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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.
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A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
- A. Your desire to be an organ donor must be documented in writing
- B. Performing a physical examination of an ill client
- C. Providing treatment and health education to a client with a disease
- D. Giving some of their own surplus clothes to those who can use them
Correct Answer: A
Rationale: The correct answer is A because organ donation requires documented consent to ensure the individual's wishes are respected. This documentation is crucial for legal and ethical reasons. Choice B is incorrect as it pertains to conducting a physical examination, not related to organ donation. Choice C focuses on treatment and health education, not addressing the client's inquiry about organ donation. Choice D involves donating clothes, which is unrelated to organ donation. Therefore, A is the correct response as it addresses the client's query about organ donation by emphasizing the need for written documentation.
A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
- A. I can visit my nephew who has chickenpox 5 days after the sores have crusted.
- B. I should take antibiotics when I have a virus.
- C. I can clean my cat's litter box during my pregnancy.
- D. I should wash my hands for 10 seconds with hot water after working in the garden.
Correct Answer: A
Rationale: The correct answer is A: "I can visit my nephew who has chickenpox 5 days after the sores have crusted." This statement indicates understanding of infection prevention as chickenpox is contagious until the sores crust over, which typically takes about 5 days. Visiting after this period reduces the risk of transmission. Choice B is incorrect because antibiotics are ineffective against viruses. Choice C is incorrect because pregnant individuals should avoid cleaning cat litter due to the risk of toxoplasmosis. Choice D is incorrect as handwashing should last at least 20 seconds with soap and warm water for effective prevention of infection.
A community nurse is educating the community about mitigation strategies to address climate
- A. Which strategy would the nurse teach to the community?
- B. Implementing early warning systems for extreme temperatures
- C. Improving public transportation
- D. Changing building codes to withstand hurricanes
Correct Answer: A
Rationale: The correct answer is A because the question is asking specifically about the strategy the nurse would teach to the community. This aligns with the nurse's role in providing education. B focuses on preparedness, not mitigation. C and D are important strategies but not directly related to mitigation efforts. E, F, G are irrelevant as they are not provided. In summary, A is correct as it directly addresses the nurse's educational role in teaching mitigation strategies.
A nurse implements an education program that incorporates computer games to reinforce learning for a group of older adults. Although the research demonstrates evidence of improved retention of this information, the nurse experiences exactly the opposite with this group. Which of the following is the most likely cause of such poor outcomes?
- A. Failure to consider client and setting differences
- B. Inadequate incorporation of evidence into practice
- C. Inferior quality of the available research evidence
- D. Lack of skills when evaluating the evidence
Correct Answer: A
Rationale: The correct answer is A: Failure to consider client and setting differences. Older adults may have different learning styles, preferences, and abilities compared to other age groups. The nurse may have overlooked these factors when implementing the computer games, resulting in poor outcomes. This highlights the importance of tailoring educational programs to fit the specific needs of the target audience.
Explanation for incorrect choices:
B: Inadequate incorporation of evidence into practice - This choice suggests a lack of proper implementation of research evidence, which is not directly related to the poor outcomes observed in this scenario.
C: Inferior quality of the available research evidence - The quality of the research evidence does not necessarily explain why the nurse did not achieve the desired outcomes.
D: Lack of skills when evaluating the evidence - While important, the lack of skills in evaluating evidence does not directly address the issue of poor outcomes with older adults in this context.
Select the great public health achievements in the United States in the 20th century. (Select all that apply.)
- A. Elimination of common infectious diseases
- B. Recognition of tobacco as a health hazard
- C. Fluoridation of drinking water
- D. Healthier mothers and babies
Correct Answer: A
Rationale: The correct answer is A: Elimination of common infectious diseases. This achievement significantly improved public health by decreasing morbidity and mortality rates. It was made possible through advancements in vaccination programs, sanitation practices, and public health education. This achievement led to the eradication of diseases like smallpox and the near-elimination of diseases like polio. The other choices are incorrect because although they are also important public health achievements, they do not have the same widespread impact as the elimination of common infectious diseases. Recognizing tobacco as a health hazard (B) led to public health campaigns and regulations but did not have the same broad-reaching impact. Fluoridation of drinking water (C) improved dental health but did not have the same magnitude of impact on overall public health. Healthier mothers and babies (D) is crucial but does not encompass the scope of achievement represented by the elimination of common infectious diseases.