Nokea
Public health nursing is distinguished from other specialties by adherence to eightprinciples. Which are domains of public health nursing practice? (Select all that apply.)
- A. Intuitive assessment skills
- B. Community organization skills
- C. Communication skills
- D. Cultural competency skills
Correct Answer: B
Rationale: The correct answer is B: Community organization skills. Public health nursing involves working with communities to promote health and prevent diseases. Community organization skills are essential for collaborating with community members, organizations, and stakeholders to develop and implement effective health programs.
A: Intuitive assessment skills - While assessment skills are important in public health nursing, they are not necessarily intuitive. Public health nurses rely on evidence-based assessments rather than intuition.
C: Communication skills - Communication skills are crucial in public health nursing, but they are not specific to this specialty. Most nursing specialties require strong communication skills.
D: Cultural competency skills - While cultural competency is important, it is not a domain specific to public health nursing. Cultural competency is relevant in all areas of nursing practice.
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Which action by the nurse is an example of engaging in environmental justice?
- A. Using the environment to assist in client recovery
- B. Encouraging communities to engage in composting
- C. Eliminating lead-based paint in public housing
- D. Educating the community on proper disposal of hazardous materials
Correct Answer: C
Rationale: The correct answer is C: Eliminating lead-based paint in public housing. This action exemplifies environmental justice as it aims to address a specific environmental hazard that disproportionately affects marginalized communities living in public housing. By removing lead-based paint, the nurse is advocating for a safe and healthy living environment for all individuals, regardless of their socioeconomic status. This action promotes fairness and equality in environmental protection. In contrast, choices A, B, and D focus on general environmental initiatives that may not directly target environmental injustices or disparities. Therefore, choice C is the most effective in addressing environmental justice concerns.
A public health nurse is managing several projects for the community. Which of the following interventions should the nurse identify as a primary prevention strategy?
- A. Conducting mental health screenings at the local community center
- B. Referring clients who have obesity to community exercise programs
- C. Teaching parenting skills to expectant mothers and their partners
- D. Providing crisis intervention through a mobile counseling unit
Correct Answer: C
Rationale: The correct answer is C: Teaching parenting skills to expectant mothers and their partners. This is a primary prevention strategy because it aims to prevent the occurrence of health issues by promoting positive behaviors and skills before any problems arise. By educating expectant mothers and their partners on parenting skills, the nurse is helping to establish a healthy family environment which can lead to positive health outcomes for both the parents and the child.
Explanation of why the other choices are incorrect:
A: Conducting mental health screenings - This is more of a secondary prevention strategy aimed at early detection and treatment of mental health issues.
B: Referring clients with obesity to exercise programs - This is more of a tertiary prevention strategy focused on managing existing health conditions.
D: Providing crisis intervention - This is a secondary prevention strategy addressing immediate mental health crises but not preventing future issues.
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
- A. Your desire to be an organ donor must be documented in writing
- B. Performing a physical examination of an ill client
- C. Providing treatment and health education to a client with a disease
- D. Giving some of their own surplus clothes to those who can use them
Correct Answer: A
Rationale: The correct answer is A because organ donation requires documented consent to ensure the individual's wishes are respected. This documentation is crucial for legal and ethical reasons. Choice B is incorrect as it pertains to conducting a physical examination, not related to organ donation. Choice C focuses on treatment and health education, not addressing the client's inquiry about organ donation. Choice D involves donating clothes, which is unrelated to organ donation. Therefore, A is the correct response as it addresses the client's query about organ donation by emphasizing the need for written documentation.
Which strategy should the nurse include in a community education program about improving environmental health?
- A. Composting organic matter
- B. Disposing of electronics with household trash
- C. Using rainwater harvesting for drinking water
- D. Keeping windows tightly shut
Correct Answer: C
Rationale: The correct answer is C: Using rainwater harvesting for drinking water. This strategy promotes environmental health by reducing water wastage, conserving resources, and minimizing pollution. Rainwater harvesting is a sustainable method that helps in water conservation and reduces the strain on existing water sources. Composting organic matter (A) is beneficial but does not directly relate to improving environmental health in the same way as water conservation. Disposing of electronics with household trash (B) is harmful to the environment due to toxic materials in electronics. Keeping windows tightly shut (D) is not a strategy for improving environmental health and may actually decrease indoor air quality.
A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural community that currently lacks access to them. This is an example of which public health intervention?
- A. Surveillance
- B. Outreach
- C. Screening
- D. Case management
Correct Answer: B
Rationale: The correct answer is B: Outreach. Outreach involves actively reaching out to provide services to underserved populations, like bringing vaccinations to a rural community without access. Surveillance (A) involves monitoring health data. Screening (C) is identifying individuals at risk. Case management (D) is coordinating care for individuals. In this scenario, Outreach is the best intervention to address the community's lack of access.