Nokea
A nurse is employed as a nurse epidemiologist. Which of the following activities would most likely be completed by the nurse?
- A. Eliciting the health history of a client presenting with an illness
- B. Evaluating the number of clients presenting with similar diseases
- C. Performing a physical examination of an ill client
- D. Providing treatment and health education to a client with a disease
Correct Answer: A
Rationale: The correct answer is A: Eliciting the health history of a client presenting with an illness. As a nurse epidemiologist, the nurse's primary role is to investigate and analyze patterns of disease occurrence. By eliciting the health history of a client presenting with an illness, the nurse can gather essential data to identify potential sources of infection, risk factors, and patterns of disease spread within a population. This activity aligns with the epidemiological approach of understanding the distribution and determinants of health-related states.
Incorrect choices:
B: Evaluating the number of clients presenting with similar diseases - While this may be part of the nurse epidemiologist's duties, it does not directly involve gathering individual health histories to track disease patterns.
C: Performing a physical examination of an ill client - This task is more aligned with clinical nursing practice rather than epidemiological investigation.
D: Providing treatment and health education to a client with a disease - This is within the scope of direct patient care and does not focus on population
You may also like to solve these questions
Which of the following is the primary focus of public health nursing?
- A. Families and groups
- B. Illness-oriented care
- C. Individuals within the family unit
- D. Promotion of quality of life
Correct Answer: D
Rationale: The correct answer is D: Promotion of quality of life. Public health nursing primarily focuses on improving the overall health and well-being of communities by promoting healthy lifestyles, preventing diseases, and enhancing quality of life. This includes addressing social determinants of health and advocating for policies that support health equity. Choices A, B, and C are more focused on individual or group care rather than population health. Choice A emphasizes families and groups, while choice B centers on illness rather than prevention. Choice C focuses on individuals within the family unit rather than the broader community. Thus, the correct answer, D, aligns best with the core principles of public health nursing.
Persons in an auditorium may have been exposed to a disease. If they are infected, it is crucial that
- A. The negative predictive value
- B. The positive predictive value
- C. The sensitivity of the test
- D. The specificity of the test
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value. In this scenario, it is crucial to know the likelihood of a person not being infected if the test result is negative. Negative predictive value assesses the probability of a person truly being disease-free when the test result is negative. This is important for determining the risk of spreading the disease within the auditorium.
Explanation for other choices:
B: The positive predictive value - While important in clinical settings, in this case, determining the accuracy of positive test results is not as critical as ruling out disease transmission.
C: The sensitivity of the test - Sensitivity measures the ability of the test to correctly identify those with the disease, not necessarily ruling out disease transmission among those with negative results.
D: The specificity of the test - Specificity measures the ability of the test to correctly identify those without the disease, which is not directly related to preventing disease spread in this context.
A nurse advises a client with osteoporosis to have three servings of milk or dairy products daily.
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Treatment, but not prevention
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. This recommendation aims to prevent osteoporosis from developing in the first place by promoting adequate calcium intake. Primary prevention focuses on reducing the risk factors and promoting healthy behaviors to prevent the onset of a disease. Choices B, C, and D are incorrect because they are related to different stages of disease prevention and management. Secondary prevention involves early detection and treatment to prevent complications, tertiary prevention focuses on managing the complications of a disease, and treatment without prevention (choice D) implies addressing the disease after it has already developed.
What action can a nurse take to reduce biases in nurse-client interactions?
- A. Providing care based on past encounters with individuals of the same background
- B. Explaining the nurse's values and beliefs to the client
- C. Reflecting on how their background influences their perception of others
- D. Limiting interactions with individuals from certain social identity groups
Correct Answer: C
Rationale: The correct answer is C because reflecting on how their background influences their perception of others helps nurses become aware of their biases and work towards reducing them. This self-awareness enables nurses to provide unbiased care and build better relationships with clients. Choice A is incorrect as it promotes stereotyping based on past encounters. Choice B is not effective as imposing the nurse's values may not align with the client's beliefs. Choice D is discriminatory and limits the nurse's ability to provide holistic care.
A nurse is working with an immigrant population. Which of the following should be the first action taken by the nurse?
- A. Be aware of one's own cultur
- C. Become familiar with traditional practices of the immigrants.
- D. Try to see things from the immigrant's viewpoint.
Correct Answer: A
Rationale: The correct answer is A: Be aware of one's own culture. This is the first action because self-awareness of one's own cultural beliefs, biases, and values is essential in promoting cultural competence. Understanding one's own culture helps prevent misunderstandings and conflicts with individuals from different cultural backgrounds. It also allows the nurse to approach care with an open mind and respect for diversity.
Choice C is incorrect as it only focuses on understanding the immigrants' culture without considering the nurse's own cultural influences. Choice D is not the first action to be taken as understanding the immigrant's viewpoint comes after acknowledging one's own cultural perspectives. Choices B, E, F, and G are irrelevant to the initial step of addressing cultural competence.