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A nurse on a medical surgical unit is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?
- A. Compare the client's list of home medications to the admission prescriptions written for the client
- B. Working with community groups to create policies to improve the environment
- C. Recognizing the reasons why 30 minutes of walking each day is one of the best health promotion activities
- D. Asking community leaders what interventions should be chosen
Correct Answer: A
Rationale: The correct answer is A because medication reconciliation involves comparing the client's list of home medications with the admission prescriptions to ensure accuracy and prevent medication errors. This step is crucial in identifying any discrepancies or omissions in the client's medication regimen. Choice B is incorrect as it pertains to community policy development, unrelated to medication reconciliation. Choice C is incorrect as it focuses on health promotion activities, not medication reconciliation. Choice D is incorrect as it involves seeking community leaders' input, not relevant to medication reconciliation.
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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.
Which intervention by the nurse is an example of a tertiary prevention strategy to improve environmental health?
- A. Conducting risk assessments for environmental contaminants
- B. Developing emergency response plans for environmental hazards
- C. Performing regular community environmental health assessments
- D. Implementing pollution prevention strategies
Correct Answer: D
Rationale: Correct Answer: D - Implementing pollution prevention strategies
Rationale: Tertiary prevention aims to reduce the impact of disease or injury by minimizing disability and promoting rehabilitation. Implementing pollution prevention strategies falls under tertiary prevention as it focuses on reducing exposure to harmful environmental factors, thereby preventing further health complications. This intervention directly addresses the root cause of environmental health issues by mitigating pollution, which can lead to improved health outcomes for individuals and communities.
Summary of other choices:
A: Conducting risk assessments for environmental contaminants - This falls under primary prevention as it aims to identify and prevent exposure to environmental hazards before they occur.
B: Developing emergency response plans for environmental hazards - This falls under secondary prevention as it focuses on early detection and prompt intervention during environmental emergencies.
C: Performing regular community environmental health assessments - This falls under primary prevention as it aims to identify potential environmental health risks and prevent them from occurring in the first place.
A community health nurse is reviewing the reports for a group of clients. The nurse should identify that which of the following disorders is on the CDC's national notifiable conditions list?
- A. Lyme disease
- B. Providing care with a focus on the aggregates needs
- C. Having the goal of health promotion and disease prevention
- D. Health disparities among any groups are morally and legally wrong
Correct Answer: A
Rationale: The correct answer is A: Lyme disease. The CDC's national notifiable conditions list includes diseases that are required to be reported to the CDC for public health monitoring and control. Lyme disease is on this list due to its potential for widespread transmission and public health impact. The other choices are incorrect as they do not relate to the concept of notifiable conditions or public health surveillance. Providing care with a focus on aggregate needs, having goals of health promotion, and addressing health disparities are important aspects of community health nursing but are not directly related to notifiable conditions.
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.
A public health nurse has developed a research question and searched the literature for supporting
- A. In which step of evidence-based decision-making would the nurse compile the research findings and identify specific trends in the data?
- B. Defining the problem
- C. Synthesizing the literature
- D. Appraising the literature
Correct Answer: C
Rationale: The correct answer is C: Synthesizing the literature. In evidence-based decision-making, synthesizing the literature involves compiling research findings and identifying specific trends in the data. This step allows the nurse to analyze and interpret the information gathered from various sources to draw meaningful conclusions and make informed decisions. Defining the problem (choice B) is the initial step of evidence-based decision-making. Appraising the literature (choice D) comes after synthesizing, where the nurse evaluates the quality and relevance of the gathered evidence. Choices E, F, and G are not applicable in this context.