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a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take?
- A. have the client’s daughter communicate information about the procedure
- B. arrange for a member of the client’s community to interpret the teaching
- C. identify the clients spoken dialect prior to contacting an interpreter
- D. use professional terminology when providing education prior to the procedure
Correct Answer: A
Rationale: The correct answer is A. The nurse should have the client's daughter communicate information about the procedure since she is accompanying the client and can facilitate effective communication. This option ensures that the client receives accurate information and instructions regarding the tetanus immunization. Choice B introduces a potential bias or misunderstanding if the community member is not trained in healthcare terminology. Choice C may delay the communication process unnecessarily. Choice D may confuse the client further due to the language barrier. It is essential to involve a trusted family member or caregiver for accurate and clear communication.
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in the last month three cases of tuberculosis have been referred to the health department. which of the following is the priority information for the community health nurse to obtain from each client?
- A. demographics
- B. house hold members
- C. occupation
- D. health history
Correct Answer: D
Rationale: The correct answer is D: health history. Obtaining the health history is crucial to assess the severity of tuberculosis, previous treatments, and potential risk factors. This information helps in determining the appropriate treatment plan and preventing the spread of the disease. Demographics (A) may provide general information but do not directly impact the management of tuberculosis. Household members (B) are important for contact tracing but not the priority. Occupation (C) is relevant for identifying potential exposure, but health history takes precedence.
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 maintaining harmony within the family and avoiding bringing shame or dishonor. Therefore, individuals may endure pain silently to avoid burdening their family or appearing weak. This cultural value often leads to underreporting of pain in healthcare settings.
A: Middle Eastern cultural practices typically value stoicism and may involve hiding pain to avoid appearing vulnerable to others.
B: Native American cultural practices may vary, but being outspoken about pain is not a common generalization.
C: Puerto Rican cultural practices may value stoicism as well, but it is not specifically tied to shame in expressing pain.
In summary, the nurse should include information about Chinese cultural practices of enduring pain to prevent family dishonor, as it highlights an important aspect of cultural variances in pain expression.
a first response team isworking at the location of a bombing incident. a nurse triaging a group of clients should give treatment priority to which of the following clients.
- A. a client who has superficial partial thickness burn injuries over 5% of his body
- B. a client who has a femur fracture with a 2+ pedal pulse
- C. a client who is ambulatory andexhibits manic behavior
- D. a client who has a rigid abdomen with manifestations of shock.
Correct Answer: C
Rationale: The correct answer is C: a client who is ambulatory and exhibits manic behavior. In a triage situation, priority should be given to clients who have the highest risk of deterioration or immediate life-threatening conditions. In this scenario, a client exhibiting manic behavior may be a sign of an underlying medical or psychological emergency that requires immediate attention to prevent harm to themselves or others. This client may be at risk of causing harm or disrupting the triage process, making it necessary to address their condition promptly. Clients with superficial burns, femur fractures with a pedal pulse, or rigid abdomen with shock manifestations are important to assess and treat, but they do not present an immediate threat to themselves or others like a client exhibiting manic behavior.
a community health nurse is planning a program for adolescents about preventing
- A. STIs. which of the following actions should the nurse take first?
- B. collect data to identify barriers to learning
- C. establish methods to evaluate program outcomes
- D. obtain visual aids that feature adolescents
- E. provide computer based education
Correct Answer: C
Rationale: The correct answer is C: establish methods to evaluate program outcomes. This is the first step because without knowing how to measure the success of the program, the nurse won't be able to determine its effectiveness in preventing STIs. By establishing evaluation methods, the nurse can track progress, identify areas for improvement, and ensure the program is meeting its goals. Collecting data (B) and obtaining visual aids (D) are important steps, but evaluating outcomes should come first. Providing computer-based education (E) may be a useful method, but it's not the initial priority.
A nurse working in an infectious disease clinic is caring for a client with a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to the CDC?
- A. Office of the Surgeon General.
- B. State health department.
- C. Hospital infection control department.
- D. Local Red Cross chapter.
Correct Answer: B
Rationale: The correct answer is B: State health department. The state health department is responsible for voluntarily reporting cases of Lyme disease to the CDC as part of the national surveillance system for infectious diseases. State health departments collect and report data on various diseases to monitor trends, detect outbreaks, and implement public health interventions. The Office of the Surgeon General does not handle disease reporting, the Hospital infection control department focuses on preventing healthcare-associated infections within the hospital, and the Local Red Cross chapter is not involved in disease surveillance. Thus, the state health department is the appropriate agency for reporting cases of Lyme disease to the CDC.