1. A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease

1. Withdrawal from social activities

2. Forgetting the location of common object

3. Experiencing incontinence

4. Neglecting personal hygiene

Rationale: Forgetting the location of common objects is an early manifestation of Alzheimer's disease.

2. A community health nurse identifies an increase in the occurrence of osteoporosis-related fractures in women experiencing menopause. Which of the following primary prevention strategies should the nurse implement?

1. Advise the women to keep their immunizations updated.

2. Encourage the women to participate in weight-bearing activities.

3. Educate the women about the importance of limiting sun exposure.

4. Instruct at-risk women to increase their intake of foods high in vitamin E.

Rationale: Weight-bearing exercises, such as weight lifting, walking, and running, have been found to be beneficial in preventing osteoporosis.

3. A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse identify as an indication that the client is in the denial stage of the grief process?

1. "I'm looking forward to my daughter's wedding next year."

2. "I don't deserve to die. This just isn't fair."

3. "If I could just make it through this, I'd never smoke again."

4. "I'm going to plan my memorial service next week."

Rationale: During the denial stage of the grief process, the client rejects the reality of the impending loss.

4. A home care nurse is visiting an older adult and notes that unwashed dishes are piled up and newspapers cover the front steps. Which of the following questions should the nurse to ask the client to determine if he is socially isolated?

1. "Why haven't you brought in your newspapers?"

2. "Do you need help completing your housework?”

3. "How often do you have visitors come to see you?"

4. "Have you considered moving to an assisted living facility?"

Rationale: "How often do you have visitors come to see you?" MY ANSWER The nurse should