Nokea
Historically, community health nurses (CHNs) focused on the care of individuals while viewing the families of individuals as either background resources or possible stressors. Which view of the family did this traditional conceptualization take?
- A. Family as the client
- B. Family as a component of society
- C. Family as the context
- D. Family as a system
Correct Answer: A
Rationale: The correct answer is A: Family as the client. In traditional CHN practice, the focus was on individual care with little regard for the family as a unit of care. By viewing the family as the client, CHNs can address the health needs of the entire family, recognizing that the family unit itself plays a significant role in individual health outcomes. This approach allows for a more holistic and comprehensive understanding of health within the family context. Choices B, C, and D are incorrect because they do not accurately represent the traditional conceptualization of the family in CHN practice.
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A community health nurse (CHN) is part of a palliative consultation team that provides care for people living on the streets, in parks, or in shelters or who are unwilling or unable to come to the clinic, hospital, or hospice to receive end of life care. How can this type of nursing service be best classified?
- A. Community-oriented nursing
- B. Home health nursing
- C. Outpost nursing
- D. Private duty nursing
Correct Answer: C
Rationale: Step 1: Outpost nursing involves providing care to underserved populations in remote or hard-to-reach areas, like people living on the streets or in shelters.
Step 2: This type of nursing focuses on meeting the healthcare needs of individuals where they are, rather than in traditional healthcare settings.
Step 3: Outpost nursing aligns with the scenario of providing end-of-life care to those unable to access traditional healthcare facilities.
Step 4: Community-oriented nursing focuses on improving overall health of a community, not specific end-of-life care.
Step 5: Home health nursing involves providing care in a patient's home, not necessarily for individuals living on the streets or in shelters.
Step 6: Private duty nursing involves providing one-on-one care to an individual in a private setting, which does not apply to the scenario provided.
Summary: Outpost nursing is the best classification as it aligns with providing care to underserved populations in non-traditional settings, while the other choices
Which type of conflict may be experienced when a community health nurse (CHN) who does not personally support abortion is working with a group of teenagers to teach them about sexual health and pregnancy?
- A. Interpersonal conflict
- B. Intrapersonal conflict
- C. Intergroup conflict
- D. Interdisciplinary conflict
Correct Answer: C
Rationale: The correct answer is C: Intergroup conflict. This is because the conflict arises between the CHN who does not support abortion (one group) and the teenagers who may have different views on the topic (another group). The conflict is between two distinct groups with differing beliefs and values.
A: Interpersonal conflict involves conflict between individuals, not groups.
B: Intrapersonal conflict is internal conflict within an individual, not between groups.
D: Interdisciplinary conflict refers to conflict between different disciplines or professions, which is not the case in this scenario.
Which was a very important factor in the success of early visiting nurses?
- A. The care they provided that served as a model for all later hospitals
- B. The more economical care they provided to families
- C. Their role model, Edna Moore
- D. The superb publicity campaign that was created by the health departments
Correct Answer: B
Rationale: The correct answer is B because early visiting nurses were successful due to the more economical care they provided to families. Visiting nurses offered cost-effective healthcare services, making them accessible to a wider population. This affordability factor contributed to their success in providing care to those in need.
Choice A is incorrect because early visiting nurses did not necessarily serve as a model for all later hospitals. Choice C is incorrect as the success of visiting nurses was not solely dependent on a role model like Edna Moore. Choice D is incorrect because the success of visiting nurses was not primarily attributed to a publicity campaign by health departments.
What would be the best choice for the nurse researcher who wishes to identify the long-term benefits and risks of a treatment for hyperlipidemia?
- A. A cross-sectional study
- B. An ecological study
- C. A clinical trial
- D. A retrospective analysis
Correct Answer: C
Rationale: The correct answer is C: A clinical trial. Clinical trials are designed to assess the long-term benefits and risks of a treatment by monitoring participants over an extended period. They involve randomization, control groups, and follow-up assessments, making them ideal for determining treatment effectiveness.
A: A cross-sectional study only provides a snapshot of data at a single point in time and does not track long-term outcomes.
B: An ecological study examines population-level data and may not provide individual-level insights on long-term benefits and risks of a treatment.
D: A retrospective analysis looks at past data and may not adequately capture the long-term effects of a treatment compared to a prospective study like a clinical trial.
Which of the following would be considered part of a transformational leadership style?
- A. A group leader uses rewards to engage others.
- B. A group leader uses personal charisma to motivate followers.
- C. A group leader focuses on day-to-day tasks.
- D. Minimal or no direction is provided by the group leader.
Correct Answer: B
Rationale: The correct answer is B because transformational leadership involves inspiring and motivating followers through personal charisma and vision. Charismatic leaders are able to influence and inspire others to achieve common goals. Choice A focuses on transactional leadership, which involves rewards for performance. Choices C and D are characteristics of laissez-faire leadership, where the leader is hands-off or focused solely on tasks, not inspiring transformation.