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In the last month three cases of tuberculosis have been referred to the health department. Which of the following is the priority information for the community health nurse to obtain from each client?
- A. Demographics.
- B. Household members.
- C. Occupation.
- D. Health history.
Correct Answer: B
Rationale: The correct answer is B: Household members. This is the priority information because tuberculosis is highly contagious and spreads through close contact. By obtaining information on household members, the nurse can assess the risk of transmission within the household and take appropriate measures to prevent further spread of the disease. Demographics (A) may provide general information but do not directly impact the spread of tuberculosis. Occupation (C) may be relevant for identifying potential exposure sources but household contacts are more immediate. Health history (D) is important but does not address the immediate risk of transmission within the household.
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public health nurse take
- A. alert the family members of coworkers about possible exposure to anthrax
- B. place the employee under quarantine for 14 days
- C. refer coworkers who might have been exposed to a provider for prophylactic antibiotics 4.
- D. instruct the client to wear a mask at work
Correct Answer: A
Rationale: The correct answer is A because a public health nurse's role includes notifying family members and coworkers about possible exposure to anthrax to prevent further spread. Choice B is incorrect as quarantine is typically done by health authorities, not the nurse. Choice C is incorrect as the nurse does not directly prescribe antibiotics. Choice D is incorrect as the client, not the nurse, should wear a mask for protection.
the partner of an older adult client who has Alzheimer’s disease reports that he is not eating. the nurse........client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take?
- A. arrange for meals on wheels’ assistance
- B. determine the client’sability to self-feed
- C. direct the home health aide to assist with meals
- D. refer the clients partner to an Alzheimer’s support group
Correct Answer: D
Rationale: The correct answer is D: refer the client's partner to an Alzheimer's support group. This is the priority action because the partner needs education and support to understand the challenges of caring for someone with Alzheimer's. By connecting them with a support group, they can learn coping strategies and receive emotional support.
A: arranging for meals on wheels' assistance does not address the underlying issue of the partner's refusal to assist with feeding.
B: determining the client's ability to self-feed is important but does not address the partner's refusal to assist.
C: directing the home health aide to assist with meals may be helpful, but addressing the partner's attitude is more crucial.
D: referring the client's partner to an Alzheimer's support group is the most appropriate to provide education and support.
E, F, G: Not applicable.
a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take?
- A. have the client’s daughter communicate information about the procedure
- B. arrange for a member of the client’s community to interpret the teaching
- C. identify the clients spoken dialect prior to contacting an interpreter
- D. use professional terminology when providing education prior to the procedure
Correct Answer: A
Rationale: The correct answer is A. The nurse should have the client's daughter communicate information about the procedure since she is accompanying the client and can facilitate effective communication. This option ensures that the client receives accurate information and instructions regarding the tetanus immunization. Choice B introduces a potential bias or misunderstanding if the community member is not trained in healthcare terminology. Choice C may delay the communication process unnecessarily. Choice D may confuse the client further due to the language barrier. It is essential to involve a trusted family member or caregiver for accurate and clear communication.
A nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?
- A. Middle Eastern cultural practices include hiding pain from close family members.
- B. Native American cultural practices include being outspoken about pain.
- C. Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful.
- D. Chinese cultural practices include enduring pain to prevent family dishonor.
Correct Answer: D
Rationale: The correct answer is D: Chinese cultural practices include enduring pain to prevent family dishonor. In Chinese culture, there is a strong emphasis on maintaining harmony within the family and avoiding bringing shame or dishonor. Therefore, individuals may endure pain silently to avoid burdening their family or appearing weak. This cultural value often leads to underreporting of pain in healthcare settings.
A: Middle Eastern cultural practices typically value stoicism and may involve hiding pain to avoid appearing vulnerable to others.
B: Native American cultural practices may vary, but being outspoken about pain is not a common generalization.
C: Puerto Rican cultural practices may value stoicism as well, but it is not specifically tied to shame in expressing pain.
In summary, the nurse should include information about Chinese cultural practices of enduring pain to prevent family dishonor, as it highlights an important aspect of cultural variances in pain expression.
a community health nurse is providing screening for lipid disorders. which of the following is the primary goal of this activity?
- A. early detection of disease
- B. client enrollment in prevention programs
- C. promotion of appropriate lifestyle changes
- D. identification of family history of medical problems
Correct Answer: A
Rationale: The correct answer is A: early detection of disease. Screening for lipid disorders aims to identify individuals at risk of developing cardiovascular diseases early on. Early detection allows for timely interventions to prevent or manage lipid disorders effectively. Choice B focuses on intervention programs, which come after detection. Choice C emphasizes lifestyle changes, which are secondary to detection. Choice D is about family history, not the primary goal of screening.