A nurse is using analytic epidemiology when conducting a research project. Which of the following projects is the nurse most likely completing?
- A. Reviewing communicable disease statistics
- B. Determining factors contributing to childhood obesity
- C. Analyzing locations where family violence is increasing
- D. Documenting population characteristics for healthy older citizens
Correct Answer: B
Rationale: The correct answer is B: Determining factors contributing to childhood obesity. Analytic epidemiology involves investigating the causes of health outcomes in a population. In this case, studying factors contributing to childhood obesity falls under analytic epidemiology as it aims to identify the determinants of a specific health issue. Reviewing communicable disease statistics (A) is descriptive epidemiology, analyzing locations of family violence (C) is also descriptive, and documenting population characteristics for healthy older citizens (D) is more related to preventive medicine rather than analytic epidemiology.
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A nurse resigns from a position in a hospital to accept a job in a community setting. After starting the new job, the nurse feels helpless and confused, wondering if this was the right
- A. Which of the following terms best describes how the nurse is feeling?
- B. Cultural conflict
- C. Cultural relativism
- D. Culture shock
Correct Answer: D
Rationale: The correct answer is D: Culture shock. This term describes the feelings of confusion, helplessness, and uncertainty that individuals experience when they are exposed to a new culture or environment. In this scenario, the nurse is transitioning from a hospital setting to a community setting, leading to a sense of disorientation and discomfort. Cultural conflict (B) refers to disagreements or tensions arising from cultural differences, not the nurse's internal feelings. Cultural relativism (C) is a concept that suggests understanding and accepting different cultural perspectives, which is not directly related to the nurse's personal experience. Choice E, F, and G are not relevant to the nurse's situation.
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
The nurse labels a patient an alcoholic because of his or her ethnicity. Which of the following best describes this action by the nurse?
- A. Stereotyping
- B. Prejudice
- C. Racism
- D. Ethnocentrism
Correct Answer: A
Rationale: The correct answer is A: Stereotyping. Stereotyping is the act of categorizing individuals based on certain characteristics or traits, such as ethnicity, without considering individual differences. In this case, the nurse is assuming the patient is an alcoholic solely based on their ethnicity, which is a form of stereotyping. Prejudice (B) involves holding negative attitudes or beliefs about a particular group, which is not explicitly stated in the scenario. Racism (C) involves discrimination or prejudice based on race, not necessarily ethnicity. Ethnocentrism (D) is the belief in the superiority of one's own ethnic group, which is not directly applicable in this situation.
A principal comments to the school nurse that it seems there are a lot more problems with asthma
- A. Descriptive epidemiological study
- B. Ecological study
- C. Prospective cohort study
- D. Retrospective cohort study
Correct Answer: A
Rationale: The correct answer is A: Descriptive epidemiological study. This type of study focuses on describing and analyzing patterns of disease occurrence in a population without examining causal relationships. In this scenario, the principal is simply observing an increase in asthma cases without investigating potential causes or risk factors. Choices B, C, and D involve more specific research designs that require a more in-depth analysis of individuals over time to establish causal relationships, which is not the case here.
Which of the following is responsible for the dramatic increase in life expectancy during the twentieth
- A. Technology increases in the field of medical laboratory research
- B. Advances in surgical techniques and procedures
- C. Sanitation and other public health activities
- D. Use of antibiotics to fight infections
Correct Answer: C
Rationale: The correct answer is C: Sanitation and other public health activities. Sanitation measures such as clean water supply, waste disposal, and public health initiatives like vaccination programs have played a crucial role in the increase in life expectancy. Improvements in sanitation reduce the spread of diseases, leading to a significant decline in mortality rates. This is supported by historical data showing that countries with better sanitation systems have higher life expectancies. Technology advances in medical laboratory research (A) may have contributed to specific treatments, but overall sanitation has a broader impact on population health. Advances in surgical techniques (B) and the use of antibiotics (D) have been important in treating illnesses but do not have the same population-level impact as sanitation.