The public health nurse is working with an at-risk adolescent. Which statement made by the adolescent demonstrates locus of control?
"I will probably end up in jail just like my father."
"Despite the challenges I have faced, I will go to college and become a teacher."
"Everyone in school thinks that I am a troublemaker."
"I have no friends but that’s okay because I prefer to hang out with my cousins."
The Correct Answer is B
Choice A reason: Jail prediction shows external control; self-directed goals fit locus. This errors per nursing psychology. It’s universally distinct, passive.
Choice B reason: Overcoming challenges for college shows internal locus of control. This aligns with nursing standards. It’s universally recognized, distinctly self-empowered.
Choice C reason: Others’ views reflect external influence, not control. Goals show locus, per nursing. This misaligns with definition. It’s universally distinct.
Choice D reason: Accepting no friends is adjustment, not control. College intent fits, per nursing. This errors in focus. It’s universally distinct.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Secondary screens for infection; sterilizing aids existing users. This errors per prevention levels. It’s universally distinct, not detection.
Choice B reason: Tertiary reduces disease spread in active drug users. This fits public health standards. It’s universally applied, distinctly harm reduction.
Choice C reason: Legal issues aren’t prevention; sterilizing targets health. This misaligns with nursing focus. It’s universally distinct, not disease-related.
Choice D reason: Primary prevents drug use; sterilizing manages current use. This errors per prevention definitions. It’s universally distinct, post-use.
Correct Answer is A
Explanation
Choice A reason: A tetanus booster every 10 years stimulates immunity before infection occurs, a hallmark of primary prevention. It targets Clostridium tetani, preventing toxin production that causes muscle spasms, leveraging the immune system’s memory cells to neutralize the bacteria preemptively, reducing disease incidence effectively.
Choice B reason: Tetanus immunoglobulin provides immediate antibodies post-exposure, a passive immunity approach, not primary prevention. It neutralizes existing toxins from Clostridium tetani after a nail puncture, acting as a secondary measure to halt disease progression rather than preventing infection onset proactively.
Choice C reason: Screening for tetanus infection involves testing for Clostridium tetani presence or symptoms, a secondary prevention tactic. It identifies disease early for treatment, not prevention, focusing on detecting toxin-producing bacteria after exposure rather than building immunity to stop infection initially.
Choice D reason: Administering antibiotics and seizure precautions treats active tetanus, a tertiary prevention strategy. It addresses Clostridium tetani infection and toxin effects like lockjaw after onset, aiming to reduce complications and severity, not to prevent the disease from occurring initially.
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