Nokea
A nurse is using primary prevention strategies to prevent child abuse in the community. Which of the following interventions would the nurse implement?
- A. Educate the public about violence and the potential for abuse.
- B. Remove a child who has been abused from the home.
- C. Report a case of child abuse.
- D. Refer a parent who abused their child to counseling.
Correct Answer: A
Rationale: Primary prevention involves educating the community to prevent abuse before it occurs.
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A nurse discussing the care of a person on the surgical unit following gastric bypass surgery with a friend is in violation of the:
- A. Patient Self-Determination Act
- B. Health Insurance Portability and Accountability Act of 1996
- C. Americans with Disabilities Act
- D. Civil Rights Act
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) is a federal privacy standard that requires safeguards to protect the security and confidentiality of health information. Disclosures without individual authorization are allowed only to public health authorities authorized by law to collect and receive information for the purpose of preventing or controlling disease, injury, or disability.
Influenza occurs among Americans at a rate of 36 per 100 people annually. Which type of rate is this statement describing?
- A. Prevalence rate
- B. Incidence rate
- C. Morbidity rate
- D. Mortality rate
Correct Answer: A
Rationale: Prevalence rate is the proportion of the population affected by a disease at a given point in time.
A nurse is planning a comprehensive health promotion activity to provide community members with a better opportunity to manage their own risk. Which of the following activities would be most appropriate for the nurse to perform?
- A. Obtaining blood pressures and cholesterol levels during a screening
- B. Obtaining blood pressures and family histories during a screening
- C. Obtaining blood pressures and discussing the importance of exercise during a screening
- D. Obtaining blood pressures, cholesterol levels, and glucose levels during a screening
Correct Answer: C
Rationale: Combining health education with screenings helps individuals make informed decisions about managing their health risks.
A nurse is assisting a client in values clarification. Which of the following actions should the nurse assist the client to complete first?
- A. Develop a religious affiliation to assist with the process.
- B. Identify what is meaningful in one’s life.
- C. Act in a way that is consistent with one’s beliefs.
- D. Use beliefs held by others as a guideline for life.
Correct Answer: B
Rationale: Values clarification begins with examining one’s beliefs and then acting in a way that supports those beliefs.
A nurse is conducting a screening for metabolic syndrome. What response should be made?
- A. Anyone who has low blood sugar, high cholesterol, and high blood pressure has this syndrome.
- B. This syndrome helps predict heart disease. Once diagnosed, medication can be prescribed.
- C. This syndrome is a warning sign that the person could develop heart disease. Lifestyle changes are recommended.
- D. Anyone with high cholesterol, blood pressure, and blood sugar has coronary artery disease.
Correct Answer: C
Rationale: Metabolic syndrome is a risk factor for heart disease and lifestyle changes are the first recommended approach.