Which of the following activities performed by the nurse would be considered secondary prevention of a mental disorder or disorders?

1. Providing drug abuse prevention lectures in the school
2. Teaching money management to clients with mental disorders
3. Performing depression screenings at the local mall
4. Administering medications to relieve extrapyramidal side effects


3
Rationale: Performing screenings for existing depression is secondary prevention. Drug abuse lectures are primary prevention aimed at keeping students from beginning to use illegal substances. Teaching money management is a rehabilitation or tertiary care act, as is medication administration to relieve side effects.

Nursing

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Round off the following decimal to the nearest tenth

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A client will be starting treatment with the tumor necrosis factor inhibitor, adalimumab (Humira). To begin a new job, the client must receive a tetanus shot because he hasn't received one in 10 years. What should the nurse advise the client?

A) The tetanus shot may be taken at any time without regard to TNF inhibitor drug therapy. B) The client should receive the tetanus shot prior to beginning TNF inhibitor drug therapy. C) The client should receive the tetanus shot after beginning TNF inhibitor drug therapy to decrease the complications related to the tetanus. D) The client should get a note from the physician stating the tetanus shot is not able to be taken by the client.

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One of the assessments performed in the birth room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits?

a. One artery and one vein b. Two veins and one artery c. Two arteries and one vein d. Two arteries and two veins

Nursing

The nurse is teaching a patient about hemodialysis. How should the nurse explain this process?

remove waste products as well as correct fluid and electrolyte imbalances. 2. It allows a choice of either diffusion osmosis or ultrafiltration to remove excess water from the body. 3. It adds potassium to the blood when passing through the dialyzer and works on the principle of diffusion. 4. It will add electrolytes and water to the blood when passing through a semipermeable membrane to correct electrolyte imbalances.

Nursing