Nokea
During the childbearing experience, which behavior might the nurse expect from an African-American client?
- A. Seeking prenatal care early in her pregnancy
- B. Avoiding self-treatment of pregnancy-related discomfort
- C. Requesting liver in the postpartum period to prevent anemia
- D. Arriving at the hospital in advanced labor
Correct Answer: D
Rationale: African-American women often arrive at the hospital in far-advanced labor due to viewing pregnancy as a state of wellness, which contributes to delayed prenatal care. Many practice self-treatment for discomfort and may request liver postpartum for anemia prevention.
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What is the primary difference between hospital care and home health care?
- A. Home care is routinely and continuously delivered by professional staff.
- B. Home care is delivered on an intermittent basis by professional staff.
- C. Home care is delivered for emergency conditions.
- D. Home care is not available 24 hours a day.
Correct Answer: B
Rationale: Home care is provided intermittently by health professionals, who visit clients for specific needs. Hospital care, in contrast, involves continuous professional staff presence. Home care is typically not designed for emergency situations, which require immediate hospital care.
The nurses working at a newly established birthing center have begun to compare their performance in providing maternal-newborn care against clinical standards. This comparison process is most commonly known as what?
- A. Best practices network
- B. Clinical benchmarking
- C. Outcomes-oriented practice
- D. Evidence-based practice
Correct Answer: C
Rationale: Outcomes-oriented practice measures the effectiveness of interventions and quality of care against benchmarks or standards.
The human papillomavirus (HPV), also known as genital warts, affects 79 million Americans, with an estimated number of 14 million new infections each year. The highest rate of infection occurs in young women, ages 20 to 24 years. Prophylactic vaccination to prevent HPV is now available. Which statement regarding this vaccine is inaccurate?
- A. Only one vaccine for the HPV is available.
- B. The vaccine is given in three doses over a 6-month period.
- C. The vaccine is recommended for both boys and girls.
- D. Ideally, the vaccine is administered before the first sexual contact.
Correct Answer: A
Rationale: Two vaccines for HPV are available Cervarix and Gardasil.
Which statement is true regarding the shortage of nurses in the United States?
- A. There are a larger proportion of younger nurses in the workforce as compared with older nurses.
- B. As a result of decreased RN-to-patient ratios, there is a decrease in patient mortality in the clinical setting.
- C. Nursing programs are turning away qualified applicants.
- D. There are adequate classroom and clinical facilities for training RNs.
Correct Answer: C
Rationale: The statement that nursing programs are turning away qualified applicants is true regarding the shortage of nurses in the United States. Despite the growing demand for healthcare services and the critical need for more nurses, nursing schools across the country face challenges in accepting all qualified applicants due to a shortage of nursing faculty, limited clinical space, and budget constraints. This bottleneck in nursing education and training contributes to the shortage of nurses in the workforce. As a result, many potential nursing students who are qualified and interested in pursuing a career in nursing are being turned away from programs, exacerbating the shortage.
Which condition would leuprolide acetate (Lupron) be prescribed for?
- A. Anovulatory cycles
- B. Uterine fibroids
- C. Polycystic ovary disease (PCOD)
- D. Luteal phase inadequacy
Correct Answer: B
Rationale: Leuprolide acetate is used to treat endometriosis and uterine fibroids, not anovulatory cycles or PCOD.