Nokea
A bill is pending in the state legislature that will mandate teaching health promotion related to smoking cessation. Which action by the nurse should have the greatest impact on passage of the bill?
- A. Explain the rationale for the bill to the school board.
- B. Contact the elected representative's office by telephone to request support for the bill.
- C. Support a health advocate to run for election as state representative.
- D. Tell all students about the bill.
Correct Answer: B
Rationale: The correct answer is B: Contact the elected representative's office by telephone to request support for the bill. This action is the most direct and effective way to influence the passage of the bill. By directly contacting the elected representative, the nurse can advocate for the importance of the bill and provide relevant information to garner their support. This direct communication with the decision-maker holds significant weight in influencing their vote on the bill.
A: Explaining the rationale to the school board may be informative, but the school board may not have direct influence on the state legislature.
C: Supporting a health advocate to run for election is a long-term strategy and may not have an immediate impact on the passage of the bill.
D: Telling all students about the bill may raise awareness but may not directly influence the lawmakers' decisions.
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The use of plants in conventional modern medicine is evidenced by the drug atropine, which is derived from which plant?
- A. Digitalis purpurea
- B. Cephaelis ipecacuanha
- C. Rauwolfia serpentina
- D. Atropa belladonna
Correct Answer: D
Rationale: The correct answer is D: Atropa belladonna. Atropine is derived from Atropa belladonna plant. Atropa belladonna contains alkaloids which are used in modern medicine for various purposes. Digitalis purpurea (A) is known for digitalis, Cephaelis ipecacuanha (B) for ipecacuanha, and Rauwolfia serpentina (C) for reserpine, not atropine. Therefore, D is the correct choice for this question.
The use of herbs has become a popular alternative to prescription drugs in today's health care milieu. During which other historical periods did health practices focus on the use of herbs?
- A. Prehistoric times and the Middle Ages
- B. Civil War period and World War I
- C. Renaissance and Reformation periods and the Colonial American period
- D. Crimean War and Civil War periods
Correct Answer: A
Rationale: The correct answer is A: Prehistoric times and the Middle Ages. In prehistoric times, herbs were used as the primary form of medicine. During the Middle Ages, herbal medicine continued to be prevalent due to limited medical knowledge. Other choices are incorrect because B, C, and D do not align with historical periods where herbal medicine was a dominant health practice.
A nurse has heard rumors that other nurses are interested in unionizing but knows little about the purpose of unions. The nurse's first action is to:
- A. contact an arbitrator who has worked with other nurses in unions.
- B. picket the agency where employed to gain inside information as to why unionization is sought.
- C. sign the dual-purpose union authorization card.
- D. review the National Nurses United website for collective bargaining information.
Correct Answer: D
Rationale: The correct answer is D because reviewing the National Nurses United website for collective bargaining information is the most appropriate first action. This option allows the nurse to educate themselves on the purpose of unions and understand the benefits of collective bargaining. It promotes informed decision-making and empowers the nurse with knowledge before taking any further actions.
A: Contacting an arbitrator may be premature as the nurse needs to first understand the basics of unions.
B: Picketing the agency is counterproductive and may create a hostile environment without proper information.
C: Signing a union authorization card without understanding the implications is not advisable and may lead to unintended consequences.
Summary: Option D is correct as it promotes education and informed decision-making, while the other choices are premature, potentially harmful, or lack necessary information.
What is the best way for the individual nurse to maintain the most effective professional image?
- A. Change out of their work attire before running errands.
- B. Renew membership in a nursing organization.
- C. Earning an advanced nursing degree.
- D. Developing effective nurse-physician relationships.
Correct Answer: A
Rationale: The correct answer is A: Change out of their work attire before running errands. This is because maintaining a professional image involves setting clear boundaries between work and personal life. By changing out of work attire before running errands, the nurse avoids potential misconceptions or misunderstandings from the public.
Choice B (Renew membership in a nursing organization) is not directly related to maintaining a professional image, although it is important for professional development. Choice C (Earning an advanced nursing degree) may enhance professional qualifications but does not directly impact the nurse's image. Choice D (Developing effective nurse-physician relationships) is important for teamwork but does not specifically address individual professional image.
What is the primary factor that characterizes a patient receiving palliative care
- A. A diagnosis of a serious, life-threatening disease
- B. Ability to make sound health care decisions
- C. An interest in exploring available life sustaining treatment options
- D. A life expectancy of less than 12 months
Correct Answer: A
Rationale: The correct answer is A because the primary factor that characterizes a patient receiving palliative care is a diagnosis of a serious, life-threatening disease. Palliative care focuses on providing relief from the symptoms and stress of a serious illness, regardless of the stage of the disease or the prognosis. This means that palliative care can be appropriate for patients with a variety of life expectancies, not just those with less than 12 months to live. Choices B and C are incorrect because while they are important factors in healthcare decision-making, they are not the primary factor that characterizes a patient receiving palliative care. Choice D is also incorrect because palliative care can be provided to patients with various life expectancies, not just those with less than 12 months to live.