Nokea
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.
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A nurse reports that in comparison to all the children in a particular school, the children who are members of the Cub Scouts have 0.3 risk for obesity before entering the sixth grade. Which of the following recommendations would the nurse make to the new parents of two boys who had just moved into this school's neighborhood?
- A. Discourage the parents from enrolling their sons in Cub Scouts because of the risk.
- B. Don't say anything about Cub Scouts, because it isn't 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 Answer: A
Rationale: The correct answer is A: Discourage the parents from enrolling their sons in Cub Scouts because of the risk. This recommendation is based on the nurse's report that children who are members of the Cub Scouts have a higher risk (0.3) for obesity compared to all children in the school. By discouraging enrollment, the nurse is aiming to potentially reduce the boys' risk for obesity. Other choices are incorrect because: B is irrelevant as the nurse has specific information about Cub Scouts and obesity risk. C is incorrect as it goes against the reported risk. D is not the best option as the nurse should provide guidance based on the information available rather than leaving it up to the parents to interpret.
Which statement accurately describes a large portion of foreign-born residents of the United States?
- A. They tend to live in major metropolitan areas.
- B. Most reside in rural areas.
- C. Few have a high school education.
- D. They are refugees and non-immigrants.
Correct Answer: A
Rationale: The correct answer is A: They tend to live in major metropolitan areas. This is because major metropolitan areas offer more job opportunities, cultural diversity, and support services for foreign-born residents. Rural areas typically have fewer resources and job opportunities. Choice B is incorrect because most foreign-born residents do not reside in rural areas. Choice C is incorrect as many foreign-born residents do have a high school education or higher. Choice D is incorrect because foreign-born residents include a diverse group of individuals, not just refugees and non-immigrants.
Two nurses plan to walk under a huge downtown bridge where various homeless persons live. Why
- A. Introduction of a heart-healthy curriculum beginning in the first grade, presentations on diet and
- B. Provision of online activities related to prevention of cardiac disease, smoking reduction programs,
- C. Distribution of handouts, including age-appropriate games, self-assessments, and education on heart-
- D. Enrollment of clients with CAD into cardiac rehabilitation programs, routine evaluation of
Correct Answer: A
Rationale: The correct answer is A because introducing a heart-healthy curriculum in first grade lays a strong foundation for promoting heart health early on. By educating children about diet and exercise at a young age, it instills healthy habits that can prevent cardiac disease in the future. Choice B focuses on online activities and smoking reduction programs, which may not have as significant an impact as starting heart-healthy education at a young age. Choice C mentions handouts and games, which may not be as effective as a structured curriculum. Choice D focuses on enrolling clients with CAD into rehabilitation programs, which is more reactive than proactive in preventing cardiac diseases.
A nurse wants to obtain information on the alternative methods of health care used by a 45-year-old female Hispanic client. Who would be the best person to ask about this?
- A. The husband of the client
- B. A community leader of the ethnic group
- C. The client herself
- D. The religious leader of the ethnic group
Correct Answer: C
Rationale: The correct answer is C: The client herself. The client is the best person to provide information on her own health practices as she is the one directly involved. Asking her ensures accuracy and respect for her autonomy. The other choices may not have accurate or relevant information about the client's health practices. The husband (A) may not be aware of all the client's health practices. A community leader (B) may not have personal knowledge of the client's specific health practices. The religious leader (D) may only provide information on religious practices, not alternative health methods.
A nurse supports the use of traditional home remedies in conjunction with Western medicine to promote healthy behaviors. Which of the following is being demonstrated by the nurse?
- A. Cultural accommodation
- B. Cultural awareness
- C. Cultural preservation
- D. Cultural repatterning
Correct Answer: A
Rationale: Correct Answer: A - Cultural accommodation
Rationale:
1. Cultural accommodation involves adapting healthcare practices to align with patients' cultural beliefs.
2. The nurse is respecting and incorporating traditional home remedies alongside Western medicine, demonstrating cultural accommodation.
3. This approach promotes patient trust, engagement, and improved health outcomes.
4. Cultural awareness (B) refers to understanding different cultures, while cultural preservation (C) involves maintaining cultural traditions. Cultural repatterning (D) refers to changing cultural behaviors, not accommodating them.