Nokea
A community health nurse is reviewing the reports for a group of clients. The nurse should identify that which of the following disorders is on the CDC's national notifiable conditions list?
- A. Lyme disease
- B. Providing care with a focus on the aggregates needs
- C. Having the goal of health promotion and disease prevention
- D. Health disparities among any groups are morally and legally wrong
Correct Answer: A
Rationale: The correct answer is A: Lyme disease. The CDC's national notifiable conditions list includes diseases that are required to be reported to the CDC for public health monitoring and control. Lyme disease is on this list due to its potential for widespread transmission and public health impact. The other choices are incorrect as they do not relate to the concept of notifiable conditions or public health surveillance. Providing care with a focus on aggregate needs, having goals of health promotion, and addressing health disparities are important aspects of community health nursing but are not directly related to notifiable conditions.
You may also like to solve these questions
Which information is the nurse assessing when appraising the applicability of a research article?
- A. The intended audience of the article
- B. The degree to which the results relate to a specific population
- C. The accuracy or credibility of the research
- D. The purpose of the research
Correct Answer: B
Rationale: The correct answer is B: The degree to which the results relate to a specific population. This is crucial in determining the relevance and applicability of the research findings to the target population. Assessing the generalizability of the results is essential for making informed decisions in practice.
Incorrect Choices:
A: The intended audience of the article - While important, it does not directly impact the applicability of the research findings to a specific population.
C: The accuracy or credibility of the research - While important for validity, it does not address the specific relevance to a population.
D: The purpose of the research - While understanding the purpose is important, it doesn't directly assess the applicability to a specific population.
Public health nursing is distinguished from other specialties by adherence to eightprinciples. Which is one of the eight domains of public health nursing practice?
- A. Policy development and individual planning skills
- B. Individual dimensions of practice skills
- C. Financial planning and management skills
- D. Leadership and individual critical thinking skills
Correct Answer: A
Rationale: The correct answer is A: Policy development and individual planning skills. This domain is crucial in public health nursing as it involves advocating for policies that promote health and prevent disease within communities. Public health nurses need to understand how policies are developed and implemented to address population health issues effectively. Choices B, C, and D focus on individual aspects of practice and do not capture the population-based perspective of public health nursing. Therefore, they are incorrect.
A nurse in a surgical clinic is providing teaching to a client who is scheduled for a modified radical mastectomy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will complete my arm exercises four times a day
- B. Using data from the main health care institutions in the community to determine needed health services
- C. Ensure timely and effective medical intervention and treatment for community members
- D. Giving some of their own surplus clothes to those who can use them
Correct Answer: A
Rationale: The correct answer is A: "I will complete my arm exercises four times a day." This indicates an understanding of the teaching because after a modified radical mastectomy, it's important to perform arm exercises to prevent lymphedema and improve range of motion. Completing exercises four times a day shows commitment to the prescribed regimen.
Choices B, C, and D are incorrect as they do not pertain to the client's post-operative care after a modified radical mastectomy. B focuses on data collection for health services, C relates to community medical interventions, and D is about charitable donations, none of which are relevant to the client's self-care instructions.
A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life sustaining measures. Which of the following actions should the nurse take?
- A. Arrange for an ethics committee meeting
- B. Balancing the bottle on the sterile basin while pouring the liquid
- C. Determine the client's current anxiety level
- D. Tell the child there will be discomfort during the catheter insertion
Correct Answer: A
Rationale: The correct answer is A: Arrange for an ethics committee meeting. In this scenario, the client has clear advance directives that they do not want life-sustaining measures. The nurse's primary responsibility is to advocate for the client's wishes, as outlined in their advance directives. By arranging an ethics committee meeting, the nurse can facilitate a discussion involving healthcare professionals, the client's family, and possibly legal experts to ensure that the client's wishes are respected while also addressing the concerns of the family. This process allows for a thorough review of the situation and consideration of all perspectives before making a final decision.
Choice B is incorrect because it is unrelated to the client's care preferences. Choice C is irrelevant as the client's anxiety level does not impact the decision about life-sustaining measures. Choice D is also unrelated to the client's advance directives and is not a priority in this situation.
A nurse is teaching participants at a community center about advance directives. Which of the following information should the nurse include in the teaching?
- A. A client must create a do-not-resuscitate order when completing advance directives.
- B. Advance directives cannot be changed once implemented.
- C. A health care surrogate makes health care decisions when the client is no longer able.
- D. Assigning a health care surrogate requires legal consultation.
Correct Answer: C
Rationale: The correct answer is C: A health care surrogate makes health care decisions when the client is no longer able. This information is crucial for understanding advance directives as it highlights the role of a health care surrogate in making decisions on behalf of the client when they are incapacitated. This empowers individuals to ensure their wishes are carried out even when they are unable to communicate them.
Choice A is incorrect because creating a do-not-resuscitate order is just one aspect of advance directives, not a mandatory requirement. Choice B is incorrect as advance directives can be updated or changed as long as the individual is competent to do so. Choice D is incorrect as assigning a health care surrogate does not always require legal consultation, although it may be recommended in some cases.