A public health nurse is planning strategies to address substance use for clients in the community. Which of the following strategies are part of primary health promotion and prevention?
Providing a needle exchange program for community members.
Providing education to fifth graders about the risks of substance use.
Providing a list of outpatient substance use support services to give to clients who are discharged from inpatient treatment.
Providing education to pregnant clients in a sober living community about the fetal risks of substance use during pregnancy
The Correct Answer is B
A. "You should not delegate this task because you have the capability to obtain clients' weights." The ability to perform a task does not mean it cannot be delegated. Delegation helps manage workload effectively as long as the task is appropriate for the role.
B. "You can delegate this task if the AP has been trained to use our scales." Weighing clients is a routine, noninvasive task that can be delegated to assistive personnel, provided they are trained and competent in using the equipment properly.
C. "You can delegate this task to an AP for new clients before performing a nursing assessment." Initial assessments require nursing judgment and should not be delegated. Data collection like weight should occur after the nurse completes the first assessment.
D. "You should not delegate this task because it requires nursing judgment." Weighing a client does not require clinical judgment and is considered appropriate for delegation to trained assistive personnel under supervision.
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Related Questions
Correct Answer is C
Explanation
A. "Take your temperature every night before going to bed." Basal body temperature (BBT) must be measured after a full night’s sleep, not at bedtime, to accurately detect ovulatory shifts in temperature.
B. "Take your temperature 1 hour after getting out of bed." Delaying the measurement even by an hour can alter the results, as physical activity and environmental exposure can cause inaccurate readings.
C. "Take your temperature immediately after waking and before getting out of bed." This is the correct instruction. BBT should be taken at the same time each morning, right after waking, before any activity, to detect the slight rise in temperature (0.3–0.6°C or 0.5–1.0°F) that typically follows ovulation.
D. "Take your temperature within 30 minutes after your first morning void." Waiting until after voiding can also affect the reading. The temperature should be taken prior to any physical movement, including going to the bathroom, for best accuracy.
Correct Answer is D
Explanation
A. Naltrexone. This medication is used for opioid and alcohol use disorders. It helps reduce cravings and the pleasurable effects of those substances but is not indicated for smoking cessation.
B. Chlordiazepoxide. This is a benzodiazepine used to manage alcohol withdrawal symptoms, such as anxiety, tremors, and agitation. It is not appropriate for treating nicotine dependence.
C. Clonidine. Although primarily used for hypertension, clonidine has been used off-label to manage symptoms of opioid or nicotine withdrawal. However, it is not the first-line agent for smoking cessation.
D. Bupropion. This is an antidepressant also approved for smoking cessation. It helps reduce nicotine cravings and withdrawal symptoms and is often prescribed under the brand name Zyban for this purpose.
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