A nurse assessing sociocultural risk factors for a 34-year-old female, single, poorly educated immigrant with three young children and who receives support from social services, should be most concerned about the effects of:
a. age.
b. gender.
c. immigration.
d. disadvantagement.
D
Disadvantagement factors, such as lack of basic resources and low education level, create profound problems in prevention, diagnosis, and treatment of psychiatric disorders.
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The nurse, instructing a new father on the normal growth and development of his new baby, should inform the father that the most rapid growth rates occur during which age groups?
a. Toddlers and preschoolers b. Infants and school-age children c. Preschoolers and young adults d. Infants and adolescents
A client who has sleep apnea is reporting constant daytime sleepiness. The client has multiple other chronic diseases. What is the nurse's best action?
a. Refer the client for surgery. b. Perform a health history. c. Request an order for a sleeping pill. d. Move the client to a private room.
A patient who is displaying manic behavior enters the unit's dayroom and declares in a loud, threatening voice, "I have friends, and if you don't show me proper respect, you'll be sorry!" The nurse's initial response should be to approach
the patient, address him formally, and say in a: a. soft voice, "You will always have proper respect here. Let's sit over here and talk.". b. soft voice, "You are really frightening the other patients. Please go to your room.". c. firm voice, "You are out of control. I expect you to go to your room immediately.". d. firm voice, "You seem to be escalating again. I've brought an injection that will calm you and slow your thinking.".
A client comes to the local public health clinic complaining of a "red, itchy rash" that he attributes to a chemical he is using at work. What is the first thing the nurse should do?
a. Apply hydrocortisone cream to the rash. b. Ask the client the name of the chemical and how he uses it. c. Refer him to a physician. d. Determine if this chemical causes a rash.