Nokea
A nurse is investigating a bacterial illness that has caused a health problem in the community. Only
- A. A strong public health structure ready to respond effectively to a crisis
- B. Public healths need for additional funding and resources
- C. The unrecognized importance of nurses in lowering health care costs
- D. Lack of adequate vaccines to meet communitys needs
Correct Answer: A
Rationale: The correct answer is A: A strong public health structure ready to respond effectively to a crisis. A strong public health structure is essential for investigating and managing a bacterial illness outbreak in a community. Public health infrastructure includes surveillance systems, trained personnel, communication networks, and resources necessary to respond promptly and effectively to health crises. Without a robust public health structure, identifying the source of the illness, implementing control measures, and preventing further spread would be challenging.
Choice B is incorrect because while additional funding and resources are important for public health, they do not address the immediate need for an effective response to the crisis. Choice C is incorrect as it is not directly related to the investigation of the bacterial illness. Choice D is incorrect as the lack of adequate vaccines may contribute to the spread of the illness but does not address the broader issue of public health infrastructure.
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The tendency to ignore all differences between cultures and to act as though the differences do not exist is identified by what term?
- A. Cultural conflict
- B. C M
- C. Culture shock U S N T O
- D. Cultural blindness
Correct Answer: D
Rationale: The correct answer is D: Cultural blindness. Cultural blindness refers to the tendency to ignore cultural differences and act as though they do not exist. This term highlights the lack of awareness or recognition of the diversity and nuances of various cultures. It can lead to misunderstandings, miscommunication, and insensitivity towards individuals from different cultural backgrounds.
A: Cultural conflict involves disagreements or tensions arising from cultural differences, which is not the same as ignoring differences.
B: C M, C: Culture shock U S N T O, E:, F:, G: do not provide relevant options.
In summary, cultural blindness is the correct term as it specifically addresses the act of disregarding cultural differences, while the other choices either address different concepts or are irrelevant.
A nurse believes that the best treatment for illness is the use of Western medicine and alternative therapies should not be used for healing. Which of the following best describes what has happened?
- A. Ethnocentrism
- B. Cultural imposition
- C. Racism
- D. Stereotyping
Correct Answer: A
Rationale: Correct Answer: A: Ethnocentrism
Rationale:
1. Ethnocentrism is the belief in the superiority of one's own culture over others.
2. The nurse's belief in Western medicine as superior demonstrates ethnocentrism.
3. Alternative therapies are dismissed without consideration, reflecting a biased view.
4. This attitude can lead to a lack of respect for diverse cultural healing practices.
Summary of Other Choices:
B: Cultural imposition - This term refers to forcing one's own cultural beliefs onto others, which is not explicitly demonstrated in this scenario.
C: Racism - While the nurse's view may be biased, it is not based on racial discrimination as racism implies.
D: Stereotyping - The nurse's view is a generalization about the effectiveness of different healing methods, but not necessarily based on stereotypes.
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
Persons in an auditorium may have been exposed to a disease. If they are infected, it is crucial that
- A. The negative predictive value
- B. The positive predictive value
- C. The sensitivity of the test
- D. The specificity of the test
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value. In this scenario, it is crucial to know the likelihood of a person not being infected if the test result is negative. Negative predictive value assesses the probability of a person truly being disease-free when the test result is negative. This is important for determining the risk of spreading the disease within the auditorium.
Explanation for other choices:
B: The positive predictive value - While important in clinical settings, in this case, determining the accuracy of positive test results is not as critical as ruling out disease transmission.
C: The sensitivity of the test - Sensitivity measures the ability of the test to correctly identify those with the disease, not necessarily ruling out disease transmission among those with negative results.
D: The specificity of the test - Specificity measures the ability of the test to correctly identify those without the disease, which is not directly related to preventing disease spread in this context.
A registered nurse was just employed as a public health nurse. Which question would be the most
- A. Which groups are at the greatest risk for problems?
- B. Which patients should I see first as I begin my day?
- C. With which physicians will I be most closely collaborating?
- D. With which nursing assistants will I partner the most?
Correct Answer: A
Rationale: The correct answer is A: "Which groups are at the greatest risk for problems?" as it aligns with the primary focus of public health nursing, which is to prevent and address health issues within communities. By identifying high-risk groups, the nurse can prioritize interventions and allocate resources effectively.
Choice B is incorrect because public health nursing typically involves a population-based approach rather than individual patient care. Choice C is incorrect as it pertains more to hospital settings rather than public health. Choice D is incorrect as public health nurses typically work independently or with a team of public health professionals rather than nursing assistants.