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A nurse performs a variety of tasks as part of the nurse's position at a hospital. Whichtask best exemplifies public health?
- A. Reading current nursing journals and integrating the latest research into daily practice
- B. Instructing a client on how to best care for a suture site at home
- C. Participating in a videoconference call with a client who lives in a remote area
- D. Facilitating a community-wide smoking cessation program one month out of the year
Correct Answer: D
Rationale: The correct answer is D: Facilitating a community-wide smoking cessation program one month out of the year. This task best exemplifies public health as it involves promoting and improving the health of the entire community by addressing a common health issue like smoking. The nurse's role in this task is to educate, support, and empower individuals within the community to quit smoking, ultimately leading to a healthier population.
Other choices:
A: Reading current nursing journals and integrating the latest research into daily practice - While important for staying updated and providing evidence-based care, this task is more focused on individual patient care rather than public health.
B: Instructing a client on how to best care for a suture site at home - This task is important for individual patient care but does not have a direct impact on the health of the entire community.
C: Participating in a videoconference call with a client who lives in a remote area - This task is related to improving access to healthcare for individuals but does not have
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Which environmental health activity would the nurse perform while engaged in the core public health function of assurance?
- A. Educating the community about the need to boil contaminated drinking water
- B. Collecting data about health issues related to contaminated drinking water
- C. Developing polices to regulate the discharge of pollutants into the waterways
- D. Assessing measures to reduce exposure to contaminated water
Correct Answer: D
Rationale: The correct answer is D: Assessing measures to reduce exposure to contaminated water. This activity falls under the assurance function as it involves ensuring that appropriate measures are in place to protect the community from health risks associated with contaminated water. By assessing these measures, the nurse is actively working to reduce the community's exposure to harmful contaminants, thereby fulfilling the role of assuring the public's health.
A: Educating the community about the need to boil contaminated drinking water falls under the core function of education rather than assurance.
B: Collecting data about health issues related to contaminated drinking water is a part of the assessment function, not assurance.
C: Developing policies to regulate the discharge of pollutants into the waterways is more aligned with the policy development function rather than assurance.
In summary, the correct answer focuses on actively evaluating and implementing measures to reduce exposure to contaminated water, which directly contributes to the assurance function of environmental health.
A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family wants the client to have life sustaining measures. Which of the following actions should the nurse take?
- A. Arrange for an ethics committee meeting
- B. Balancing the bottle on the sterile basin while pouring the liquid
- C. Determine the client's current anxiety level
- D. Tell the child there will be discomfort during the catheter insertion
Correct Answer: A
Rationale: The correct answer is A: Arrange for an ethics committee meeting. In this scenario, the client has clear advance directives that they do not want life-sustaining measures. The nurse's primary responsibility is to advocate for the client's wishes, as outlined in their advance directives. By arranging an ethics committee meeting, the nurse can facilitate a discussion involving healthcare professionals, the client's family, and possibly legal experts to ensure that the client's wishes are respected while also addressing the concerns of the family. This process allows for a thorough review of the situation and consideration of all perspectives before making a final decision.
Choice B is incorrect because it is unrelated to the client's care preferences. Choice C is irrelevant as the client's anxiety level does not impact the decision about life-sustaining measures. Choice D is also unrelated to the client's advance directives and is not a priority in this situation.
A staff nurse is observing a newly licensed nurse suction a client’s tracheostomy. Which of the following actions by the newly-licensed nurse requires intervention by the staff nurse?
- A. Waits for 2 minutes between suctions
- B. Engaging in policy development and encourage and assist persons to communicate their needs
- C. Giving a very informative and engaging presentation
- D. Identifying and planning for high-risk populations
Correct Answer: A
Rationale: The correct answer is A because waiting for 2 minutes between suctions is not recommended practice for tracheostomy care. Suctioning should be performed as needed based on the patient's clinical presentation, not on a fixed time interval. Waiting too long between suctions can lead to ineffective removal of secretions, compromising the patient's airway.
Choice B, C, and D are incorrect because they are unrelated to the scenario of suctioning a tracheostomy. Choice B refers to policy development and communication skills, Choice C mentions giving a presentation, and Choice D involves planning for high-risk populations. These choices do not pertain to the immediate nursing intervention needed during tracheostomy care.
Personal responsibility for health involves active participation in one's own health through education and lifestyle changes. Which exemplify personal responsibility? (Select allthat apply.)
- A. Reviewing one's own medical records
- B. Monitoring the positive and negative effects of prescription and over-th
- C. counter medications
- D. Avoiding tobacco and recreational drug use
Correct Answer: A
Rationale: The correct answer is A because reviewing one's own medical records allows individuals to understand their health history, track changes, and communicate effectively with healthcare providers. This exemplifies personal responsibility as it empowers individuals to take charge of their health by being informed and proactive.
Choice B is incorrect because monitoring medication effects is important but not directly related to personal responsibility for health through education and lifestyle changes. Choice D is incorrect as avoiding tobacco and drugs is a lifestyle choice, not an action that involves active participation in one's health through education.
A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse should recognize which social determinants of this client's health? (Select all that apply.)
- A. Household income of $23,000 per year
- B. Reading level of a third grader
- C. Medication ineffective due to error in prescription
- D. Originally from Sudan
Correct Answer: A
Rationale: The correct answer is A: Household income of $23,000 per year. This is a social determinant of health because low income can impact access to healthy foods, medications, and healthcare services, affecting diabetes management. Choice B, reading level, is related to health literacy but not specifically a social determinant in this scenario. Choice C, medication error, is a healthcare system issue. Choice D, origin from Sudan, is related to cultural background but not directly a social determinant affecting diabetes management.