Correct Answer: D

Rationale: The concept of “presence” means that a person’s full attention is focused on the situation at hand. Multitasking produces the opposite effect because focus is lost.

Correct Answer: C

Rationale: The Apgar score is calculated by adding the scores for heart rate, cry, reflex, extremity movement, and color: 1 + 2 + 1 + 2 + 2 = 8.

Correct Answer: C

Rationale: Lack of breast buds by age 14 requires further investigation, as puberty should have begun by this age.

Correct Answer: C

Rationale: Since the person is in the action phase of behavior change, the nurse should proceed to develop an exercise prescription to support the transition into the maintenance phase.

Correct Answer: D

Rationale: Further subjective data is needed to determine whether 5 hours of sleep is adequate for the individual.