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The nurse is teaching adults in the community about suicide awareness. Which information should the nurse include in the teaching?
- A. Suicide discussion is dangerous with people with depression.
- B. The majority of suicides occur in lower socioeconomic groups.
- C. Social support systems ensure suicide prevention.
- D. Severe life stresses at any age is a risk factor for suicide.
Correct Answer: D
Rationale: Severe life stresses are a well-established risk factor for suicide across all ages, critical for awareness and prevention efforts.
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Tuberculosis (TB) screening at a federal prison reveals that two inmates have a positive skin test. Which action is most important for the nurse to take?
- A. Rescreen the entire prison population in 6 weeks.
- B. Start the two inmates on antitubercular medications.
- C. Refer the two Inmates for chest x-rays.
- D. Screen the prison guards for TB.
Correct Answer: C
Rationale: A chest x-ray is essential to determine if the positive skin test indicates active TB or latent infection, guiding appropriate treatment and preventing unnecessary medication use.
While assessing a child at the community health clinic, the nurse notes that the toddler has multiple bruises on his legs and buttocks. After reporting suspected child abuse to the supervisor, which action should the nurse take next?
- A. Obtain a restraining order against the father.
- B. Encourage the mother to file a police report.
- C. Ask the child if his father ever spanks him.
- D. Refer the family to protective service agencies.
Correct Answer: D
Rationale: Referring to protective service agencies ensures a specialized investigation and intervention, prioritizing the child's safety and well-being.
Which annual screening should the nurse include when planning an eye health program at a preschool?
- A. Glaucoma.
- B. Red light reflex.
- C. Visual acuity.
- D. Conjunctivitis.
Correct Answer: C
Rationale: Visual acuity screening is essential for preschoolers to detect vision issues like amblyopia or refractive errors that could impact development and learning, making it the priority for annual eye health programs.
The nurse is documenting the medical history of a young adult client who was recently diagnosed with type 1 diabetes mellitus. The client smokes 2 packs of cigarettes daily and the client's father died of a heart attack at the age of 45. Which annual screening is most important for the nurse include?
- A. Renal insufficiency.
- B. Peripheral neuropathy.
- C. Hyperlipidemia.
- D. Retinopathy.
Correct Answer: C
Rationale: Given the client's smoking habit and family history of early heart attack, screening for hyperlipidemia is critical to address cardiovascular risk, which is heightened by these factors and diabetes.
A newly hired school nurse conducts a 'windshield' survey of the geographic area served by the school, Which method is best for the nurse to use to objectively validate the findings obtained?
- A. Review the previous school nurse's anecdotal documents.
- B. Obtain morbidity and mortality data for the geographic area.
- C. Talk with teachers about their concerns for the students.
- D. Discuss with the Parent/Teacher Association (PTA) board about their perception of school events.
Correct Answer: B
Rationale: Morbidity and mortality data provide objective, quantifiable evidence to validate windshield survey findings, offering insights into health trends and disease prevalence in the community.