There are many challenges for community and public health nurses in the 21st century. Demographic characteristics indicate that people in developed countries are living
13. longer healthier lives, yet tremendous health and social disparities exist. What are social determinants of health?
A) What society does collectively to ensure the conditions exist in which people can be healthy.
B) Social conditions in which people live and work.
C) Context of preventing disease and disability and promoting and protecting the health of the entire community.
D) Comprehensive management of health information and its secure exchange between consumers, providers, government and quality entities, and insurers.
B
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The blood pressure and pulse rates for a client admitted last night with a compound fracture of the
femur sustained in a fall while intoxicated, are recorded as follows: admission 2 AM, 122/80 mm Hg and 72 beats/min 4 AM, 126/78 mm Hg and 76 beats/min 6 AM, 124/80 mm Hg and 72 beats/min 8 AM, 132/88 mm Hg and 80 beats/min 10 AM, 148/88 mm Hg and 96 beats/min The priority action for the nurse to take is to a. encourage the client to drink plenty of liquids. b. obtain a clean-catch urine sample. c. place the client in a vest-type restraint. d. notify the physician.
The nurse is performing a skin assessment on a client that is admitted to the hospital and observes an area over the left heel that is reddened but intact. How would the nurse stage this pressure sore?
A) Stage I B) Stage II C) Stage III D) Stage IV
A nurse who works in a busy, urban clinic is aware of the importance of a thorough assessment of sexual history for the women who are patients of the clinic. When initiating such assessments, the nurse should begin by:
A) Briefly explaining the health consequences of sexually transmitted infections (STIs) B) Informing the patient that she will be asked some questions about her sexual health C) Asking the patient if she feels like she is accepting of her sexuality D) Asking the patient if she has any friends or family who have experienced sexual health issues
The nurse is being trained in hospice care. Which intervention by the nurse is most compatible with the goals of end-of-life care for the client?
a. Administer influenza and pneumococcal vaccinations. b. Prevent the client with chronic obstructive pulmonary disease from smoking. c. Perform passive range-of-motion exercises to prevent contractures. d. Permit the client with diabetes mellitus to have a serving of ice cream.