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: Clients who are involuntarily admitted still retain the right to refuse certain treatments, including medications, unless court-ordered.

Choice B reason: The correct answer is b) because involuntary admission is typically justified when a client poses a danger to themselves or others.

Choice C reason: The duration of involuntary admissions varies by jurisdiction and is not universally limited to two weeks.

Choice D reason: Clients who are involuntarily admitted cannot leave against medical advice until they are deemed safe to do so.

A newly admitted client states to the nurse, "You walk and talk just like my sister. She also gives me a headache." Which of the following is the client experiencing?

a) Suppression

b) Transference

c) Countertransference

d) Assertiveness

The correct answer is: b) Transference.

Choice A reason: Suppression involves consciously trying to forget or avoid thoughts, not projecting feelings onto another person.

Choice B reason: The correct answer is b) because transference occurs when a client projects feelings and attitudes from a past relationship onto a person in the present, such as a nurse.

Choice C reason: Countertransference refers to the nurse's emotional response to the client, not the client's feelings towards the nurse.

Choice D reason: Assertiveness is a communication style and is not related to projecting past feelings onto others.

A. Remaining with the client while family members visit. B. Asking the nurse at lunchtime to assign another LPN for this task until their return. C. Ambulating the client's roommate while the client is on suicide precautions. D. Accompanying the client to physical and occupational therapy.

Correct Answer is C

Explanation

Choice A reason: Remaining with the client while family members visit is appropriate for ensuring safety.

Choice B reason: Asking for assistance during lunch is appropriate to maintain continuous observation.

Choice C reason: The correct answer is c) because leaving the client alone to ambulate the roommate indicates that the LPN is not maintaining constant observation, which is crucial for suicide precautions.

Choice D reason: Accompanying the client to therapy ensures continuous observation and is appropriate.

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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 in an acute mental health facility is leading a nursing education session about the legal aspects of involuntary admissions. Which of the following pieces of information should the nurse include?

Correct Answer is B

Explanation

A nurse delegates a licensed practical nurse (LPN) to perform suicide precautions. Which of the following actions by the LPN indicates to the nurse that they require further education?

Correct Answer is C

Explanation

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