The nurse was making a postpartum visit to a teenage mother and her month-old infant. What assessment would be most important?

Correct Answer: B

Rationale: The correct answer is B: Assessing for mother's knowledge about normal infant growth and development. This is the most important assessment because it evaluates the mother's understanding of how her infant should be developing, which can impact the infant's well-being. Understanding normal infant growth and development helps the mother provide appropriate care and recognize any potential issues early on. Choice A is incorrect because the focus should be on the infant's needs, not the mother's personal tasks. Choice C is incorrect as the grandmother's role is not the primary concern during the postpartum visit. Choice D is incorrect as the baby's father's behavior is not the priority during this assessment.

Correct Answer: A

Rationale: The correct answer is A because establishing a mobile clinic can physically bring health care services to mentally ill homeless clients, overcoming barriers such as transportation issues. This proactive approach directly addresses the accessibility challenge faced by this population. Choice B is incorrect as distributing flyers may not effectively reach or engage mentally ill homeless clients. Choice C is incorrect because temporary housing does not directly address the need for health care services. Choice D is incorrect as providing food and clothing, while important, does not directly improve access to health care services for mentally ill homeless clients.

Correct Answer: C

Rationale: The correct answer is C. Community mental health nurses partnering with associations to provide alternative activities that improve social skills is most likely to help prevent youth violence. This intervention addresses the root causes of violence by promoting positive social interactions and skill-building, reducing the likelihood of engaging in violent behavior. Distributing literature blaming violence on intelligence (A) does not address the underlying issues. Explaining the detrimental effects of youth violence (B) may raise awareness but does not offer a proactive solution. Recommending increased funding for prosecution and jail (D) focuses on punishment rather than prevention.

Correct Answer: B

Rationale: Step 1: Cuddling and holding the baby while smiling and gazing into the baby's eyes is a good parenting behavior as it promotes bonding, emotional connection, and helps in the infant's social and emotional development. Step 2: Smiling and gazing into the baby's eyes helps in building a secure attachment between the mother and the infant, which is crucial for the infant's overall development. Step 3: This behavior also helps in promoting the baby's cognitive development by engaging in positive interactions and communication. Summary: Choice B is correct because it promotes bonding, secure attachment, emotional connection, and positive social interactions. Choices A, C, and D are incorrect as they do not address the crucial aspects of bonding, emotional connection, and infant development.

Correct Answer: D

Rationale: The correct answer is D: A systematic review related to the clinical problem. A systematic review provides a comprehensive summary of all the available evidence on a specific topic, including individual studies and their findings. This is more reliable than a single study or an issue of a journal because it synthesizes multiple studies to draw more robust conclusions. Choice A (a journal issue) may not cover all relevant research, choice B (a single clinical trial) may not represent the full scope of evidence, and choice C (a single researcher) may have bias or limitations. A systematic review is the most helpful as it offers a comprehensive overview of the existing evidence, helping the nurse make informed decisions based on the best available knowledge.