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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Which was a duty performed by district nurses in Liverpool, England, in 1865?
- A. Use epidemiologic knowledge and methods
- B. Encourage community organization
- C. Report facts to and ask questions of physicians
- D. Assist physicians with surgery in the newly constructed hospitals
- F. Identifying potential negative outcomes due to exposure to the toxic chemicals
Correct Answer: C
Rationale: The correct answer is C. District nurses in Liverpool in 1865 reported facts to and asked questions of physicians. This duty was crucial for proper patient care as it ensured that physicians were informed about the patient's condition and could provide appropriate treatment. Other choices are incorrect because: A) Epidemiologic knowledge and methods were not commonly used by district nurses at that time. B) Encouraging community organization was not a primary duty of district nurses. D) District nurses did not typically assist physicians with surgery. F) Identifying potential negative outcomes due to exposure to toxic chemicals was not a common duty of district nurses in 1865 Liverpool.
Public health nursing is distinguished from other specialties by adherence to eightprinciples. Which are domains of public health nursing practice? (Select all that apply.)
- A. Intuitive assessment skills
- B. Community organization skills
- C. Communication skills
- D. Cultural competency skills
Correct Answer: B
Rationale: The correct answer is B: Community organization skills. Public health nursing involves working with communities to promote health and prevent diseases. Community organization skills are essential for collaborating with community members, organizations, and stakeholders to develop and implement effective health programs.
A: Intuitive assessment skills - While assessment skills are important in public health nursing, they are not necessarily intuitive. Public health nurses rely on evidence-based assessments rather than intuition.
C: Communication skills - Communication skills are crucial in public health nursing, but they are not specific to this specialty. Most nursing specialties require strong communication skills.
D: Cultural competency skills - While cultural competency is important, it is not a domain specific to public health nursing. Cultural competency is relevant in all areas of nursing practice.
Which type of study will the nurse use to understand the experiences of an immigrant group in the community?
- A. Qualitative
- B. Randomized control
- C. Needs assessment
- D. Quality improvement
Correct Answer: A
Rationale: The nurse would use a qualitative study to understand the experiences of an immigrant group because qualitative research focuses on exploring and understanding individuals' experiences, perspectives, and behaviors in-depth. This type of study allows for gathering rich, detailed data through methods like interviews, observations, and focus groups, which are well-suited for capturing the complexities and nuances of immigrant experiences. A randomized control study (B) involves intervention and control groups for causality, not suitable for exploring experiences. Needs assessment (C) focuses on identifying needs and gaps in services. Quality improvement (D) aims to enhance processes and outcomes within a specific setting.
Public health nursing is distinguished from other specialties by adherence to eightprinciples. Which is one of the eight domains of public health nursing practice?
- A. Policy development and individual planning skills
- B. Individual dimensions of practice skills
- C. Financial planning and management skills
- D. Leadership and individual critical thinking skills
Correct Answer: A
Rationale: The correct answer is A: Policy development and individual planning skills. This domain is crucial in public health nursing as it involves advocating for policies that promote health and prevent disease within communities. Public health nurses need to understand how policies are developed and implemented to address population health issues effectively. Choices B, C, and D focus on individual aspects of practice and do not capture the population-based perspective of public health nursing. Therefore, they are incorrect.
Which organization publishes and articulates the essentials of public health nursing, including the activities and accountabilities that are characteristics of practice at all levels and settings?
- A. Association of Community Health Nurse Educators (ACHN
- C. American Nurses Association (AN
Correct Answer: C
Rationale: The correct answer is C: American Nurses Association (ANA). The ANA publishes and articulates the essentials of public health nursing, setting standards and guidelines for practice. It is a reputable organization known for its role in shaping nursing practice. ACHN (Choice A) focuses more on education, not publishing standards. Without additional choices provided, it is difficult to analyze other options.