Nokea
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 can visit my nephew who has chickenpox 5 days after the sores have crusted.
- B. I should take antibiotics when I have a virus.
- 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: A
Rationale: The correct answer is A: "I can visit my nephew who has chickenpox 5 days after the sores have crusted." This statement indicates understanding of infection prevention as chickenpox is contagious until the sores crust over, which typically takes about 5 days. Visiting after this period reduces the risk of transmission. Choice B is incorrect because antibiotics are ineffective against viruses. Choice C is incorrect because pregnant individuals should avoid cleaning cat litter due to the risk of toxoplasmosis. Choice D is incorrect as handwashing should last at least 20 seconds with soap and warm water for effective prevention of infection.
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A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies providing patient-centered care?
- A. Having a client complete a self-reported functional status indicator and then reviewing itwith the client
- B. Explaining to a client the benefits of computer-assisted robotic surgical techniques, whichthe hospital recently implemented
- C. Recording a client's signs and symptoms in an electronic health record
- D. Performing continuous glucose monitoring of a client while the client is in the hospital
Correct Answer: A
Rationale: The correct answer is A because it involves actively engaging the client in their care by having them complete a self-reported functional status indicator and then reviewing it together. This approach empowers the client to participate in decision-making regarding their health, promotes open communication, and fosters a collaborative relationship between the nurse and the client. Choices B, C, and D do not directly involve the client in their care or prioritize their perspective. B focuses on technology rather than the client's needs, C involves documentation rather than active involvement, and D focuses on monitoring without involving the client in the process.
A nurse in the emergency department is interviewing a client immediately following a sexual assault. Which of the following actions should the nurse take first?
- A. Determine the client's current anxiety level
- B. Evaluating the number of clients presenting with similar diseases
- C. Giving a very informative and engaging presentation
- D. Weighing students to identify those who are overweight
Correct Answer: A
Rationale: The correct answer is A: Determine the client's current anxiety level. This is the first action the nurse should take as it helps assess the immediate emotional well-being of the client. By understanding the client's anxiety level, the nurse can provide appropriate support and interventions to address any distress or trauma experienced. Evaluating the number of clients with similar diseases (B), giving a presentation (C), and weighing students (D) are not relevant or appropriate actions in this situation. The priority is to address the client's emotional needs and ensure their safety and well-being.
A nurse performs a variety of tasks as part of the nurse's position at a hospital. Whichtask best exemplifies public health?
- A. Reading current nursing journals and integrating the latest research into daily practice
- B. Instructing a client on how to best care for a suture site at home
- C. Participating in a videoconference call with a client who lives in a remote area
- D. Facilitating a community-wide smoking cessation program one month out of the year
Correct Answer: D
Rationale: The correct answer is D: Facilitating a community-wide smoking cessation program one month out of the year. This task best exemplifies public health as it involves promoting and improving the health of the entire community by addressing a common health issue like smoking. The nurse's role in this task is to educate, support, and empower individuals within the community to quit smoking, ultimately leading to a healthier population.
Other choices:
A: Reading current nursing journals and integrating the latest research into daily practice - While important for staying updated and providing evidence-based care, this task is more focused on individual patient care rather than public health.
B: Instructing a client on how to best care for a suture site at home - This task is important for individual patient care but does not have a direct impact on the health of the entire community.
C: Participating in a videoconference call with a client who lives in a remote area - This task is related to improving access to healthcare for individuals but does not have
A nurse in the infectious disease division of the local health department is caring for a client. Which of the following infections should the nurse identify should be reported to the health department?
- A. Clostridium difficile
- B. Herpes simplex virus
- C. Chlamydia trachomatis
- D. Human papilloma virus
Correct Answer: C
Rationale: The correct answer is C: Chlamydia trachomatis. This infection should be reported to the health department because it is a sexually transmitted infection (STI) that can have public health implications. Reporting helps track and control the spread of the infection, ensure proper treatment for the affected individual, and prevent further transmission. The other choices (A, B, and D) are not typically reportable to the health department as they are not considered communicable diseases that pose a significant public health risk. Reporting these infections may not be necessary for public health surveillance or intervention purposes.
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
- A. Your desire to be an organ donor must be documented in writing
- B. Performing a physical examination of an ill client
- C. Providing treatment and health education to a client with a disease
- D. Giving some of their own surplus clothes to those who can use them
Correct Answer: A
Rationale: The correct answer is A because organ donation requires documented consent to ensure the individual's wishes are respected. This documentation is crucial for legal and ethical reasons. Choice B is incorrect as it pertains to conducting a physical examination, not related to organ donation. Choice C focuses on treatment and health education, not addressing the client's inquiry about organ donation. Choice D involves donating clothes, which is unrelated to organ donation. Therefore, A is the correct response as it addresses the client's query about organ donation by emphasizing the need for written documentation.