Nokea
A health care professional is leading a community action coalition to address the problem of homelessness within the neighborhood. Which of the following statements would most likely be made by health care professionals?
- A. Homelessness should be addressed by improving financial assistance programs.
- B. Homelessness should be of concern to everyone in the neighborhood.
- C. Homelessness should be addressed by encouraging job growth in the area.
- D. Homelessness should be of concern to the mental health providers in the area.
Correct Answer: B
Rationale: Homelessness is a community-wide issue that requires collective action from all members of the neighborhood to address effectively.
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Which is a violation of the Health Insurance Portability and Accountability Act of 1996?
- A. Nurse reporting a case of TB to the health department
- B. Nurse reporting a case of child abuse to the Department of Human Services
- C. Nurse discussing the person’s case with his or her physician
- D. Nurse discussing the person’s case with his or her school nurse
Correct Answer: D
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy standard that requires safeguards to protect the security and confidentiality of health information. Disclosures without individual authorization are allowed only to public health authorities authorized by law to collect and receive information for the purpose of preventing or controlling disease, injury, or disability. Before speaking to the school nurse, the nurse must obtain authorization from the client’s parents.
Which of the following best describes the nurse’s role in health promotion and disease prevention?
- A. Educating about home safety measures
- B. Identifying areas for family improvement
- C. Implementing the nursing process using a systems perspective
- D. Acting as a role model for the family
Correct Answer: D
Rationale: The nurse’s role involves acting as a role model to encourage healthier behaviors and guide the family through health promotion efforts.
Which could result in a change in a nurse practitioner’s practice?
- A. Holding a master’s degree or higher
- B. Moving to another state when she gets married
- C. Caring for Medicare clients
- D. Changing to another office within the same practice
Correct Answer: B
Rationale: Nurse practitioners' practice is regulated by state laws, and moving to another state can change the scope of practice due to different state regulations.
During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?
- A. Encourage the addition of a few more toys to the playpen.
- B. Suggest keeping the infant in the playpen as much as possible to promote safe play.
- C. Encourage providing the infant with supervised time outside of the playpen.
- D. Suggest removing all toys from the playpen.
Correct Answer: C
Rationale: At 9 months, the infant should be encouraged to explore outside the playpen to aid in physical development and motor skills.
Which of the following actions should be taken when a 32-year-old woman with malaise is suspected of experiencing achievement-oriented stress?
- A. Sleeping 10 hours per day
- B. Unintentional loss of 10 pounds in the past 3 weeks
- C. Expressed fear of company layoffs
- D. Calling in sick once every 2 weeks for the past month
Correct Answer: B
Rationale: Weight loss, a common sign of achievement-oriented stress, typically occurs due to neglect of health while focusing on career.