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A nurse successfully persuades an obese client to perform a weekly weigh-in at homeusing a digital scale and record the weight in a log. This strategy is an example of:
- A. Telehealth
- B. Health information technology
- C. Personal responsibility for health
- D. Evidenc
Correct Answer: C
Rationale: The correct answer is C, "Personal responsibility for health." This is because by persuading the client to monitor and record their weight at home, the nurse is empowering the client to take ownership of their health and actively participate in managing their weight. This strategy encourages the client to be accountable for their health outcomes and promotes self-care. Option A, "Telehealth," is incorrect because it refers to the delivery of healthcare services through technology, not necessarily personal responsibility. Option B, "Health information technology," is also incorrect as it pertains to the use of technology to manage health information, not about individual responsibility. Option D is cut off, but if it were "Evidence-based practice," it would be incorrect as it does not directly relate to the client's responsibility for their health.
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Demographic characteristics indicate that people in developed countries are living longer, healthier lives, yet tremendous health and social disparities exist. Which describes social determinants of health?
- A. What society does collectively to ensure the conditions exist in which people can be healthy
- B. Social conditions in which people live and work
- C. Context of preventing disease and disability and promoting and protecting the health of the entire community
- D. Comprehensive management of health information and its secure exchange between consumers, providers, government and quality entities, and insurers
Correct Answer: A
Rationale: The correct answer is A because it accurately defines social determinants of health as what society collectively does to create conditions for health. It emphasizes the importance of societal actions in promoting health outcomes for individuals. Choice B refers to social conditions but does not explicitly mention the collective responsibility of society. Choice C focuses on community health but does not encompass the broader societal role. Choice D is about health information management, not social determinants. Choices E, F, and G are not provided, so they are irrelevant. In summary, A is correct as it highlights the societal efforts in creating a healthy environment, while the other choices are incorrect as they do not fully capture the concept of social determinants of health.
A nurse in a surgical clinic is providing teaching to a client who is scheduled for a modified radical mastectomy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will complete my arm exercises four times a day
- B. Using data from the main health care institutions in the community to determine needed health services
- C. Ensure timely and effective medical intervention and treatment for community members
- D. Giving some of their own surplus clothes to those who can use them
Correct Answer: A
Rationale: The correct answer is A: "I will complete my arm exercises four times a day." This indicates an understanding of the teaching because after a modified radical mastectomy, it's important to perform arm exercises to prevent lymphedema and improve range of motion. Completing exercises four times a day shows commitment to the prescribed regimen.
Choices B, C, and D are incorrect as they do not pertain to the client's post-operative care after a modified radical mastectomy. B focuses on data collection for health services, C relates to community medical interventions, and D is about charitable donations, none of which are relevant to the client's self-care instructions.
Which activity would the nurse perform during the evaluation phase of evidence-based decision- making (EBDM)?
- A. Carrying out the proposed plan
- B. Deciding if the evidence is applicable to the population
- C. Determining the effectiveness of the plan
- D. Compiling the data
Correct Answer: C
Rationale: During the evaluation phase of evidence-based decision-making, the nurse would determine the effectiveness of the plan implemented based on the evidence gathered. This involves assessing whether the desired outcomes are achieved and if the intervention is successful. This step is crucial in determining the impact of the plan on the patient's health and well-being. The other choices are incorrect because: A is part of the implementation phase, B is more related to the appraisal phase, and D is part of the data collection phase. Thus, choice C is the most appropriate activity during the evaluation phase.
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.
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 should take antibiotics when I have a virus.
- B. I can visit my nephew who has chickenpox 5 days after the sores have crusted.
- 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: B
Rationale: Correct Answer: B
Rationale:
1. Chickenpox is highly contagious until the sores crust over. Waiting 5 days ensures reduced risk of transmission.
2. Visiting a person with chickenpox before crusting over can lead to infection transmission.
3. By waiting 5 days after crusting, the client shows understanding of the importance of infection prevention.
Summary of Incorrect Choices:
A: Taking antibiotics for a virus is inappropriate as antibiotics are for bacterial infections.
C: Pregnant women should avoid cleaning cat litter boxes due to the risk of toxoplasmosis.
D: Handwashing should involve soap and water for at least 20 seconds, not just hot water.