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A nurse reports that in comparison to all the children in a particular school, the children who are
- A. Discourage the parents from enrolling their sons in Cub Scouts because of the risk.
- B. Dont say anything about Cub Scouts, because it isnt relevant to nursing care.
- C. Encourage the parents to enroll their sons in Cub Scouts.
- D. Share the finding and let the parents draw whatever conclusions they feel appropriate. - CORRECT
Correct Answer: A
Rationale: The correct answer is D: Share the finding and let the parents draw whatever conclusions they feel appropriate. This choice is correct because it aligns with the principle of providing unbiased information to parents and allowing them to make their own decisions based on the facts presented. By sharing the findings without any personal bias or influence, the nurse respects the autonomy of the parents and empowers them to make informed choices for their children.
Choice A is incorrect because it suggests that the nurse should discourage parents from enrolling their sons in Cub Scouts based on the risk, which goes against the principle of providing neutral information without influencing the decision-making process. Choices B and C are incorrect because they either dismiss the relevance of the information or impose a specific recommendation on the parents without considering their autonomy and preferences.
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Which of the following best describes community-oriented nursing?
- A. Focusing on the provision of care to individuals and families
- B. Providing care to manage acute or chronic conditions
- C. Giving direct care to ill individuals within their family setting
- D. Having the goal of health promotion and disease prevention
Correct Answer: D
Rationale: The correct answer is D: Having the goal of health promotion and disease prevention. Community-oriented nursing focuses on improving the overall health of a population by promoting wellness and preventing illnesses. This approach involves working collaboratively with communities to identify health needs, develop strategies for prevention, and implement interventions to enhance health outcomes. Choices A, B, and C focus more on individualized care and treatment, whereas community-oriented nursing emphasizes a population-based approach. Therefore, D is the best description as it aligns with the core principles of community health nursing.
A nurse is administering a tuberculosis skin test to a client who has AIDS. Which of the following
- A. Decreased positive predictive value
- B. Decreased reliability
- C. Decreased sensitivity
- D. Decreased specificity
Correct Answer: A
Rationale: The correct answer is A: Decreased positive predictive value. In clients with AIDS, their compromised immune system can lead to false-negative results on the tuberculosis skin test. This decreases the test's ability to accurately predict the presence of tuberculosis if the result is positive. Choice B, decreased reliability, is not specific to the client's condition in this scenario. Choices C and D, decreased sensitivity and specificity, respectively, are not directly impacted by the client having AIDS and are more related to the test's overall performance characteristics.
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
Which of the following statements describes how nursing in the community is more challenging than nursing in an acute care setting?
- A. There is limited access to information useful to the nurse in giving care in the community.
- B. More paperwork and forms are required when giving care in the home.
- C. It is more challenging to control the environment in the community.
- D. Specialization isn't possible in the community setting.
Correct Answer: A
Rationale: The correct answer is A because limited access to information in the community setting hinders the nurse's ability to provide comprehensive care. In acute care settings, information such as patient history, lab results, and vital signs are readily available. In the community, nurses may have to rely on incomplete records or lack real-time data. This impacts treatment decisions and coordination with other healthcare providers. Choice B is incorrect as paperwork is a common challenge in both settings. Choice C is incorrect because controlling the environment in the community is different but not necessarily more challenging. Choice D is incorrect as specialization can still occur in the community through advanced training and collaboration.
A nurse is working with an immigrant population. Which of the following should be the first action taken by the nurse?
- A. Be aware of one's own cultur
- C. Become familiar with traditional practices of the immigrants.
- D. Try to see things from the immigrant's viewpoint.
Correct Answer: A
Rationale: The correct answer is A: Be aware of one's own culture. This is the first action because self-awareness of one's own cultural beliefs, biases, and values is essential in promoting cultural competence. Understanding one's own culture helps prevent misunderstandings and conflicts with individuals from different cultural backgrounds. It also allows the nurse to approach care with an open mind and respect for diversity.
Choice C is incorrect as it only focuses on understanding the immigrants' culture without considering the nurse's own cultural influences. Choice D is not the first action to be taken as understanding the immigrant's viewpoint comes after acknowledging one's own cultural perspectives. Choices B, E, F, and G are irrelevant to the initial step of addressing cultural competence.