What can the nurse do to decrease the risk for depression in older adults?

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.

Correct Answer: A

Rationale: The correct answer is A: Her friends were suggesting ways to make the problem go away. This is the most typical reason for a teenager to delay prenatal care because peer influence can lead to denial or avoidance of the pregnancy. The other choices are incorrect: B: She knew she could not be pregnant because her boyfriend said he used a condom - This is not a common reason as relying solely on a partner's claim is risky. C: She was afraid her parents would pressure her to terminate the pregnancy - While this could be a reason, it is not as common as peer influence. D: She kept hoping the pregnancy would just go away - This is an unrealistic expectation and not a common reason for delaying prenatal care.

Correct Answer: A

Rationale: The correct answer is A because being supportive in any way possible is essential in caring for very poor families. As a nurse, offering emotional support, empathy, and understanding can help build trust and rapport with the family, leading to better health outcomes. Choice B is incorrect because while educating families on free health resources is important, it may not address the immediate needs of very poor families who may require more practical support. Choice C is incorrect because offering medication samples may not always be feasible or sustainable. It is crucial to consider the long-term implications and potential ethical issues related to providing free medication samples. Choice D is incorrect because recognizing the family's poverty should not mean refraining from discussing payment options. Open communication regarding financial constraints can help in finding solutions and ensuring the family receives the care they need.

Correct Answer: B

Rationale: The correct answer is B because comparing and contrasting randomized clinical trials related to learning in elementary school children allows the nurse to identify the most effective strategies backed by scientific evidence. This method ensures that the health education programs are based on proven interventions, increasing the likelihood of improving learning retention. Choice A is incorrect as it relies on anecdotal evidence and personal experiences rather than empirical data from research. Choice C involves developing games, but without referring to research or evidence, it lacks a systematic approach. Choice D suggests using the Internet, which may not guarantee access to high-quality, evidence-based programs.

Correct Answer: B

Rationale: The correct answer is B: Insurance companies and other third-party payers. They play a significant role in pressuring clinicians to use EBP due to their focus on cost-effectiveness and quality care. These entities often require clinicians to adhere to evidence-based guidelines to receive reimbursement, incentivizing the adoption of EBP. Incorrect choices: A: Administrators may see cost savings with EBP, but they do not have the same direct influence on clinicians as insurance companies. C: Nurses recognizing EBP's effectiveness is important but may not be the chief group pressuring clinicians. D: While physicians recognizing EBP's effectiveness is crucial, insurance companies hold more financial influence over clinical practice.