A nurse is planning to offer a depression screening at a local community center. Which of the following should be considered prior to implementation of the program?
- A. Limited referral sources in the community
- B. Limited support groups in the community
- C. Insufficient evidence that depression screening tools are cost effective
- D. Insufficient evidence mental health screening is appropriate
Correct Answer: A
Rationale: An efficient referral system is crucial for successful screening programs, ensuring individuals who test positive receive appropriate follow-up care.
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During a home visit, a nurse notes that a person with hypertension lives on the third floor of a subsidized housing project on a busy road with no sidewalks and few street lights. Which of the following would be the best recommendation for exercise for the nurse to make to the person?
- A. Do not exercise because you have high blood pressure.
- B. Use the stairs whenever you are entering or leaving the building.
- C. Go for short walks around the block during the daytime only.
- D. Purchase an exercise bike.
Correct Answer: B
Rationale: Using the stairs is a safe and inexpensive exercise that can help lower blood pressure.
A new mother has decided to breast-feed her infant after having bottle-fed her other two children. Which of the following information about having a breast-fed infant should the nurse discuss with the mother?
- A. Breast-fed infants have darker bowel movements than bottle-fed babies.
- B. Breast-fed infants have smellier bowel movements than bottle-fed babies.
- C. Breast-fed infants have more frequent bowel movements than bottle-fed babies.
- D. Breast-fed infants have harder bowel movements than bottle-fed babies.
Correct Answer: C
Rationale: Breast-fed infants tend to have more frequent, softer stools compared to bottle-fed infants.
A nurse is counseling a teenager who smokes one pack of cigarettes a day. The teenager states he likes to smoke with his friends and does not recognize the connection between his smoking and his asthma. When planning an intervention for this person, the nurse must first recognize that the teenager is in the:
- A. Precontemplation stage of change
- B. Preparation stage of change
- C. Action stage of change
- D. Maintenance stage of change
Correct Answer: A
Rationale: In the precontemplation stage, the individual is not yet considering change or recognizing the need to change.
The goal is for the individual to verbalize the importance of checking blood sugar levels. Which of the following strategies would be best for the nurse to implement to achieve this goal?
- A. Provide one-on-one education about blood sugar monitoring
- B. Provide the individual with a scenario about blood sugar monitoring
- C. Provide the individual with the opportunity to practice blood sugar monitoring
- D. Provide the individual with a blood sugar monitor
Correct Answer: B
Rationale: Using a scenario allows the individual to understand and verbalize the importance of blood sugar monitoring, which involves the affective domain.
Which of the following health concerns should the nurse have as a priority when planning care for a community?
- A. The limited recreational areas identified through a windshield survey
- B. The high crime rate reported in the town records
- C. The absence of health clinics on the local bus route
- D. The lack of grocery stores within walking distance identified by the community
Correct Answer: D
Rationale: The nurse should prioritize the community's concerns. The lack of grocery stores directly impacts access to nutrition, making it a priority.