The public health nurse is working with an at-risk adolescent. Which statement made by the adolescent demonstrates locus of control?
"I will probably end up in jail just like my father."
"Despite the challenges I have faced, I will go to college and become a teacher."
"Everyone in school thinks that I am a troublemaker."
"I have no friends but that’s okay because I prefer to hang out with my cousins."
The Correct Answer is B
Choice A reason: Jail prediction shows external control; self-directed goals fit locus. This errors per nursing psychology. It’s universally distinct, passive.
Choice B reason: Overcoming challenges for college shows internal locus of control. This aligns with nursing standards. It’s universally recognized, distinctly self-empowered.
Choice C reason: Others’ views reflect external influence, not control. Goals show locus, per nursing. This misaligns with definition. It’s universally distinct.
Choice D reason: Accepting no friends is adjustment, not control. College intent fits, per nursing. This errors in focus. It’s universally distinct.
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Correct Answer is D
Explanation
Choice A reason: Assurance is a function, not prevention; screening is secondary. This errors per public health definitions. It’s universally distinct, not a level.
Choice B reason: Primary prevents TB; screening detects it early. Secondary fits, per nursing standards. This errors in timing. It’s universally distinct, pre-disease.
Choice C reason: Tertiary manages active TB; screening catches it early. This misaligns with prevention levels. It’s universally distinct, treatment-focused.
Choice D reason: Secondary prevention screens for TB to detect early, treatable cases. This aligns with public health standards. It’s universally applied, distinctly accurate.
Correct Answer is D
Explanation
Choice A reason: Frances Root isn’t linked to Henry Street; Wald is. This errors per nursing history. It’s universally distinct, unknown in context.
Choice B reason: Mrs. Loeb isn’t a public health figure; Wald founded it. This misaligns with historical facts. It’s universally distinct, irrelevant.
Choice C reason: Nightingale advanced nursing, not U.S. public health specifically. Wald fits, per history. This errors in location. It’s universally distinct.
Choice D reason: Lillian Wald created U.S. public health nursing via Henry Street. This aligns with nursing history. It’s universally recognized, distinctly accurate.
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