Nokea
A community health nurse is developing a plan to improve the community's environmental health. Which of the following actions should the nurse take first?
- A. Encourage community involvement in environmental improvement.
- B. Establish a timeframe for environmental improvements.
- C. Request funding from community organizations.
- D. Collect information about the community's environmental status.
Correct Answer: D
Rationale: The correct answer is D - Collect information about the community's environmental status. This is the first step because it allows the nurse to assess the current environmental health issues in the community. By gathering data, the nurse can identify specific problems and prioritize interventions based on evidence. This information will guide the development of an effective plan tailored to address the community's specific needs.
Choice A is incorrect because community involvement should come after assessing the environmental status. Choice B is incorrect as setting a timeframe is premature without understanding the extent of the issues. Choice C is incorrect as funding should be sought once the plan is developed.
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A nurse in a family practice clinic is screening an adolescent client for idiopathic scoliosis. Which of the following assessments should the nurse perform as part of this screening?
- A. Measure the truncal rotation
- B. Administered 8 u regular insulin sq
- C. Determine if the stockings are binding
- D. Arrange for an ethics committee meeting
Correct Answer: A
Rationale: The correct answer is A: Measure the truncal rotation. When screening for idiopathic scoliosis, assessing truncal rotation is essential as it helps in detecting the presence of spinal curvature. Truncal rotation is a key indicator of scoliosis as the spine rotates along with the curvature. This assessment involves observing the symmetry of the shoulders and scapulae, which can indicate spinal rotation. Therefore, measuring truncal rotation is a crucial step in identifying potential scoliosis in adolescents.
Summary:
B: Administered 8 u regular insulin sq - Irrelevant to scoliosis screening, this is related to diabetes management.
C: Determine if the stockings are binding - Irrelevant to scoliosis screening, this is related to circulation issues.
D: Arrange for an ethics committee meeting - Irrelevant to scoliosis screening, this is related to ethical considerations in healthcare.
Which of the following groups is pressuring clinicians the most to use evidence-based practice (EBP)?
- A. Administrators
- B. Insurance companies
- C. Nurses
- D. Physicians
Correct Answer: A
Rationale: The correct answer is A: Administrators. Administrators are pressuring clinicians the most to use evidence-based practice (EBP) as they are responsible for ensuring quality care, cost-effectiveness, and adherence to standards. They implement policies mandating EBP to improve patient outcomes and reduce healthcare costs. Nurses and physicians may advocate for EBP, but administrators hold the most influence due to their oversight of healthcare operations. Insurance companies focus more on reimbursement criteria rather than direct pressure for EBP implementation.
Which organization publishes and articulates the essentials of public health nursing, including the activities and accountabilities that are characteristics of practice at all levels and settings?
- A. Association of Community Health Nurse Educators (ACHN
- C. American Nurses Association (AN
Correct Answer: C
Rationale: The correct answer is C: American Nurses Association (ANA). The ANA publishes and articulates the essentials of public health nursing, setting standards and guidelines for practice. It is a reputable organization known for its role in shaping nursing practice. ACHN (Choice A) focuses more on education, not publishing standards. Without additional choices provided, it is difficult to analyze other options.
A nurse performs a variety of tasks as part of the nurse's position at a hospital. Whichtask best exemplifies public health?
- A. Reading current nursing journals and integrating the latest research into daily practice
- B. Instructing a client on how to best care for a suture site at home
- C. Participating in a videoconference call with a client who lives in a remote area
- D. Facilitating a community-wide smoking cessation program one month out of the year
Correct Answer: D
Rationale: The correct answer is D: Facilitating a community-wide smoking cessation program one month out of the year. This task best exemplifies public health as it involves promoting and improving the health of the entire community by addressing a common health issue like smoking. The nurse's role in this task is to educate, support, and empower individuals within the community to quit smoking, ultimately leading to a healthier population.
Other choices:
A: Reading current nursing journals and integrating the latest research into daily practice - While important for staying updated and providing evidence-based care, this task is more focused on individual patient care rather than public health.
B: Instructing a client on how to best care for a suture site at home - This task is important for individual patient care but does not have a direct impact on the health of the entire community.
C: Participating in a videoconference call with a client who lives in a remote area - This task is related to improving access to healthcare for individuals but does not have
Which of the following is the best way to increase the number of persons who come to their screening test appointments?
- A. Reminding clients via telephone, e-mail, or mail
- B. Emphasizing long life and happy family when conditions are caught early and treated successfully
- C. Pointing out how inexpensive and convenient screening tests are
- D. Stressing the dangerousness of the condition if not caught early
Correct Answer: A
Rationale: The correct answer is A: Reminding clients via telephone, e-mail, or mail. This is the best way to increase attendance as it utilizes multiple communication channels to ensure clients are aware of their appointments. Reminders help reduce no-show rates by keeping the appointment fresh in their minds. Option B focuses on the benefits of early detection but does not address the issue of attendance directly. Option C emphasizes cost and convenience, but these factors may not be the primary motivators for attending appointments. Option D uses fear tactics, which may not be effective for all individuals and could lead to avoidance. Overall, option A is the most practical and effective method to increase attendance at screening test appointments.