A mother who is six weeks postpartum reports to the home health nurse that her milk supply seems to be diminishing.

The nurse notices that the mother’s 16-month-old child is constantly vying for her attention.
What is the best advice the nurse can provide to help the mother with breastfeeding while also caring for a toddler?

Have the 16-month-old child play in another room during breastfeeding.

Read a book to the 16-month-old child while the mother is breastfeeding the infant.

Encourage the toddler to watch TV while the mother is breastfeeding the baby.

Give the toddler crayons and paper while the mother is breastfeeding the infant.

Answer and Explanation

The Correct Answer is B

Answer and explanation The correct answer is B. Choice A rationale

Having the 16-month-old child play in another room during breastfeeding might not be feasible or safe, depending on the child’s maturity and the safety of the environment.

Choice B rationale

Reading a book to the 16-month-old child while the mother is breastfeeding the infant can be a practical solution. It allows the mother to attend to both children simultaneously, keeping the older child engaged while tending to the infant.

Choice C rationale

While watching TV might keep the toddler occupied, it’s not the best option. Excessive screen time is not recommended for children at this age.

Choice D rationale

Giving the toddler crayons and paper is a good idea, but it might not keep the child engaged for the entire duration of the breastfeeding.

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Correct Answer is A

Explanation

Answer and explanation

The correct answer is Choice A.

Choice A rationale

Severe life stresses at any age can indeed increase the risk of suicide????. Stressful life events can overwhelm an individual's coping mechanisms and lead to feelings of hopelessness and despair, which are significant risk factors for suicide. This can include a wide range of stressors, such as relationship problems, financial difficulties, job loss, or serious health issues?.

Choice B rationale

While it is true that socioeconomic disadvantage is associated with higher rates of suicide¹³, it is not accurate to say that suicides predominantly occur in lower socioeconomic groups.

Suicide is a complex issue that can affect individuals across all socioeconomic strata. Factors such as mental health conditions, substance abuse, and access to lethal means also play significant roles¹.

Choice C rationale

Robust social support systems can indeed help prevent suicide¹?¹?¹?¹?¹?. Social support can provide individuals with a sense of belonging, improve their mood and outlook, and reduce feelings of isolation. It can also provide a safety net for individuals in crisis, offering them resources and interventions that can help mitigate suicide risk¹?¹?¹?¹?¹?.

Choice D rationale

The assertion that discussing suicide with individuals suffering from depression can be hazardous is not entirely accurate??[^10^]. While it is crucial to approach such discussions with sensitivity and care, open conversations about suicide can help identify individuals at risk and ensure they receive the help they need. It is essential, however, that these discussions are conducted by trained professionals who can provide appropriate support and referrals??[^10^].

A. Discussion of food exchanges and calories was a well-attended class. B. Parking convenience for attendees continued to be a major concern. C. Demonstrating the use of a blood glucose meter was an effective teaching strategy. D. Fasting blood glucose average readings were 20% lower at the end of the classes.

Correct Answer is D

Explanation

Answer and explanation The correct answer is D. Choice A rationale

While the discussion of food exchanges and calories being well-attended indicates interest and engagement in the class, it does not necessarily reflect an improvement in the clients’ management of their diabetes.

Choice B rationale

Parking convenience for attendees, while important for accessibility and attendance, does not provide information about the effectiveness of the classes in improving diabetes management.

Choice C rationale

Demonstrating the use of a blood glucose meter can be an effective teaching strategy, but it does not provide measurable outcomes related to the clients’ diabetes control.

Choice D rationale

Fasting blood glucose average readings being 20% lower at the end of the classes is a direct and measurable outcome that indicates improved diabetes control. This suggests that the classes were effective in teaching clients how to better manage their type 2 diabetes.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is conducting a suicide awareness session for adults in the community. What information should the nurse include in the session?

Correct Answer is A

Explanation

A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?

Correct Answer is D

Explanation

The community health nurse collaborated with the American Heart Association to launch a comprehensive educational program about strokes and acute coronary syndrome.Which result indicates that the program was successful?

The nurse is screening for hypertension at a local health fair.A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.

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.

The home health nurse assesses an older adult client and observes possible signs of abuse.Which resource should the nurse use to guide their decision regarding reporting these suspicions?

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?

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?

The public health nurse is investigating a report of several chickenpox (varicella virus) cases at a daycare center.The daycare worker mentions that five children have been sent home over the past two weeks with fever and itchy blisters.What should be the nurse’s initial action?