Nokea
A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
- A. A client who is receiving heparin for deep-vein thrombosis.
- B. A client who is 1 day postoperative following a vertebroplasty.
- C. A client who has cancer and a sealed implant for radiation therapy.
- D. A client who has COPD and a respiratory rate of 44/min.
Correct Answer: B
Rationale: The correct choice is B: A client who is 1 day postoperative following a vertebroplasty. This client is the most stable among the options provided. Early discharge is appropriate because the client is 1 day postoperative, likely past the critical immediate postoperative period. Discharging this client will create space for incoming emergency admissions. Choice A should not be discharged early as managing deep-vein thrombosis with heparin requires close monitoring to prevent complications. Choice C should not be discharged early due to the need for ongoing cancer treatment. Choice D should not be discharged early as the client with COPD and a high respiratory rate of 44/min requires close monitoring and intervention to prevent respiratory distress.
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Several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following services should the nurses plan to provide to the congregation?
- A. Organize an influenza immunization clinic with the American Red Cross
- B. Perform wound care in the home of members
- C. Provide end-of-life care for members who are terminal
- D. Facilitate discharge from the facility to the home
Correct Answer: A
Rationale: The correct answer is A: Organize an influenza immunization clinic with the American Red Cross. This service is important for promoting preventive health measures within the congregation. Influenza immunization helps reduce the spread of flu and protect vulnerable populations such as the elderly and young children. It aligns with the primary and secondary health care needs by focusing on prevention and early intervention. Providing wound care in members' homes (B) is more of a tertiary care service and may require specialized training and resources. End-of-life care (C) and discharge facilitation (D) are also important but may not directly address primary and secondary health care needs in this context.
A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey?
- A. Demographic data
- B. Mortality rate
- C. Informant interviews
- D. Housing quality
Correct Answer: D
Rationale: The correct answer is D: Housing quality. In a windshield survey, the nurse observes the community from a car to assess physical environment, including housing conditions. This information is crucial for identifying health risks and community needs. Demographic data (A) and mortality rates (B) are important but are typically gathered through other means. Informant interviews (C) involve talking to community members, not part of a windshield survey. Other choices (E, F, G) are not relevant to a windshield survey.
A community health nurse is working with a group of clients. The nurse practices the ethical principle of distributive justice by performing which of the following tasks?
- A. Keeping a promise to visit a client who is housebound after the delivery of care.
- B. Ensuring that a client who is homeless receives preventive medical care.
- C. Being honest with the parents of a child about the need to report suspected abuse.
- D. Accepting the decision of an older adult client to live alone in her home.
Correct Answer: B
Rationale: The correct answer is B because distributive justice involves fair distribution of resources and benefits in society. By ensuring that a homeless client receives preventive medical care, the nurse is promoting fairness and equitable access to healthcare services for all individuals, regardless of their social status. This action aligns with the principle of distributive justice by addressing the healthcare needs of a vulnerable population.
Keeping a promise to visit a housebound client (A) demonstrates fidelity rather than distributive justice. Being honest about reporting suspected abuse (C) is related to veracity and duty to protect vulnerable individuals. Accepting the decision of an older adult to live alone (D) is more about respecting autonomy and independence.
A nurse case manager is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home?
- A. Consultant
- B. Systems allocator
- C. Coordinator
- D. Advocate
Correct Answer: C
Rationale: The correct answer is C: Coordinator. In this scenario, the nurse is functioning as a coordinator by arranging for the delivery of medical equipment to the client's home. As a coordinator, the nurse is organizing and facilitating the necessary resources and services to meet the client's needs. This role involves collaborating with various healthcare providers and agencies to ensure a smooth transition for the client post-discharge.
The other choices are incorrect because:
A: Consultant - This role involves providing expert advice or recommendations based on specialized knowledge. The nurse in the scenario is not simply providing advice but actively coordinating services.
B: Systems allocator - This role involves allocating resources within a healthcare system. While the nurse is arranging for resources, the focus is on the specific client's needs rather than broader system allocation.
D: Advocate - This role involves speaking up for the client's rights and needs. While advocacy may be a part of the nurse's role, in this scenario, the primary focus is on coordination of services.
A nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?
- A. Middle Eastern cultural practices include hiding pain from close family members
- B. Native American cultural practices include being outspoken about pain
- C. Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful
- D. Chinese cultural practices include enduring pain to prevent family dishonor
Correct Answer: D
Rationale: The correct answer is D: Chinese cultural practices include enduring pain to prevent family dishonor. In Chinese culture, there is a strong emphasis on family honor and saving face. Expressing pain openly may be viewed as a sign of weakness and may bring shame to the family. Therefore, individuals may choose to endure pain silently to avoid dishonoring their family.
Explanation for other choices:
A: Middle Eastern cultural practices include hiding pain from close family members - This is not necessarily a common practice in Middle Eastern cultures and may not accurately represent the diverse ways pain is expressed.
B: Native American cultural practices include being outspoken about pain - While some Native American cultures may value openness about pain, it is not a universal practice among all tribes and communities.
C: Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful - While there may be individuals within Puerto Rican culture who hold this belief, it is not a widely recognized cultural practice.