A patient inquires about the purpose of the laboratory test to measure the serum level of adrenocorticotropic hormone (ACTH). What should a nurse respond that the laboratory test will determine?
a. The pituitary gland is sending the correct message to the adrenal glands.
b. The thyroid gland is not stimulating the production of ACTH.
c. The adrenal glands are not responding to produce cortisol.
d. Androgen metabolites are low or border-line.
A
Serum levels are measured to detect elevations or deficiencies of pituitary hormone levels. If plasma ACTH is low, then the pituitary is not producing enough ACTH. If the plasma ACTH is high, then the adrenal glands are unable to respond to produce corticoids.
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A 35-year-old male patient signs in as a voluntary commitment for treatment for drug abuse. He strongly maintains that he does not have a problem and states, "I'm only here because my boss threatened to fire me if I didn't come in."
The best nursing response to this patient is: A. "I wonder why your boss said that, if you don't have a problem." B. "What happened that your boss threatened to fire you?" C. "Your boss sounds pretty harsh!" D. "Well, you are here on your own, so you can leave whenever you want to."
What is the significance of concurrent validity to a nurse researcher?
a. The degree of correlation between the measure of the concept and some future measure of the same concept b. The degree of correlation of two measures of the same concept administered at the same time c. The extent to which a test measures a theoretical construct or trait d. The representativeness of the items to measure a specific concept
A client who has Alzheimer's disease is being discharged home. What safety instructions does the nurse include in the teaching plan for the client's caregiver?
a. "Keep exercise to a minimum." b. "Place a padded throw rug at the bedside." c. "Install deadbolt locks on all outside doors." d. "Keep the lights off in the bedroom at night."
A forensic nurse implements a program aimed at preventing domestic abuse. Which of the fol-lowing levels of prevention is being used?
a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Assessment