Tutor profile: Courtney D.

Courtney is a community health nurse in a large metropolitan area. According to the American Nurses Association's Code of Ethics, community health nurses must align themselves with public health programs that promote and preserve the health of populations by influencing: A. socioeconomic issues. B. psychosocial issues. C. sociocultural issues. D. developmental issues.

The Code of Ethics of the American Nurses Association promotes social reform by focusing on health policy and legislation to positively affect accessibility, quality, and cost of health care. Community health nurses must align themselves with public health programs that promote and preserve the health of populations by influencing sociocultural issues, such as human rights, homelessness, violence, and stigma of illness. Directing care toward socioeconomic issues, psychosocial issues, or developmental issues focuses on individuals, families, or groups, which in turn contributes to the health of the total population.

Stress can be the result of: A) negative situations B) positive life changes C) achievement of goals D) all of the above

D. All of the above can cause a stress response in a person's mind and body. Although stress often has a negative connotation and can be induced by negative situations, a stress response can also be induced by positive stimuli that cause the body to release substances like adrenaline and cortisol

A nurse is receiving report on an adult medical surgical floor at the start of shift from the outgoing nurse. Which patient should the nurse assess first? A) 34 y/o male, hx of hypertension; dx fractured radius; rating pain a 7/10 and asking for medication B) 56 y/o male, hx of diabetes, hypertension, and LAK; dx infected amputation site; complaining of pain and redness at site C) 74 y/o female, hx of breast cancer; dx pneumonia; temperature 101 F, HR 102, RR 26, BP 160/100, SPO2% 95% D) 44 y/o female, no medical hx; dx dehydration; complaining of pain at IV site

The answer is D. Rationales: A) While it is important to treat pain in a patient experiencing high levels of pain, this is not the patient that is most at risk for an emergency. B) These are normal findings within a patient experiencing an infection. The nurse needs to assess the site and treat the pain; however, this is not the patient that is most at risk for an emergency. C) These are normal findings within a patient experiencing pneumonia. D) This is the patient that is most at risk for an emergency and the patient the nurse should assess first. Pain at the IV site could indicate infiltration of IV, an allergic reaction, or phlebitis, all of which would require immediate medical attention and action.