According to the 2009-2010 National Health and Nutrition Examination Survey, what percentage of 6- to 11-year-old children are overweight?

Correct Answer: B

Rationale: The correct answer is B) 18%. This percentage is based on data from the 2009-2010 National Health and Nutrition Examination Survey, which provides a snapshot of the prevalence of overweight among 6- to 11-year-old children during that time period. Understanding this statistic is crucial for healthcare professionals, especially nurses, as it highlights the significant issue of childhood obesity and the importance of health promotion interventions. Option A) 14% is incorrect because it underestimates the actual prevalence of overweight in 6- to 11-year-old children during the specified period. Option C) 24% and Option D) 28% are also incorrect as they overestimate the percentage of overweight children in this age group. Educationally, knowing these statistics enables nurses to identify at-risk children, provide appropriate health education to families, and implement interventions to promote healthy lifestyles. By understanding the prevalence of childhood overweight, nurses can play a vital role in preventive care and work towards improving the health outcomes of children in their care.

Correct Answer: C

Rationale: In this scenario, the correct action for the nurse to take is to develop an exercise prescription with the man who is ready to start exercising. This option (C) is the most appropriate because it involves active participation and collaboration with the individual to create a plan tailored to his needs and capabilities. Providing information on the benefits of exercising (option B) may be helpful but may not be as effective as working together to create a personalized exercise plan. Doing nothing (option A) is not advisable as it misses the opportunity for the nurse to support the individual's health goals actively. Scheduling a follow-up in 2 months (option D) is not as immediate and proactive as developing an exercise prescription right away. In an educational context, it is crucial for nurses to understand the principles of health promotion and behavior change. By engaging individuals in the process of creating a plan, nurses empower them to take ownership of their health and increase the likelihood of successful behavior modification. This approach fosters a collaborative and patient-centered care environment, leading to better health outcomes.

Correct Answer: D

Rationale: In the context of health promotion and nursing, the concept of "presence" is crucial for effective communication and building a therapeutic relationship with patients. The correct answer, D, "practices active listening and focuses on what is being said," is the most appropriate because it highlights the essence of being fully engaged and attentive to the person speaking. Active listening involves not only hearing the words but also understanding the emotions, non-verbal cues, and underlying meanings conveyed by the speaker. Option A, "is in the same room as another," is incorrect as physical proximity alone does not guarantee true presence or effective communication. Being physically present does not necessarily translate to being emotionally or mentally engaged with the other person. Option B, "multitasks in order to examine all aspects of a situation," is incorrect because multitasking can undermine the quality of communication and diminish the depth of understanding. True presence requires undivided attention and focus on the person and their message. Option C, "sets goals in response to what another is saying," is incorrect as it pertains more to the concept of goal-setting and action planning rather than being present in the moment during a conversation. In educational contexts, understanding the importance of presence in communication can help nurses improve patient outcomes, enhance patient satisfaction, and build trust and rapport. By actively listening and being present, nurses can better understand patient needs, provide empathetic care, and promote health and well-being effectively.

Correct Answer: D

Rationale: The correct answer is D) “Tell me how you treat your asthma at home. What treatments work especially well for you?” This question is most appropriate because it focuses on the individual's specific health condition and treatment preferences, allowing the nurse to gather valuable information about the patient's self-management of asthma. Option A is incorrect because it assumes the individual takes herbal medicines without evidence, potentially leading to misinformation. Option B is inappropriate as it dictates what the patient can or cannot do without exploring their perspective. Option C is not ideal as it assumes herbal products should be discontinued without assessing their importance to the patient's health beliefs and practices. In an educational context, it's crucial for nurses to ask open-ended questions that encourage patients to express their beliefs, preferences, and practices regarding healthcare. Understanding a patient's cultural background and individualized care practices is essential in providing culturally competent care and promoting health outcomes. Asking about self-management strategies for a specific condition like asthma helps tailor care plans to the patient's needs and preferences.

Correct Answer: A

Rationale: The correct answer is A) Use serial measurements over time. This method is the best way to assess a child's growth accurately. Growth is a dynamic process, and by taking measurements at different time points, a more comprehensive picture of the child's growth pattern can be observed. This approach helps to monitor growth velocity, identify any abnormal growth patterns early, and track the effectiveness of interventions or treatments over time. Option B) Use this measurement alone is not sufficient for assessing growth as it provides only a snapshot at one point in time and may not represent the child's overall growth trajectory. Option C) Use this measurement and compare it with the child’s peers can be misleading as children grow at different rates and comparing to peers may not account for individual variations in growth patterns. Option D) Use the WHO growth chart to assess this child’s measurements is a valuable tool, but it should be used in conjunction with serial measurements over time to provide a more accurate assessment of the child's growth pattern. The WHO growth chart provides population-based norms but may not capture individual growth trends effectively. In an educational context, understanding the importance of serial measurements for assessing growth in children is crucial for healthcare professionals, especially nurses. By emphasizing the significance of longitudinal monitoring, nurses can better identify growth deviations, address potential growth concerns early, and provide appropriate health promotion and intervention strategies to support children's optimal growth and development.