Alice Powers has been a parish nurse for 1 year and is trying to establish a health program that is balanced across all levels of prevention (primary, secondary, and tertiary). An example of a primary health intervention she might consider would be
1. Arranging for a mobile mammography unit to come to the church to provide low-cost mammograms.
2. Organizing a support group for widows and widowers.
3. Providing vaccinations against influenza for older parishioners.
4. Setting up a system that would facilitate referrals to community providers.
ANS: 3
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The registered nurse is working as charge nurse on a busy high-acuity care unit. Unexpectedly, a coworker becomes ill and needs to leave. There is a period of time in which the unit is short staffed while the ill coworker's replacement travels in to work. What action by the charge nurse is indicated?
1. Make no changes until the replacement nurse arrives. 2. Assign the less acute patients to be cared for by the unlicensed assistive personnel. 3. Assign the unlicensed assistive personnel to watch the monitors and call for help if a patient "gets into trouble." 4. Contact the house supervisor and ask for a float nurse to be sent to the unit.
The nurse is caring for a client with Graves disease. What concept related to the client's condition does the nurse recognize as true?
A) Autoantibodies against TSH stimulates thyroxine production. B) It occurs in hemolytic disease of the newborn due to ABO or Rh incompatibility. C) Antibodies to acetylcholine receptors cause decreased neuromuscular function. D) It is characterized by the vascular rejection of organ transplantation.
The nurse is teaching a family member about various types of complementary therapies that might be effective for relieving the dying client's anxiety and restlessness
Which statement by the family member indicates understanding of the nurse's teaching? a. "Maybe we should just hire a round-the-clock sitter to stay with Grandmother." b. "I have some of her favorite hymns on a CD that I could bring for music therapy." c. "I don't think that she'll need pain medi-cation along with her herbal treatments." d. "I will burn therapeutic incense in the room so we can stop the anxiety pills."
The nurse learns that an elderly patient with ill-fitting dentures has been using an over-the-counter preparation for a gum sore over the last month. What instruction should the nurse give this patient?
1. Make an appointment to see the physician. 2. Continue to use the preparation. 3. Change the preparation. 4. Stop wearing the dentures.