Nokea
A nurse is preparing an educational program about breastfeeding for a group of new parents. The nurse should use which of the following instructional strategies to promote psychomotor learning?
- A. Review flashcards that identify holding technique with the group
- B. Show the group a video on breastfeeding techniques
- C. Facilitate a discussion group about the benefits of breastfeeding
- D. Provide dolls for the group to demonstrate proper positioning
Correct Answer: D
Rationale: The correct answer is D because providing dolls for the group to demonstrate proper positioning promotes psychomotor learning by engaging them in hands-on practice. This allows participants to physically practice and internalize the correct techniques, enhancing muscle memory and skill acquisition. The other choices lack the hands-on component required for psychomotor learning. A: Flashcards are visual aids that may help with cognitive learning but do not involve physical practice. B: Watching a video is passive learning and does not actively engage participants in practicing skills. C: Facilitating a discussion focuses on cognitive understanding rather than physical practice.
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A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
- A. A client who is receiving heparin for deep-vein thrombosis.
- B. A client who is 1 day postoperative following a vertebroplasty.
- C. A client who has cancer and a sealed implant for radiation therapy.
- D. A client who has COPD and a respiratory rate of 44/min.
Correct Answer: B
Rationale: The correct choice is B: A client who is 1 day postoperative following a vertebroplasty. This client is the most stable among the options provided. Early discharge is appropriate because the client is 1 day postoperative, likely past the critical immediate postoperative period. Discharging this client will create space for incoming emergency admissions. Choice A should not be discharged early as managing deep-vein thrombosis with heparin requires close monitoring to prevent complications. Choice C should not be discharged early due to the need for ongoing cancer treatment. Choice D should not be discharged early as the client with COPD and a high respiratory rate of 44/min requires close monitoring and intervention to prevent respiratory distress.
A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
- A. I should take antibiotics when I have a virus.
- B. I can visit my nephew who has chickenpox 5 days after the sores have crusted.
- C. I can clean my cat's litter box during my pregnancy.
- D. I should wash my hands for 10 seconds with hot water after working in the garden.
Correct Answer: B
Rationale: The correct answer is B: I can visit my nephew who has chickenpox 5 days after the sores have crusted. This answer demonstrates understanding of infection prevention because chickenpox is contagious until the sores have crusted over completely. Visiting the nephew after this period reduces the risk of contracting the virus.
Incorrect answers:
A: Taking antibiotics for a virus is ineffective as antibiotics only work against bacterial infections.
C: Cleaning a cat's litter box can expose the client to toxoplasmosis, a harmful parasite during pregnancy.
D: Washing hands for only 10 seconds with hot water is insufficient for proper hand hygiene; CDC recommends washing for at least 20 seconds.
A nurse is planning a priority intervention to reduce obesity in the community. Which of the following actions should the nurse take?
- A. Encourage enrollment and attendance at weight reduction programs
- B. Educate children at a daycare center about nutrition and exercise
- C. Distribute health risk appraisal questionnaires at community functions
- D. Measure the BMI of older adults at a community senior center
Correct Answer: B
Rationale: The correct answer is B: Educate children at a daycare center about nutrition and exercise. This is the priority intervention because educating children about nutrition and exercise can help prevent obesity in the long term. By teaching healthy habits early on, the nurse can make a significant impact on reducing obesity rates in the community. Encouraging enrollment in weight reduction programs (A) may help individuals who are already obese but does not address prevention. Distributing health risk appraisal questionnaires (C) and measuring BMI of older adults (D) are important but not the priority for reducing obesity in the community.
A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity?
- A. Early detection of disease
- B. Client enrollment in prevention programs
- C. Promotion of appropriate lifestyle changes
- D. Identification of family history of medical problems
Correct Answer: A
Rationale: The correct answer is A: Early detection of disease. The primary goal of screening for lipid disorders is to identify individuals at risk for developing lipid disorders such as high cholesterol levels. Early detection allows for timely intervention and treatment to prevent complications like heart disease. Choice B is incorrect because enrollment in prevention programs is a secondary outcome of screening, not the primary goal. Choice C is also incorrect as promoting lifestyle changes is a part of the intervention phase, not the primary goal of screening. Choice D is incorrect as identifying family history is important but not the primary goal of screening for lipid disorders.
A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse include in the job description? (Select all that apply)
- A. Investigate potential health and environmental issues
- B. Initiate support groups for parents of autistic children
- C. Provide wound care for clients in their homes
- D. Participate in local health surveillance activities
- E. Provide health-related education to community groups
Correct Answer: A,B,D,E
Rationale: The correct answer includes choices A, B, D, and E. Choice A is essential as investigating potential health and environmental issues is crucial in community-oriented nursing to identify and address health concerns. Choice B is important as initiating support groups for parents of autistic children promotes community well-being. Choice D is necessary as participating in local health surveillance activities helps in monitoring community health trends. Choice E is crucial as providing health-related education to community groups promotes health awareness and prevention. Choices C, F, and G are incorrect as they do not directly align with the scope of community-oriented nursing, which focuses on population-based care and health promotion rather than individual wound care or unspecified activities.