Nokea
A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural community that currently lacks access to them. This is an example of which public health intervention?
- A. Surveillance
- B. Outreach
- C. Screening
- D. Case management
Correct Answer: B
Rationale: The correct answer is B: Outreach. Outreach involves actively reaching out to provide services to underserved populations, like bringing vaccinations to a rural community without access. Surveillance (A) involves monitoring health data. Screening (C) is identifying individuals at risk. Case management (D) is coordinating care for individuals. In this scenario, Outreach is the best intervention to address the community's lack of access.
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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 manager wants to facilitate incorporation of evidence-based practice (EBP) in the clinical setting. Which of the following would be the best strategy to accomplish this goal?
- A. Eliminate all protocols and standards that are not evidence base
- C. Encourage group reflection on the ideals and expectations of nursing car
Correct Answer: C
Rationale: The correct answer is C: Encourage group reflection on the ideals and expectations of nursing care. This strategy promotes a collaborative approach to understanding and implementing EBP. Group reflection fosters critical thinking, stimulates discussion, and encourages shared decision-making, leading to a deeper understanding and acceptance of EBP within the team. It also promotes a culture of continuous learning and improvement.
Eliminating all protocols not evidence-based (option A) may hinder current practice and create resistance. Without alternatives listed for other choices, it is challenging to provide detailed explanations for their incorrectness.
Which type of study will the nurse use to understand the experiences of an immigrant group in the community?
- A. Qualitative
- B. Randomized control
- C. Needs assessment
- D. Quality improvement
Correct Answer: A
Rationale: The nurse would use a qualitative study to understand the experiences of an immigrant group because qualitative research focuses on exploring and understanding individuals' experiences, perspectives, and behaviors in-depth. This type of study allows for gathering rich, detailed data through methods like interviews, observations, and focus groups, which are well-suited for capturing the complexities and nuances of immigrant experiences. A randomized control study (B) involves intervention and control groups for causality, not suitable for exploring experiences. Needs assessment (C) focuses on identifying needs and gaps in services. Quality improvement (D) aims to enhance processes and outcomes within a specific setting.
The nurse is developing a PICOT question to study methods to promote smoking cessation in high school students in a rural community. Which statement identifies the targeted population?
- A. The rural community
- B. Community members who smoke
- C. All high school students in the community
- D. High school students in the rural community who smoke
Correct Answer: D
Rationale: The correct answer is D because it specifically identifies the targeted population as high school students in the rural community who smoke, which aligns with the study's focus on smoking cessation in this specific group. Choice A is too broad, choice B includes all community members who smoke, choice C includes all high school students without specifying smoking status. By choosing D, the nurse can focus on a more precise and relevant population for the study.
Which strategy should the nurse include in a community education program about improving environmental health?
- A. Composting organic matter
- B. Disposing of electronics with household trash
- C. Using rainwater harvesting for drinking water
- D. Keeping windows tightly shut
Correct Answer: C
Rationale: The correct answer is C: Using rainwater harvesting for drinking water. This strategy promotes environmental health by reducing water wastage, conserving resources, and minimizing pollution. Rainwater harvesting is a sustainable method that helps in water conservation and reduces the strain on existing water sources. Composting organic matter (A) is beneficial but does not directly relate to improving environmental health in the same way as water conservation. Disposing of electronics with household trash (B) is harmful to the environment due to toxic materials in electronics. Keeping windows tightly shut (D) is not a strategy for improving environmental health and may actually decrease indoor air quality.