Janet Rogers works in a shelter for homeless persons in a large city. One Thursday, Janet cared for Derrick, a 3-year-old who is currently living in a car with his parents and older brother. Because of her experience,
Janet knows that Derrick should be thoroughly assessed because homeless children are at risk for:
1. Childhood cancers, substance abuse, delays in motor skills, and malnutrition.
2. Incomplete immunization, respiratory disorders, anemia, and developmental delays.
3. Physical and sexual abuse, gastrointestinal abnormalities, and lead poisoning.
4. Tuberculosis, AIDS, hepatitis B, and mental illnesses.
ANS: 2
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A young client is brought into the emergency department (ED) by a friend who says the client was "beat up" at school. The client is reluctant to provide the names of parents or a home address. What should the nurse suspect has occurred with this client?
1. The client does not want the individual who did the beating to get in trouble. 2. The client does not know his parents. 3. The client does not want the school to get in trouble. 4. The client is a victim of interpersonal violence.
Which patient assessment indicates the most severe respiratory distress?
a. Nasal flaring, symmetrical chest wall expansion, SaO2 88% b. Abdominal breathing, SaO2 97% c. Substernal retraction, SaO2 84% d. Substernal retraction, SaO2 90%
A patient, age 36, is scheduled for a unilateral orchiectomy for treatment of testicular cancer. He is withdrawn and does not initiate interaction with the nurse. What is the most appropriate nursing action at this time?
a. Carefully explain the postoperative activity restrictions. b. Show him a diagram of what the orchiectomy will accomplish. c. Assure him that he will have adequate future sexual functioning. d. Assess his concerns related to his diagnosis and treatment.
A nurse is using the critical theoretical perspective in daily nursing practice. Which of the following activities would the nurse most likely complete?
a. Criticize health insurance programs as a barrier to health care b. Expose social values underlying the health care system c. Promote individual freedom and decision making d. Exert control over the client's environment