The community health nurse, during a home visit to her client, observed that a family member was hearing voices and threatening to hurt himself. Which level of prevention involves identify-ing that the client is in need of care?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Intermediate prevention
ANS: 2
Case finding is part of secondary prevention. Options 1 and 3 do not include case finding. Op-tion 4 is not a level of prevention.
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A roller sheet has been placed under an elderly client who is receiving treatment for failure to thrive. When using a roller sheet in a client's care, the nurse must
A) Keep the siderails raised to prevent the client from rolling off the side of the bed. B) Ensure that the roller sheet is kept dry and wrinkle-free. C) First ensure that the client is able to roll side-to-side independently. D) Insert an indwelling urinary catheter to protect the roller sheet from urine.
A small commuter plane lost an engine and crashed into a shopping mall. The estimated number of injured people from this accident is 500. Which classification of incident should the nurse use when determining the care needed for these victims?
1. mass-casualty incident 2. multiple-casualty incident 3. accidental natural disaster 4. intentional human-generated disaster
A patient has been taking the monoamine
oxidase inhibitor (MAOI) phenelzine (Nardil) for 6 months. The patient wants to go to a party and asks the nurse, "Will just one beer be a problem?" Which advice from the nurse is correct? a. "You can drink beer as long as you have a designated driver." b. "Now that you've had the last dose of that medication, there will be no further dietary restrictions." c. "If you begin to experience a throbbing headache, rapid pulse, or nausea, you'll need to stop drinking." d. "You need to avoid all foods that contain tyramine, including beer, while taking this medication."
Roles for nurses related to global health include providing (select all that apply)
a. Medications and vaccines for worldwide use b. Direct patient care and facilitating education and health promotional needs of the community c. Knowledge and skill in countries where nursing is an organized profession d. Consultation to auxiliary personnel