At the completion of a population assessment the population health nurse determines that a community has several protective factors for child maltreatment. What did the nurse assess to make this decision? (Select all that apply.)
1. Parental unemployment 1.2%.
2. 90% of children in two-parent families.
3. Six episodes of gang violence in the last month.
4. Community health clinic available to all members.
5. Eight families had parents hospitalized for drug overdoses.
Answer: 1, 2, 4
Explanation: 1. Protective factors for child maltreatment include parental employment, stable family relationships, and access to needed health care. Risk factors for child maltreatment include community violence and parental substance abuse.
2. Protective factors for child maltreatment include parental employment, stable family relationships, and access to needed health care. Risk factors for child maltreatment include community violence and parental substance abuse.
4. Protective factors for child maltreatment include parental employment, stable family relationships, and access to needed health care. Risk factors for child maltreatment include community violence and parental substance abuse.
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An appropriate goal for a nursing diagnosis of "Anxiety related to perceived threat of disability" would be:
1. the patient will state that pain is relieved. 2. the patient will verbalize concerns about injury. 3. the patient will demonstrate realistic goal setting. 4. the patient will report that the limb did not become infected.
A patient who was found in the snow with impaired consciousness, no shivering, and a body temperature of 28°C is being transported by life flight helicopter to a hospital with rewarming resources. The patient warms to 30°C en route to the hospital, and the nurse cautions the team to move the patient gently, explaining that at this body temperature:
A) the bones are brittle and can fracture easily. B) the skin is fragile and tears easily. C) the heart is irritable and susceptible to ventricular fibrillation. D) the muscles become rigid and can cause fractures and joint injury.
A nurse is working with a client with newly diagnosed benign paroxysmal positional vertigo. In developing a plan of care for this client, the nurse should instruct the client regarding:
1. Modifications in daily activities. 2. Adapting to long-term balance disorder. 3. Importance of medication regimen. 4. Importance of bed rest.