Nokea
A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching?
- A. You should have a complete eye examination every 2 years until the age of 64.
- B. You should have your hearing screened every 5 years.
- C. You should have your stool tested for blood every other year until the age of 74.
- D. You should have your fasting blood glucose level checked every 6 years.
Correct Answer: C
Rationale: The correct answer is C: You should have your stool tested for blood every other year until the age of 74. This is important for early detection of colorectal cancer, which is recommended starting at age 50. Stool testing for blood helps identify any signs of bleeding in the digestive tract, a potential indicator of colorectal cancer. The other choices are incorrect because eye examinations should be done annually after age 65, hearing screening should be done every 3-5 years, fasting blood glucose should be checked more frequently for diabetes screening, and stool testing for blood should be continued beyond age 74 due to the ongoing risk of colorectal cancer.
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A nurse is discussing short and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include?
- A. You will be taking a once-weekly dose of disulfiram to help control withdrawal symptoms during treatment.
- B. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal.
- C. Attending Al-Anon meetings will help you identify a role model to assist you with making needed changes.
- D. You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment.
Correct Answer: D
Rationale: The correct answer is D because learning functional skills to replace defense mechanisms and behaviors is crucial for long-term recovery from alcohol use disorder. By acquiring healthy coping mechanisms, the client can effectively manage triggers and stressors without resorting to alcohol. This promotes sustained sobriety and prevents relapse.
A is incorrect as disulfiram is not typically used for withdrawal symptoms but rather to deter alcohol consumption by causing unpleasant reactions.
B is incorrect as physical activity may be beneficial, but it does not directly address the underlying issues related to alcohol use disorder.
C is incorrect as Al-Anon meetings are for family and friends of individuals with alcohol use disorder, not for the individuals themselves to seek role models.
Therefore, D is the most appropriate statement as it focuses on building essential skills for long-term recovery.
a home health nurse is planning theinitial home visit for a client who has dementia and
- A. lives with his adult son’s family. which of the following actions should the nurse take first during the visit?
- B. encourage the family to join a support group
- C. provide the family with information about respite care
- D. educate the family regarding the progression of dementia
- E. engage the family in informal conversation
Correct Answer: A
Rationale: The correct answer is A. The nurse should first assess the client's living situation to ensure safety and support. Living with the son's family may impact care needs. Encouraging the family to join a support group (B) can come later to offer emotional support. Providing information about respite care (C) is important but not the priority. Educating the family about dementia progression (D) can wait until after assessing immediate needs. Engaging in informal conversation (E) is beneficial but not the initial priority.
a community health nurse is planning a program for adolescents about preventing
- A. STIs. which of the following actions should the nurse take first?
- B. collect data to identify barriers to learning
- C. establish methods to evaluate program outcomes
- D. obtain visual aids that feature adolescents
- E. provide computer based education
Correct Answer: C
Rationale: The correct answer is C: establish methods to evaluate program outcomes. This is the first step because without knowing how to measure the success of the program, the nurse won't be able to determine its effectiveness in preventing STIs. By establishing evaluation methods, the nurse can track progress, identify areas for improvement, and ensure the program is meeting its goals. Collecting data (B) and obtaining visual aids (D) are important steps, but evaluating outcomes should come first. Providing computer-based education (E) may be a useful method, but it's not the initial priority.
public health nurse take
- A. alert the family members of coworkers about possible exposure to anthrax
- B. place the employee under quarantine for 14 days
- C. refer coworkers who might have been exposed to a provider for prophylactic antibiotics 4.
- D. instruct the client to wear a mask at work
Correct Answer: A
Rationale: The correct answer is A because a public health nurse's role includes notifying family members and coworkers about possible exposure to anthrax to prevent further spread. Choice B is incorrect as quarantine is typically done by health authorities, not the nurse. Choice C is incorrect as the nurse does not directly prescribe antibiotics. Choice D is incorrect as the client, not the nurse, should wear a mask for protection.
a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take?
- A. have the client’s daughter communicate information about the procedure
- B. arrange for a member of the client’s community to interpret the teaching
- C. identify the clients spoken dialect prior to contacting an interpreter
- D. use professional terminology when providing education prior to the procedure
Correct Answer: A
Rationale: The correct answer is A. The nurse should have the client's daughter communicate information about the procedure since she is accompanying the client and can facilitate effective communication. This option ensures that the client receives accurate information and instructions regarding the tetanus immunization. Choice B introduces a potential bias or misunderstanding if the community member is not trained in healthcare terminology. Choice C may delay the communication process unnecessarily. Choice D may confuse the client further due to the language barrier. It is essential to involve a trusted family member or caregiver for accurate and clear communication.