In the aftermath of Hurricane Katrina, many individuals presented with signs and symptoms of post-traumatic stress disorder. Of what type of risk factor is this an example?
1. Ethnicity
2. Socioeconomic status
3. Social environment
4. Gender
3
Rationale: Higher levels of stress associated with particular events in one's social environment may be associated with increased rates of mental disorder. Individuals of varying ethnicity, both genders, and all socioeconomic statuses were all affected by the hurricane.
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Which of the following would indicate to the nurse that fluoxetine (Prozac) is effective for the client with major depressive disorder?
1. The client remained up all night discussing negative life situations with the nursing staff. 2. The client ate 100% of breakfast and lunch and ate 25% of the evening meal the past two days. 3. The client remained in the room reading and watching listening to music 90% of the day. 4. The client slept 60% of the night while remaining in bed from 11 p.m. to 5 a.m.
Poole, Davidhizar, and Giger (1995) noted several cultural phenomena to be considered when working with culturally diverse staff. They are:
a. communication, space, social organization, time, environmental control, biological variations, cultural expectations, and traditional barriers b. space, social organization, biological variations, communication, environmental factors, and cultural norms c. biological variations, traditional barriers, time, environmental control, space, communication, and social organization d. social organization, time, space, environmental control, biological variations, and communication
The nursing care plan specifies obtaining abdominal girth measurements each shift. The nurse takes the measurement, but when compared with the previous measurement, the new finding is several millimeters off. Which action by the nurse is best?
a. Document the finding in the client's chart. b. Look to see when the client last had a dose of diuretic. c. Ensure that the client's abdomen and flanks are marked with pen. d. Obtain the measurement while the client sits upright.
In caring for a child with a compound fracture, what should the nurse carefully assess for?
a. Infection b. Osteoarthritis c. Epiphyseal disruption d. Periosteum thickening