Information from a patient's record that indicates marginal coping skills and the need for careful assessment of the risk for violence is a history of:
a. childhood trauma.
b. family involvement.
c. academic problems.
d. chemical dependence.
ANS: D
The nurse should suspect marginal coping skills in a patient with chemical dependence. He or she is often anxious, may be concerned about inadequate pain relief, and may have a personality style that externalizes blame. The incorrect options do not signal as high a degree of risk as chemical dependence.
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The nurse is creating a program to address cigarette smoking by community members. Which Healthy People 2020 topical areas are relevant to this program? (Select all that apply.)
1. Tobacco. 2. Oral health. 3. Substance abuse. 4. Environmental quality. 5. Clinical preventive services. Answer: 1, 4 Explanation: 1. For the topical area of Tobacco, objectives include reducing tobacco use by adults and adolescents. 4. For the topical area of Environmental Quality, a leading health indicator objective is to reduce tobacco use by adults. Tobacco is not a leading health indicator objective for the topical area of Oral Health. Tobacco is not a leading health indicator objective for the topical area of Substance Abuse. Tobacco is not a leading health indicator objective for the topical area of Clinical Preventive Services.
A patient with a history of incontinence will undergo urodynamic testing in the physician's office. Because voiding in the presence of others can cause situational anxiety, the nurse should perform what action?
A) Administer diuretics as ordered. B) Push fluids for several hours prior to the test. C) Discuss possible test results as the patient voids. D) Help the patient to relax before and during the test.
Nonparametric tests are more likely to be appropriate than parametric tests when:
a. The dependent variable is severely skewed b. The dependent variable is measured on at least an interval scale c. The sample size is large d. Values in the population are normally distributed
The newest IOM Report was published in 2010 and included which of the following recommendations for the nursing profession?
A. Increase collaboration of nurses with the health-care team, increase bachelor of science in nursing (BSN) and doctorally prepared nurses, and increase nursing leadership at each level of the profession. B. Reimburse RNs who acquire certification in their specialty area, increase staff nurse–to–patient ratio in acute care insti-tutions, and provide employee paid mal-practice insurance for every staff nurse. C. Identify more cross-training units for more efficient use of RNs in each institution, apply for Magnet status to increase consumer interest in agency, and provide nurses a patient written report card on their performance. D. Require all acute care institutions to pro-vide 100% tuition reimbursement for as-sociate degree nurses to obtain a BSN, perform patient satisfaction surveys weekly, and collaborate 100% with aca-demic nursing programs.