ATI RN
Health Promotion and Maintenance NCLEX Questions Quizlet Questions
Question 1 of 5
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?
Correct Answer: A
Rationale: In this scenario, the correct action for the nurse to take is option A: Give the mother information about local support groups. This choice aligns with the principles of health promotion and maintenance by addressing the mother's emotional and social needs during a challenging time. By connecting her with local support groups, the nurse can help her access resources for emotional support and coping mechanisms. Option B, providing the name of a prominent local attorney, is incorrect as it does not address the mother's emotional needs or offer holistic support during a difficult period in her life. Option C, not offering any advice unless the mother asks, is also not ideal as proactive support is crucial in situations where individuals may be overwhelmed and not know how to seek help. Option D, helping the mother find a job, though important for financial stability, does not directly address her current emotional distress. From an educational perspective, this question highlights the importance of holistic care in nursing practice. Nurses need to consider not only the physical health but also the emotional and social well-being of their patients and their families. Providing support and guidance in accessing community resources can greatly impact the overall health outcomes of individuals facing challenging life circumstances.
Question 2 of 5
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?
Correct Answer: B
Rationale: The correct answer is B) Model the behavior at home. Rationale: Modeling behavior is a highly effective way to teach children good hygiene habits. Children learn best by observing and imitating adults, especially their parents or caregivers. By consistently demonstrating good hygiene practices at home, such as washing hands before meals, brushing teeth twice a day, and bathing regularly, the child is more likely to internalize and adopt these habits. This approach not only teaches the child through direct observation but also creates a supportive and encouraging environment for learning. Option A) Having him learn it at school may not be as effective as modeling at home because habits and behaviors are more readily learned and reinforced in the familiar environment of the home. Option C) Lecturing the child about hygiene may not be as engaging or practical as modeling the behavior. Lectures are often less effective in promoting behavior change compared to hands-on demonstrations and consistent modeling. Option D) Punishing the child for forgetting to brush his teeth is not a recommended approach as it can create negative associations with hygiene practices, leading to potential resistance and aversion towards maintaining good hygiene habits. Educational Context: In the field of health promotion and maintenance, it is essential to understand the importance of effective teaching strategies, especially when it comes to instilling good hygiene practices in children. By emphasizing the role of modeling behavior at home, nurses and educators can empower parents to be positive role models and create a nurturing environment that facilitates the development of healthy habits in children. Teaching through modeling not only enhances learning but also strengthens the parent-child relationship and promotes a positive attitude towards self-care and hygiene.
Question 3 of 5
During a well-child visit, a parent tells the nurse that their preschooler occasionally wakes up during the middle of the night. Based on growth and development, which of the following would be the most common reason for the preschooler to wake up?
Correct Answer: A
Rationale: The correct answer is A) Nightmares. During the preschool years, children often experience vivid dreams and nightmares as a part of their normal development. Nightmares can cause a child to wake up during the night feeling scared or anxious. This is a common occurrence in preschool-aged children as their imaginations are developing, and they may have difficulty distinguishing between reality and fantasy, leading to fear-inducing dreams. Option B) Night terrors are less likely in this scenario because night terrors typically occur during non-REM sleep and are more common in older children. Night terrors are characterized by episodes of intense fear, screaming, and thrashing, usually within the first few hours of falling asleep. Option C) Enuresis, or bedwetting, is also less likely in this case unless specifically mentioned by the parent. Enuresis is more related to bladder control issues during sleep and would not typically cause a child to wake up feeling scared or anxious. Option D) Hunger is less likely as a common reason for waking up during the night in a preschooler unless the child is consistently going to bed hungry. However, nightmares are a more common explanation based on the developmental stage of preschool-aged children. In an educational context, understanding the typical sleep patterns and developmental stages of children is crucial for healthcare providers working with pediatric populations. Recognizing common reasons for sleep disturbances can help nurses and other healthcare professionals provide appropriate guidance and support to parents to promote healthy sleep habits in children.
Question 4 of 5
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?
Correct Answer: C
Rationale: The correct answer is C) Do not leave cigarettes and matches on the kitchen counter. This recommendation is crucial in preventing burns in preschoolers because children at this age are curious and may try to play with matches or lighters, leading to potential burn injuries. By keeping cigarettes and matches out of reach, parents can significantly reduce the risk of burns in their preschoolers. Option A, not reading to the child in front of the fireplace, is incorrect as it does not directly address burn prevention. Option B, waiting until the child is a teenager to cook on a gas grill, is impractical and does not provide immediate safety measures. Option D, not cooking with the child in the kitchen, is also not as effective as removing potential fire hazards from the child's environment. In an educational context, it is essential for nurses to educate parents on specific, actionable steps to prevent common injuries such as burns in preschoolers. By providing practical advice like keeping matches and cigarettes out of reach, nurses can empower parents to create a safe environment for their children.
Question 5 of 5
A mother tells the nurse her 3-year-old child has not been himself lately. The nurse examines the child. Which of the following physical findings would be cause for concern?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Bruises. This finding is concerning because bruises on a 3-year-old child who has not been himself lately could indicate physical abuse or trauma. It is essential for healthcare providers to be vigilant in recognizing signs of potential abuse to protect the well-being of the child. Option B) Pale skin could be a sign of anemia or other medical conditions, but it may not necessarily indicate immediate danger or concern as bruises do in this case. Option C) Enlarged lymph nodes could be a sign of infection or inflammation, which may require further evaluation but are not as immediately concerning as bruises in this context. Option D) Hives could indicate an allergic reaction or other less urgent conditions compared to the potential seriousness of unexplained bruises in a child. Educationally, this question highlights the importance of recognizing concerning physical findings in children, especially when there are associated changes in behavior. It underscores the need for healthcare providers to be thorough in their assessments and to consider the possibility of abuse or trauma in cases where signs raise suspicion. Vigilance and advocacy for the well-being of children are crucial aspects of pediatric nursing and healthcare practice.