Nokea
A nurse is teaching participants at a community center about advance directives. Which of the following information should the nurse include in the teaching?
- A. A client must create a do-not-resuscitate order when completing advance directives.
- B. Advance directives cannot be changed once implemented.
- C. A health care surrogate makes health care decisions when the client is no longer able.
- D. Assigning a health care surrogate requires legal consultation.
Correct Answer: C
Rationale: The correct answer is C: A health care surrogate makes health care decisions when the client is no longer able. This information is crucial for understanding advance directives as it highlights the role of a health care surrogate in making decisions on behalf of the client when they are incapacitated. This empowers individuals to ensure their wishes are carried out even when they are unable to communicate them.
Choice A is incorrect because creating a do-not-resuscitate order is just one aspect of advance directives, not a mandatory requirement. Choice B is incorrect as advance directives can be updated or changed as long as the individual is competent to do so. Choice D is incorrect as assigning a health care surrogate does not always require legal consultation, although it may be recommended in some cases.
You may also like to solve these questions
A nurse in a surgical clinic is providing teaching to a client who is scheduled for a modified radical mastectomy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will complete my arm exercises four times a day
- B. Using data from the main health care institutions in the community to determine needed health services
- C. Ensure timely and effective medical intervention and treatment for community members
- D. Giving some of their own surplus clothes to those who can use them
Correct Answer: A
Rationale: The correct answer is A: "I will complete my arm exercises four times a day." This indicates an understanding of the teaching because after a modified radical mastectomy, it's important to perform arm exercises to prevent lymphedema and improve range of motion. Completing exercises four times a day shows commitment to the prescribed regimen.
Choices B, C, and D are incorrect as they do not pertain to the client's post-operative care after a modified radical mastectomy. B focuses on data collection for health services, C relates to community medical interventions, and D is about charitable donations, none of which are relevant to the client's self-care instructions.
Which action will the public health nurse perform when conducting an ethical community study?
- A. Require each participant who provides informed consent to complete the study.
- B. Obtain informed consent only from vulnerable populations.
- C. Get informed consent only if the risks of participating in the study are high.
- D. Obtain informed consent from each participant in the study.
Correct Answer: D
Rationale: The correct answer is D because obtaining informed consent from each participant in the study is a fundamental ethical principle in research involving human subjects. This process ensures that participants are fully informed about the study, its risks, benefits, and their rights before agreeing to participate. This protects their autonomy and respects their right to make an informed decision about taking part in the study. Requiring each participant to provide informed consent also promotes transparency and trust between researchers and participants. Choices A, B, and C are incorrect because they do not uphold the principle of obtaining informed consent from each participant, which is essential for ethical research conduct.
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 implements an education program that incorporates computer games to reinforce learning for a group of older adults. Although the research demonstrates evidence of improved retention of this information, the nurse experiences exactly the opposite with this group. Which of the following is the most likely cause of such poor outcomes?
- A. Failure to consider client and setting differences
- B. Inadequate incorporation of evidence into practice
- C. Inferior quality of the available research evidence
- D. Lack of skills when evaluating the evidence
Correct Answer: A
Rationale: The correct answer is A: Failure to consider client and setting differences. Older adults may have different learning styles, preferences, and abilities compared to other age groups. The nurse may have overlooked these factors when implementing the computer games, resulting in poor outcomes. This highlights the importance of tailoring educational programs to fit the specific needs of the target audience.
Explanation for incorrect choices:
B: Inadequate incorporation of evidence into practice - This choice suggests a lack of proper implementation of research evidence, which is not directly related to the poor outcomes observed in this scenario.
C: Inferior quality of the available research evidence - The quality of the research evidence does not necessarily explain why the nurse did not achieve the desired outcomes.
D: Lack of skills when evaluating the evidence - While important, the lack of skills in evaluating evidence does not directly address the issue of poor outcomes with older adults in this context.
Which statement describes the actions of a nurse who follows Nightingale's Environmental Theory?
- A. Identifying strategies to reduce climate change
- B. Encouraging the use of public transportation
- C. Promoting environmental justice for all people
- D. Using the client's environment to assist in recovery
Correct Answer: D
Rationale: The correct answer is D because Nightingale's Environmental Theory emphasizes the importance of the environment in promoting health and recovery. By using the client's environment to assist in recovery, the nurse is applying Nightingale's principles of creating a healing environment. Choices A, B, and C focus on broader environmental issues, which are important but not directly related to Nightingale's theory of nursing. The nurse's primary focus should be on utilizing the immediate environment to support the client's healing process.