A community mental health nurse is addressing substance use by adolescents. Which of the following interventions should the nurse include as a method of primary prevention?

Encourage random drug screening of adolescents participating in extracurricular activities.

Offer substance use treatment programs for adolescents from low-income households.

Provide a presentation to local schools on resisting peer pressure for substance use.

Educate high school teachers about detecting the manifestations of substance use.

Answer and Explanation

The Correct Answer is C

Choice A reason: Random drug screening is a method of secondary prevention, not primary prevention.

Choice B reason: Offering treatment programs is a method of tertiary prevention, not primary prevention.

Choice C reason: The correct answer is c) because providing a presentation on resisting peer pressure is a primary prevention method aimed at preventing substance use before it starts.

Choice D reason: Educating teachers about detecting substance use is a secondary prevention method.

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Correct Answer is B

Explanation

Choice A reason: Focusing on the bad things does not support cognitive reframing, which aims to find positive aspects or learning experiences.

Choice B reason: The correct answer is b) because cognitive reframing involves looking at situations from a different perspective, focusing on what can be learned and how it can be used positively in the future.

Choice C reason: Asking about prior relationships does not address the client's statement about the marriage.

Choice D reason: Stating that only the client can understand the impact does not support cognitive reframing.

A. Hypotension and venous pooling in the extremities. B. Pain and a burning sensation upon urination and hematuria. C. Profuse diaphoresis and severe, pounding headache. D. Reports of chest pain and shortness of breath.

Correct Answer is C

Explanation

Choice A reason: Hypotension and venous pooling in the extremities are not typical of autonomic dysreflexia. Autonomic dysreflexia usually results in hypertension due to an exaggerated autonomic response to a stimulus such as a full bladder. This condition is characterized by severe, uncontrolled hypertension rather than hypotension.

Choice B reason: While pain and a burning sensation upon urination and hematuria can be related to a urinary tract infection or bladder issue, they are not specific to autonomic dysreflexia. Autonomic dysreflexia presents with symptoms that result from the body's exaggerated response to the stimulus, such as severe headache and sweating.

Choice C reason: The correct answer is c) because profuse diaphoresis (sweating) and a severe, pounding headache are hallmark signs of autonomic dysreflexia. This condition occurs in individuals with spinal cord injuries at or above the T6 level and is triggered by stimuli like a full bladder, causing a dangerous rise in blood pressure and severe autonomic responses.

Choice D reason: Reports of chest pain and shortness of breath are not typical signs of autonomic dysreflexia. While these symptoms may be concerning, they are not the primary indicators of this specific condition. The severe headache and sweating are more indicative of autonomic dysreflexia.

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A community mental health nurse is addressing substance use by adolescents. Which of the following interventions should the nurse include as a method of primary prevention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, "Nothing good ever came from my marriage." To best support cognitive reframing, which of the following responses should the nurse offer?

Correct Answer is B

Explanation

A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?

Correct Answer is C

Explanation

A community mental health nurse is addressing substance use by adolescents. Which of the following interventions should the nurse include as a method of primary prevention?

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