Nokea
A public health nurse is managing several projects for the community. Which of the following interventions should the nurse identify as a primary prevention strategy?
- A. Conducting mental health screenings at the local community center
- B. Referring clients who have obesity to community exercise programs
- C. Teaching parenting skills to expectant mothers and their partners
- D. Providing crisis intervention through a mobile counseling unit
Correct Answer: C
Rationale: The correct answer is C: Teaching parenting skills to expectant mothers and their partners. This is a primary prevention strategy because it aims to prevent the occurrence of health issues by promoting positive behaviors and skills before any problems arise. By educating expectant mothers and their partners on parenting skills, the nurse is helping to establish a healthy family environment which can lead to positive health outcomes for both the parents and the child.
Explanation of why the other choices are incorrect:
A: Conducting mental health screenings - This is more of a secondary prevention strategy aimed at early detection and treatment of mental health issues.
B: Referring clients with obesity to exercise programs - This is more of a tertiary prevention strategy focused on managing existing health conditions.
D: Providing crisis intervention - This is a secondary prevention strategy addressing immediate mental health crises but not preventing future issues.
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Which strategy should the nurse include in a community education program about improving environmental health?
- A. Composting organic matter
- B. Disposing of electronics with household trash
- C. Using rainwater harvesting for drinking water
- D. Keeping windows tightly shut
Correct Answer: C
Rationale: The correct answer is C: Using rainwater harvesting for drinking water. This strategy promotes environmental health by reducing water wastage, conserving resources, and minimizing pollution. Rainwater harvesting is a sustainable method that helps in water conservation and reduces the strain on existing water sources. Composting organic matter (A) is beneficial but does not directly relate to improving environmental health in the same way as water conservation. Disposing of electronics with household trash (B) is harmful to the environment due to toxic materials in electronics. Keeping windows tightly shut (D) is not a strategy for improving environmental health and may actually decrease indoor air quality.
A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural community that currently lacks access to them. This is an example of which public health intervention?
- A. Surveillance
- B. Outreach
- C. Screening
- D. Case management
Correct Answer: B
Rationale: The correct answer is B: Outreach. Outreach involves actively reaching out to provide services to underserved populations, like bringing vaccinations to a rural community without access. Surveillance (A) involves monitoring health data. Screening (C) is identifying individuals at risk. Case management (D) is coordinating care for individuals. In this scenario, Outreach is the best intervention to address the community's lack of access.
Which was a duty performed by district nurses in Liverpool, England, in 1865?
- A. Use epidemiologic knowledge and methods
- B. Encourage community organization
- C. Report facts to and ask questions of physicians
- D. Assist physicians with surgery in the newly constructed hospitals
- F. Identifying potential negative outcomes due to exposure to the toxic chemicals
Correct Answer: C
Rationale: The correct answer is C. District nurses in Liverpool in 1865 reported facts to and asked questions of physicians. This duty was crucial for proper patient care as it ensured that physicians were informed about the patient's condition and could provide appropriate treatment. Other choices are incorrect because: A) Epidemiologic knowledge and methods were not commonly used by district nurses at that time. B) Encouraging community organization was not a primary duty of district nurses. D) District nurses did not typically assist physicians with surgery. F) Identifying potential negative outcomes due to exposure to toxic chemicals was not a common duty of district nurses in 1865 Liverpool.
A nurse manager is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching?
- A. Administered 8 u regular insulin sq
- B. Check gastric residuals every 4 hours
- C. Compare the client's list of home medications to the admission prescriptions
- D. Measure the client's urine output every hour
Correct Answer: A
Rationale: The correct answer is A because it reflects proper documentation format, including the medication name, dose, route, and frequency. It demonstrates the nurse understands how to document medication administration accurately. Choice B is incorrect as it lacks specific details on the action to be taken. Choice C is incorrect as it does not imply any action related to medication safety. Choice D is incorrect as it does not specify the reason for measuring urine output.
Which type of study will the nurse use to understand the experiences of an immigrant group in the community?
- A. Qualitative
- B. Randomized control
- C. Needs assessment
- D. Quality improvement
Correct Answer: A
Rationale: The nurse would use a qualitative study to understand the experiences of an immigrant group because qualitative research focuses on exploring and understanding individuals' experiences, perspectives, and behaviors in-depth. This type of study allows for gathering rich, detailed data through methods like interviews, observations, and focus groups, which are well-suited for capturing the complexities and nuances of immigrant experiences. A randomized control study (B) involves intervention and control groups for causality, not suitable for exploring experiences. Needs assessment (C) focuses on identifying needs and gaps in services. Quality improvement (D) aims to enhance processes and outcomes within a specific setting.