. Which of the following statements would be the best response by the nurse? "By age 11, blood pressure readings are the same as for an adult." "Because of the rapid growth pattern in this age group, snacks are important to ensure sufficient caloric intake." "Children in this age group have some difficulty with coordination and balance, so playground supervision is important." "Overall growth in school-age children is slower than during infancy and adolescence."

1. Which of the following represents a method of tertiary prevention? a Drunk driving campaign b Road blocks for drunk driving c Emergency surgery for head trauma after a motor vehicle accident d Physical and occupational therapy after a motor vehicle accident with head trauma

1. Which of the following statements is true with regard to health promotion? a Health-promotion efforts are not concerned with addressing environmental obstacles to health. b Advocates of health promotion are not involved in political campaigns against harmful products. c The business of eliminating health disparities is a unique function of Healthy People 2010 goals. d Health promotion involves collaboration of many professional groups.

10. A 37-year-old woman asks the nurse if she should take a daily nutritional supplement. Which of the following would be the best reply by the nurse? a "Postmenopausal women should take a calcium supplement to prevent osteoporosis." b "Many people use supplements as drugs instead of as supplements." c "Supplements can enhance the medications that you take." d "The best way to obtain nutrients is by eating a variety of foods."

10. A 4-year-old girl asks her mother for a second cup of yogurt before starting to eat the first cup she was given. What will the child most likely do with the extra helping? a Eat it herself. b Ask her brother if he wants it. c Feed it to her dog. d Give it to her imaginary friend.

10. A 52-year-old postmenopausal woman tells the nurse that she is afraid she will develop osteoporosis like her mother did. Which of the following statements is the most appropriate response by the nurse? "The American diet is much better now than when your mother was your age." "You have a strong genetic risk factor. The odds are that you will also develop osteoporosis." "You need about 1000 mg of calcium a day to keep your bones strong. Let's talk about your diet." "Tell me about your diet, how much walking you do each day, and what medications you take."

10. A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage? a Providing constant reinforcement and education about the labor process and assisting the woman with pushing b Explaining unusual interventions such as the use of a fetal heart monitor c Assisting with labor discomfort by modeling breathing d Teaching the new mother positioning of the infant to assist with breastfeeding

10. An Asian American family has recently immigrated to the United States. Which of the following would provide an appropriate rationale when encouraging the family to send their child to school? a The child will get a good education. b According to law, all children must go to school. c The child can get health care at school. d Exposure to different cultures in school will enhance socialization.

10. Which of the following reflects Piaget's theory as applied to young adults? Voting for a candidate based on popularity Voting for a candidate based on media advertisements Voting for a candidate based on support of the candidate by peers Voting for a candidate based on analysis of views about various issues

11. A nurse is providing education to a community support group about ways to decrease stress. Which of the following would be the initial nursing intervention discussed by the nurse? a Explain how support groups function. b Demonstrate deep breathing techniques. c Practice guided imagery techniques. d Help people to identify their response to stress.

11. A nurse using the four-step public health approach to respond to violence. Which of the following actions would occur as the nurse identifies risk and protective factors? a Planning a community-based educational program to respond to violence b Reviewing police reports and population-based surveys c Interviewing local community members about their experiences with violence d Examining characteristics in the community where violence has not occurred

11. During a well-child visit, parents report to the nurse that they are concerned that their 8-year-old son has started wetting the bed at night. Which of the following statements should the nurse make to the parents? "I'll be sure to mention this to the doctor; we rarely see a child who wets the bed at this age." "There is not much you can do to stop this problem until he gets older." "This is a common disease in children his age but there are treatment options." "I'm going to collect a urine sample from him and then we will talk about bed wetting."

12. A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D, as well as exercise for this woman.This recommendation is important because bone loss accelerates rapidly during the first 5 years after menopause and can approach a _____ loss of peak over a woman's lifetime. a. 3% b. 7% c. 15% d. 40%

12. The occupational health nurse is planning a health fair for employees. Which of the following information about dental health should be included? Drinking bottled water helps prevent tooth decay. Gingivitis results in bone destruction and can be eliminated by flossing daily. Preventive dental care requires a visit to the dentist every 4 months. In addition to screening for tooth decay, dentists often screen for mouth cancer.

13. A nurse is discussing sleep patterns in school-age children. Which of the following should be stressed by the nurse? Sharing a bed with siblings/parents has a long-lasting psychological impact. School-age children need between 6 and 9 h of sleep a night. Daytime naps are important in children until they reach the age of 9 or 10. School-age children generally agree with and adhere to a regular bedtime.

13. The nurse conducted a community health-education program about the benefits and limitations of alternative therapies. The nurse recognizes that learning has occurred when a participant makes which of the following statements? a "Acupuncture is a technique that can be easily learned and practiced." b "Hypnosis can be safely used by a licensed hypnotist to treat all cases of anxiety." c "Reiki is a type of massage that can be used to relieve stress." d "Herbal products must be used with caution because some can interact with prescription medications."

13. Which of the following people has exceeded the recommended guidelines for activity? A 36-year-old man who engages in bike riding and has a pulse rate of 137 during activity A 45-year-old woman who swims and has a pulse rate of 145 during activity A 50-year-old man who jogs and has a pulse rate of 120 during activity A 60-year-old woman who walks briskly to achieve a pulse rate of 135 during activity

13. Which of the following statements is correct concerning young adults in the workforce? Women generally experience less workplace stress than do men. The trend has been toward shorter hours and shorter work weeks. With better job prospects, young adults will be ahead in wages for years to come. Work is of primary importance to young adults and helps form their self-image.

14. A community health nurse is working with a low-income family who is experiencing food insecurity. To assist the family in getting nutritious foods in their home, the family should be referred to which of the following programs? a Nutrition Service Incentive Program (NSIP) b Supplemental Nutrition for Women Infants and Children (WIC) c National School Lunch Program (NSLP) d Supplemental Nutrition Assistance Program (SNAP)

16. The nurse is assisting a person to develop a positive attitude toward exercise. Which of the following nursing interventions would be most successful when working with this person? a Educate the person that 60 minutes of moderate to strenuous exercise a day is required to lower the risk of heart disease. b Suggest that the person participate in a formal exercise program that has been demonstrated to produce the best results. c Educate the person that exercise patterns established in young adulthood are more effective than those established later in life. d Suggest that the person walk at a moderate pace for 30 minutes a day, 5 days a week for improvement in physical and psychological health.

16. Which of the following statements about smallpox is accurate? a Smallpox results in a rash that looks similar to the chickenpox rash. b Side effects from a smallpox vaccine include acute renal failure. c The last case of smallpox occurred in 1997. d The rash associated with smallpox is most prominent on the face and extremities.

18. A nurse is caring for a family with an adolescent child. Which of the following problems would the nurse anticipate that the family would report? a Concerns about career decisions b Concerns about exposure to environmental hazards c Difficulty with parents finding fulfillment with raising the child d Difficulty with open communication with the child

18. A nurse is counseling a patient about styles of communication commonly used when dealing with conflict involving another person. Which of the following statements illustrates the most appropriate and effective communication style? a "I am so angry that you are late again that you are grounded for a week." b "When you are late, I am hurt." c "Because you cannot be on time, you cannot have the car for a week." d "I feel anxious when you do not come home on time because I worry about your safety."

18. When providing preoperative teaching for a care recipient who will be undergoing total knee arthroplasty, the nurse asks the care recipient questions to assess his understanding of the surgery. Which type of ethics is the nurse implementing? a Duty-based ethics b Normative ethics c Metaethics d Preventive ethics

2. A nurse is completing a health counseling session with a 25-year-old woman. Which of the following statements should be made by the nurse during this session? "A yearly Pap test is recommended for detection of ovarian cancer." "Research supports that breast self-exams reduce breast cancer mortality." "The incidence of cervical cancer is very low in your age group." "Daily physical activity and weight control is one way to stay healthy."

2. Which of the following best describes the nurse's role in health promotion and disease prevention? a Educating about home safety measures b Identifying areas for family improvement c Implementing the nursing process using a systems perspective d Acting as a role model for the family

20. A hurricane has just caused extensive damage within a local community. Which of the following are community members at risk to experience? a Unequal access to health care b Exposure to community-associated methicillin-resistant Staphylococcus aureus c Increased incidence of suicide d Outbreaks of acute respiratory infection

20. A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed? a. Assessment b. Implementation c. Planning d. Evaluation

20. The nurse has made a home visit and has assessed the family and its members. The nurse notes that one of the family members is having a problem with ego integrity and has assessed that a patient is having an issue with ego integrity and may require additional professional support. Which of the following family members is most likely to be experiencing this problem? a The 8-year-old child who is being bullied by schoolmates b The 40-year-old father who is facing challenges of a new and demanding job c The 38-year-old mother who is trying to balance work, family and career d The 64-year-old grandfather who is just drawn his first social security check

21. A care recipient is scheduled to have open-heart surgery. His physical condition is such that he is at high risk to experience complications during the procedure, but he has not been advised of this possibility. Which of the following ethical concepts has been ignored in rendering care for this care recipient? a Beneficence b Autonomy c Justice d Informed consent

21. A nurse has developed a family nursing diagnosis. Which of the following best describes the purpose of this action? a Describes the strengths of the family b Allows for creation of goals for the family c Promotes behavioral change among family members d Validates health problems with the family

21. A person is preparing to return home following a 2-week hospital stay for congestive heart failure and pneumonia. Which of the following referrals would be most beneficial for the person? a Transportation assistance b Home-delivered meals c Adult day care d Home health nursing

21. During a prenatal visit, a pregnant woman informs the nurse that she and her husband have chosen godparents for the baby. This finding is based on an assessment of which functional health pattern? a Cognitive-perceptual pattern b Self-perception-self-concept pattern c Health perception-health management pattern d Values-beliefs pattern

21. Which of the following is an example of passive immunity? a An attenuated (weakened) but live vaccine—measles, mumps, rubella (MMR) b A toxin of the disease organism, which fosters immunity c Diphtheria, tetanus, and acellular pertussis (DTaP) killed vaccine d Protection from drinking breast milk

22. A nurse is advocating for improved disease prevention and health promotion within the local community. Which of the following interventions would the nurse most likely implement? a Educate community members about the violence rates that exist within the community. b Administer flu shots for elderly at a local senior citizens center. c Participate in a disaster planning committee within the community. d Talk with a state legislator about improved access to health care for the uninsured and underinsured.

22. A teenager is expecting her menstrual period on May 14. On which of the following dates would the nurse recommend that she perform a self-breast exam? May 11 May 14 May 17 May 23

22. Which of the following is the most common poison ingested by infants? a Houseplants b Lead c Cleaning agents d Aspirin

23. A nurse is caring for a person who has a diagnosis of "Sleep disturbance related to stress as evidenced by excessive daytime fatigue." Which of the following nursing interventions would most likely to assist this person? a Encourage daytime naps. b Encourage exercise 1 h before bedtime. c Encourage a cool shower before bedtime. d Encourage a consistent sleep-wake schedule.

23. Which is a violation of the Health Insurance Portability and Accountability Act of 1996? a Nurse reporting a case of TB to the health department b Nurse reporting a case of child abuse to the Department of Human Services c Nurse discussing the person's case with his or her physician d Nurse discussing the person's case with his or her school nurse

24. A nurse is developing learning objectives for an individual who has been recently diagnosed with asthma. Which is an example of an appropriately written psychomotor learning objective? a. The individual will understand how to correctly use an inhaler. b. The individual will realize the importance of using an inhaler correctly. c. The individual will feel better when using the inhaler correctly. d. The individual will demonstrate proper use of the inhaler.

24. Which is a common temperament pattern described by Chess and Thomas? a The fussy child b The happy child c The unhappy child d The slow-to-warm-up child

25. A nurse is counseling a person who was recently diagnosed with diabetes about how to prevent the complications of this disease. Which of the following interventions would be stressed the most by the nurse? a Adjusting sliding scale insulin therapy as needed b Taking oral hypoglycemic medication as prescribed c Monitoring blood glucose daily d Adhering to medical nutrition therapy

25. A nurse is providing follow-up care for a family who has recently had a baby. Which of the following topics should the nurse anticipate discussing with the family? a Type 1 diabetes b Fetal alcohol syndrome c Communicable diseases d SIDS

25. A school nurse is caring for a child with an upper respiratory tract infection. Which of the following nursing interventions should the nurse implement? Send the child with a mild sore throat back to class. Advise the parent of a child with a group A strep throat infection that they cannot return to school for 5 days. Educate the parent that treatment of group A strep infections usually requires extra fluid intake. Ask the parent of a child with a mild fever and mild sore throat to take the child to his or her health care provider.

25. The nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding has the potential to trigger an asthma exacerbation? Radiator heating system Air conditioner Hardwood flooring

26. A woman is going for a 2-h hike in the Grand Canyon and she asks the nurse how much fluid she should take along with her. Which of the following recommendations would be the most appropriate response? a Bring at least 24 ounces of water. b Bring at least 72 ounces of water. c Bring at least 24 ounces of sports drink. d Bring at least 72 ounces of sports drink.

26. Which person is at highest risk for being uninsured? a 68-year-old retired mailman b 48-year-old on renal dialysis c 2-year-old whose parents work but do not have benefits through their employers d 27-year-old who attends college and works part-time in a small pizza parlor

27. A man is telling a nurse that he feels that his health is a gift from God. This statement most closely coincides with beliefs of which cultural group? a African b Alaska Native c Asian d Hispanic

27. Which of the following screening parameters is NOT included among recommended preventative screening services for children and adolescents? a Anemia screening b Screening for high blood pressure in children c Screening or major depressive disorder d Screening for IQ in children

28. During a prenatal visit, pregnant parents ask the nurse what they can do to prepare their 4-year-old child for the birth of the new baby. Which of the following actions would be most appropriate for the nurse to suggest? a Discourage any negative comments the child makes about the baby or the pregnancy. b Do not make any plans regarding the baby in front of the 4-year-old child. c Provide him with very detailed information about the pregnancy and the birth. d Ask the 4-year-old boy to help decorate the new baby's room.

28. Which of the following statements as it pertains to patient assessment is accurate? a Patient perceptions are subjective thus not reliable data for the assessment purposes. b Previous compliance to regimens introduces prejudice thus should not be included. c Means to access health (finance, insurance, etc.) is best delegated to the social worker. d Exploring values can identify health hazards and unrealistic expectations.

29. A nurse makes a home visit to a 15-month-old following a hospitalization for a fall. Which finding would be concerning to the nurse? a Radiator heating system in the home b The child drinking from a cup c The child experiencing a temper tantrum d A decorative bowl filled with colorful marbles on the coffee table

3. A nurse is determining if children with severe acute malnutrition (SAM) should receive facility-based or community-based care. Which of the following children should receive care in the community? a 3-year-old male who has a history of dehydration b 9-month-old male with a poor appetite whose family has adequate resources to obtain the recommended treatment c 4-year-old female who has sensitivity to milk products d 6-month-old female who has a good appetite and no underlying medical conditions

3. A nurse is discussing various types of stress to a group of adults. Which of the following would be used as an example of eustress? a Increasing alcohol intake to deal with loss of a job b Avoidance of social activities because of anxiety c Severely limiting food intake as a way to control stress d Joining a cardiac rehabilitation exercise program after a myocardial infarction

3. During a health history, a person reports getting 5 h of sleep a night. What does this information indicate to the nurse? a The person is not receiving enough sleep. b The person is receiving adequate sleep. c The nurse must determine where the person sleeps. d The nurse must ask additional questions.

3. During which week would pregnancy begin to pose health concerns for the fetus? a 36 weeks b 38 weeks c 40 weeks d 42 weeksd

3. Which of the following statements concerning nutrition and older adults is true? a Older adults who live in their own homes are more likely to be malnourished than older adults living in a nursing home. b Older adults lose their desire for high-fat, salty foods. c Meals served in long-term care institutions are usually more well balanced than foods eaten by older adults living at home. d Many older adults are not aware of food assistance programs.

4. A community health nurse is using the dietary reference intakes (DRIs) as a guide while developing an education presentation about nutrition for a community group. How will the use of the DRIs be helpful in developing this presentation? a It considers the unique differences among children, pregnant women, and elderly people. b It contains well-researched data that are reviewed on an annual basis. c It is prescriptive in the amount of nutrients that are needed on a daily basis. d It serves as an overall guideline for the population.

4. A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing? a Risk-factor b Structural-functional c Open systems d Developmental

4. An overweight woman joins a support group to help her lose weight. During her first session, the nurse explains the components of a healthy diet and discusses with the woman how she can eat out and still maintain a healthy diet. She asks the woman what her goal is and emphasizes that she herself is the key to success. What is the nurse promoting through the use of this strategy? a Communication b Values c Advanced planning d Empowerment

4. Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person's function pattern by utilizing which area of focus? a. Age-developmental b. Functional c. Individual-environmental d. Pattern

5. The Health of the Nation is an annual report prepared by the US Department of Health and Human Services. Which of the following statements would accurately represent findings for the 2014 report? a Cancer is the number one cause of deaths, followed by heart disease. b Life expectancy has increased for women and remained static for men. c Suicide and drug-related deaths have decreased secondary to education programs. d Smoking for persons 18 years and over has dropped.

5. Which genetic disorder affecting the x chromosome is found in males and is often diagnosed at puberty? Gynecomastia Menstruation Turner syndrome Klinefelter syndrome

5. Which of the following statements is correct? Tonsils in a school-age child are smaller than in an adult. The nervous system generally matures between ages 11 to 13. Fractures heal more slowly in a 10-year-old child than in an adult. Overweight children have muscle pain more often than average-weight children.

6. A 75-year-old man tells the nurse that he has difficulty staying asleep during the night. Which of the following responses should be made by the nurse? a "It is best to avoid milk or reading before bedtime." b "I'll ask the nurse practitioner to prescribe a sleeping pill for you." c "Taking naps during the day can help relieve excessive fatigue and will help you sleep better." d "Let's talk about your sleep schedule and things that may prevent you from getting a restful night's sleep."

6. The school nurse has been asked to present a workshop on CA-MRSA for high school teachers. Which of the following information would the nurse most likely include? a CA-MRSA is a common viral infection that responds well to antiviral meds. b CA-MRSA is a serious bacterial infection that does not spread easily. c CA-MRSA is a fungal infection common in school settings. d CA-MRSA is a potentially fatal skin infection that is difficult to treat.

7. A person asks the nurse: "Why was MyPyramid replaced with MyPlate?" Which of the following would be the best response from the nurse? a "The USDA is constantly making changes in order to decrease the alarming rates of obesity in our country." b "MyPyramid" was developed in 2005, so it was time for this graphic to be revised." c "The creation of MyPlate has decreased the need for additional teaching resources for nutrition." d "MyPlate serves as a better visual aid, reminding Americans what a healthy 'plate' looks like."

7. Which represents a disadvantage of screening? a Utilization of group screening methods b Utilization of multiple test screening c Utilization of a test with high specificity d Utilization of a test with low sensitivity

9. A deviation of the line of vision from the midline resulting from extraocular muscle weakness or imbalance is known as a. amblyopia. b. farsightedness. c. nearsightedness. d. strabismus.

9. A nurse is working with a local day care center to develop appropriate outdoor play activities for 5-year-old children at the center. Which of the following activities would the nurse most likely recommend? a Having the children bring their bikes to the center so they can go for bike rides in the neighborhood b Drawing outdoor scenes using portable easels and chalks or crayons c Taking the children swimming at the neighborhood pool d Playing on the outdoor preschool equipment while being supervised by day care personnel

9. Which of the following statements is correct concerning the "obesity paradox" as it pertains to older adults? a Obesity in older adults is more detrimental than it is for younger adults. b Unlike younger people, fruits and vegetables cause obesity in elderly people. c Obesity in older adults is not related to caloric intake or exercise. d Obesity in older adults is not clearly linked with shorter life span.

A major cause of death in the early twentieth century was a cancer. b cerebrovascular disease. c heart disease. d infections.

A nurse is encouraging members of the community to advocate for the prevention of premature deaths in children under the age of 5 at the international level. Which of the following interventions would most likely be discussed by the nurse? a. Using mosquito netting in sleeping areas b. Participating in international vaccination programs c. Implementing accident prevention programs d. Providing nutritional supplements

A person with chronic back pain is cared for by her primary care provider, as well as receives acupuncture. Which model of health does this person likely favor? a Clinical model b Role performance model c Adaptive model d Eudaimonistic model

During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the nurse is acting as a(n) a advocate. b care manager. c consultant. d educator.

When providing an educational session about the Arab American population, which of the following information would be included? a The largest groups of Arab Americans were refugees in the 1960s. b The largest groups of Arab Americans are from Palestine and Iraq. c Members of the Arab American population are most likely to live in rural communities. d Members of the Arab American population are more likely to have college degrees than Americans at large.

Which factor may have the most influence in changing the health behavior of a single, adult woman who smokes and is the care provider for her mother, her own children, and granddaughter? a Education regarding effects of smoking on her health b The satisfaction that she will not contribute to secondhand smoke c The availability of a weekly support group d A gift card for $10 to a local grocery store for every week she is smoke free

Which of the following demonstrates a nurse taking action to promote health and prevent disease? a Making a home visit to a person who is recovering from a heart attack b Administering medications to a cardiac care recipient in the hospital c Providing cardiopulmonary resuscitation during a heart attack d Educating a person about the advantages of a heart-healthy diet during a home visit

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