Which of the following people is at greatest risk for injury prevention in a work environment?

Correct Answer: C

Rationale: In this question, option C, "Asking for a list of topics," is the most appropriate choice for a person at greatest risk for injury prevention in a work environment. This option indicates a proactive approach to safety in the workplace by seeking relevant information to address potential risks. By asking for a list of topics related to injury prevention, the individual demonstrates a willingness to learn about specific occupational hazards and take necessary precautions to prevent injuries. Option A, "Using a pre-set list of topics," may not be as effective because it implies a passive approach where the topics are already predetermined and may not address the specific needs of the work environment. Relying on printed materials (option B) could also be insufficient as it may not be tailored to the individual's workplace conditions and may lack interactivity or real-time updates. Option D, "Beginning each session with a 2-mile walk," is unrelated to injury prevention in a work environment and does not address the specific needs of occupational safety. It is essential in health promotion to focus on relevant information and strategies that directly impact the individual's well-being in their work setting. Educationally, this question highlights the importance of proactive behavior and knowledge-seeking in ensuring workplace safety. It emphasizes the need for individuals to be informed about potential risks and take appropriate measures to prevent injuries, reflecting the core principles of health promotion and injury prevention in occupational settings.

Correct Answer: A

Rationale: In this scenario, option A, a 54-year-old couple whose daughter and grandson move back in, is at higher risk for stress related to family dynamics. This is because the sudden increase in household members can disrupt established routines, personal space, and potentially lead to financial strains. The presence of multiple generations under one roof can also bring about conflicts in roles, responsibilities, and expectations, adding to the stress levels within the family. Option B, a 44-year-old single mother raising three children, is also at risk due to the demands of single parenthood and managing a larger family on her own. However, the question specifically focuses on stress related to changes in family dynamics, which is more pronounced in option A. Option C, a 60-year-old couple whose children live in another state, may experience emotional stress due to physical separation from their children. However, this situation does not involve the immediate impact of changing family dynamics as seen in option A. Option D, a 36-year-old couple whose child plays competitive tennis, does not inherently suggest a significant change in family dynamics that would lead to heightened stress levels as compared to the situation described in option A. Educationally, this question highlights the impact of family dynamics on stress levels and the importance of understanding how changes in family structure can affect individuals differently. It underscores the need for nurses to assess not just individual patients but also the broader context of their families to provide holistic care.

Correct Answer: A

Rationale: In the context of self-care in long-term care, the nurse should encourage participation in activities like Scrabble™ and bingo (Option A) for several reasons. Engaging in stimulating activities promotes cognitive function, social interaction, and emotional well-being among residents. These activities help maintain or improve mental acuity, prevent social isolation, and enhance overall quality of life. Encouraging residents to participate in such activities fosters a sense of purpose, accomplishment, and enjoyment, which are essential for their holistic well-being. Options B, C, and D are incorrect choices for various reasons. Dressing residents before breakfast (Option B) may promote dependence rather than independence in self-care activities. Residents should be encouraged to dress themselves whenever possible to maintain their autonomy and self-esteem. Filling in missing words during conversation (Option C) can undermine residents' communication skills and may lead to decreased confidence in their abilities. Lastly, getting residents ready for breakfast quickly (Option D) focuses on efficiency rather than promoting individualized care and respecting residents' preferences and routines. In summary, the correct answer emphasizes the importance of promoting residents' engagement in meaningful activities that support their cognitive, social, and emotional well-being. This approach aligns with person-centered care principles and enhances residents' overall quality of life in long-term care settings.

Correct Answer: A

Rationale: In the context of pharmacology and health promotion in nursing, screening for conditions in an 80-year-old is crucial for providing safe and effective care. The correct answer, A) Polypharmacy, is the most appropriate condition to screen for in an older adult population. Polypharmacy, or the use of multiple medications concurrently, is common in older adults and can lead to adverse drug reactions, drug interactions, and medication non-adherence. It is essential to assess for polypharmacy in the elderly to optimize medication regimens, minimize side effects, and prevent potential harm. Option B) Kidney failure is less likely to be a routine screening consideration in an 80-year-old without a specific indication or risk factors present. While kidney function should be monitored in older adults due to age-related changes, it may not be the primary condition to screen for in this scenario. Options C) Illegal drug use and D) Alcoholism are important health issues to address in any population, including older adults. However, in the context of routine screenings for an 80-year-old, polypharmacy takes precedence due to its direct relevance to medication management and potential health risks associated with multiple drug use. Educationally, understanding the rationale behind prioritizing screenings based on age, risk factors, and relevance to pharmacological interventions enhances nursing practice. By focusing on polypharmacy in older adults, nurses can proactively identify and address medication-related concerns, promote patient safety, and optimize health outcomes in this vulnerable population.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) 13 people with ascending muscle paralysis, indicating botulism, a form of bioterrorism. This choice is correct because botulism presents with descending muscle paralysis, starting from the head and neck and progressing downwards, which aligns with the symptoms described. Option A) Two people from a restaurant with nausea and vomiting is incorrect because these symptoms are not specific to botulism. Option B) Lab worker with a headache is also incorrect as headache is not a typical symptom of botulism. Option D) Five people with upper respiratory infections do not align with the symptoms of botulism. Educationally, understanding the unique symptoms of different bioterrorism agents is crucial for healthcare providers to promptly identify and respond to potential threats. This case highlights the importance of recognizing specific clinical presentations to differentiate between various health conditions, including those related to bioterrorism. Such knowledge is vital for effective health promotion, prevention, and intervention strategies in public health emergencies.