A community health nurse is working with adolescents. Which of the following characteristics would most likely be displayed by an adolescent who is at increased risk to engage in risk-taking behavior?
a. Poor academic performance
b. High self-esteem
c. Middle-class income
d. Involvement in extracurricular activities
ANS: A
Increased adolescent risk-taking behaviors include: poor academic performance, poor parental role models, low self-esteem, lack of a supportive social environment, and poverty.
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A client is in the family practice clinic. Today the client weighs 186.4 pounds (84.7 kg). Six months ago the client weighed 211.8 pounds (96.2 kg). What action by the nurse is best?
a. Ask the client if the weight loss was intentional. b. Determine if there are food allergies or intolerances. c. Perform a comprehensive nutritional assessment. d. Perform a rapid bedside blood glucose test.
An older patient with hypertension has been admitted to a nursing home to recover from minor orthopedic surgery. What should the nurse include in this patient's nursing care plan to improve tissue perfusion?
A) Educating the patient about the importance of diet B) Encouraging the patient to ambulate several times each day C) Inspecting the patient's extremities daily for signs of altered tissue circulation D) Maintaining an adequate blood pressure level by monitoring vital signs and medications
A novice hospice nurse shows the best understanding of the nursing role related to an older adult patient's mourning over the loss of an adult child when stating
a. "I see mourning as a very individualized process." b. "The patient's coping skills need to be assessed regularly." c. "The patient needs all the help I can give to get better." d. "Hopefully the patient will be in a healthy mental state soon."
Select the element in managed care that has contributed to the need for increased client education
a. Use of the team method of nursing care b. High rates of nosocomial infections c. Emphasis on increased client responsibility for care d. Physician control of the health-care envi-ronment