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questions and answers of possible questions for these the chapters 31,32,33,34,35,37 rati, Cheat Sheet of Personal Health

Southwestern CollegePersonal Health

questions and answers of possible questions for these the chapters 31,32,33,34,35,37 and rationals of the questions and answers

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Community quiz 4 chapters 31,32,33,34,35,37
Chapter 31: Vulnerability and Vulnerable Populations
Stanhope: Public Health Nursing: Population-Centered Health Care in the
Community, 10th Edition
MULTIPLE CHOICE
1. What is implied by the Web of Causation model?
a. Variables interact resulting in higher probability of illness.
b. One disease causes another, especially in vulnerable populations.
c. The greater the poverty, the more likely people are to have diseases.
d. Immunizations are necessary because vulnerable populations spread disease.
2. Which of the following is a characteristic of a vulnerable population?
a. Have worse health outcomes and an increased sensitivity to risk factors than the general population.
b. Have a single risk factor but experience worse health outcomes than the general population.
c. Have multiple risk factoNrUs bRuSt eIqNuaGlTheBa.lthCoOuMtcomes to the general population.
d. Have worse outcomes with better access to health care than the general population.
3. Resilience refers to what characteristic?
a. Resistance of certain groups to risk factors
b. Increased susceptibility to cumulative risk factors among vulnerable groups
c. Variability in the effects of stressors according to socioeconomic status
d. Increased sensitivity of the very young and the very old to risk factors
4. A nurse is working with a vulnerable group experiencing multiple risk factors. Which of thefollowing best describes
this group?
a. Smokers who use chewing tobacco as well as cigarettes.
b. Substance abusers who test positive for HIV.
c. Persons with limited access to care because they live in a rural area.
d. New mothers needing information about baby and child care.
5. A nurse is working with a 17-year-old pregnant cocaine addict who is homeless. Which ofthe following best
describes this client?
a. At risk
b. A special population
c. A Healthy People 2020 target group
d. A vulnerable individual
6. The wide variations in health services and health status between certain population groupsare identified by what
term?
a. Vulnerable population groups
b. Health disparities
c. Disadvantaged populations
d. Risk markers
7. What is the primary cause of vulnerability?
a. Race
b. Age
c. Poverty
d. Illness
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Chapter 31: Vulnerability and Vulnerable Populations

Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th Edition MULTIPLE CHOICE

  1. What is implied by the Web of Causation model? a. Variables interact resulting in higher probability of illness. b. One disease causes another, especially in vulnerable populations. c. The greater the poverty, the more likely people are to have diseases. d. Immunizations are necessary because vulnerable populations spread disease.
  2. Which of the following is a characteristic of a vulnerable population? a. Have worse health outcomes and an increased sensitivity to risk factors than the general population. b. Have a single risk factor but experience worse health outcomes than the general population. c. Have multiple risk factoNrUs bRuSt eIqNuaGlTheBa.lthCoOuMtcomes to the general population. d. Have worse outcomes with better access to health care than the general population.
  3. Resilience refers to what characteristic? a. Resistance of certain groups to risk factors b. Increased susceptibility to cumulative risk factors among vulnerable groups c. Variability in the effects of stressors according to socioeconomic status d. Increased sensitivity of the very young and the very old to risk factors
  4. A nurse is working with a vulnerable group experiencing multiple risk factors. Which of thefollowing best describes this group? a. Smokers who use chewing tobacco as well as cigarettes. b. Substance abusers who test positive for HIV. c. Persons with limited access to care because they live in a rural area. d. New mothers needing information about baby and child care.
  5. A nurse is working with a 17-year-old pregnant cocaine addict who is homeless. Which ofthe following best describes this client? a. At risk b. A special population c. A Healthy People 2020 target group d. A vulnerable individual
  6. The wide variations in health services and health status between certain population groupsare identified by what term? a. Vulnerable population groups b. Health disparities c. Disadvantaged populations d. Risk markers
  7. What is the primary cause of vulnerability? a. Race b. Age c. Poverty d. Illness
  1. Which of the following is most likely to live in poverty? a. Those who work in high-risk jobs. b. Those who have adequate nutrition. c. Those who effectively management stress d. Those who live-in single-family homes.
  2. A nurse operates a school-based clinic in a local school where multiple providers and disciplines offer care to children, making it easier for children to access health care. Which b of the following best describes this approach? a. Advocacy b. Wrap-around services c. Social justice d. Comprehensive services
  3. A nurse is caring for a population that has experienced a health disparity. Which of the following best describes the outcome of a health disparity? a. Low childhood immunization rates b. High dropout rates c. Unemployment d. Income below poverty level
  4. A nurse is developing a one stop service to meet the needs of a vulnerable group. Which of the following would the nurse most likely create? a. Wrap-around services where mental services are linked b. Giving all immunizations on a single clinic visit c. Providing multiple services during a single clinic visit d. Providing free services to the medically indigent
  5. A nurse is working with multiple vulnerable groups. Which of the following would be most sensitive to the adverse effects of vulnerability? a. Pregnant teenager living with her parents for financial support b. Poor, older woman with no means of transportation c. 2-year-old boy of underinsured parents d. Recently unemployed father of five
  6. Which federal program created support for older and poor Americans? a. Social Security Act b. Medicare Amendment c. Medicaid Amendment d. Hill-Burton Act
  7. A client is self-employed as a mechanic and has no health insurance coverage. Which of the following best describes the legislation that will assist this client in obtaining health insurance? a. Balanced Budget Act b. Health Insurance Portability and Accountability Act (HIPAA) c. Patient Protection and Affordable Care Act (ACA) d. Social Security Act
  1. A nurse is promoting social justice. Which of the following actions would the nurse most likely take? a. Contacting lawmakers about environmental health issues b. Assisting at homeless shelters c. Advocating for policies to improve social conditions d. Serving on a local coalition to prevent obesity
  2. A nurse is planning and implementing care for vulnerable populations. Which of the following would be the most appropriate action for the nurse to take? a. Setting up multiple clinics in aIwidGe geBo.grCaphMic area b. Advising legal consultants on a variety of issues c. Making laws to protect the homeless d. Teaching vulnerable individuals strategies to promote health MULTIPLE RESPONSE
  3. Which are current trends in providing care for vulnerable populations? (Select all that apply.) a. Community-based care and interorganizational partnerships b. Outreach and case finding c. Elimination of disparities d. Culturally and linguistically appropriate care e. Increased incidence of acute illnesses
  4. A nurse “sets the stage” when assessing members of vulnerable population groups. Which of the following interventions would be completed? (Select all that apply.) a. Creating a comfortable, non-threatening environment b. Providing culturally and linguistically competent assessment c. Collaborating with others as appropriate d. Providing financial and legal advice e. Developing a free clinic in a low-income neighborhood

Chapter 32: Rural Health Issues

Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th Edition MULTIPLE CHOICE

  1. Why is rurality a subjective concept? a. Everyone has an idea as to what constitutes a rural setting. b. The differences between rural and urban areas are very distinct. c. Rural health has not been very well researched. d. The demographic and social characteristics of urban people are similar.
  2. A nurse visited a client living on a farm residency. Which of the following best describes the area the nurse visited? a. A region that has fewer than six persons per square mile. b. A home outside areas zoned as “city limits.” c. A county in a metro area with fewer than 1 million people. d. An area adjacent to a hiNgUhlRySpoIpNulGatTedBc.ityC.OM
  3. A nurse builds a vacation home in a remote area having fewer than six people per square mile, so “I can get away from it all.” Which of the following best describes the classification of this area? a. Standard metropolitan statistical area b. Metropolitan county c. Frontier d. Rural area
  4. What percentage of U.S. residents live in rural settings? a. 5% b. 15% c. 20% d. 40%
  5. Which group is over-represented in rural areas when compared with urban areas? a. African Americans b. Asian Pacific Islanders c. Caucasians d. Native Americans
  6. A nurse who had been working in an urban area is now employed in a rural area. Which cohort accounts for an increase in the rural population and thus an increased need for nurses? a. Those under age 18 b. Those over age 50 c. Those who are married d. Those with years of formal education
  7. Compared with urban Americans, which statement is true of rural residents? a. They are more likely to engage in preventive health behavior. b. They are less likely to be exposed to occupational and environmental hazards. c. They have a higher rate of chronic illness. d. They rate their overall health status more favorably.
  1. A nurse is providing care to a Native Alaskan client. Which of the following exposures should the nurse anticipate may require specialized community nursing care? a. Exposure to toxic substances b. Farmer’s lung c. Field sanitation d. Black lung
  2. Which is a characteristic of nursing practice in rural environments? a. Anonymity b. Less autonomy c. Professional isolation d. Faster pace
  3. A nurse is practicing in a rural environment. Which of the following opportunities exist for the nurse’s practice? a. Variety/diversity in clinical experiences b. Slower pace c. Direct collaborative practice opportunities d. Abundant resources
  4. A nurse is planning to conduct research in a rural setting. Which of the following areas of research may be of most importance to rural nursing practice? a. Information about residents living in the intermountain and Midwestern regions b. Information on the stressors and rewards of rural practice c. Studies related to moving from rural environments to urban ones d. Studies about the effects of air pollution
  5. A nurse is planning care using the case management model. Which of the following interventions would be most appropriate when implementing this model of care? a. Providing a client-professional partnership b. Delivering accessible care to medically underserved areas c. Defining the characteristics of a community d. Evaluating the outcomes of rural programs MULTIPLE RESPONSE
  6. A nurse is providing care for at-risk minority groups in rural America. Which of the following health care needs are appropriate for the nurse to address? (Select all that apply.) a. Field sanitation b. Infectious diseases c. Maternal care services d. Oral/dental care e. Chronic diseases 2. A nurse is planning interventions that will be used when providing care for a rural client.Which of the following characteristics of rural life should the nurse anticipate? (Select all that apply.) a. Lack of anonymity b. Higher prevalence of high-risk occupations c. Churches and schools as socialization centers d. Preference for interacting with outsiders e. Increased mobility

Chapter 33: Poverty and Homelessness

Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,

  1. Historically, which of the following population groups would have been least likely to receive community assistance? a. Widowed women b. Orphaned children c. Mentally ill d. Injured laborers
  2. A nurse is trying to provide effective nursing care to poor persons, families, and populations in a variety of settings. Which of the following actions should be taken by the nurse? a. Move to the area where people are living to understand their plight. b. Understand the concept of poverty on many levels. c. Take a trip abroad to seNeUhoRwSpIoNveGrtTyBex.isCtsOinMother countries. d. Become fully immersed in the concept of poverty for at least a year.
  3. A nurse is providing care to populations who are from different socioeconomic and cultural backgrounds. Which of the following barriers should the nurse be aware of that may prevent full engagement in a relationship? a. Fears and misconceptions related to poverty b. Lack of tangible and emotional resources c. Lack of knowledge about people who live in poverty d. Perception that the poor don’t need to be poor
  4. A nurse is forced to evaluate personal beliefs, values, and knowledge about poverty. Which of the following experiences most likely explains the situation the nurse is experiencing? a. A client asking for a small amount of money at a clinic b. Setting up a homeless shelter c. Making a home visit to a home that is unkempt d. Reading about poverty in a textbook
  5. Which factor influences the growing number of poor persons in the United States? a. Increase in company earnings. b. Changes in the labor force. c. Better access to quality education. d. Adequate welfare benefits.
  6. A nurse is working with a family who has an income above the federal income guidelines but is unable to meet their living expenses. Which of the following terms best describes this family? a. Persistent poverty b. Near poor c. Impoverished d. Neighborhood poverty
  7. A nurse is referring to the federal income guidelines. Which of the following best describes why the nurse is completing this action? a. To determine financial eligibility for government assistance programs b. To calculate statistical occurrences in the community c. To identify those with inadequate resources for basic needs d. To provide guidelines for reform of social programs
  1. A person is already homeless and is receiving shelter. Which type of housing is being used? a. Low income b. Supportive c. Emergency d. Adequate
  2. Which statement regarding the effects of homelessness on health is accurate? a. Peripheral vascular disease and hypertension are lessened by this lifestyle. b. The incidence and virulence of infections are decreasing. c. Trauma is a significant cause of death and disability. d. Crowded living conditions result in decreased risk for exposure to infections.
  3. A nurse is providing primary prevention when working with the homeless. Which of the following best describes what is being implemented? a. Providing emergency housing aid b. Creating drug and alcohol treatment options c. Offering effective job training programs d. Evaluating comprehensive case management programs
  4. A nurse is providing second prevention when working with the homeless. Which of the following best describes what is being implemented? a. Employer incentives b. Safe sex education c. Comprehensive case management d. Soup kitchens
  5. A nurse is planning to assist homeless clients at a local shelter with finding community resources to meet their health care needs. Which of the following actions should the nurse take before interacting with this population? a. Change personal views about homelessness. b. Understand the concepts of homelessness. c. Receive special training about where to locate homeless people. d. Have experience in mental health nursing and counseling.
  6. A nurse is implementing an intervention at both the primary and tertiary levels of prevention. Which of the following best describes the nursing intervention? a. Providing emergency shelter housing b. Offering physical and mental health services c. Developing a targeted case management program d. Establishing a needle exchange program MULTIPLE RESPONSE NURSINGTB.COM
  7. Why is it difficult to know the exact number of homeless persons? (Select all that apply.) a. Homeless people refuse to provide demographic information. b. Many homeless people refuse to be interviewed. c. It is difficult to generalize from one location to another. d. Some persons experience short intervals of homelessness. e. Homeless individuals are most likely hiding within the community.

Chapter 34: Migrant Health Issues

Stanhope: Public Health Nursing: Population-Centered Health Care in the MULTIPLE CHOICE

  1. Which statement about migrant and seasonal farmworkers is true? a. There are more than 10 million working in the United States. b. The majority are Mexican. c. Most are employed in the Northeastern states. d. Thirty-five percent are undocumented workers.
  2. Which statement about migrant and seasonal farmworkers is true? a. The economic status of migrant workers has improved over the last decade. b. This is a transient population that does not need nursing care. c. Most migrant workers are eager to accept health care services. d. Availability of food in the United States depends on these individuals.
  3. A nurse is working with a client whose principal employment is in agriculture on a seasonal basis and has established temporary housing in the area while employed. Which of the following terms best describes this laborer? a. Seasonal farmworker b. Migrant farmworker c. Transient worker d. Share cropper
  4. Which of the following health problems ranks as one of the top five problems for farmworkers aged 5 to 19 years? a. Dental problems b. Communicable diseases c. Gastrointestinal problems d. Stress
  5. Which of the following disorders has been identified as an occupational health risk for agricultural workers? a. Stroke b. Heart disease c. Diabetes d. Cancer
  6. What effect does alcohol consumption have on migrant farmworkers? a. Provides relaxation and is important for migrant workers’ well-being. b. Adds additional risks to pesticide exposure. c. Poses safety hazards for farmworkers. d. Allows migrant workers to sleep better, thus improving daytime productivity.
  7. Which factor may limit access to care for migrant farmworkers? a. Unwillingness to seek affordable health care b. Lack of knowledge regarding services c. Availability of 24-hour health care services d. Adequate transportation
  1. A nurse is implementing a secondary prevention strategy. Which of the following activities would the nurse most likely implement? a. Monitoring for prenatal care b. Treatment for anemia c. HIV prevention d. Tetanus immunization
  2. A nurse is implementing a tertiary prevention strategy. Which of the following activities would the nurse most likely implement? a. Diabetes screening b. Rehabilitation for musculoskeletal injury c. Birth control d. Pregnancy testing
  3. A nurse is working with a client who is part of the Mexican culture and is experiencing a folk illness. Which of the following actions by the client should the nurse anticipate? a. Prefer to seek care with a folk healer. b. Consult the female leader of the family. c. Rely on Western medicine to cure the ailment. d. Become isolated and not seek care.
  4. A nurse is polite and non-confrontational when working with the family of a migrant worker. Which of the following concepts is the nurse demonstrating? a. Simpatía b. Respeto c. Dignidad d. Personalismo
  5. A nurse is educating migrant women to serve as links between the existing health care agencies and the migrant farmworker family. Which of the following best describes the role of these women? a. Migrant head start workers b. Outreach care workers c. Physician assistants d. Nurse aides
  6. A nurse is providing care for a Mexican client who has sustained a farm injury. If a major decision about the client’s treatment needs to be made, who would most likely make that decision? a. The male head of the family b. The wife/mother c. The person needing services d. The crew leader
  7. A nurse is planning to provide culturally effective care to Mexican migrant farmworkers. Which of the following strategies would the nurse use? a. Learn how to speak Spanish to improve communication. b. Understand that traditional beliefs and practices are more common among the well-educated population. c. Consult the female head of household about health care matters. d. Recognize that cultural backgrounds of the workers will vary depending on their place of origin.
  1. A nurse is a political advocate for the migrant population. Which of the following best describes the action being taken by the nurse? a. Upholding immigration laws and deporting illegal aliens b. Passing laws to improve the living conditions of migrant farmworkers c. Educating communities about the health problems of migrant farmworkers d. Learning to speak Spanish for better communication with migrant farmworkers MULTIPLE RESPONSE
  2. Which factors are challenges of the migrant lifestyle? (Select all that apply.) a. Leaving one’s home every year b. Traveling c. Experiencing uncertainty regarding work and housing d. Lack of resources e. Middle income wages
  1. A nurse is providing information about parental consent to an adolescent client who is seeking an abortion. Which of the following information would be accurate? a. Parental consent must be given to the abortion provider. b. Parents must be notified by the abortion provider before the abortion is performed. c. The adolescent’s right to privacy and ability to give consent varies by state. d. Federal protection of the adolescent’s right to privacy makes consent unnecessary.
  2. Which factor increases a young woman’s risk for early sexual experiences and pregnancy? a. History of sexual abuse b. Parents who have high demands for their children to act maturely c. Parents who communicate openly with their teens about birth control and sexuality d. Male partner of the same age
  3. A nurse is providing education to teenagers about prevention of unintended pregnancy. Which of the following principles should the nurse understand as to why some of these teenagers may get pregnant? a. They often feel invincible and do not recognize risks related to their behaviors. b. They enjoy engaging in sexual activity and want children. c. They influence each other and succumb to peer pressure. d. They have realistic attitudes about school, work, parenting, and socializing.
  4. A young man has just learned that his partner is pregnant. Which of the following statements regarding his reaction to the pregnancy is true? a. His reaction often depends on the nature of the relationship before the pregnancy. b. Most young men believe that fathering a child can make them feel manly. c. Most young men are not interested in their partner’s pregnancy. d. His reaction often includes blaming the partner.
  5. A nurse is providing adoption counseling to pregnant teenagers. Which of the following isan important concept for the nur se to keep in mind? a. Have the father present as well during the counseling session. b. When speaking of adoption, use the words “giving the child away.” c. Describe the details of raising a child to influence adoption decisions. d. Do not impose opinions on the decision-making process of teen mothers.
  6. A nurse is assessing a pregnant teen’s weight gain. Which of the following would be the appropriate nursing intervention to implement? a. Advise the teen to pay close attention to weight gain. b. Encourage the teen to gain as much weight as possible. c. Recommend weight gain based on pre-pregnancy weight. d. Instruct about the benefits to the fetus by gaining 2 pounds per week.
  7. A nurse is counseling an adolescent female about prevention of iron deficiency anemia. Which of the following would be the most appropriate nursing intervention? a. Provide information about appropriate weight gain during puberty. b. Educate about consuming foods containing vitamin C. c. Instruct on drinking at least eight glasses of water each day. d. Emphasize the need to follow up with a dietitian.
  1. The nurse plans a home visit to a pregnant teen to discuss proper prenatal nutrition. Which of the following best describes a demonstrated outcome of this nursing intervention? a. Increase in birth weight and utilization of prenatal care and support services b. Increase in family coping skills to prevent crisis c. Coordinated and comprehensive teen pregnancy approach d. Family approach to health care
  2. A nurse is teaching a pregnant teenager about the risks of contracting a sexually transmitted infection. Which of the following statements would the nurse most likely make? a. Transmission of sexually transmitted infections is unlikely when you are pregnant. b. Contracting a sexually transmitted infection may cause your infant to require assistance immediately after birth. c. Sexually transmitted infections can cause premature labor. d. The father of the baby is at high risk to contract a sexually transmitted infection.
  3. A nurse is implementing an intervention at the primary level of prevention related to teen pregnancy. Which of the following would be most appropriate for the nurse to implement? a. Teach well-baby classes to new mothers. b. Teach young people about sexual practices that will prevent untimely pregnancy. c. Provide services for pregnancy detection. d. Counsel a young couple about abortion and adoption. MULTIPLE RESPONSE
  4. What are reasons that adolescents may not seek care for health problems? (Select all that apply.) a. Access to care may be hindered because there are not enough professionals with expertise in dealing with the teen population. b. Cost of care or availability of insurance may limit services. c. Teenagers do not care about their health. d. Health care professionals may not be able to discuss sensitive topics in a nonjudgmental way. e. Parents are unaware of the services available for adolescents.
  5. A nurse is working with adolescent clients. Which of the following describes therapeutic approaches that would be appropriate for the nurse to use when working with this population? (Select all that apply.) a. Creating a caring and understanding atmosphere b. Using neutral words in eliciting symptoms c. Insisting that teens use appropriate terminology when expressing their concerns d. Paying attention to what the teen verbalizes and fails to verbalize e. Encouraging the teen to talk to the school guidance counselor about problems
  6. Which objective related to adolescent health is discussed in Healthy People 2020? (Select all that apply.) a. Increasing the age of legal consumption of alcohol to 25 b. Increasing the number of planned pregnancies c. Increasing the proportion of teens who receive formal instruction on reproductive health issues d. Increasing the proportion of teens who consistently use some form of birth control e. Increasing the number of teens who are employed
  1. What is the oldest and most widely used psychoactive drug in the world? a. Marijuana b. Heroin c. Alcohol d. Cocaine
  2. How much alcohol can the liver metabolize in an hour? a. 1 oz of whiskey b. 3 oz of wine c. 5 oz of wine d. 12 oz of beer
  3. What is the most widely used federally prohibited drug in the United States? a. Alcohol b. Heroin c. Cocaine d. Marijuana
  4. Which statement about nicotine and smoking is accurate? a. Cigars contain higher doses of nicotine than cigarettes. b. Tolerance to nicotine takes days to develop. c. Sidestream smoke contains more toxic compounds than mainstream smoke. d. The harsher smoke of pipes and cigars is more hazardous than cigarette smoke.
  5. The nurse is interviewing a client who reports that he drinks alcohol when snorting cocaine. Which of the following best describes what is happening with this client? a. Drug addiction b. Polysubstance use c. Substance abuse d. Indiscriminate drug useNURSINGTB.COM
  6. A nurse is caring for a client who has had long-term marijuana use. Which of the following physical effects is the priority concern to the nurse? a. Constipation b. Cardiac dysrhythmia c. Abdominal pain d. Respiratory tract damage
  7. A nurse is providing education to a parent-teacher organization about substance use and abuse among children. Which of the following information would the nurse most likely include in this presentation? a. Inhalants are among the first drugs that young children use. b. Implementing the Drug Abuse Resistance Education (DARE) program is the most effective way to prevent drug use. c. Underage drinking is not a problem in most communities. d. Early experimentation with substances decreases the likelihood of future abuse.
  1. The nurse is providing community health education about how alcohol affects the body. Which individual behavior would the nurse describe as being most likely to contribute to the lowest blood alcohol concentration? a. Consuming a drink with a high concentration of alcohol b. Drinking alcohol without consuming food c. Being of the female gender d. Having a high body weight
  2. What is the leading cause of preventable birth defects in the United States? a. Cigarette smoking b. Fetal alcohol syndrome c. Marijuana use d. HIV from sharing needles
  3. A nurse is providing care for a family in which a nonaddict is experiencing a stress-induced preoccupation with an addict’s life, leading to extreme dependence on the addict. Which of the following best describes what is happening? a. Obsession b. Codependency c. Enabling d. Addiction
  4. A client has not yet made a commitment to act to change personal health behaviors. Whichstage of change is the client experiencing? a. Pr econtemplation b. Contemplation c. Preparation d. Action
  5. A nurse is working with a client during a smoking cessation program. The client has developed an action plan for smoking cessation but has not yet implemented it. Which stage of change is the client experiencing? a. Precontemplation b. Contemplation c. Preparation d. Action
  6. A school nurse is coordinating the implementation of a drug education program in the school. Which of the following levels of prevention is being implemented? a. Primary level of prevention b. Secondary level of prevention c. Tertiary level of prevention d. Primary health care prevention
  7. A nurse is assessing a client for addiction. Which of the following primary symptoms of addiction should the nurse recognize? a. Anger b. Apathy c. Denial d. Violence