A faith community nurse is partnering with a local public health department to develop programs for primary, secondary, and tertiary prevention activities. Which of the following should be used as the primary guide for development?
a. Contemporary articles in nursing journals
b. Evidence-based practice guidelines for treatment of disease
c. Healthy People 2020 goals and objectives
d. Preferences of partners who are funding the programs
ANS: C
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The client is admitted to the coronary care unit with a myocardial infarction. Prior to discharge, which client statement indicates that adequate learning has occurred?
1. "I'm just sick to my stomach because I ate something that didn't agree with me." 2. "I think I must have given myself a little too much insulin this morning." 3. "I've been breathing fast and my heart's been racing because my heart's not working right." 4. "Just give me something for the nausea and I can go home."
A nurse is discussing sexual health with a 74-year-old female resident of an assisted living facility. Which of the nurse's following teaching points should be included in the discussion?
A) "Because the vagina becomes drier and its lining thinner with age, sexual experiences are normally not possible.". B) "A lot of changes occur with age, but most of these are chemical and hormonal rather than changes to body parts and structures.". C) "There are many changes to your reproductive system that accompany normal aging, but none of them rules out the possibility of still having satisfying experiences sexually.". D) "It's certainly possible for you to maintain a satisfying sexual relationship even though the hormones that affected you when you were younger no longer have an effect.".
School nurses should be particularly vigilant for signs of eating disorders
a. in fourth-graders. b. in rebellious, aggressive girls. c. during summer breaks and around holidays. d. at transitions between elementary, middle, and high school.
An adult client who prescribed the anticholinergic oxybutynin (Ditropan) for urinary incontinence is admitted to the unit with acute muscle spasms after twisting her back in a fall
Which medication used for muscle spasm relaxation would cause the nurse the most concern? 1. Ibuprofen 600 mg 2. Cyclobenzaprine (Flexeril) 3. Tizanidine (Zanaflex) 4. Chlorzoxazone (Parafon Forte)