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Which of the following best describes community-based nursing?
- A. A philosophy that guides family-centered illness care
- B. Providing care with a focus on the groups needs
- C. Giving care with a focus on the aggregates needs
- D. A value system in which all clients receive optimal care
Correct Answer: A
Rationale: The correct answer is A: A philosophy that guides family-centered illness care. Community-based nursing emphasizes providing care within the context of the family unit, recognizing the influence of family dynamics on health outcomes. Choice B is incorrect because it focuses on groups rather than families. Choice C is incorrect as it refers to aggregate needs of populations, not individual families. Choice D is incorrect as it is a broad statement about optimal care for all clients, not specific to community-based nursing.
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Which action should the nurse take when teaching a client with a low health literacy level?
- A. Use the correct medical terminology.
- B. Speak in a loud voic
- D. Choose terms that the client uses.
Correct Answer: D
Rationale: The correct answer is D: Choose terms that the client uses. This is the most appropriate action when teaching a client with low health literacy because it helps ensure effective communication and understanding. By using language that the client is familiar with, the nurse can enhance comprehension and retention of important health information. Using medical terminology (A) may confuse the client further. Speaking loudly (B) is not necessary and can be perceived as disrespectful. Choices C, E, F, and G are not applicable in this context.
A 35-year-old from Russia comes to the United States seeking asylum because of religious persecution in the native country. Which of the following best describes this type of immigrant?
- A. Legal immigrant
- B. Lawful permanent resident
- C. Refugee
- D. Unauthorized immigrant
Correct Answer: C
Rationale: The correct answer is C: Refugee. A refugee is someone who has fled their home country due to well-founded fear of persecution based on race, religion, nationality, political opinion, or membership in a particular social group. In this case, the individual from Russia seeking asylum due to religious persecution fits the definition of a refugee. A legal immigrant is a broad term encompassing various types of individuals who have legally migrated to another country but does not specifically address the circumstances of persecution like in this scenario. Lawful permanent residents have been granted permission to live and work in the U.S. indefinitely, which is not the case for this individual seeking asylum. An unauthorized immigrant is someone who enters a country without legal permission, which is not applicable to someone seeking asylum through legal channels.
Which of the following statements describes how nursing in the community is more challenging than nursing in an acute care setting?
- A. There is limited access to information useful to the nurse in giving care in the community.
- B. More paperwork and forms are required when giving care in the home.
- C. It is more challenging to control the environment in the community.
- D. Specialization isn't possible in the community setting.
Correct Answer: A
Rationale: The correct answer is A because limited access to information in the community setting hinders the nurse's ability to provide comprehensive care. In acute care settings, information such as patient history, lab results, and vital signs are readily available. In the community, nurses may have to rely on incomplete records or lack real-time data. This impacts treatment decisions and coordination with other healthcare providers. Choice B is incorrect as paperwork is a common challenge in both settings. Choice C is incorrect because controlling the environment in the community is different but not necessarily more challenging. Choice D is incorrect as specialization can still occur in the community through advanced training and collaboration.
Which event best describes a cultural encounter?
- A. Sharing significant assessment findings with members of a racial minority
- B. Visiting the native land of the clients served at a community health center
- C. C M
- D. Telephoning the priest atU a HSispaNnicT church Oto discuss the health issues of a client
Correct Answer: E
Rationale: The correct answer is E because a cultural encounter involves actively engaging with individuals from different cultural backgrounds to exchange ideas, beliefs, and experiences. Choices A, B, and D do not fully capture the essence of a cultural encounter as they focus on providing services or information rather than a two-way interaction. Choice C is incomplete and cannot be assessed. In summary, choice E best describes a cultural encounter by emphasizing the mutual exchange and learning between individuals of different cultures.
A nurse reports that in comparison to all the children in a particular school, the children who are members of the Cub Scouts have 0.3 risk for obesity before entering the sixth grade. Which of the following recommendations would the nurse make to the new parents of two boys who had just moved into this school's neighborhood?
- A. Discourage the parents from enrolling their sons in Cub Scouts because of the risk.
- B. Don't say anything about Cub Scouts, because it isn't relevant to nursing care.
- C. Encourage the parents to enroll their sons in Cub Scouts.
- D. Share the finding and let the parents draw whatever conclusions they feel appropriate.
Correct Answer: A
Rationale: The correct answer is A: Discourage the parents from enrolling their sons in Cub Scouts because of the risk. This recommendation is based on the nurse's report that children who are members of the Cub Scouts have a higher risk (0.3) for obesity compared to all children in the school. By discouraging enrollment, the nurse is aiming to potentially reduce the boys' risk for obesity. Other choices are incorrect because: B is irrelevant as the nurse has specific information about Cub Scouts and obesity risk. C is incorrect as it goes against the reported risk. D is not the best option as the nurse should provide guidance based on the information available rather than leaving it up to the parents to interpret.