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A nurse is familiar with evidence-based practice (EBP) and wants to implement it into the care of clients. Which of the following would present the biggest challenge?
- A. Assessing one's current practice and accessing evidence-based resources
- B. Convincing administration that EBP is beneficial
- C. Distinguishing EBP from practice based on old standards
- D. Showing clients that EBP will improve their health outcomes
Correct Answer: D
Rationale: The correct answer is D because showing clients that EBP will improve their health outcomes presents the biggest challenge. This is because clients may be resistant to change or skeptical about new approaches. It requires effective communication and education to convince clients of the benefits of EBP. Assessing current practice (A) and accessing resources, convincing administration (B), and distinguishing EBP from old standards (C) are challenges that can be addressed through education and training. In contrast, clients' attitudes and beliefs are harder to change, making option D the most challenging aspect of implementing EBP.
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The partner tells the nurse that she is able to manage the client’s physical care but she doesn’t want to leave him home alone while she travels for work. Which of the following referrals should the nurse make?
- A. Respite care
- B. Promoting healthy lifestyle behavior choices among the community members
- C. Eliciting the health history of a client presenting with an illness
- D. Establishing screening programs to diagnosis diseases as early as possible
Correct Answer: A
Rationale: The correct answer is A: Respite care. Respite care provides temporary relief to the primary caregiver by offering a safe environment for the client while the partner is away. This ensures the client's well-being and safety in the partner's absence. Other choices are incorrect because B focuses on community health, C involves health history assessment, and D pertains to screening programs which are not relevant to the partner's immediate concern of leaving the client home alone.
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 is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?
- A. Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease.
- B. Provide screenings for community members to identify early manifestations of Parkinson's disease.
- C. Educate clients about common techniques used to diagnose Parkinson's disease.
- D. Educate clients who are at risk for Parkinson's disease about maintaining a low-cholesterol diet.
Correct Answer: A
Rationale: The correct answer is A: Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease. Tertiary prevention aims to prevent complications and further deterioration in individuals already diagnosed with a disease. In Parkinson's disease, exercise is crucial to maintain mobility and function. Regular exercise helps improve balance, strength, and coordination, which can slow down the progression of the disease and enhance quality of life. Providing daily exercise classes specifically tailored to individuals with Parkinson's disease aligns with tertiary prevention goals by promoting physical activity and independence.
Choice B is incorrect as it focuses on early identification rather than intervention for those already diagnosed. Choice C is incorrect as educating about diagnostic techniques is more aligned with secondary prevention. Choice D is incorrect as maintaining a low-cholesterol diet is not a specific tertiary prevention strategy for Parkinson's disease.
A community health nurse is developing a plan to improve the community's environmental health. Which of the following actions should the nurse take first?
- A. Encourage community involvement in environmental improvement.
- B. Establish a timeframe for environmental improvements.
- C. Request funding from community organizations.
- D. Collect information about the community's environmental status.
Correct Answer: D
Rationale: The correct answer is D - Collect information about the community's environmental status. This is the first step because it allows the nurse to assess the current environmental health issues in the community. By gathering data, the nurse can identify specific problems and prioritize interventions based on evidence. This information will guide the development of an effective plan tailored to address the community's specific needs.
Choice A is incorrect because community involvement should come after assessing the environmental status. Choice B is incorrect as setting a timeframe is premature without understanding the extent of the issues. Choice C is incorrect as funding should be sought once the plan is developed.
A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching?
- A. Remove the plug from the socket by pulling the cord.
- B. Check for a tingling sensation around the cord to ensure the electricity is working.
- C. Cover extension cords with a rug.
- D. Use three-pronged grounded plugs.
Correct Answer: D
Rationale: The correct answer is D: Use three-pronged grounded plugs. This is important because three-pronged grounded plugs help prevent electrical fires by providing a path for excess electricity to safely dissipate, reducing the risk of overheating and sparking. This is crucial in preventing electrical fires.
A: Removing the plug by pulling the cord can damage the cord and increase the risk of electrical hazards.
B: Checking for a tingling sensation is not a reliable method to ensure electricity is working and does not prevent electrical fires.
C: Covering extension cords with a rug can create a fire hazard by trapping heat and increasing the risk of overheating.
E, F, G: No other options were provided.