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A nurse is employed as a nurse epidemiologist. Which of the following activities would most likely be completed by the nurse?
- A. Eliciting the health history of a client presenting with an illness
- B. Evaluating the number of clients presenting with similar diseases
- C. Performing a physical examination of an ill client
- D. Providing treatment and health education to a client with a disease
Correct Answer: A
Rationale: The correct answer is A: Eliciting the health history of a client presenting with an illness. As a nurse epidemiologist, the nurse's primary role is to investigate and analyze patterns of disease occurrence. By eliciting the health history of a client presenting with an illness, the nurse can gather essential data to identify potential sources of infection, risk factors, and patterns of disease spread within a population. This activity aligns with the epidemiological approach of understanding the distribution and determinants of health-related states.
Incorrect choices:
B: Evaluating the number of clients presenting with similar diseases - While this may be part of the nurse epidemiologist's duties, it does not directly involve gathering individual health histories to track disease patterns.
C: Performing a physical examination of an ill client - This task is more aligned with clinical nursing practice rather than epidemiological investigation.
D: Providing treatment and health education to a client with a disease - This is within the scope of direct patient care and does not focus on population
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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.
What action can a nurse take to reduce biases in nurse-client interactions?
- A. Providing care based on past encounters with individuals of the same background
- B. Explaining the nurse's values and beliefs to the client
- C. Reflecting on how their background influences their perception of others
- D. Limiting interactions with individuals from certain social identity groups
Correct Answer: C
Rationale: The correct answer is C because reflecting on how their background influences their perception of others helps nurses become aware of their biases and work towards reducing them. This self-awareness enables nurses to provide unbiased care and build better relationships with clients. Choice A is incorrect as it promotes stereotyping based on past encounters. Choice B is not effective as imposing the nurse's values may not align with the client's beliefs. Choice D is discriminatory and limits the nurse's ability to provide holistic care.
The public health nurse has a clear vision of what needs to be done and where to begin to improve
- A. To increase the groups self-esteem
- B. To maintain communication links with the groups
- C. To make the groups feel good about their contribution
- D. To work with the groups, not for the groups
Correct Answer: A
Rationale: The correct answer is A: To increase the group's self-esteem. This is important because when individuals have higher self-esteem, they are more likely to engage in positive health behaviors and take ownership of their well-being. By focusing on increasing the group's self-esteem, the public health nurse can empower them to make healthier choices and be more proactive in addressing health issues.
Choice B is incorrect because while maintaining communication links is important, it is not the primary focus for improving public health outcomes. Choice C is incorrect as making the group feel good about their contribution may be beneficial, but it does not address the core issue of self-esteem. Choice D is incorrect as working with the groups, not for the groups, is a good practice but does not directly address the need to boost self-esteem.
A nurse is working with an immigrant population. Which of the following should be the first action taken by the nurse?
- A. Be aware of one's own cultur
- C. Become familiar with traditional practices of the immigrants.
- D. Try to see things from the immigrant's viewpoint.
Correct Answer: A
Rationale: The correct answer is A: Be aware of one's own culture. This is the first action because self-awareness of one's own cultural beliefs, biases, and values is essential in promoting cultural competence. Understanding one's own culture helps prevent misunderstandings and conflicts with individuals from different cultural backgrounds. It also allows the nurse to approach care with an open mind and respect for diversity.
Choice C is incorrect as it only focuses on understanding the immigrants' culture without considering the nurse's own cultural influences. Choice D is not the first action to be taken as understanding the immigrant's viewpoint comes after acknowledging one's own cultural perspectives. Choices B, E, F, and G are irrelevant to the initial step of addressing cultural competence.
A nurse, concerned that unconscious bias might hinder their cultural humility in providing care to clients with backgrounds different from their own, completes the Social Identity Wheel. Which statement describes the nurse's purpose for using this assessment tool?
- A. To learn about the client's cultural identity
- B. To learn to ignore biases and focus on client care
- C. To assess how the nurse's identity influences client care
- D. To confirm that the nurse is culturally sensitive
Correct Answer: C
Rationale: The correct answer is C: To assess how the nurse's identity influences client care. The purpose of the Social Identity Wheel is for the nurse to reflect on their own identity factors (e.g., race, gender, religion) and how these aspects may impact their interactions and care delivery to clients. This self-awareness helps the nurse recognize and address any biases or assumptions that may affect their ability to provide culturally competent care.
A: To learn about the client's cultural identity - This choice focuses on the client's identity, not the nurse's, so it is not the purpose of using the Social Identity Wheel.
B: To learn to ignore biases and focus on client care - Ignoring biases is not the goal; instead, the goal is to acknowledge and address biases to improve client care.
D: To confirm that the nurse is culturally sensitive - The goal is not confirmation but self-assessment and reflection on how one's identity may impact client care.