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A nurse is employed as a nurse epidemiologist. Which of the following activities would most likely be completed by the nurse?
- A. Eliciting the health history of a client presenting with an illness
- B. Evaluating the number of clients presenting with similar diseases
- C. Performing a physical examination of an ill client
- D. Providing treatment and health education to a client with a disease
Correct Answer: A
Rationale: The correct answer is A: Eliciting the health history of a client presenting with an illness. As a nurse epidemiologist, the nurse's primary role is to investigate and analyze patterns of disease occurrence. By eliciting the health history of a client presenting with an illness, the nurse can gather essential data to identify potential sources of infection, risk factors, and patterns of disease spread within a population. This activity aligns with the epidemiological approach of understanding the distribution and determinants of health-related states.
Incorrect choices:
B: Evaluating the number of clients presenting with similar diseases - While this may be part of the nurse epidemiologist's duties, it does not directly involve gathering individual health histories to track disease patterns.
C: Performing a physical examination of an ill client - This task is more aligned with clinical nursing practice rather than epidemiological investigation.
D: Providing treatment and health education to a client with a disease - This is within the scope of direct patient care and does not focus on population
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Which of the following statements describes how nursing in the community is more challenging than nursing in an acute care setting?
- A. There is limited access to information useful to the nurse in giving care in the community.
- B. More paperwork and forms are required when giving care in the home.
- C. It is more challenging to control the environment in the community.
- D. Specialization isn't possible in the community setting.
Correct Answer: A
Rationale: The correct answer is A because limited access to information in the community setting hinders the nurse's ability to provide comprehensive care. In acute care settings, information such as patient history, lab results, and vital signs are readily available. In the community, nurses may have to rely on incomplete records or lack real-time data. This impacts treatment decisions and coordination with other healthcare providers. Choice B is incorrect as paperwork is a common challenge in both settings. Choice C is incorrect because controlling the environment in the community is different but not necessarily more challenging. Choice D is incorrect as specialization can still occur in the community through advanced training and collaboration.
The administration at a local medical center examines the trends in health problems when developing long-range plans for staffing and space allocation. Which of the following sources of information would be most helpful?
- A. Local data drawn from a professional survey in the city
- B. The National Health Interview Survey
- C. The National Hospital Discharge Survey
- D. The state's vital statistics
Correct Answer: A
Rationale: The correct answer is A: Local data drawn from a professional survey in the city. This source of information would be most helpful because it provides specific and relevant data regarding the health trends of the local population. By utilizing local data, the administration can tailor their long-range plans to address the unique health issues faced by the community they serve.
Summary of why the other choices are incorrect:
B: The National Health Interview Survey provides national-level data, which may not accurately reflect the health trends specific to the local medical center.
C: The National Hospital Discharge Survey focuses on hospital-specific data and may not capture the full scope of health problems in the community.
D: State's vital statistics offer general information but may lack the specificity needed for targeted planning at the local medical center.
Which of the following best describes community-based nursing?
- A. A philosophy that guides family-centered illness care
- B. Providing care with a focus on the groups needs
- C. Giving care with a focus on the aggregates needs
- D. A value system in which all clients receive optimal care
Correct Answer: A
Rationale: The correct answer is A: A philosophy that guides family-centered illness care. Community-based nursing emphasizes providing care within the context of the family unit, recognizing the influence of family dynamics on health outcomes. Choice B is incorrect because it focuses on groups rather than families. Choice C is incorrect as it refers to aggregate needs of populations, not individual families. Choice D is incorrect as it is a broad statement about optimal care for all clients, not specific to community-based nursing.
Which of the following is responsible for the dramatic increase in life expectancy during the twentieth
- A. Technology increases in the field of medical laboratory research
- B. Advances in surgical techniques and procedures
- C. Sanitation and other public health activities
- D. Use of antibiotics to fight infections
Correct Answer: C
Rationale: The correct answer is C: Sanitation and other public health activities. Sanitation measures such as clean water supply, waste disposal, and public health initiatives like vaccination programs have played a crucial role in the increase in life expectancy. Improvements in sanitation reduce the spread of diseases, leading to a significant decline in mortality rates. This is supported by historical data showing that countries with better sanitation systems have higher life expectancies. Technology advances in medical laboratory research (A) may have contributed to specific treatments, but overall sanitation has a broader impact on population health. Advances in surgical techniques (B) and the use of antibiotics (D) have been important in treating illnesses but do not have the same population-level impact as sanitation.
Making sure that essential community-oriented health services are available defines which of the
- A. Policy development
- B. Assessment
- C. Assurance
- D. Scientific knowledge-based care
Correct Answer: A
Rationale: The correct answer is A: Policy development. Policy development involves creating guidelines and regulations to ensure essential community-oriented health services are available. This process outlines the necessary services and standards to meet community health needs. Assessment (B) involves collecting data to understand health issues, but doesn't ensure service availability. Assurance (C) focuses on enforcing policies and ensuring services are provided. Scientific knowledge-based care (D) pertains to evidence-based treatment, not service availability. Therefore, policy development is the most appropriate choice to define ensuring essential health services are available in the community.