A nurse is administering a tuberculosis skin test to a client who has AIDS. Which of the following
- A. Decreased positive predictive value
- B. Decreased reliability
- C. Decreased sensitivity
- D. Decreased specificity
Correct Answer: A
Rationale: The correct answer is A: Decreased positive predictive value. In clients with AIDS, their compromised immune system can lead to false-negative results on the tuberculosis skin test. This decreases the test's ability to accurately predict the presence of tuberculosis if the result is positive. Choice B, decreased reliability, is not specific to the client's condition in this scenario. Choices C and D, decreased sensitivity and specificity, respectively, are not directly impacted by the client having AIDS and are more related to the test's overall performance characteristics.
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A nurse reports that in comparison to all the children in a particular school, the children who are
- A. Discourage the parents from enrolling their sons in Cub Scouts because of the risk.
- B. Dont say anything about Cub Scouts, because it isnt relevant to nursing care.
- C. Encourage the parents to enroll their sons in Cub Scouts.
- D. Share the finding and let the parents draw whatever conclusions they feel appropriate. - CORRECT
Correct Answer: A
Rationale: The correct answer is D: Share the finding and let the parents draw whatever conclusions they feel appropriate. This choice is correct because it aligns with the principle of providing unbiased information to parents and allowing them to make their own decisions based on the facts presented. By sharing the findings without any personal bias or influence, the nurse respects the autonomy of the parents and empowers them to make informed choices for their children.
Choice A is incorrect because it suggests that the nurse should discourage parents from enrolling their sons in Cub Scouts based on the risk, which goes against the principle of providing neutral information without influencing the decision-making process. Choices B and C are incorrect because they either dismiss the relevance of the information or impose a specific recommendation on the parents without considering their autonomy and preferences.
volved nurses. Typically
- A. any unusual increase in incidence should be investigated. But in the majority of cases the increased incidence occurs naturally and/or is predictable when compared with the consistent patterns of previous outbreaks. Many illnesses are seasonal. Seasonal affective disorder (depression) often worsens during the shorter periods of daylight in the winter. 10. Which aspect of a biological agent is probably the most frightening to those exposed? Infectivity refers to the capacity of an agent to enter a susceptible host and produce infection or disease. Invasiveness is the ability of an agent to get into a susceptible host. Pathogenicity measures the proportion of infected people who develop the disease. Virulence refers to the proportion of people with clinical disease who become severely ill or die. It is assumed people could cope with illness but possible death is truly frightening for most. 1. Which of the following describes the purpose of surveillance systems today? (Select all that apply.) Although surveillance was initially devoted to monitoring and reducing the spread of infectious diseases
- B. it is now used to monitor and reduce chronic diseases and injuries
- C. as well as environmental and occupational exposures. With tight budgets
- D. public health workers must know which programs should be developed and continued based on the most commonly occurring public health problems. Evaluation of the effectiveness of programs requires valid and reliable data. 2. A public health department becomes aware of an impending health problem before any problem is reported to the agency. Which of the following has most likely occurred within the community? (Select all that apply.) Doctors feeling rushed and nurses calling in ill are not unusual events. Syndronic surveillance systems were developed to monitor illness syndromes or events
Correct Answer: A
Rationale: The correct answer is A because it correctly identifies the most frightening aspect of a biological agent to those exposed, which is the potential for severe illness or death. Infectivity, invasiveness, and pathogenicity are important characteristics of a biological agent but the fear of severe illness or death is a significant concern for individuals. The other choices do not specifically address the emotional impact of possible death, making them incorrect in the context of the question.
A nurse is developing a plan to decrease the number of premature deaths in the community. Which of the following interventions would most likely be implemented by the nurse?
- A. Increase the communitys knowledge about hospice care.
- B. Promote healthy lifestyle behavior choices among the community members.
- C. Encourage employers to have wellness centers at each industrial site.
- D. Ensure timely and effective medical intervention and treatment for community members.
Correct Answer: A
Rationale: The correct answer is A, increasing community's knowledge about hospice care. This intervention addresses end-of-life care, which can reduce premature deaths by ensuring appropriate care for terminally ill individuals. Choice B promotes general health but may not directly impact premature deaths. Choice C focuses on workplace wellness, not community-wide health. Choice D addresses medical treatment but may not prevent premature deaths. Overall, choice A is the most relevant intervention to address premature deaths by improving end-of-life care knowledge in the community.
The tendency to ignore all differences between cultures and to act as though the differences do not exist is identified by what term?
- A. Cultural conflict
- B. C M
- C. Culture shock U S N T O
- D. Cultural blindness
Correct Answer: D
Rationale: The correct answer is D: Cultural blindness. Cultural blindness refers to the tendency to ignore cultural differences and act as though they do not exist. This term highlights the lack of awareness or recognition of the diversity and nuances of various cultures. It can lead to misunderstandings, miscommunication, and insensitivity towards individuals from different cultural backgrounds.
A: Cultural conflict involves disagreements or tensions arising from cultural differences, which is not the same as ignoring differences.
B: C M, C: Culture shock U S N T O, E:, F:, G: do not provide relevant options.
In summary, cultural blindness is the correct term as it specifically addresses the act of disregarding cultural differences, while the other choices either address different concepts or are irrelevant.
A Mexican American mother insists on using special candles to help her daughter's ear infection. The nurse asks the mother if she would also give her daughter antibiotics. Which of the following best describes the action of the nurse?
- A. Cultural accommodation
- B. Cultural repatterning
- C. Culture brokering
- D. Cultural awareness
Correct Answer: C
Rationale: The correct answer is C: Culture brokering. Culture brokering involves a healthcare provider facilitating communication and negotiation between a patient's culture and the biomedical healthcare system. In this scenario, the nurse is trying to bridge the gap between the mother's cultural belief in using special candles and the biomedical treatment of antibiotics for the daughter's ear infection. By discussing the use of antibiotics with the mother, the nurse is acting as a mediator to ensure the best possible care for the patient. Cultural accommodation (A) would involve simply accepting the mother's cultural practice without question. Cultural repatterning (B) would involve trying to change the mother's cultural beliefs. Cultural awareness (D) is important but does not capture the active role the nurse is taking in this situation.
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