What is the easiest way for a nurse to screen for persons who have or are at risk for developing alcohol- or drug-related problems?
a. A laboratory test, which, although somewhat expensive, is very accurate
b. Having teachers watch for inappropriate, inebriated behaviors in the classroom
c. Paper-and-pencil tests concerning self-report of personal habits
d. Testing a hair sample, which is nonintrusive and relatively inexpensive
ANS: C
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A nurse assesses a client who has a history of heart failure. Which question should the nurse ask to assess the extent of the client's heart failure?
a. "Do you have trouble breathing or chest pain?" b. "Are you able to walk upstairs without fatigue?" c. "Do you awake with breathlessness during the night?" d. "Do you have new-onset heaviness in your legs?"
The nurse is assessing an older adult postmenopausal client. Which question should the nurse ask to assess for signs of osteoporosis?
A) "Have you experienced any palpitations?" B) "Are you having any low back pain?" C) "Are you having problems with swelling in your feet?" D) "Is constipation a problem for you?"
A parent of a child who has been having frequent bouts of tonsillitis brings the child back to the clinic for another sore throat. The parent asks the nurse, "What are tonsils good for anyway?" What is the best response by the nurse?
A) "They really do not have a function and should be removed." B) "These tissues filter bacteria from tissue fluid." C) "The tissue acts as an emergency reservoir of blood." D) "The tissue removes blood and bacteria."
Which adolescent would the nurse consider to have the highest priority for health promotion interventions aimed at reducing risk for depression, based on the person's history?
a. Parents killed in an auto accident b. Lived with adoptive parents since birth c. Allergies to dust, pollen, and mold d. Frequent conflicts with siblings