A public health nurse would focus on what concept when addressing the needs of individuals in the population who are addicted to chemicals
a. harm reduction
b. enabling behavior
c. coping improvement
d. recidivism rates
A
A public health nurse would most likely focus on the concept of "harm reduction." This concept focuses on injection drug use and seeks to stop the spread of HIV through needle sharing and other risky practices. The World Health Organization (WHO) has been a leader in the definition of harm reduction. The harm reduction model focuses on reducing HIV transmission through a series of public health activities; effective management of HIV/AIDS, chronic pain, substance abuse, and mental health disorders; creating health care service models; ensuring the availability of human resources; developing supportive policy, legal, and social environments; and ensuring availability of an appropriate staffing system.
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A client with which of the following would require the nurse to use caution when administering a skeletal muscle relaxant? Select all that apply
A) Cerebrovascular accident B) Diabetes C) Epilepsy D) Pregnancy E) Parkinsonism
Behaviors that would alert the nurse to a possible hearing deficit in the patient would be (select all that apply):
1. watching the speaker's mouth. 2. giving inappropriate answers to questions. 3. complaining about people muttering and mumbling. 4. not responding when spoken to. 5. turning the good ear to the speaker.
The client is receiving digoxin for a dysrhythmia. Why does the nurse expect medication levels in the blood to be monitored closely?
1. Digoxin is used for ventricular dysrhythmias. 2. Excessive levels can produce serious dysrhythmias. 3. Subtherapeutic levels are fatal. 4. Interactions with other medications are common.
Many of the nurses in acute care hospital settings feel that health-care delivery as it exists is "hopeless." Using chaos theory, it would be helpful for each nurse to try to:
A. Identify patterns of order that exist and focus on best practice using these obser-vations. B. Alleviate the chaos by mandating patients follow lockstep procedures. C. Develop step-by-step care plans that are focused on the average patient with a spe-cific problem who does not have other comorbidities. D. Create a time management system using task accomplishment as the goal.