The most common characteristics shared by individuals most likely to contract a sexually trans-mitted disease (STD) are that they: (Select all that apply.)
1. Use illegal drugs
2. Possess poor reading skills
3. Are economically deprived
4. Have multiple sexual partners
5. Have ineffective immune systems
6. Frequently engage in unprotected sex
ANS: 4, 6
People most likely to be infected share one key characteristic: unprotected sex with multiple partners. Additionally, social factors such as poverty, low literacy, discrimination, use of illegal drugs (e.g., crack cocaine, meth), incarceration, sexual abuse, and racial segregation contribute to racial disparities in rates of STDs.
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The nurse should be particularly alert to somatization of psychological distress among patients whose cultural beliefs include: (Select all that apply.)
a. mental illness reflects badly on the family. b. mental illness shows moral weakness. c. food choices influence one's health. d. the mind, body, and spirit are merged. e. intergenerational conflict is common.
A public health nurse is conducting a health promotion teaching session at a seniors' drop-in center. Which of the following teaching points about hip fractures in older adults is most justified?
A) "Current treatment options for hip fractures in older adults mean that surgery is no longer a common necessity." B) "Because of their generally higher body mass, men are particularly susceptible to breaking a hip in a fall." C) "Most hip fractures are actually a break at the very top of the thigh bone." D) "Because bone density is largely determined by your genes, there's little you can do to prevent hip fractures other than avoiding falls."
The role of the professional nurse has evolved to emphasize:
1. providing care to patients directly at the bedside. 2. planning patient care to cover longer hospital stays. 3. leading the activities of a team of interdisciplinary health care providers. 4. managing care to cure health problems once they have occurred.
A patient who is currently 12 weeks pregnant is seeking information on pregnancy termination. The nurse is teaching the patient about the risks involved if she were to take the medication mifepristone
Which adverse signs would the patient need to know and report immediately to a physician? 1. Fatigue, lack of appetite, and inability to concentrate 2. Nausea, diarrhea, vomiting, and stomach pain 3. Increase in heart rate, inability to sit still, and lack of appetite 4. Headache, fatigue, and hunger