Nokea
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 Mexican American mother insists on using special candles to help her daughter's ear infection. The nurse asks the mother if she would also give her daughter antibiotics. Which of the following best describes the action of the nurse?
- A. Cultural accommodation
- B. Cultural repatterning
- C. Culture brokering
- D. Cultural awareness
Correct Answer: C
Rationale: The correct answer is C: Culture brokering. Culture brokering involves a healthcare provider facilitating communication and negotiation between a patient's culture and the biomedical healthcare system. In this scenario, the nurse is trying to bridge the gap between the mother's cultural belief in using special candles and the biomedical treatment of antibiotics for the daughter's ear infection. By discussing the use of antibiotics with the mother, the nurse is acting as a mediator to ensure the best possible care for the patient. Cultural accommodation (A) would involve simply accepting the mother's cultural practice without question. Cultural repatterning (B) would involve trying to change the mother's cultural beliefs. Cultural awareness (D) is important but does not capture the active role the nurse is taking in this 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
A community health nurse has taken the Promoting Cultural and Linguistic Competency Self- Assessment Checklist for Personnel Providing Primary Health Care Services and is reviewing the results. Which action describes how the results of this self-assessment checklist should be utilized?
- A. To identify areas for self-improvement
- B. To determine readiness for job advancement
- C. To rate job performance
- D. To discipline an employee
Correct Answer: A
Rationale: The correct answer is A: To identify areas for self-improvement. The self-assessment checklist is designed to help individuals reflect on their cultural and linguistic competency in providing healthcare services. By reviewing the results, the nurse can identify strengths and areas needing improvement in their practice. This allows for targeted professional development and training to enhance their skills and better meet the needs of diverse patient populations. Choices B, C, and D are incorrect because the checklist is not meant for determining job advancement readiness, rating job performance, or disciplining employees. It is primarily a tool for self-reflection and continuous learning.
A visitor from Japan comes to the United States for a 2-week vacation. Which of the following best describes this person?
- A. Non-immigrant
- B. Refugee
- C. Legal immigrant
- D. Lawful permanent resident
Correct Answer: A
Rationale: The correct answer is A: Non-immigrant. This person is visiting the US temporarily for vacation, making them a non-immigrant. Non-immigrants are individuals who enter a country for a specific purpose and period, such as tourism. Choice B, refugee, refers to someone fleeing persecution, not a visitor. Choice C, legal immigrant, implies permanent residency, which is not the case for a visitor. Choice D, lawful permanent resident, indicates someone with permanent residency status, not a visitor. Choices E, F, and G are not applicable in this context.
Which of the following actions would most likely be performed by a public health nurse?
- A. Asking community leaders what interventions should be chosen
- B. Assessing the community and deciding on appropriate interventions
- C. Using data from the main health care institutions in the community to determine needed health
- D. Working with community groups to create policies to improve the environment
Correct Answer: A
Rationale: The correct answer is A because public health nurses collaborate with community leaders to understand community needs and preferences. They rely on community input for effective interventions. Option B is incorrect because assessing and deciding interventions should involve a multidisciplinary team, not a sole decision by the nurse. Option C is incorrect as it focuses on institutional data rather than community input. Option D is incorrect because creating policies is typically a collaborative effort involving various stakeholders.