Nokea
Which of the following public health nurses most clearly fulfills the responsibilities of this role?
- A. The nurse who met with several groups to discuss community recreation issues
- B. The nurse who spent the day attending meetings of various health agencies
- C. The nurse who talked to several people about their particular health concerns
- D. The nurse who watched the city council meeting on local cable television
Correct Answer: A
Rationale: The correct answer is A because meeting with community groups to discuss recreation issues aligns with the role of a public health nurse, promoting community health and well-being. This involves proactive engagement with the community to address health concerns at a broader level. Choice B, attending meetings, is important but does not directly fulfill the role of engaging with the community. Choice C, talking to individuals about health concerns, is more focused on individual health rather than community health. Choice D, watching a city council meeting, provides information but lacks active engagement with the community.
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The administration at a local medical center examines the trends in health problems when
- A. Local data drawn from a professional survey in the city
- B. The National Health Interview Survey
- C. The National Hospital Discharge Survey
- D. The states vital statistics
Correct Answer: A
Rationale: The correct answer is A because using local data from a professional survey in the city allows the medical center to understand specific health trends within their community. This data is most relevant and directly applicable to their patient population. Choice B, the National Health Interview Survey, provides broader national data, which may not reflect local health issues accurately. Choice C, the National Hospital Discharge Survey, focuses on hospitalized patients, not community-wide health trends. Choice D, state vital statistics, may offer general health information but lacks the specificity needed for the medical center's analysis.
A nurse resigns from a position in a hospital to accept a job in a community setting. After starting the new job, the nurse feels helpless and confused, wondering if this was the right
- A. Which of the following terms best describes how the nurse is feeling?
- B. Cultural conflict
- C. Cultural relativism
- D. Culture shock
Correct Answer: D
Rationale: The correct answer is D: Culture shock. This term describes the feelings of confusion, helplessness, and uncertainty that individuals experience when they are exposed to a new culture or environment. In this scenario, the nurse is transitioning from a hospital setting to a community setting, leading to a sense of disorientation and discomfort. Cultural conflict (B) refers to disagreements or tensions arising from cultural differences, not the nurse's internal feelings. Cultural relativism (C) is a concept that suggests understanding and accepting different cultural perspectives, which is not directly related to the nurse's personal experience. Choice E, F, and G are not relevant to the nurse's situation.
Which action by a nurse promotes a welcoming environment for culturally diverse clients?
- A. Calling the client by the name on their birth certificate
- B. Using a family member to interpret for a client with LEP
- C. Displaying brochures and posters that represent diversity
- D. Providing a client's bill of rights in languages other than English
Correct Answer: C
Rationale: The correct answer is C because displaying brochures and posters that represent diversity promotes a welcoming environment for culturally diverse clients by showing inclusivity and respect for different backgrounds. This visual representation can help clients feel understood and valued. Calling a client by the name on their birth certificate (A) may not align with their preferred name and cultural identity. Using a family member to interpret (B) can lead to inaccuracies, breaches confidentiality, and hinders effective communication. Providing a client's bill of rights in different languages (D) is important but may not directly promote a welcoming environment as effectively as visual representation of diversity.
Statistics clearly demonstrate that there are significantly more cases of a disease in one particular neighborhood than in all the rest of the city. Assuming all else is the same, which of the following is the most likely explanation for a single neighborhood having such a different pattern of illness?
- A. A cultural or ethnic concentration in the neighborhood
- B. The geographical location of the neighborhood within the city
- C. A statistical fluke without meaning
- D. The time of year the different statistics were collected throughout the city
Correct Answer: A
Rationale: The correct answer is A, a cultural or ethnic concentration in the neighborhood. This is the most likely explanation because cultural and ethnic factors can impact health outcomes due to differences in lifestyle, diet, access to healthcare, genetic predispositions, and social determinants of health. This can lead to higher rates of certain diseases within specific cultural or ethnic groups living in the same neighborhood.
Choice B, the geographical location of the neighborhood within the city, is less likely to be the primary reason for the disparity in disease cases as the question states that all other factors are the same.
Choice C, a statistical fluke without meaning, is unlikely as statistical significance indicates a real pattern rather than random chance.
Choice D, the time of year the different statistics were collected throughout the city, is also less plausible as the question specifies that all else is the same, implying that the time of data collection is consistent across the city.
Making sure that essential community-oriented health services are available defines which of the
- A. Policy development
- B. Assessment
- C. Assurance
- D. Scientific knowledge-based care
Correct Answer: A
Rationale: The correct answer is A: Policy development. Policy development involves creating guidelines and regulations to ensure essential community-oriented health services are available. This process outlines the necessary services and standards to meet community health needs. Assessment (B) involves collecting data to understand health issues, but doesn't ensure service availability. Assurance (C) focuses on enforcing policies and ensuring services are provided. Scientific knowledge-based care (D) pertains to evidence-based treatment, not service availability. Therefore, policy development is the most appropriate choice to define ensuring essential health services are available in the community.