A parish nurse is concerned about the number of pa

Question 1 of 9

A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue?

A. Ban smoking on parish property B. Invite local experts to participate in a health fair at the parish C. Find literature about smoking cessation D. Hand out free nicotine-replacement systems

Correct Answer: B

Rationale: The nurse should invite experts to educate the parish on smoking cessation and foster health promotion through community events.

Question 2 of 9

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

Correct Answer: A

Rationale: Poor sensitivity means that individuals who actually have the condition are missed (false negatives), as seen when the test incorrectly identifies them as negative.

Question 3 of 9

Sexuality in middle age: What should the nurse stress?

A. "Contraception usage should be decreased as a woman nears menopause." B. "Difficulty with sexual performance among men happens near age 60." C. "HIV infection after age 50 is rare." D. "The majority of new HIV/AIDS cases occur among middle-age adults."

Correct Answer: D

Rationale: HIV/AIDS cases are prevalent in middle-age adults, making it important to emphasize safe sexual practices.

Question 4 of 9

An individual reveals to the nurse that he is having an affair with his wife’s best friend. Which of the following statements will enhance effective therapeutic communication between him and the nurse?

A. “You know that what you are doing is wrong.” B. “Why would you want do something like that?” C. “How could you do that to your wife and children?” D. “This affair seems to be troubling you.”

Correct Answer: D

Rationale: The nurse is focusing on the client's feelings about the affair, which encourages further conversation without judgment.

Question 5 of 9

Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives. Which of the following would be the priority for this nurse to promote?

A. Health promotion activities B. Accident prevention activities C. Drug prevention activities D. Pregnancy prevention activities

Correct Answer: A

Rationale: The priority would be health promotion activities to encourage physical activity, especially for older adults.

Question 6 of 9

A nurse is assessing a woman for positive signs of pregnancy. Which of the following assessment findings would the nurse discover?

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

Correct Answer: B

Rationale: Positive signs of pregnancy include detection of fetal heart tones and palpation of fetal body parts.

Question 7 of 9

Health promotion intervention: Who benefits most?

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."

Correct Answer: A

Rationale: Motivation to adopt a healthy lifestyle is essential for successful health promotion interventions.

Question 8 of 9

The school nurse is working on a campaign in the school to prevent adolescent pregnancies. Which of the following interventions should the nurse implement?

A. Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases. B. Tell the teenagers they should abstain from sex until they are old enough to cope with the potential consequences such as an unwanted pregnancy. C. Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early. D. Offer all teenagers free condoms when they come in for physical exams.

Correct Answer: A

Rationale: Education on safe sex, contraception, and sexually transmitted diseases is essential in preventing adolescent pregnancies.

Question 9 of 9

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 going 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.

Correct Answer: A

Rationale: Encouraging the child to take responsibility and change his own pajamas helps to foster self-reliance without ridicule.

A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue?

Nurselytic

ATI RN

ATI RN

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