A nurse is using Healthy People 2020 as a guide to develop community programming for mental health. Which of the following objectives for mental health would be found in this document? (Select all that apply.)
a. Reduce suicide rates
b. Increase employment of persons with se-vere mental illness
c. Increase the proportion of children treated for mental health problems
d. Decrease the number of juvenile facilities that screen new admissions for mental health problems
e. Reduce rates of violent acts against women
ANS: A, C
Reducing suicide attempts and increasing the proportion of children with mental health problems who receive treatment are two objectives for mental health targeted by Healthy People 2020.
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A 68-year-old woman with a new onset of vascular dementia has recently begun retaining urine. Which of the following physiological phenomena would her care providers most realistically expect to currently occur as a result of her urinary retention?
A) Hypertrophy of the bladder muscle and increased bladder wall thickness B) Decreased urine production and nitrogenous waste excretion by the kidneys C) Decompensation, bladder stretching, and high residual urine volume D) Overflow incontinence and loss of contraction power
An older patient is refusing to receive the influenza and pneumococcal vaccinations because he believes he is "too old." How should the nurse respond to this patient?
1. "I understand your feelings." 2. "I will report your concerns to the physician." 3. "You are likely to get sick if you do not take the vaccines." 4. "It is never too late in life to begin health promotion activities."
The nurse is reviewing the results of a patient's cardiac output curve and notes that the size of the curve is small. Which of the following does this finding indicate?
1. A low cardiac output 2. Poor injection technique 3. Incorrect placement of the catheter 4. A high cardiac output
Why did the Metropolitan Life Insurance Company establish and retain for several years the first community nursing health program for policyholders?
a. Creating such a service was the morally correct thing to do. b. Employing nurses directly was less expensive than paying taxes to the city for the same purpose. c. Having the company's nurses make home visits increased worker morale. d. Having public health nurses visit policyholders and their families led to a decline in policyholder deaths, thus lowering costs for the insurance company.