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A child living in an inner city setting reports that there are no playgrounds or sidewalks in their area, so their grandmother does not allow them to go outside after school.
The grandmother cooks traditional meals every evening.
The child describes how they love their grandmother’s cooking, and they get to use homemade tortillas instead of forks to pick up their food to eat.
The child reports that they become short of breath easily when they are playing with their friends, and they have “a lot” of headaches.
On a scale of 0 to 10, with 10 being very happy, how would you rate your happiness with your weight? The child reports “2.”. What do you believe is one thing that you can change to help you lose some of your weight?

Increase physical activity

Improve diet

Reduce portion sizes

All of the above

Answer and Explanation

The Correct Answer is D

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Increasing physical activity is a key component of weight loss. It helps to burn calories, build muscle, and boost metabolism. However, physical activity alone may not be sufficient for weight loss. It’s also important to consider dietary habits.

Choice B rationale

Improving diet is another crucial aspect of weight loss. This can involve eating more fruits, vegetables, and whole grains, reducing the intake of processed foods and sugary drinks, and watching portion sizes. However, diet alone may not be enough for weight loss, and it’s also important to incorporate physical activity.

Choice C rationale

Reducing portion sizes can help to decrease calorie intake, which can contribute to weight loss. However, portion control alone may not lead to weight loss if the individual is not consuming a balanced diet or if they are not physically active.

Choice D rationale

All of the above strategies - increasing physical activity, improving diet, and reducing portion sizes - are important for weight loss. They work together to create a calorie deficit, which is necessary for weight loss. It’s also important to note that these strategies should be implemented as part of a sustainable lifestyle change, rather than a short-term diet.

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Correct Answer is B

Explanation

Answer and explanation

The correct answer is Choice B.

Choice A rationale

While reinforcing instructions can boost a patient’s self-confidence, it may not be effective for an elderly patient with Parkinson’s disease who is unable to administer ophthalmic medication due to hand tremors. The physical limitation caused by the tremors may not be overcome by further instruction.

Choice B rationale

If a family member is available and willing to administer the medication, this could be an effective solution. The family member can be trained to administer the medication correctly, ensuring the patient receives their necessary treatment.

Choice C rationale

While obtaining a prescription for a visiting nurse to administer the medication twice a day could ensure the patient receives their medication, it may not be the most practical or cost- effective solution. It also depends on the availability of such services in the patient’s area.

Choice D rationale

Documenting the patient’s inability to administer the medication without assistance is important for record-keeping and communicating with other healthcare providers. However, it does not address the immediate issue of ensuring the patient receives their necessary medication.

A. The patient reports being teased by his friends for being “overweight.”. B. The patient prefers solitary play situations. C. The patient lives with his mother and younger brother in subsidized housing in an inner city setting. D. The patient reports becoming easily short of breath.

Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Being teased by friends for being overweight can indeed be a concern as it might affect the child’s mental health. However, this is not an immediate health risk. The nurse could address this issue by discussing coping strategies and the importance of self-esteem with the patient.

Choice B rationale

Preferring solitary play situations is not necessarily a problem. Some children are more introverted and enjoy time alone. It could become a concern if the child shows signs of excessive isolation or withdrawal.

Choice C rationale

Living in subsidized housing in an inner city setting does not directly warrant a follow-up unless there are specific health risks associated with the living conditions that need to be addressed.

Choice D rationale

The patient reporting that they become easily short of breath is a significant concern. Shortness of breath could indicate a number of health issues, including asthma, heart conditions, or other respiratory problems. This warrants immediate follow-up.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Despite numerous instructions, an elderly patient with Parkinson’s disease is unable to administer ophthalmic medication without assistance due to hand tremors.What is the best course of action for the nurse?

Correct Answer is B

Explanation

A healthcare provider requested a community health nurse to make weekly visits to a 10-year-old patient for weight reduction, monitoring fingerstick blood glucose levels, and severe headaches.The nurse is reviewing the patient’s data. Which data warrants follow-up?

Correct Answer is D

Explanation

Given the limited supply, the local health department is required to prioritize the distribution of influenza vaccines. Who should the public health nurse advise to return to the clinic when more vaccines are available?

A nurse is preparing a nutrition class for a group of senior citizens at a local community center. The focus of the class is to highlight the quantity and types of fats in various foods.What is the most effective teaching method the nurse should employ?

After the first injection of the Hepatitis B Vaccine (HBV) series is administered to a group of healthcare workers, what advice should the nurse give to them?

A graduate nursing student requests information, including laboratory findings and chest X-ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic.What action should the charge nurse take?

An older adult client has lost 5 lbs (2.3 kg) since their last check-up a month ago. The client maintains good hygiene, still drives, and lives alone.To which organization should the parish nurse refer this client?

A home health nurse is examining the lab results of several patients with a history of heart failure (HF). Which patient’s finding should the nurse immediately report to the healthcare provider?

An older adult is diagnosed with Parkinson’s disease.What problems should the nurse expect to address in this client’s home health care plan? Select all that apply.