Nokea
In which situation might an occupational health nurse consultation be necessary?
- A. A nurse is injured from using incorrect body mechanics to lift a client
- B. A nurse receives a subpoena to testify in court about a client's case
- C. A client who has been injured in a diving accident needs assistance with planning rehabilitation and surgery
- D. A nursing unit is implementing a new electronic health record system
Correct Answer: A
Rationale: The correct answer is A: A nurse is injured from using incorrect body mechanics to lift a client. Occupational health nurse consultation would be necessary in this situation to assess the nurse's injury, provide appropriate care, and prevent future injuries. This aligns with the role of occupational health nurses in promoting workplace safety and employee health.
Choice B is incorrect because receiving a subpoena to testify in court does not directly relate to the need for an occupational health nurse consultation.
Choice C is incorrect as it involves the client needing assistance with rehabilitation and surgery, which would typically involve medical professionals other than occupational health nurses.
Choice D is also incorrect as implementing a new electronic health record system does not necessitate an occupational health nurse consultation.
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What is involved in obtaining informed consent?
- A. An explanation of the reasons for the procedure
- B. A signature on a form indicating the client agrees to the procedure
- C. A statement affirming liability if complications arise during the procedure
- D. Both A and C
Correct Answer: A
Rationale: The correct answer is A because obtaining informed consent involves providing the client with an explanation of the reasons for the procedure. This ensures that the client understands the purpose, risks, benefits, and alternatives of the procedure before giving consent. Choice B is incorrect because a signature on a form alone does not guarantee informed consent. Choice C is incorrect as affirming liability is not a necessary component of obtaining informed consent. Choice D is incorrect as it combines an essential element (A) with an incorrect element (C).
A client asks a nurse, 'Do you think I should move back home after this procedure?' and the nurse responds by saying, 'Do you think you should move back home?' What type of therapeutic communication is the nurse representing?
- A. Observation
- B. Reflection
- C. Summarizing
- D. Validating
Correct Answer: B
Rationale: The correct answer is B: Reflection. Reflection involves paraphrasing the client's words to help them explore their feelings and thoughts. In this scenario, the nurse is reflecting the client's question back to them, encouraging self-exploration. Observation (A) involves stating what the nurse sees or hears without interpretation. Summarizing (C) involves condensing information. Validating (D) involves confirming the client's feelings or experiences. The nurse's response does not align with the other options, making reflection the best choice.
Which of the following may be a cultural barrier that impacts a healthcare provider's ability to provide care or education to the client?
- A. A healthcare provider offers educational materials to a client that are written at an 8th-grade reading level
- B. A Vietnamese woman wants to use steaming in addition to her prescription antibiotics
- C. A healthcare provider uses pantomime to explain a procedure to a deaf client
- D. A Native American client requests a healing ritual before considering surgery
Correct Answer: C
Rationale: The correct answer is C because using pantomime to explain a procedure to a deaf client is a cultural barrier. Deaf individuals may use sign language or have different communication preferences, so relying solely on pantomime may not effectively convey the necessary information. This can lead to misunderstandings or incomplete communication, impacting the quality of care provided.
Choice A is incorrect as offering materials at an 8th-grade reading level is a best practice in health literacy and not a cultural barrier. Choice B may reflect cultural preferences but does not necessarily impede the provider's ability to provide care. Choice D involves a client's spiritual beliefs but does not directly hinder the provider's ability to provide care.
According to HIPAA, which of the following is considered an individual right for privacy of a client's protected health information?
- A. The right to receive a copy of the organization's privacy practices
- B. The right to receive medical bills for care received
- C. The right to change personal health information
- D. An understanding that protected health information will only be used in regards to client treatments
Correct Answer: A
Rationale: The correct answer is A: The right to receive a copy of the organization's privacy practices. This is because under HIPAA, individuals have the right to be informed about how their protected health information is being used and disclosed. Providing clients with a copy of the organization's privacy practices ensures transparency and empowers them to understand their rights regarding their health information.
Choices B, C, and D are incorrect:
B: The right to receive medical bills for care received - This is not a specific right related to privacy of protected health information under HIPAA.
C: The right to change personal health information - Individuals have the right to request amendments to their health information, but this is not directly related to privacy rights.
D: An understanding that protected health information will only be used in regards to client treatments - While this is an important principle under HIPAA, it does not specifically address individual rights related to privacy practices.
A nurse is caring for an in-patient client in the hospital who is from another country and who fasts for temporary periods in order to promote his own spiritual growth. The nurse responds by saying, 'You need to eat something while you are here. Food and proper nutrition are extremely important for your health.' What social philosophy is the nurse demonstrating?
- A. Ethnocentrism
- B. Relativism
- C. Stereotyping
- D. Xenocentrism
Correct Answer: A
Rationale: The correct answer is A: Ethnocentrism. Ethnocentrism is the belief in the inherent superiority of one's own culture or ethnic group. In this scenario, the nurse is imposing their own cultural beliefs about food and nutrition onto the patient, without considering or respecting the patient's cultural or spiritual practices. This demonstrates a lack of cultural sensitivity and understanding, as the nurse is prioritizing their own cultural norms over the patient's beliefs.
Summary of other choices:
B: Relativism - Relativism would involve acknowledging and respecting the patient's cultural practices and beliefs, which the nurse is not doing in this case.
C: Stereotyping - Stereotyping involves making assumptions about individuals based on their cultural background, which is not explicitly demonstrated in this scenario.
D: Xenocentrism - Xenocentrism is the opposite of ethnocentrism, where one believes that other cultures are superior to their own. This is not evident in the nurse's behavior.