ANSWERS
a 13 year old girl is admitted to the adolescent unit with acute leukemia. the
patient has a support system that includes her brother, sister, mother, father, and
grandmother as well as members of her local community. which component of
her support system is considered a suprasystem? correct answer the community
a community health nurse is evaluating the current health programs in the
community. which outcome indicates a healthy community? correct answer
ninety percent of members report adequate access to primary care services
a father brings his toddler to the clinic for well-child care. which would be most
important for the nurse to assess? correct answer whether the home is child
proof
a mother comes to the clinic with her infant for a newborn checkup at 1 week of
age. the mother tells the nurse "my baby looks yellow to me". which is the nurses
best response? correct answer the color is from the breakdown of maternal red
blood cells
a patient complains of a vague, uneasy feeling of dread and has an elevated heart
rate. which nursing diagnosis is most appropriate for this patient? correct answer
anxiety
a patient had surgery 6 hours ago, when the nurse enters the room to turn him,
she notes that he is restless and grimacing. considering the patients nonverbal
communication what action should the nurse take first? correct answer assess to
determine the cause of the grimacing
, a patient has left-sided weakness because of a recent stroke. which type of
special needs assessment would it be most important to perform? correct answer
functional
a patient is discharged home after sustaining injuries from a motor vehicle crash.
what wold be the primary goal of home care for this patient? correct answer
teach the patient and family how to provide care
according to the uniform determination of death act, which bodily function must
be lost to declare death? correct answer brain stem function
after completing a health assessment, the nurse determines that a patient is at
risk for heart disease. what did the nurse assess to make this clinical
determination? correct answer abdominal obesity
an older client is recovering from an acute illness. what should the nurse suggest
to help increase the clients physical stamina? correct answer walk briskly for 15
min twice a day
an older client with a chronic health problem expresses dismay at the loss of
physical stamina. what should the nurse suggest to client? correct answer engage
in an adapted physical activity program
at the end of an imagery session, which physical finding suggests that the
relaxation technique was successful? correct answer decreased blood pressure
before entering the room of a patient who is angry and yelling, the nurse removes
her stethoscope from around her neck. why did the nurse perform this action?
correct answer could be used by patient to hurt her