Page 150 - Saunders Comprehensive Review For NCLEX-RN

Integrated Process: Nursing Process—Assessment
Content Area: Foundations of Care: Special Populations
Health Problem: N/A
Priority Concepts: Communication; Functional Ability
Reference: May, M. E., & Kennedy, C. H. (2010). Health and problem behavior
among people with intellectual disabilities. Behavioral Annals of Practice, 3(2), 4-12.

10. Answer: 3

Rationale: The environment of a prison can predispose a person to different
health conditions, such as tuberculosis, human immunodeficiency syndrome,
sexually transmitted infections, or other infectious diseases. Option 1 does not
address the client’s question. Options 2 and 4 convey incorrect information.
Test-Taking Strategy: Note the subject, health conditions associated with living in
a prison. Remember that the prison is a confined environment, and a variety of
infectious diseases are prevalent.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Foundations of Care: Special Populations
Health Problem: N/A
Priority Concepts: Communication; Health Promotion
Reference: Issues in Science and Technology. (n.d.). Correctional health is community
health. Retrieved from http://issues.org/32-1/correctional-health-is-community-
health/

11. Answer: 3

Rationale: The client in this question should be screened for abuse. Battered
women experience bruises, particularly around the eyes, red or purple marks on the
neck, sprained or broken wrists, chronic fatigue, shortness of breath, muscle tension,
involuntary shaking, changes in eating and sleeping, sexual dysfunction, and
fertility issues. Mental health issues can also arise, including post-traumatic stress
disorder, nightmares, anxiety, uncontrollable thoughts, depression, anxiety, low self-
esteem, and alcohol and drug abuse. Reddened sclera, a dry rash on the elbows, and
flaking of the scalp do not pose an indication of abuse.
Test-Taking Strategy: Note the strategic words, need for follow-up. Also focus on
the data in the question and select the option that indicates the most concern and is
indicative of abuse. Remember that battered women often present with bruising
around the eyes or on the neck.
Level of Cognitive Ability: Analyzing
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Assessment
Content Area: Foundations of Care: Special Populations
Health Problem: Mental Health: Violence
Priority Concepts: Communication; Health Promotion
Reference: Very Well MInd (2019). Top warning signs of domestic abuse

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