Nokea
A public health nurse is applying for a grant related to suicide prevention. When describing social groups at highest risk, which of the following should the nurse include?
- A. South American
- B. Native American
- C. African American
- D. Japanese American
Correct Answer: B
Rationale: Native American populations have some of the highest rates of suicide in the United States. This is due to a combination of historical trauma, socioeconomic challenges, and limited access to mental health resources.
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The nurse is preparing a client for surgery. What is the most effective method for obtaining an accurate blood pressure reading from the client?
- A. Obtain a cuff that covers the upper one-third of the client's arm
- B. Position the cuff approximately 4 inches above the antecubital arm.
- C. Use a cuff that is wide enough to cover the upper two-thirds of the client's arm.
- D. Identify the Korotkoff sounds, and take a systolic reading at 10 mmHg after the first sound.
Correct Answer: B
Rationale: Positioning the cuff 4 inches above the antecubital space (Option B) ensures accurate arterial compression. Cuff size should be 40% of arm circumference (not A or C), and reading adjusts to first/last Korotkoff sounds (not D’s 10 mmHg rule).
A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluorescent lights in this room. Be careful what you say. Which response by the nurse would be most therapeutic?
- A. Let’s talk about something other than the CIA.
- B. It sounds like you’re concerned about your privacy.
- C. The CIA is prohibited from operating in health care facilities.
- D. You have lost touch with reality, which is a symptom of your illness.
Correct Answer: B
Rationale: Reflecting the patient’s underlying concern, as in Option B, validates feelings without challenging beliefs. Options A, C, and D dismiss, reassure falsely, or confront non-therapeutically.
A student recently moved from the Middle East and is attending a new school in the United States, where he is excluded from conversations pertaining to the Christmas holidays. The students assume that the new student doesnt understand anything about the holiday. The students are most likely doing what to this new student?
- A. Being hateful
- B. Showing prejudice
- C. Believing stereotypes
- D. Being rude
Correct Answer: C
Rationale: Stereotype is a fixed belief about a group of people. These students may have believed that someone from the Middle East is not Christian and has no interest in Christmas holiday.
Nursing behaviors associated with the implementation phase of nursing process are concerned with
- A. participating in mutual identification of patient outcomes.
- B. gathering accurate and sufficient patient-centered data.
- C. comparing patient responses and expected outcomes.
- D. carrying out interventions and coordinating care.
Correct Answer: D
Rationale: Nursing behaviors relating to implementation include using available resources, performing interventions, finding alternatives when necessary, and coordinating care with other team members.
Which beverage should the nurse offer to a patient diagnosed with major depressive disorder who refuses solid food?
- A. Tomato juice
- B. Orange juice
- C. Hot tea
- D. Milk
Correct Answer: D
Rationale: Milk provides essential nutrients such as protein and vitamins, and it is more likely to be well-tolerated by patients with major depressive disorder who are not eating solid food. It can also help stabilize blood sugar levels.