Nokea
A pregnant woman who has recently immigrated to the United States comments to the nurse, 'I am afraid of childbirth. It is so dangerous. I am afraid I will die.' What is the best nursing response reflecting cultural sensitivity?
- A. Maternal mortality in the United States is extremely low.
- B. Anesthesia is available to relieve pain during labor and childbirth.
- C. Tell me why you are afraid of childbirth.
- D. Your condition will be monitored during labor and delivery.
Correct Answer: C
Rationale: Asking the patient about her concerns helps promote understanding and individualizes patient care.
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What government program was implemented to increase the educational exposure of preschool children?
- A. WIC
- B. Title XIX of Medicaid
- C. The Children's Charter
- D. Head Start
Correct Answer: D
Rationale: Head Start programs were established to increase educational exposure of preschool children.
Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands?
- A. Karl Cred?©
- B. Ignaz Semmelweis
- C. Louis Pasteur
- D. Joseph Lister
Correct Answer: B
Rationale: Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of physicians and medical students.
What services are birthing centers able to provide? (Select all that apply.)
- A. Prenatal care
- B. Labor and delivery services
- C. Classes for new mothers
- D. Adoption referrals
- E. Family planning
Correct Answer: A,B,C,E
Rationale: Birthing centers are capable of providing full-service obstetric care, classes for new mothers, and family planning. Birthing centers do not offer adoption services.
A community health nurse is providing specialized care to patients in the home setting. What kind of specialized care may this nurse be providing? (Select all that apply.)
- A. Glucose monitoring
- B. Heparin therapy
- C. Family education
- D. Total parenteral nutrition
- E. Provision of referral services
Correct Answer: A,B,D
Rationale: Glucose monitoring, heparin therapy, and total parenteral nutrition are categorized as specialized care that may be provided by the community health nurse. Family education and provision of referral are categorized as therapeutic care.
The nurse is aware that there is a legal responsibility to report certain diseases and conditions to county or state health authorities. Which would be included? (Select all that apply.)
- A. Tuberculosis
- B. Child abuse
- C. Industrial accidents
- D. Sexually transmitted diseases
- E. Foodborne infections
Correct Answer: A,B,D,E
Rationale: The nurse has a legal responsibility to report communicable diseases (such as tuberculosis and sexually transmitted diseases), foodborne infections, child abuse, and threats of suicide.