A nurse in a community health clinic is conducting an assessment of a client who has two preschool-aged children, has recently gone through a divorce, and is seeking help for managing depression.
Which of the following
Questions should the nurse ask first?

“Could you describe how you are feeling today?”

“Are you having any thoughts about hurting yourself?”

“Is there anything that makes you feel less depressed?”

“Who is available to help you?”

Answer and Explanation

The Correct Answer is B

Choice A rationale

Asking the client to describe how they are feeling today is an important part of the assessment. However, when dealing with a client who is managing depression, the nurse’s first priority should be to ensure the safety of the client.

Choice B rationale

Asking if the client is having any thoughts about hurting themselves is the first question the nurse should ask. This is because safety is always the top priority, and clients dealing with depression may be at risk for self-harm or suicide.

Choice C rationale

While it’s important to understand what makes the client feel less depressed, this question is not as immediately critical as assessing for potential self-harm or suicide risk.

Choice D rationale

Understanding the client’s support system is an important part of the assessment, but it is not the first priority. The nurse’s initial focus should be on assessing the client’s immediate safety and mental health status.

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Correct Answer is C

Explanation

Choice A rationale

Down syndrome does not typically require a modification in the standard immunization schedule. Children with Down syndrome should receive all recommended vaccinations according to the standard schedule.

Choice B rationale

Failure to thrive does not typically require a modification in the standard immunization schedule. Children with failure to thrive should receive all recommended vaccinations according to the standard schedule.

Choice C rationale

This is the correct answer. Children with leukemia or other cancers that weaken the immune system may require modifications to the standard immunization schedule. These children may need to avoid certain vaccines or delay vaccination until their immune system is stronger.

Choice D rationale

Sickle cell disease does not typically require a modification in the standard immunization schedule. Children with sickle cell disease should receive all recommended vaccinations according to the standard schedule.

A. Temperature B. Client’s statement about “bites” C. Travel history D. Lymph node assessment E. Body aches F. New onset of weakness G. Headache and chills H. Pruritic lesions on the right leg I. Clear lungs to auscultation bilaterally

Correct Answer is ["A","B","C","D","E","F","G","H"]

Explanation

Choice A rationale: The client’s persistent fever is a common symptom of the plague and many other infections.

Choice B rationale: The client’s statement about getting flea bites during their trip is significant because the plague is often transmitted through the bite of an infected flea.

Choice C rationale: The client’s recent travel to South Asia could have exposed them to areas where plague is endemic or there are ongoing outbreaks.

Choice D rationale: The presence of tender, inguinal lymphadenitis (swollen lymph nodes in the groin area) is a classic sign of bubonic plague.

Choice E rationale: Body aches can be a symptom of the systemic infection caused by the plague.

Choice F rationale: New onset of weakness can be a symptom of the systemic infection caused by the plague.

Choice G rationale: Headache and chills are common symptoms of the plague and many other infections.

Choice H rationale: Pruritic (itchy) lesions on the right leg could be the site of the flea bites that transmitted the plague bacteria.

Choice I rationale: Clear lungs to auscultation bilaterally does not necessarily rule out the plague. While pneumonic plague does affect the lungs, bubonic plague (the most common form) primarily causes lymphadenitis and does not typically present with respiratory symptoms in the early stages.

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A nurse in a community health clinic is conducting an assessment of a client who has two preschool-aged children, has recently gone through a divorce, and is seeking help for managing depression.Which of the followingQuestions should the nurse ask first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at a health department is participating in an immunization clinic.Which child should the nurse identify as requiring a modification in the standard immunization schedule?

Correct Answer is C

Explanation

A nurse in a public health department is caring for a client. Exhibits Which of the following data in the client’s medical record should cause the nurse to suspect the client is infected with the plague? Select all that apply.

Correct Answer is ["A","B","C","D","E","F","G","H"]

Explanation

A nurse manager at a clinic is reviewing the preventative services offered to clients. Which of the following activities should the nurse identify as a secondary prevention activity?

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A faith community nurse is planning care for a client who has been diagnosed with end-stage breast cancer. Which of the following interventions should the nurse include in the plan?

A nurse manager in a public health clinic is reviewing the charts of five recent clients. Exhibits The nurse manager should identify which of the following clients as having conditions that require national notification? Please select all that apply:

A nurse is collaborating with a case manager for a client who is part of a health maintenance organization. Which of the following payment structures does a health maintenance organization typically use?

A community health nurse is planning care for a group of migrant workers.What activity should the nurse plan to engage in when assessing the clients’ culture?

When developing a protocol for treatment of inhalation anthrax in the event of widespread public exposure, what information should be included?

A nurse is educating a 50-year-old female client.Which of the following statements should the nurse include in the teaching?

A nurse in a community health clinic is conducting an assessment of a client who has two preschool-aged children, has recently gone through a divorce, and is seeking help for managing depression.
Which of the following
Questions should the nurse ask first?