A nurse observes the father of a newborn baby pushing his wife in a wheelchair out onto the patio.
The man and woman each smoke a cigarette while the baby sleeps in the mother's arms.
Which of the following information should the nurse share with the parents?

The baby will eventually develop tolerance to tobacco smoke.

The parents should switch to chewing tobacco as long as the child lives in the home.

Fetal nicotine syndrome may cause complications in the newborn.

The sidestream/secondhand smoke that the baby is exposed to is more dangerous than the mainstream smoke that the parents are inhaling themselves.

Answer and Explanation

The Correct Answer is D

Choice A rationale

It is scientifically incorrect to suggest that infants exposed to tobacco smoke will develop tolerance. Tobacco smoke contains harmful chemicals such as nicotine and carbon monoxide, which can damage developing lungs and increase the risk of respiratory illnesses and sudden infant death syndrome (SIDS). Tolerance does not mitigate these risks.

Choice B rationale

Chewing tobacco still contains nicotine and carcinogens. Although it reduces exposure to sidestream smoke, it still poses risks for nicotine addiction and poisoning, particularly through secondhand exposure and accidental ingestion by children. This recommendation is not supported by scientific evidence.

Choice C rationale

Fetal nicotine syndrome, also known as neonatal nicotine withdrawal, can result from prenatal tobacco exposure. However, this syndrome primarily affects babies exposed to nicotine in utero. Postnatal exposure to tobacco smoke is linked to other complications such as respiratory infections and SIDS, which are immediate concerns.

Choice D rationale

Sidestream smoke, emitted from the burning end of a cigarette, contains higher concentrations of carcinogens and toxins compared to mainstream smoke inhaled by the smoker. Infants exposed to secondhand smoke are at greater risk for respiratory conditions, SIDS, and developmental issues due to these higher concentrations.

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Correct Answer is B

Explanation

Choice A rationale

Regular toileting prevents incontinence-related complications and reflects appropriate caregiving without any indications of elder abuse or misuse of caregiver authority.

Choice B rationale

Administering Valium without a prescription constitutes medication misuse, which is a form of elder abuse that can endanger the client’s health and violates ethical caregiving practices.

Choice C rationale

Feeding baby food due to swallowing difficulties may indicate proper adaptation to the client's needs, assuming there are no signs of neglect or harm in the caregiving approach.

Choice D rationale

Transitioning an elderly person into a safer home environment demonstrates responsible caregiving and does not inherently suggest any evidence of elder abuse.

A. "I have no friends, but that's okay because I prefer to hang out with my cousins.”. B. "I will probably end up in jail just like my father.”. C. "Everyone in school thinks that I am a troublemaker.”. D. "Despite the challenges I have faced, I will go to college and become a teacher.”.

Correct Answer is D

Explanation

Choice A rationale

Preferring cousins suggests social preference rather than an internal locus. Internal locus involves belief in control over one's outcomes and challenges, which this statement does not demonstrate scientifically.

Choice B rationale

Blaming one's future outcomes on familial patterns suggests external locus control, attributing life circumstances to external influences, not personal choices or actions, contrary to scientific views on internal locus.

Choice C rationale

Thinking everyone views the adolescent negatively reflects external locus control, where opinions or perceptions of others strongly dictate self-perception, not self-determination, indicating limited personal scientific control.

Choice D rationale

This statement reflects scientific characteristics of internal locus control. Believing in achieving one's goals despite challenges shows the adolescent feels empowered to shape their future through personal efforts and resilience.

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A nurse observes the father of a newborn baby pushing his wife in a wheelchair out onto the patio.The man and woman each smoke a cigarette while the baby sleeps in the mother's arms.Which of the following information should the nurse share with the parents?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements, made by a caregiver of an older client, should alert the nurse to assess for evidence of elder abuse?

Correct Answer is B

Explanation

The public health nurse is working with an at-risk adolescent.Which statement made by the adolescent demonstrates internal locus of control?

Correct Answer is D

Explanation

A nurse invited all the teenagers who were newly diagnosed with diabetes to a group meeting to discuss issues they all had in common.One teenager replied, "I don't know if I want to share all the problems I'm having with strangers.”. Which of the following is the best nurse response?

A school health nurse presents a program on preventing teen pregnancy to a group of parents.Following the presentation, which of the following comments by a parent would cause concern?

A nurse reports an incident of suspected child abuse.One of the parents of the child becomes upset and demands to know the reason for the nurse's action.Which of the following responses by the nurse is appropriate?

A teacher asks the school nurse to assess a child for neglect.Which of the following assessment findings could indicate neglect?

A nurse is concerned about the possibility of suicide in a teenage boy.Which of the following characteristics has the boy most likely displayed?

A nurse would like to increase the accessibility to health care services for mentally ill homeless clients in the community.Which of the following actions should be taken by the nurse?

A confirmed drug abuser admits to the nurse he has no desire to stop using drugs.Rather than lecture the individual on the dangers of drug addiction, the nurse provides information on how to sterilize his needles.Which of the following prevention efforts is the nurse attempting to achieve?

The public health nurse understands that which of the following is a common factor typically found in those who abuse others?

A nurse observes the father of a newborn baby pushing his wife in a wheelchair out onto the patio.
The man and woman each smoke a cigarette while the baby sleeps in the mother's arms.
Which of the following information should the nurse share with the parents?