Nokea
The nurse is examining the ability of a phenylketonuria (PKU) screening test to distinguish correctly between newborns who have and who do not have the disease. Which of the following measures of accuracy of the instrument is being evaluated?
- A. Sensitivity
- B. Specificity
- C. Validity
- D. Efficacy
Correct Answer: C
Rationale: Validity refers to a test’s ability to correctly distinguish between diseased and nondiseased individuals.
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Which addition to a community best demonstrates the concept of the Healthy People 2020 report?
- A. New cardiothoracic intensive care unit at a major hospital
- B. New rehabilitation center
- C. New recreational health center
- D. New children’s hospital
Correct Answer: C
Rationale: Healthy People 2020 promotes health care and wellness, not just illness care, which aligns with the goal of increasing access to recreational health centers.
A 2-year-old Asian American boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child?
- A. Report the suspected child abuse to the Department of Children and Families
- B. Assume the bruises are the result of a fall
- C. Ask the mother about the bruises
- D. Schedule a follow-up appointment in 2 weeks to see if the bruises are still present
Correct Answer: C
Rationale: The nurse should ask the mother directly about the bruises, considering cultural practices like coining, which may cause bruising.
A Hispanic mother tells the nurse that she has been using home remedies for her child’s asthma. Which home remedy might this mother be using?
- A. Acupuncture
- B. Cupping
- C. Hot tea
- D. Massage
Correct Answer: C
Rationale: In Hispanic culture, asthma is often treated with warm therapies like hot tea to restore balance between hot and cold.
Which factor has the greatest impact on whether interventions for young adults are effective?
- A. Culturally sensitive
- B. Match the person’s health care beliefs
- C. Cost effective
- D. Gender neutral
Correct Answer: A
Rationale: Culturally sensitive interventions are crucial for success, as they resonate better with individuals’ values and practices.
A home health nurse is admitting a 54-year-old man for services following a coronary artery bypass graft (CABG). What is the purpose of this nursing action?
- A. Allows for inclusion of family members in decision-making
- B. Allows for health promotion and disease prevention appraisal
- C. Allows for development of patient-centered care
- D. Allows for data collection necessary for comparison to Healthy People 2020
Correct Answer: B
Rationale: Family assessments enable health promotion, disease prevention, and include family in decision-making.