A friend who is a nurse tells you that her family is moving from the urban area where you both live to a rural area to be near her spouse's parents, who are becoming less independent. What advice would you give for the nurse in preparing for any possible nursing role changes? Select all that apply.

Correct Answer: B

Rationale: Correct Answer: B Rationale: Moving from an urban to rural area can bring changes in nursing roles. In a small town, healthcare resources may be limited, leading to less autonomy for the nurse compared to a medical center setting. This is because the nurse may need to work closely with limited staff and resources, making decisions collaboratively rather than independently. It is important for the nurse to expect this change and adapt accordingly. Summary: A: Incorrect - Community perception may vary, and it is not a guaranteed outcome. C: Incorrect - Acceptance by the community is subjective and may not necessarily result in isolation. D: Incorrect - Sensitivity to rural lifestyle is important, but it does not directly address the change in autonomy levels for the nurse.

Correct Answer: A

Rationale: The correct answer is A: Elevated blood pressure. This finding is concerning as it could indicate a potential complication like preeclampsia, which can be dangerous for both the mother and the baby. Elevated blood pressure needs immediate attention and monitoring to prevent serious health risks. Choice B (First prenatal visit at 5 months' gestation) is a concern but not as urgent as elevated blood pressure. Choice C (Persistent homelessness) is a social issue that should be addressed but doesn't pose an immediate health threat. Choice D (Positive STD test) is important for treatment but may not be as urgent as elevated blood pressure in a pregnant woman.

Correct Answer: B

Rationale: Correct Answer: B Rationale: - Choice B shows a parent's assumption that intelligence alone can prevent teenage pregnancy, ignoring the influence of peer pressure and emotions. - Intelligence does not always protect teenagers from engaging in risky behaviors like unprotected sex. - This comment reflects a lack of understanding of the complex factors contributing to teenage pregnancy, potentially leading to a false sense of security. - It is crucial for parents to have open and honest discussions about relationships and sexuality with their children, regardless of their intelligence level.

Correct Answer: D

Rationale: The correct answer is D because it addresses the concerns of both the mother and the son appropriately. It acknowledges the son's behavioral issues and the distress it causes, highlighting the need for help in coping with life effectively. It emphasizes the role of a psychiatrist in providing support and guidance for the son to improve his behavior. Choice A focuses more on behavior modification rather than addressing the mother's concerns about her son being "crazy." Choice B dismisses the mother's worries and focuses on hormonal changes in adolescence. Choice C shifts the responsibility of determining if the son is crazy solely to the psychiatrist, not providing reassurance or guidance to the mother. In summary, choice D is the most appropriate response as it addresses the behavioral problems, acknowledges the distress felt by both the mother and son, and emphasizes the psychiatrist's role in helping the son cope with life effectively.

Correct Answer: B

Rationale: The correct answer is B because monitoring for signs and symptoms of depression allows for early detection and intervention. This proactive approach helps in addressing the issue promptly, preventing it from worsening. Encouraging moving to a nursing home (A) may not necessarily decrease the risk for depression as it can lead to feelings of isolation. Organizing an exercise program (C) is beneficial but may not directly address the root cause of depression. Teaching clients to focus on strengths (D) is positive but may not be sufficient in preventing depression. Monitoring for signs and symptoms is crucial for timely intervention.