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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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Demographic characteristics indicate that people in developed countries are living longer, healthier lives, yet tremendous health and social disparities exist. Which describes social determinants of health?
- A. What society does collectively to ensure the conditions exist in which people can be healthy
- B. Social conditions in which people live and work
- C. Context of preventing disease and disability and promoting and protecting the health of the entire community
- D. Comprehensive management of health information and its secure exchange between consumers, providers, government and quality entities, and insurers
Correct Answer: A
Rationale: The correct answer is A because it accurately defines social determinants of health as what society collectively does to create conditions for health. It emphasizes the importance of societal actions in promoting health outcomes for individuals. Choice B refers to social conditions but does not explicitly mention the collective responsibility of society. Choice C focuses on community health but does not encompass the broader societal role. Choice D is about health information management, not social determinants. Choices E, F, and G are not provided, so they are irrelevant. In summary, A is correct as it highlights the societal efforts in creating a healthy environment, while the other choices are incorrect as they do not fully capture the concept of social determinants of health.
Which database would the public health nurse use when conducting research to locate regularly updated systematic reviews?
- A. Cochrane Library
- B. Agency for Healthcare Research and Quality (AHRQ)
- C. Medline with Full Text
- D. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
Correct Answer: A
Rationale: The correct answer is A: Cochrane Library. The Cochrane Library is renowned for regularly updated systematic reviews, providing high-quality evidence for healthcare decision-making. It follows strict methodology to ensure reliability. AHRQ (B) focuses on healthcare quality improvement, not systematically updated reviews. While Medline (C) and CINAHL (D) are databases for primary research articles, they do not specifically focus on systematic reviews. Therefore, Cochrane Library is the most appropriate database for the public health nurse's research needs.
A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take?
- A. Launch a media campaign to increase awareness about industrial pollution.
- B. Have a nurse from outside the community provide health lectures at the county hospital.
- C. Encourage rural residents to focus health spending on tertiary health interventions.
- D. Provide anticipatory guidance classes to parents through public schools.
Correct Answer: D
Rationale: The correct answer is D because providing anticipatory guidance classes to parents through public schools is an effective strategy to improve health outcomes in a rural area. This approach promotes preventive health measures, educates parents on child development and safety, and empowers them to make informed health decisions. It also reaches a wide audience and utilizes existing community resources.
A) Launching a media campaign about industrial pollution may raise awareness but does not directly address the health needs of the local population.
B) Having a nurse from outside the community provide health lectures may not be as effective as engaging with local healthcare providers who understand the community's unique needs.
C) Focusing health spending on tertiary interventions is costly and may not address the root causes of health issues in a rural area.
The partner tells the nurse that she is able to manage the client’s physical care but she doesn’t want to leave him home alone while she travels for work. Which of the following referrals should the nurse make?
- A. Respite care
- B. Promoting healthy lifestyle behavior choices among the community members
- C. Eliciting the health history of a client presenting with an illness
- D. Establishing screening programs to diagnosis diseases as early as possible
Correct Answer: A
Rationale: The correct answer is A: Respite care. Respite care provides temporary relief to the primary caregiver by offering a safe environment for the client while the partner is away. This ensures the client's well-being and safety in the partner's absence. Other choices are incorrect because B focuses on community health, C involves health history assessment, and D pertains to screening programs which are not relevant to the partner's immediate concern of leaving the client home alone.
A nurse manager is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching?
- A. Administered 8 u regular insulin sq
- B. Check gastric residuals every 4 hours
- C. Compare the client's list of home medications to the admission prescriptions
- D. Measure the client's urine output every hour
Correct Answer: A
Rationale: The correct answer is A because it reflects proper documentation format, including the medication name, dose, route, and frequency. It demonstrates the nurse understands how to document medication administration accurately. Choice B is incorrect as it lacks specific details on the action to be taken. Choice C is incorrect as it does not imply any action related to medication safety. Choice D is incorrect as it does not specify the reason for measuring urine output.