A nurse conducting a community needs assessment is looking for individuals who have deep roots in the neighborhood and are well-respected by long-time residents. These individuals hold no official position but are frequently consulted by neighbors. Which type of community partner best describes these individuals?

A nurse is planning a health education session with a patient newly diagnosed with heart failure. According to the six steps for the teaching-learning process, the nurse begins with a learning assessment. Which set of components should the nurse assess at this stage?

A nurse is educating a patient with newly diagnosed hypertension about lifestyle changes. The patient says, “I know I should exercise more, but I’m just doing it because my doctor said I have to.” According to Self-Determination Theory, this patient’s motivation is best described as which type?

A 38-year-old patient presents for a routine physical. During intake, the nurse learns the patient experienced physical abuse, parental substance abuse, and parental divorce during childhood — an Adverse Childhood Experiences (ACEs) score of 3. The patient has no current psychiatric diagnoses and reports feeling “basically fine.” Using knowledge of ACEs, which nursing action is most appropriate?

A trauma patient in the ED is visibly distressed and hyperventilating. Using the principles of trauma-informed care, which action should the nurse take first?

A patient in the emergency department has just been told her husband was killed in a car accident. She is hyperventilating, trembling, and unable to respond to the nurse’s questions. According to the SAFER-R model of crisis intervention, which action should the nurse take first?

A patient tells the nurse: “I’ve been drinking more since my divorce because it takes the edge off.” The nurse recognizes this as which type of response to chronic stress?

A nursing student preparing for a high-stakes clinical evaluation tells the nurse educator she feels “nervous and keyed up.” Which findings are consistent with moderate anxiety? Select all that apply.

A patient arrives in the ED following a car accident with HR 118, BP 152/94, dilated pupils, diaphoresis, and hyperventilation. The nurse recognizes this as the Alarm Reaction Phase of General Adaptation Syndrome. If the stressor resolves and the body responds normally, which findings would the nurse most expect to see next?

A patient with six weeks of hypertension, insomnia, and recurrent upper respiratory infections following a job loss tells the nurse, “My body just can’t seem to get back to normal.” The nurse applies knowledge of allostatic load to guide teaching. Which health education point is most important for this patient?