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NUR 1390 FINAL REVIEW QUESTIONS
WITH COMPLETE SOLUTIONS
What is the primary role of the nurse in health promotion? - Providing health information to patients and their families. According to the World Health Organization, which is the definition of health? - State of complete physical, mental and social well-being. Which of the following is not a factor in determining health? - fashion trends Which action demonstrates a nurse taking action to promote health and prevent disease? - Educating a client about the advantages of a heart-healthy diet during a home visit. Which method would be most effective for the nurse to use when trying to determine the priority health-related learning needs of a client? - Ask the client what learning needs he or she has about their current state of health. Using a mannequin, the nurse has demonstrated wound care for a client. What would be the best nursing action to promote client teaching? - Have the client perform the wound care with the nurse present to supervise. Which of the following best describes a care recipient who has an ILLNESS? - someone with a headache
Halbert and 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 this model? - The focus is on environment and the ability to achieve health on a personal and societal level. Which of the following is one of the overreaching goals of Healthy people 2020? - Achieve health equality and eliminate disparity in all groups Which of the following represents a method of secondary prevention? - yearly mammograms What was a major cause of death in the early 1940's? - infections Which of the following indicted that the objectives of health education and counseling are being met? - Diabetic who starts taking his medications regularly 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? - Provide the individual with the opportunity to practice blood sugar monitoring. A client comes to the clinic with complaints of abdominal pain and diarrhea. The nurse takes the client's temperature. Which phase of the nursing process is the nurse implementing? - assessment
In the assessment of family structure, what is most important for the nurse to understand? - An individual may experience many different family structures over a lifetime. Which family pattern is most likely to cause role overload? - single parent family Which statement is most indicative of a healthy family? - We were able to adapt to the challenge of a newborn by rotating night duty. Why is it important for the nursing staff to document a family's genogram? - To determine biologic risk factors. Which statement best describes the impact of life events on family health risk? - Ordinary and extraordinary events pose potential risks to the health of families. Why does the nurse perform a family Apgar assessment? - to assess family function Which of the following would be the BEST definition of family?
- Interacting individuals related by blood, marriage, cohabitation, or adoption A nurse is caring for a patient who retired from his job recently. What manifestation of altered family function is the patient most likely to face? - emotional problems
The nurse is begins to assess a family according to family theory. Which action will the nurse complete first? - family structure and lifestyle changes A nurse in community health is working with a single parent of three children, ages 4, 6, and 8. The 6-year-old has cerebral palsy. The 4-year-old has asthma. The maternal grandmother lives with the family and has diabetes. The nurse understands the importance of working within the context of the existing family structure and community resources because families are:
- Responsible for providing/managing the care of their members. 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? - Considering the cost of the purchasing medications What stage of the family life cycle is described below? · Investment in spouse as major emotional source, developing common expectations about parenthood, Interdependence. - marriage A nurse is using a genogram to represent a family. Which of the following statements is accurate? - A genogram can be used to make connections about family health patterns. A nurse has developed a family nursing diagnosis. Which of the following best describes the purpose of this action? - Validates health problems with the family Correct
In some cultures, individuals are less assertive in interactions with others. Which statement will be important to remember while caring for these individuals? - The person is likely to be listening carefully although they are asking few questions. The patient who is Hispanic is newly diagnosed with Diabetes. When creating a teaching plan for the client, which objective demonstrates culturally sensitive education? - Discuss foods commonly eaten by Hispanics You move to a rural area to practice nursing. Why is it important to understand the culture of the area? - New health care practices are more readily accepted if they are sensitive to the cultural views. A patient has walked into the health care clinic for a routine checkup. Why is it important to ascertain his cultural background prior to beginning the health history interview. - Because it may determine the spatial arrangement of the room Which scenario represents a dysfunctional pattern? - Salesman who sleeps only 5 h a night Which of the following nurses is providing culturally competent care to the care recipient? - A nurse who honors a Native American care recipient's request to allow an ICU visit from the tribe's medicine man. A nurse is preparing to deliver a food tray to a Jewish client. The nurse checks the food on the tray and notes that the client has received hamburger and whole milk as a beverage. Which is the
appropriate action for the nurse? - Call the dietary department and ask for a new meal tray What do the developmental theories of Freud, Piaget and Erikson have in common? - There are tasks to be accomplished before proceeding to the next stage. According to Maslow, which of the following is a basic physiological need? - Drinking eight glasses of water a day The 8-month-old, who is developing appropriately, is hospitalized. The mother is holding the child who is crying. Which developmental stage, according to Erikson, should the nurse consider when approaching this child? - trust vs. mistrust A school nurse is obtaining the height and weight of a 9-year- old child. Which of the following is the best method to assess the child's growth? - Use serial measurements over time An infant's central nervous system develops before his peripheral nervous system. This pattern is an example of which of the following? - Proximodistal Which of the following would be an example of differentiation as a pattern of development? - An infant uses his whole hand to grasp and months later he has a pincer grasp A mother comes to the pediatric clinic and says to the nurse, "I am worried about my 11-month-old baby because he is not crawling yet and his brother crawled when he was 11 months old. Is something wrong?" Which of the following statements
Which of the following best describes an abnormality in structure or function that occurs during fetal development? - Congenital defect 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? - "You should gain 15 to 25 pounds during your pregnancy." When is the most critical period for teratogenic effects? - Embryonic ( 2 weeks to 8 weeks) A nurse is assessing a woman for positive signs of pregnancy. Which of the following assessment findings would the nurse discover? - Detection of fetal heart tones 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? - 8 What is the most important factor to help woman cope with pregnancy? - family and community support How does a teratogen affect a baby's development? - By causing defects that influence future life. A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would
like to know if it is now safe for her to have a drink with dinner. The nurse should tell her: - "Because no one knows how much or how little alcohol it takes to cause fetal problems, it is recommended that you abstain throughout your pregnancy." Marta Sanchez is 8 months pregnant. She told the nurse that she knows her baby listens to her, but her husband thinks she is imagining things. Which one of the following responses by the nurse is most appropriate? - "Babies in the uterus do respond to their mother's voice." The nurse in the delivery room is caring for the newborn. Which action is the most important and immediate action for the nurse to take? - do the apgar score An infant who weighed 7.5 pounds at birth now weighs 15 pounds at one year. What could this indicate? - The baby's weight is below the expected weight gain. Which category of pregnancy signs are Subjective and can only be reported by the patient? - Presumptive signs The nurse is assessing a client during a prenatal appointment. The client asks why she needs to take prenatal vitamins. Which of the following responses by the nurse is accurate? - Prenatal vitamins ensure you are getting more than 100% of your daily vitamin requirement, which is important for healthy fetal development." A 17-year-old pregnant client is receiving prenatal care at the health clinic. The client states the anticipation of her body
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? - Ask the mother if she would like an interpreter. 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 - 12 pounds, 14 ounces 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? - Eat Cheerios off a hard surface 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? - Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest. Which scenario places a toddler at risk for injury EXCEPT: - Toddler playing with age appropriate toys A Nurse is providing anticipatory guidance to parents about the activity pattern of a toddler. Which of the following statements would the nurse most likely make? - Childproof your home" Behavioral indicator of hearing loss in the toddler include all of the following EXCEPT: - The child uses up to 20 words such as" mine, go, hot or cold."
Nursing involvement with a family of toddler would include: - All of the above Which of the following explanations can help parents of a pre- school child distinguish night terrors from nightmares? - nightmares are scary dreams followed by complete awakening Which safety tip would be appropriate to suggest to the parent of a preschooler? - Make sure that you teach them their name, address and phone number. A nurse is discussing genetic disorders with a local community group. Which of the following statements would the nurse make during the presentation? - Cystic fibrosis is most likely to appear during the preschool years. A 2-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic reaction? - Oatmeal-peanut cookies 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? - Give it to her imaginary friend. 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
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? - "Over 40% of children age 2 to 11 have dental caries, so a health fair that focuses on oral care is very appropriate." Which of the following statements is correct? - 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? - 10 year old who is inattentive an fidgets constantly 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 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? - "This is not abnormal for a child of this age. He will most likely outgrow this tendency as his nervous system matures." Which of the following statements is correct regarding firearms?
- For safety, guns should be stored apart from ammunition. Which of the following statements is correct concerning vaccinations for the school-aged child? - Meningococcal vaccine at age 11 to 12
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? - obeistiy According to Erikson, what is the major developmental stage of school age? - An adolescent who has had insulin dependent diabetes for 5 years decides to eat everything he wants when he is with his friends. What is the noncompliance related to? - the struggle for identity What is the best definition of puberty? - Age at which sexual maturity appears Why are adolescents more likely to participate in risky activities? - They see themselves as invincible to bad outcomes. Weight gain is common during adolescence due to increased muscle mass, appetite, and food consumption. However, adolescent obesity is a rising national health concern. Nursing responsibilities in management of adolescent obesity should include.... - Which factor has the greatest impact on the likelihood that an adolescent will begin drinking alcohol? - friends drink alcohol Aaron, aged 14, has some facial acne. According to his parents, he spends a large amount of time in front of the mirror, tying up
Which of the following are symptoms or warning signs of anorexia nervosa - all of the above Which of the following teenagers is exhibiting a behavior that cause for concern and requires further evaluation? - Is agitated and has trouble sleeping A nurse is planning a community health-education program for young adults. Which of the following considerations should be made by the nurse? - The number one cause of death for young adults is injury 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 requires counseling about cardiac disease The nurse working at the college health center is asked about tanning. Which of the following statements is correct concerning sun exposure? - Sun tanning should be avoided between 10 am and 2 pm. 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 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?
- Unintentional loss of 10 pounds in the past 4 weeks An objective for health care management for young adults includes: - all of the above The evidence isn't clear on whether e-cigarettes help people quit smoking regular Cigarettes, but we already know that e-cigarette use is a health risk for young people. - true E-cigarette batteries have been known to explode and cause burns and other injuries. - true Heavy metals such as lead and cadmium that have been found in e-cigarette aerosol however, they cannot cause respiratory distress and disease. - false Nicotine is very common in e-cigarettes and nicotine can harm brain development, and your brain continues developing until around age 25. - true Parents can be most effective in setting limits for their adolescent children if they: - Which of the following circumstances accounts for one of the leading cause of death in young adults? - Which of the following adults has transitioned to Erikson's intimacy versus isolation and loneliness stage of development? -
