The obesity rate in a local neighborhood is the product of a poor quality grocery store and a lack of dedicated venues for exercise. This is an example of "upstream" determinants of public health determining the ecology of a community's health "downstream
The PHN understands that upstream determinants include social relations, neighborhoods and communities, institutions, and ____.
A. Social and economic policies
B. Availability of medicine
C. Nursing interventions
D. Government programs
ANS: A
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Mrs. J is three days postoperative after having an epidural hematoma evacuated. While the nurse is in the room, Mrs. J has a generalized seizure. The nurse should do all of the following except
A) turn Mrs. J to her side. B) help maintain a patent airway. C) pry open Mrs. J's jaws to place a padded tongue blade between her teeth. D) restrain Mrs. J's movements only enough to prevent her from hurting herself.
A client is to be scheduled for a vesicovaginal fistula repair. Which nursing intervention is focused on preventing complications that may delay the procedure?
A) Deodorizing douches as needed B) Use of stool softeners C) Daily perineal care D) Encourage fluid intake
The nurse has noted that a newly admitted resident to an extended care facility stays in her room, does not take active part in activities, and leaves the meal table after having eaten very little. The nurse analyzes this relocation response as:
1. regression. 2. social withdrawal. 3. depersonalization. 4. passive aggressive.
A patient is in an urgent care center with an acute asthma attack. The nurse expects that which medication will be used for initial treatment?
a. An anticholinergic such as ipratropium (Atrovent) b. A short-acting beta2 agonist such as albuterol (Proventil) c. A long-acting beta2 agonist such as salmeterol (Serevent) d. A corticosteroid such as fluticasone (Flovent)