Nokea
An adult has recently been absent from work for 3-day periods on several occasions. Each time, the individual returned wearing dark glasses. Facial and body bruises were apparent. What is occupational health nurses priority assessment?
- A. Interpersonal relationships
- B. Work responsibilities
- C. Socialization skills
- D. Physical injuries
Correct Answer: D
Rationale: The individual should be assessed for possible battering. Physical injuries are abuse indicators and are the primary focus for assessment. No data support the other options.
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A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with the mother, stepfather, and several siblings. When performing a family assessment, the nurse must first determine:
- A. how the family expresses and manages emotion.
- B. names and relationships of the familys members.
- C. the communication patterns between the patient and parents.
- D. the meaning that the patients suicide attempt has for family members.
Correct Answer: B
Rationale: The identity of the members of the family is the most fundamental information and should be obtained first. Without this, the nurse cannot fully process the other responses.
During you musculoskeletal assessment of the client, you determine that the client has muscular strength against gravity but not against resistance. You would document this assessment as:
- A. 1 on the scale of 1 to 3
- B. 2 on the scale of 1 to 5
- C. 3 on the scale of 0 to 5
- D. 4 on the scale of 0 to 5
Correct Answer: C
Rationale: Strength against gravity only is 3 (C) on the 0-5 scale.
When is it appropriate to prescribe birth control pills for a patient in an arranged marriage?
- A. When the patient is experiencing domestic abuse
- B. When the patient is afraid of getting an STD
- C. When the patient expresses the desire to not become pregnant
- D. When the patient appears healthy enough for sexual activity
Correct Answer: C
Rationale: Patient desire for contraception is the ethical basis for prescribing.
How should health professionals respond to the widened definitions of prediabetes and diabetes by the World Health Organization, the American Diabetes Association, and other organizations?
- A. Assist patients in identifying evidence-based health care resources
- B. Recommend that patients do their own diabetes research online
- C. Expect to diagnose fewer patients with prediabetes
- D. Make no major changes in clinical practice
Correct Answer: A
Rationale: Providing evidence-based resources ensures patients understand updated definitions and their implications.
Which of the following steps is the final step that is used during the physical assessment of the abdomen?
- A. Inspection
- B. Light palpation
- C. Deep palpation
- D. Percussion
Correct Answer: C
Rationale: Deep palpation (C) is the final abdominal assessment step.