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A registered nurse was just employed as a public health nurse. Which question would be the most
- A. Which groups are at the greatest risk for problems?
- B. Which patients should I see first as I begin my day?
- C. With which physicians will I be most closely collaborating?
- D. With which nursing assistants will I partner the most?
Correct Answer: A
Rationale: The correct answer is A: "Which groups are at the greatest risk for problems?" as it aligns with the primary focus of public health nursing, which is to prevent and address health issues within communities. By identifying high-risk groups, the nurse can prioritize interventions and allocate resources effectively.
Choice B is incorrect because public health nursing typically involves a population-based approach rather than individual patient care. Choice C is incorrect as it pertains more to hospital settings rather than public health. Choice D is incorrect as public health nurses typically work independently or with a team of public health professionals rather than nursing assistants.
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A client shares with the nurse that her grandparents immigrated to the United States from Germany. Which of the following best describes what she has disclosed?
- A. Multiculturalism
- B. Ethnicity
- C. Race
- D. Culture
Correct Answer: B
Rationale: The correct answer is B: Ethnicity. Ethnicity refers to shared cultural practices, perspectives, and identity based on a common ancestry or heritage. In this scenario, the client's disclosure of her grandparents immigrating from Germany indicates a connection to a specific cultural background and heritage. This information aligns with the concept of ethnicity.
Explanation for why other choices are incorrect:
A: Multiculturalism - Multiculturalism refers to the coexistence of diverse cultural groups within a society, not the individual's specific cultural background.
C: Race - Race is based on physical characteristics such as skin color, not on the country of origin or cultural background.
D: Culture - While closely related, culture refers to the shared beliefs, values, and practices of a group, whereas ethnicity specifically focuses on shared ancestry or heritage.
Which of the following is responsible for the dramatic increase in life expectancy during the twentieth century?
- A. Technology increases in the field of medical laboratory research
- B. Advances in surgical techniques and procedures
- C. Sanitation and other public health activities
- D. Use of antibiotics to fight infections
Correct Answer: C
Rationale: The correct answer is C: Sanitation and other public health activities. Sanitation improvements, such as clean water supply and waste disposal, have played a significant role in reducing infectious diseases and improving overall health, leading to the dramatic increase in life expectancy during the twentieth century. This is supported by historical data showing a correlation between improved sanitation and decreased mortality rates. Other choices are incorrect because while technology, surgical advances, and antibiotics have contributed to medical progress, they alone cannot account for the significant increase in life expectancy seen during the twentieth century.
Using the National CLAS as a guide, which service should be offered to clients who have LEP?
- A. Availability of interpreter services at a minimal fee
- B. Language assistance in the client's preferred language
- C. Interpretation services using family members
- D. Trained interpretation within 48 hours of hospital admission
Correct Answer: B
Rationale: The correct answer is B: Language assistance in the client's preferred language. According to the National CLAS Standards, offering language assistance in the client's preferred language ensures effective communication and understanding of healthcare services. This approach respects the client's linguistic and cultural needs, promoting patient-centered care and reducing the risk of errors due to language barriers. Availability of interpreter services at a minimal fee (A) may still pose financial barriers for clients with LEP. Using family members for interpretation services (C) can compromise confidentiality, accuracy, and impartiality. Trained interpretation within 48 hours of hospital admission (D) is not timely enough for immediate healthcare needs.
Making sure that essential community-oriented health services are available defines which of the
- A. Policy development
- B. Assessment
- C. Assurance
- D. Scientific knowledge-based care
Correct Answer: A
Rationale: The correct answer is A: Policy development. Policy development involves creating guidelines and regulations to ensure essential community-oriented health services are available. This process outlines the necessary services and standards to meet community health needs. Assessment (B) involves collecting data to understand health issues, but doesn't ensure service availability. Assurance (C) focuses on enforcing policies and ensuring services are provided. Scientific knowledge-based care (D) pertains to evidence-based treatment, not service availability. Therefore, policy development is the most appropriate choice to define ensuring essential health services are available in the community.
A teacher recommends that surveys to obtain data on drug use be given to high school students
- A. Americans are fearful of terrorists using biological agents.
- B. Awareness of human susceptibility to animal diseases has been publicized.
- C. Drug-resistant strains of old diseases have evolved.
- D. Media coverage exaggerates the dangers of exposure to crowds.
Correct Answer: A
Rationale: The correct answer is A because the teacher's recommendation for surveys on drug use is likely related to concerns about potential drug abuse among high school students. This choice directly addresses the context of the question by highlighting the relevance of gathering data on drug use. Choices B, C, and D are unrelated to the topic of drug use among high school students, making them incorrect. Therefore, the correct answer is A as it aligns with the context and purpose of the teacher's recommendation.