Nokea
Two nurses plan to walk under a huge downtown bridge where various homeless persons live. Why
- A. Introduction of a heart-healthy curriculum beginning in the first grade, presentations on diet and
- B. Provision of online activities related to prevention of cardiac disease, smoking reduction programs,
- C. Distribution of handouts, including age-appropriate games, self-assessments, and education on heart-
- D. Enrollment of clients with CAD into cardiac rehabilitation programs, routine evaluation of
Correct Answer: A
Rationale: The correct answer is A because introducing a heart-healthy curriculum in first grade lays a strong foundation for promoting heart health early on. By educating children about diet and exercise at a young age, it instills healthy habits that can prevent cardiac disease in the future. Choice B focuses on online activities and smoking reduction programs, which may not have as significant an impact as starting heart-healthy education at a young age. Choice C mentions handouts and games, which may not be as effective as a structured curriculum. Choice D focuses on enrolling clients with CAD into rehabilitation programs, which is more reactive than proactive in preventing cardiac diseases.
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A registered nurse was just employed as a public health nurse. Which question would be the most
- A. Which groups are at the greatest risk for problems?
- B. Which patients should I see first as I begin my day?
- C. With which physicians will I be most closely collaborating?
- D. With which nursing assistants will I partner the most?
Correct Answer: A
Rationale: The correct answer is A: "Which groups are at the greatest risk for problems?" as it aligns with the primary focus of public health nursing, which is to prevent and address health issues within communities. By identifying high-risk groups, the nurse can prioritize interventions and allocate resources effectively.
Choice B is incorrect because public health nursing typically involves a population-based approach rather than individual patient care. Choice C is incorrect as it pertains more to hospital settings rather than public health. Choice D is incorrect as public health nurses typically work independently or with a team of public health professionals rather than nursing assistants.
Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?
- A. Utilizing a standardized plan of care
- B. Developing the plan of care with the client
- C. Using a plan of care developed for a specific cultural group
- D. Collaborating with other nurses to develop the plan of care
Correct Answer: B
Rationale: The correct answer is B: Developing the plan of care with the client. This aligns with the ACCESS model of transcultural care, which emphasizes collaboration between the healthcare provider and the client to develop a culturally sensitive and individualized plan of care. This approach recognizes the client as an active participant in their healthcare, promotes cultural competence, and ensures that the care provided is respectful of the client's beliefs and values.
Choice A is incorrect because utilizing a standardized plan of care may not take into account the client's unique cultural background. Choice C is incorrect as using a plan developed for a specific cultural group may not be applicable or relevant to the individual client. Choice D is incorrect as collaborating with other nurses, while important, does not specifically address the client's input in the care plan.
Which action is the nurse performing when they show a preference for members of their social identity group, leading to a more positive evaluation of individuals within their own group?
- A. Out-Group Homogeneity
- B. Confirmation Bias
- C. In-Group Favoritism
- D. Limited Interactions
Correct Answer: C
Rationale: The correct answer is C: In-Group Favoritism. This refers to the bias where a nurse favors individuals within their own social identity group, leading to a more positive evaluation of them. This behavior stems from a sense of loyalty, similarity, and shared identity with one's own group. In-group favoritism can influence decision-making, patient care, and teamwork within healthcare settings.
A: Out-Group Homogeneity is the tendency to perceive members of the out-group as more similar to each other than they really are.
B: Confirmation Bias is the tendency to search for, interpret, favor, and recall information that confirms one's pre-existing beliefs.
D: Limited Interactions do not directly describe the behavior of preferring individuals within one's social identity group.
A nurse advises a client with osteoporosis to have three servings of milk or dairy products daily.
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Treatment, but not prevention
Correct Answer: A
Rationale: The correct answer is A: Primary prevention. This recommendation aims to prevent osteoporosis from developing in the first place by promoting adequate calcium intake. Primary prevention focuses on reducing the risk factors and promoting healthy behaviors to prevent the onset of a disease. Choices B, C, and D are incorrect because they are related to different stages of disease prevention and management. Secondary prevention involves early detection and treatment to prevent complications, tertiary prevention focuses on managing the complications of a disease, and treatment without prevention (choice D) implies addressing the disease after it has already developed.
A school nurse wants to decrease the incidence of obesity in elementary school children. Which of
- A. Giving a presentation on the importance of exercise and physical fitness
- B. Designing a game in which students select healthy food choices
- C. Weighing students to identify those who are overweight
- D. Putting students on a diet if they weigh greater than 20% of their ideal weight
Correct Answer: A
Rationale: The correct answer is A because educating students on the importance of exercise and physical fitness promotes long-term healthy habits. This approach focuses on prevention rather than intervention, empowering children to make informed choices. Choice B may help students make healthy food choices but doesn't address the importance of physical activity. Choice C may lead to stigma and doesn't promote positive behavior change. Choice D is not recommended as putting students on a diet without proper guidance can be harmful.