A public health nurse understands that the emergence of new infectious diseases is influenced by the
a. Increased availability of immunizations
b. Globalization of food supplies
c. Decreased use of child care facilities
d. Creation of sanitation systems in third world countries
ANS: B
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An 83-year-old patient is brought in by ambulance from a long-term care facility. The patient's symptoms are weakness, lethargy, incontinence, and a change in mental status
The nurse knows that emergencies in older adults may be more difficult to manage. Why would this be true? A) Older adults may have an altered response to treatment. B) Older adults are often reluctant to adhere to prescribed treatment. C) Older adults have difficulty giving a health history. D) Older adults often stigmatize their peers who use the ED.
The home health nurse discovers that a homebound cancer patient is using marijuana to control nausea from chemotherapy. What advice should the nurse give this patient?
1. Since the patient is homebound, it is likely the use of marijuana will not be discovered by anyone else. 2. The effect of marijuana on decreasing nausea is fleeting and not worth the health problems caused by using it. 3. Possession of marijuana is illegal under federal law unless prescribed by an approved physician. 4. Under certain circumstances, patients can claim exemption from the law against possession of marijuana.
The client is 34 years old and has been diagnosed with COPD as a result of being homozygous for a mutation of the alpha1-antitrypsin (AAT) gene alleles. His wife has two normal AAT gene alleles
He is concerned that his two children may develop this problem. What is your best response? A. "Because neither of your parents have COPD and your wife does not have the abnormal gene alleles, your children will not be affected." B. "Because your wife is not affected nor is or a carrier, your children will have normal levels of AAT and their risk is the same as for the general population." C. "Because you have the mutations and your wife does not, your son will be at an increased risk for developing COPD but your daughter will only be a carrier." D. "Because both of your AAT gene alleles are mutated, your children will each have one abnormal gene and their risk for COPD is only increased if they smoke or are chronically exposed to other precipitating factors."
A client with a psychiatric history is attempting to communicate with the nurse using made-up words. Which condition is the client most likely exhibiting?
A. Symptom of depression B. Positive symptom of schizophrenia C. Negative symptom of schizophrenia D. Symptom of bipolar disorder