Exam 2 Week 3 Part 2
14. During a group counseling session for perpetrators of intimate partner violence, which of the following statements made by a client indicates a lack of insight into his violent behavior? Ch25
"I love my girlfriend and didn't want to hurt her; it was an accident." R: An alternative to ending the relationship is the male partner's attendance at programs for batterers. These programs are most effective if they are court-mandated and if the man's underlying values about women are addressed, as well as his violence. Violence is defined as those nonaccidental acts that result in physical or psychological injury. Although this client may now be feeling remorse, at the time the violent act was committed against the girlfriend, the intent was to inflict harm and maintain control. It was not an accident. The other three statements indicate an admission of a problem—at least on the surface.
11. Which of the following statements by a parent indicates a need for increased learning regarding appropriate (nonabusive) discipline of a child? Ch25
"I never spank or hit; I yell at them to stop being stupid, and if they don't, I tell them no one is ever going to love them if they act like that." R: Emotional abuse involves extreme debasement of feelings and may result in the child feeling inadequate, inept, uncared for, and worthless. Yelling at a child and threatening loss of love are devastating.
15. Which of the following statements, made by a caregiver of an older client, should alert the nurse to assess for evidence of elder abuse? Ch25
"Mom is always into something and can't seem to stay still, so I've been giving her half a Valium to get her to relax so I can get some rest." R: Giving medication to induce confusion or drowsiness so that the elders will be less troublesome or will need less care is considered a form of elder abuse. Such medication may also make it easier for adult children to control the elder's assets. All other options are examples of proper care.
10. A school health nurse presents a program on preventing teen pregnancy to a group of parents. Following the presentation, which of the following comments by a parent would cause concern? Ch23
"My daughter is too intelligent to get involved with boys, even if her friends do sleep around." R: Teens are often ignorant concerning sexuality and pregnancy and often very embarrassed to discuss such topics. Further, they often believe myths such as they cannot get pregnant the first time they have sex. The earlier their sexual debut, the less likely a birth control method will be used, because younger teens have less knowledge. Teens are more likely to be sexually active if their friends are sexually active. Teens who are knowledgeable and want to be responsible often find it difficult to access birth control. Confidential reproductive health care services may be available for teens, but problems are still associated with transportation, school absences, and costs of care. Parents who do not talk about sexuality with their teens may find them more at risk for sexual permissiveness and pregnancy.
19. A nurse is reviewing with a client the importance of the diabetic diet to maintaining control of blood glucose levels. The client states, "I went to the classes and learned how to count carbohydrates. I have even started to write down what I eat for each meal." Which of the following would be most appropriate response from the nurse? Ch24
"That is great. You've started to take action and make changes." R: There are five stages of change: (1) precontemplation—or resisting that there is a problem, (2) contemplation—or thinking about the problem, (3) preparation—preparing for action and taking some initial steps, (4) action—or making modification in behavior and environment, and (5) maintenance—or preventing relapse. As the client learns how to eat and recognizes what she is eating, she is preparing for action. Therefore, the nurse should be encouraging and recognize that the client has begun serious change.
9. A home health client has been taking 50 mg of meperidine, a narcotic analgesic, every 4 hours for pain. Which of the following statements made by a nurse to the client's physician indicates a need for further education on narcotics? Ch24
"You need to discontinue that order before my client becomes addicted." R: Opiates are by far the most effective drugs for pain relief. When these drugs are used for pain control, only approximately 0.1% of those clients will develop addiction, and therefore, fear of addiction should not be used as a reason to undertreat pain.
13. A mother and her son are in the emergency department. The mother is extremely upset. Earlier, the son had become so angry that he put his hand through a glass window and had to have stitches. The physician suggested a psychiatric consult. Now the mother asks, "Do you think my son is crazy?" Which of the following is the most appropriate response by the nurse? Ch23
"Your son is having problems with behavior, which is distressing all of you. A psychiatrist may be able to help your son cope with life in a more acceptable way." R: Mental health is defined as being able to engage in productive activities and fulfilling relationships with other people, to adapt to change, and to cope with adversity. Mental disorders are conditions characterized by alterations in thinking, mood, or behavior, resulting in distress and/or impaired functioning. Most persons do not get so angry that they become self-destructive (e.g., putting their hand through a glass window and requiring medical attention). The nurse can help the mother accept appropriate assessment and intervention by using positive language and giving hope. With more time the nurse can help the mother deal with feelings of having a "crazy" family member and the effects of such behavior on the whole family.
20. According to the Federal Register, which of the following is the minimum income needed by a family of four to meet the basic needs for healthy living (that is, an income below this amount is considered insufficient to provide the food, shelter and clothing needed to preserve health)? Ch23
$23,050 R: According to the Federal Register in January 2012, for a family of four, the poverty level—defined as the threshold below which families or individuals are considered to be lacking the resources to meet the basic needs for healthy living—is $23,050.
18. A client requests help to stop smoking. Which of the following methods would be the best for the nurse to suggest to the client? Ch24
A combination of interventions, beginning with changing the environment R: The most effective way to get people to stop smoking and prevent relapse involves multiple interventions and continuous reinforcement, and most smokers require several attempts at cessation before they are successful. Making changes to the smoker's environment helps by eliminating cues to smoking, such as ash trays, lighters, and cigarette cases.
9. A public health nurse is hosting an informational meeting for young parents about how to balance their multiple responsibilities. Which of the following parents in attendance would be most at risk for abusing his or her own child? Ch25
A depressed father who was laid off from work and is missing his work colleagues R: Parents with a lack of social support, a tendency toward depression, multiple stress factors, and a history of abuse are at risk for abusing their own children. Abusive parents often have unrealistic expectations of a child's developmental abilities.
4. Which of the following persons is most likely to be assaulted? Ch25
A young man R: Men are far more likely to be assaulted or killed than are women. The greatest risk factor for an individual's victimization by violence is age; youths are at significantly higher risk.
14. Three women were brought to the emergency department by ambulance after a two-car accident at a busy intersection. Which of the following tests should automatically be done under such circumstances? Ch24
Alcohol blood level R: Approximately 40% to 50% of people seen in trauma centers were drinking at the time of their injuries. Hence, blood alcohol testing should be routinely done for patients admitted to the emergency department for traumatic injuries.
4. A school health nurse is asked by a parent group to explain risk factors for alcoholism. Which of the following information should the nurse include? Ch24
Alcoholism is determined partly by genetic factors. R: Research has shown conclusively that familial transmission of alcoholism is at least in part genetic and not just the result of family environment.
A nurse is providing care to a pregnant teenager. Which of the following principles is the most important for the nurse to consider when providing care? Ch23
All teen pregnancies are considered high-risk. R: All of these statements are true; thus it is crucial to consider all pregnant teenagers as high-risk obstetric clients. A number of problems (e.g., poverty, late entry into prenatal care, and limited self-care knowledge) can lead to complications of pregnancy, so it is important to treat every teen pregnancy as a special high-risk pregnancy.
19. A nurse would like to increase the accessibility to health care services for mentally ill homeless clients in the community. Which of the following actions should be taken by the nurse? Ch23
Apply for a grant to fund a mobile clinic to take health care to the clients. R: Accessibility refers to the ability of clients to obtain needed health care services. Although all of these options lead to opportunities for improvement in health, either directly or indirectly, only applying for a grant for a mobile clinic can potentially improve accessibility to a health care clinic. Neighborhood clinics, mobile vans, and home visits can bring health care to people otherwise unable to access care. Coordinating services at a central location often improves client compliance because it reduces the stress of getting to multiple places.
18. A nurse is concerned about stress related to the heavy caregiving burden assumed by adult children of older clients. Which of the following actions by the nurse demonstrates the use of secondary prevention to limit caregiver stress? Ch23
Asking caregivers how they are doing and suggesting coping strategies R: Secondary prevention activities involve screening activities that allow for early recognition of problems so that prompt interventions can limit disability. By asking caregivers how they are coping (thus screening), the nurse identifies problems early so that interventions can be employed to limit the extent of stress, thus paving the way for improvement. The other options are either primary or tertiary activities depending on whether the intervention takes place before or after caregiving stress has developed. Also, encouraging caregivers to periodically leave the house for a couple of hours could result in negative outcomes for the person needing care (unless a competent substitute is filling in for the primary caregiver).
12. The nurse is making a postpartum visit to a teenage mother and her month-old infant. Which of the following assessments would be most important? Ch23
Assessing for mother's knowledge about normal infant growth and development R: Although the nurse might assess for any and all of these options, the primary goal would be to assess how much the mother knows and understands about the needs of infants and their development. Such knowledge helps avoid unrealistic expectations and frustrations, which could lead to child abuse.
2. Which of the following racial groups experiences the highest incidence of poverty? Ch23
Blacks R: In terms of racial differences in the rate of poverty, non-Hispanic Whites had a rate of 9.9 %; Blacks had a rate of 27.4% and Hispanics had a rate of 26.6% (U.S. Bureau of the Census, 2012).
8. Which of the following addictive drugs is both legal and culturally acceptable throughout almost all of the United States? Ch24
Caffeine R: Caffeine is in commonly served beverages such as coffee, tea, and soft drinks, as well as in some commonly used pain medications.
4. A school nurse was talking to the teacher of an 8-year-old child who was living with her mother in their car. Which of the following concerns would lead the nurse to talk to the teacher about the child? Ch23
Concern that the child has developmental delays R: Poverty increases the likelihood of chronic disease, injuries, traumatic death, developmental delays, poor nutrition, inadequate immunization levels, iron deficiency anemia, and elevated blood lead levels. Poverty-stricken children may be hungry and fatigued and have dizziness, irritability, headaches, ear infections, frequent colds, weight loss, inability to concentrate, and increased school absenteeism. Homeless children also experience higher rates of school absenteeism, academic failure, and emotional and behavioral maladjustments. The stress of homelessness can be seen in withdrawal, depression, anxiety, aggression, regression, and self-mutilation. Homeless children may have delayed communication, more mental health problems, and histories of abuse.
18. Which of the following best describes a principle of care that the nurse should abide by when working with abusive families? Ch25
Demonstrate respect for all family members, including the abuser. R: Principles of giving care to families who are experiencing violence include the following: intolerance for violence; respect and caring for all family members; safety as the first priority; absolute honesty; and empowerment.
13. The wife of an abusive husband reports to the nurse that her husband has been increasingly more abusive over the past year. Which of the following should be the first action that is taken by the nurse? Ch25
Develop a plan for the wife's escape if the violence starts again. R: Although marital counseling may be useful at an early stage of abuse, it is generally contraindicated at all other stages because of the risk to the woman's safety. Unfortunately, abuse tends to escalate in frequency and severity over time, and the man's remorse tends to lessen. A nurse encountering severe abuse needs to consider the safety of the woman and her children as the priority. The woman will need an order of protection and help in getting to a safe place. At the very least, the woman must design a carefully thought-out plan for escape and arrange for someone to call the police if another violent episode occurs.
9. A nurse is working to ensure long-term positive health outcomes of poor pregnant teens and their children. Which of the following actions would the nurse most likely take? Ch23
Develop programs that allow teen mothers to complete their education. R: Single motherhood is increasing. A direct correlation exists between lack of education and poverty. Similarly, a direct correlation exists between poverty and poor health outcomes. Poor teens are nearly three times more likely to drop out of school as their nonpoor counterparts. When programs that assist the mother to complete her education are instituted, chances are increased for a better future, which improves health care over the long term across the life span. It is important to keep the pregnant adolescent in school during the pregnancy and have her return as soon as possible after the birth.
3. A man who takes a prescribed narcotic for pain on a regular basis reports that he does not like the way the medicine makes him feel. He has tried to change to an alternate analgesic but experienced withdrawal symptoms when he stopped taking the narcotic. Which of the following problems is the man experiencing? Ch24
Drug dependence R: Drug dependence is a state of neuroadaptation (a physiological change in the central nervous system) and alterations in other systems caused by the long-term, regular administration of a drug. People who are dependent on drugs must continue using them to prevent withdrawal symptoms. Drug addiction is a pattern of abuse characterized by an overwhelming preoccupation with the compulsive use of a drug and securing its supply and a high tendency to relapse if the drug is removed. Substance abuse does not apply in this case, because the man is taking a prescribed medication for a legitimate purpose. The term drug abuse is no longer meaningful.
12. A teacher sends a student to the school nurse because the student does not seem to be thinking clearly. The nurse notes that the student is having palpitations, as well as elevated pulse, blood pressure, temperature. Which of the following would most likely cause these symptoms? Ch24
Ecstasy (MDMA) R: Ecstasy raises the body's temperature, pulse rate, and blood pressure. The other drugs listed would have a depressant effect.
5. Which of the following is the most rapidly growing group of homeless? Ch23
Families with children R: Families with children are the fastest-growing segment of the homeless population.
5. Which of the following is the most likely reason for a man to rape a woman? Ch25
For power and control R: The underlying issues of rape are hostility, power, and control rather than sexual desire.
1. Which of the following approaches has research suggested is the most effective way to approach drug addiction? Ch24
Harm reduction R: The harm reduction model is a health care approach that recognizes addiction as a health problem and focuses on pragmatic interventions, especially education, to reduce the adverse consequences of drug use and treatment for addicts.
1. A nurse was shocked when late one night she saw a former high school friend going through a trash bin outside a fast-food restaurant and pulling out half-eaten food. Which of the following is the most likely explanation for a healthy young adult engaging in such behavior? Ch23
He had full-time employment, but with such a low salary it was inadequate to meet basic expenses. R: The causes of poverty are complex and include decreased earnings, increased unemployment rates, and inadequate education and job skills.
7. A nurse is concerned about the possibility of suicide in a teenage boy. Which of the following characteristics has the boy most likely displayed? Ch25
He is depressed and has a history of being sexually abused. R: Leading risk factors for suicide are depression and other mental disorders or substance-abuse disorders. Other risk factors include prior suicide attempt, family history of suicide, mental disorder, substance abuse or violence, firearms in the home, incarceration, and exposure to the suicidal behavior of others (family, peers, or figures in the media). Children who threaten to harm others or who abuse an animal are more likely to hurt others than themselves.
6. A nurse is counseling a woman following a rape. Which of the following feelings is the woman most likely to state she felt while being raped? Ch25
Helplessness R: During the act of rape, survivors are often hit, kicked, stabbed, and severely beaten. It is this violence, as well as the violation of the sense of self, that most traumatizes the person because of the fear for her life and her feelings of helplessness, lack of control, and vulnerability.
21. A nurse is working to improve her self-awareness in order to provide better client-centered care to clients living in poverty. Which of the following questions should the nurse ask herself? Ch23
How have the media images of poor persons shaped my image of poverty? R: Self-awareness is a key component of providing authentic, genuine client-centered care. To clarify their own values and perspectives about poverty, nurses should ask themselves questions about poverty and persons living in poverty. These questions should cause the nurse to reflect on how his or her ideas of poverty have been developed. The only question that relates to the nurse reflecting on how personal values and perspectives have been developed is, "How have the media images of poor persons shaped my image of poverty?" The other questions address how to address the issue of poverty or concerns of the nurse but do not address increasing the nurse's self-awareness.
10. A teacher asks the school health nurse to assess a child for neglect. Which of the following assessment findings could indicate neglect? Ch25
Lack of weight gain and wearing dirty clothes R: Physical neglect refers to failure to provide adequate food, clothing, shelter, hygiene, or necessary medical care; emotional neglect refers to the omission of basic nurturing, acceptance, and caring essential for health development. Lice are a common problem among school children, and the presence of lice does not indicate neglect. Failure to attend parent-teacher conferences should not be construed as neglect, because various reasons, such as employment requirements, may prevent parents who care from attending. Bruising is a sign of physical abuse rather than neglect.
16. A nurse is implementing a primary prevention strategy to address abuse in the community. Which of the following actions is the nurse most likely taking? Ch25
Lobbying for passage of legislation to outlaw physical punishment in schools R: Primary prevention involves action before damage has occurred. The other options are all screening for abuse or reactions to abuse that has already taken place.
14. Which of the following is the leading cause of disability for Americans 15 to 44 years of age? Ch23
Major depressive disorder R: Major depressive disorder is the leading cause of disability for Americans between the ages of 15 and 44 years.
10. A school nurse stops a student in the hall and asks whether the student has been having trouble with her eyes, which look rather red and dry. The female student yawns and says that she hasn't noticed any eye problems. However, she does confess to the school nurse that she has gained 15 pounds since she began smoking "special cigarettes." Which of the following is the student most likely smoking? Ch24
Marijuana R: Side effects of marijuana include increased appetite, dry and reddened eyes, and drowsiness.
11. Which of the following is an accurate concern about the use of marijuana? Ch24
Marijuana may damage the respiratory tract. R: Marijuana is the most widely used illicit drug in the United States. It may reduce pain but is currently illegal with national efforts at total prohibition. It is not highly toxic except for possible damage to the respiratory tract from smoking. It does not quickly lead to dependence, and withdrawal symptoms are mild.
16. Which of the following groups is most at risk for suicide? Ch23
Men over age 85 R: Men over age 85 are in the highest risk category for suicide.
17. Which of the following statements accurately describes why methadone is used to treat heroin addiction? Ch24
Methadone blocks the effects of heroin and reduces the craving. R: Methadone, when administered in moderate or high daily doses, produces a cross-tolerance to other narcotics, thereby blocking their effects and decreasing the craving for heroin. The advantages of methadone are that it is long-acting and effective when taken orally, it does not produce a "high," it is inexpensive, and it has few known side effects.
6. Which of the following statements best describes why health care of the homeless is so expensive to the community? Ch23
Most care to homeless people takes place in hospital emergency departments. R: Homeless persons have the same problems accessing care as do others in poverty (e.g., lack of money, lack of insurance, lack of transportation). Therefore, health care of homeless persons is usually crisis oriented and sought in emergency departments, where the cost of service is high but is not refused as it often is in clinics.
7. The nurse who works at a homeless clinic wants to improve healing of chronic wounds in clients living on the streets. Which of the following would be the best action to take to improve client outcomes? Ch23
Offer daily access to a room with soap, water, and bandages R: Health problems faced by the homeless often are related directly to poor access to preventive health care services. Proper wound care relies on cleanliness; however, those living on the streets do not typically have ready access to soap and water. The nurse can help by designating a wound room, in which clients can safely carry out wound care activities taught during clinic visits.
17. A nurse is trying to decrease the risk for depression among older adults. Which of the following interventions should the nurse implement? Ch23
Organize an exercise and health promotion program at the local senior citizen center. R: The depression rate among older adults is half that of younger people, but the presence of a physical or chronic illness increases rates of depression. Depression rates for older adults in nursing homes range from 15% to 25%; thus, encouraging older adults to move to nursing homes would certainly not decrease their risk for depression. Healthy aging activities such as physical activity and establishing social networks improve the mental health of older adults. Older adults underuse the mental health system and are more likely to be seen in primary care or to be recipients of care in institutions. The nurse can reach them by organizing health promotion programs through senior centers or other community-based settings. Telling clients to focus on strengths instead of weaknesses is not helpful—this advice can sound flippant and patronizing if (1) the weaknesses are profound and (2) tools are not given to assist in coping. Monitoring for signs of depression is not an effective approach because this—like most programs currently available for adults, families, and caregivers with health problems—focuses on identifying rather than preventing problems.
15. A community mental health nurse is working within the community to help prevent youth violence. Which of the following interventions would most likely be implemented by the nurse? Ch23
Partnering with associations to provide alternative activities that improve social skills R: Community mental health providers can help prevent a culture of youth violence by creating coalitions and partnerships and providing activities to increase social skills by helping children learn to stop, think, and act.
8. A nurse is assessing a young, single pregnant woman. Which of the following findings would be of most concern? Ch23
Persistent homelessness R: All these assessment findings are of concern and need attention. However, pregnant homeless women present several challenges. They have higher rates of sexually transmitted diseases, higher incidences of addiction to drugs and alcohol, poorer nutritional status, and higher incidences of poor birth outcomes. Thus, being homeless is the most dangerous sign of those listed.
8. Which of the following is a common factor typically found in those who abuse others? Ch25
Previous observations of violent behaviors to manage conflict R: People who become involved in violence typically had previous exposure to some form of violence. Abusers were often beaten when they were children, or they witnessed siblings or one of their parents being beaten. They learned that violence is a way to manage conflict.
20. At a county board meeting, a nurse reports statistics on drug use in the school. The nurse then requests funding for an after-school recreation program that promotes age-appropriate fun activities and sports. Which of the following objectives is the nurse attempting to meet through this action? Ch24
Promote healthy lifestyles with physical activity. R: The nurse is engaging in primary prevention efforts against substance abuse by helping to promote healthy lifestyles and resiliency factors.
19. A mother confides to the nurse that her live-in boyfriend knocked down her 2-year-old child because he was crying too much. She begs the nurse not to tell anyone because her boyfriend has agreed to take anger management classes. Which of the following actions should be taken by the nurse? Ch25
Report the incident to child protective services or other appropriate legal authority. R: Nurses are mandatory reporters of child abuse, even when only suspected, in all states. All of the other options put the child's welfare at risk, including encouraging the mother to seek alternatives, since encouraging an action will not ensure that it will happen.
21. A school health nurse is conducting drug screening to detect drug use by students before problems develop. Which of the following levels of prevention does this action represent? Ch24
Secondary prevention R: One means of secondary prevention is to institute early detection (screening) programs in schools, the workplace, and other areas in which people gather to determine the presence of substance abuse.
12. A mother cannot understand why her daughter ran away from home. When the police locate the daughter, she complains of a severe headache, so the police take both of them to the emergency department for assessment. Which of the following potential problems should be assessed by the nurse? Ch25
Sexual abuse by the father R: Nurses must be aware of the incidence, signs and symptoms, and psychological and physical trauma of incest. Symptoms include headaches, as well as other physiological problems. Children often try to avoid or escape the abusive behavior.
17. A nurse is working with a family to reduce the incidence of home violence. Which of the following actions by the nurse would most likely have a positive effect? Ch25
Soliciting ideas from the family regarding what they feel will improve their situation R: To empower the family, the nurse needs to recognize and capitalize on the violent family's strengths and to guide the family in recognizing and dealing with its problems. The nurse must use a nurse-family partnership rather than a paternalistic or authoritarian approach. Families often can generate many of their own solutions—in fact, the family's own solutions tend to be more culturally suitable and individualized than those the nurse generates.
15. A male IV drug abuser admits to the nurse that he has no desire to stop using drugs, so rather than lecture him on the dangers of drug addiction, the nurse counsels him on how to sterilize his needles. Which of the following prevention efforts is the nurse attempting to achieve? (Select all that apply.) Ch24
Tertiary prevention to reduce the transmission of blood-borne diseases R: Tertiary prevention is for people who already have a disease or problem (in this instance, someone already abusing IV drugs) to prevent complications (harm reduction). In this instance, because the client does not plan to stop taking drugs, the nurse is trying to prevent complications related to use of contaminated needles and reduce the transmission of disease through sharing contaminated needles with others. Abstinence is ideal, but it is unrealistic for many addicts. Using the harm reduction model, the nurse should provide education on cleaning needles with bleach between uses and inform the addict about needle exchange programs to decrease the spread of the blood-borne pathogens.
3. A school nurse was caring for an 8-year-old child who had been hurt on the school playground. During the nurse's assessment, the child admitted that her mother was working but didn't make much money so the girl and her mother were living in their car. Based on this information, which of the following would the nurse most likely suspect? Ch23
The child is more likely to have school absences. R: Poverty also increases the likelihood of chronic disease, injuries, traumatic death, developmental delays, poor nutrition, inadequate immunization levels, iron deficiency anemia, and elevated blood lead levels. These children may also be hungry and fatigued and experience dizziness, irritability, headaches, ear infections, frequent colds, weight loss, inability to concentrate, and increased school absenteeism (Emerson, 2004).
5. A movie shows a woman and a man having a contest to see who can drink more shots of whiskey. Who is more likely to "win" the drinking contest when the other passes out and cannot continue? Ch24
The man will win. R: Women are more affected by alcohol than men, because women have less alcohol dehydrogenase activity than men (except for males with chronic alcoholism).
7. A nurse sees the father of a newborn baby push his wife in a wheelchair out onto the patio. The man and woman each smoke a cigarette while the baby sleeps in the mother's arms. Which of the following information should the nurse share with the parents? Ch24
The sidestream smoke that the baby is exposed to is more dangerous than the mainstream smoke that the parents are inhaling themselves. R: Sidestream smoke contains higher concentrations of toxic and carcinogenic compounds than does mainstream smoke.
3. Which of the following is the top risk factor for intimate partner homicide? Ch25
The wife has previously called 911 because of husband's beating her. R: The top risk factor for intimate partner homicide (IPH) is previous domestic violence. Other risk factors are access to guns, estrangement, threats to kill or threats with a weapon, nonfatal strangulation, and a stepchild in the home if the victim is a female.
16. A man is addicted to alcohol. In which of the following scenarios is a family member enabling the man to continue drinking? Ch24
The wife tells her husband's boss that her husband is sick when he is actually inebriated. R: Enabling is the act of shielding or preventing the addict from experiencing the consequences of the addiction.
2. Which of the following statements best explains the primary reason why violence is so high among young African-American men? Ch25
Unemployment is higher in this population. R: Most analyses conclude that the differential rates of violence between African Americans and whites in the United States have more to do with economic realities, such as poverty, unemployment, and overcrowding, than with race. Although violence among men may be higher than among women, this question specifically addresses "young African-American men."
6. Students at first-day orientation at the local community college are discussing alcohol and drug abuse with their freshmen advisor. During a break, some students go outside for soft drinks and snacks. Soon after, the advisor walks by and notices several of these students smoking cigarettes. Based on this, which of the following topics of the drug and alcohol orientation would be most important for the advisor to reemphasize after the break? Ch24
United States R: Although all these options are worthy of discussion, the most relevant action in this case is making it clear to students that tobacco is a drug—and that smoking cigarettes accounts for one in five deaths in the United States. Smoking is the foremost preventable cause of death in the United States
13. A home health nurse believes a client may be a drug addict. However, the client denies the use of drugs when questioned by the nurse. Which of the following is the most likely cause of the client's denial? Ch24
Use of addictive drugs R: Denial is a primary symptom of drug addiction.
1. Which of the following statements is the best explanation as to why some countries are more violent than others? Ch25
Violence is a learned behavior controlled or allowed by social norms. R: Some societies are basically nonviolent, and for them violence is not a significant health problem. Violence is a learned behavior, and social norms can keep violence at low levels or even eliminate it.
2. A woman has just delivered a baby and is lamenting that the baby's father is not with her. She shares with you that he became involved with drugs and is now in prison for theft. The new mother says, "It's so sad. He's clearly no good." Which of the following would be the best response by the nurse? Ch24
c. "Is there anyone to help you with the baby until the baby's father can be released and encouraged to get treatment for his addiction?" R: The nurse must express concern and empathy and hold out hope for future improvement. To be therapeutic, the nurse must realize that any drug can be abused, that anyone may develop drug dependence, and that drug addiction can be successfully treated.
