Adult Health Nursing Test Banks

Correct Answer: A

Rationale: The patient's presentation of episodic throbbing headache associated with nausea, vomiting, sensitivity to light and sound, and aura suggests a diagnosis of migraine headache. Migraines are a common neurological condition characterized by recurrent moderate to severe headaches that are often unilateral, pulsating, and aggravated by physical activity. The presence of premonitory symptoms (aura) before the headache is a key feature commonly seen in migraines. Additionally, nausea, vomiting, and sensitivity to light and sound are also common features associated with migraines.

Correct Answer: C

Rationale: Allowing people's participation to confirm the health problems would yield better results in facilitating the recognition of the community's health issues. By involving the community members themselves in the process of identifying and acknowledging their health problems, there is a higher likelihood of garnering accurate and relevant information. This participatory approach fosters a sense of ownership and empowerment among the community members, making them more likely to actively engage in addressing the identified health concerns. Additionally, community participation can help build trust between the nurse and the residents, leading to more effective communication and collaboration in improving overall health outcomes.

Correct Answer: A

Rationale: According to RA 9482 or the Anti-Rabies Act of 2007, one of the key components of rabies prevention is to have dogs regularly vaccinated against rabies. This is a crucial step in reducing the risk of rabies transmission from dogs to humans. By ensuring that dogs are vaccinated, the likelihood of rabies exposure is significantly decreased. Additionally, proper vaccination also helps protect the health and well-being of the dogs themselves. Therefore, ensuring regular vaccination of dogs is an applicable and important statement regarding rabies post-exposure prophylaxis as mandated by the law.

Correct Answer: A

Rationale: In this critical situation, the safety of the wife is of utmost importance. Whenever a healthcare provider becomes aware of a direct threat to someone's safety, especially related to potential harm or violence, it is their ethical and legal responsibility to report this information to the appropriate authorities promptly. In this case, the nurse should alert the proper authorities, such as law enforcement or a mental health crisis team, to ensure that immediate steps are taken to protect the wife from harm. Confidentiality should be breached in situations where there is a clear threat to an individual's safety. Keeping the information confidential in this scenario could result in serious harm or even loss of life. The nurse must act quickly to protect the potential victim.

Correct Answer: C

Rationale: When a pregnant woman is diagnosed with preeclampsia, the focus of health care shifts to the individual woman herself. Preeclampsia is a serious condition that affects the health of the pregnant woman and her unborn child. The healthcare team will prioritize the care and treatment of the woman to ensure her well-being and safety. In this scenario, the emphasis is on providing personalized and targeted care to address the needs of the individual patient, rather than a broader focus on population groups, communities, or families.