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The nurse is performing an environmental assessment in an apartment building where many people have reported burning eyes, skin rash, stuffy nose, and sore throat. Which type of hazard does the nurse anticipate is present in the apartment building?
- A. Radon
- B. Mice
- C. Mold
- D. Lead
Correct Answer: C
Rationale: The correct answer is C: Mold. Mold can cause symptoms like burning eyes, skin rash, stuffy nose, and sore throat. Mold thrives in damp environments, common in buildings. Radon (A) is a colorless, odorless gas found in soil and can cause lung cancer. Mice (B) can carry diseases but do not typically cause these symptoms. Lead (D) exposure can lead to neurological issues, not the symptoms described. The other choices are not relevant to the symptoms reported.
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A school nurse is developing a primary prevention strategy for school-aged children. Which of the following interventions would the nurse most likely implement?
- A. Developing individualized exercise programs for overweight children
- B. Drafting policy for increases in noncompetitive physical activity programs
- C. Monitoring body mass index (BMI) in children to identify elevations before they become difficult to manage
- D. Notifying parents and/or guardians of their child's height–weight scale in comparison with national norms
Correct Answer: B
Rationale: The correct answer is B because drafting policies for increases in noncompetitive physical activity programs aligns with primary prevention strategies. This intervention focuses on promoting overall health and preventing health problems before they occur. This approach targets the entire school population rather than individual children, making it a more effective primary prevention strategy.
Choice A is incorrect as it focuses on individualized interventions rather than population-based prevention. Choice C focuses on early detection rather than prevention. Choice D, while involving parents, does not address primary prevention but rather provides information after the fact.
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.
Which of the following groups is pressuring clinicians the most to use evidence-based practice (EBP)?
- A. Administrators
- B. Insurance companies
- C. Nurses
- D. Physicians
Correct Answer: A
Rationale: The correct answer is A: Administrators. Administrators are pressuring clinicians the most to use evidence-based practice (EBP) as they are responsible for ensuring quality care, cost-effectiveness, and adherence to standards. They implement policies mandating EBP to improve patient outcomes and reduce healthcare costs. Nurses and physicians may advocate for EBP, but administrators hold the most influence due to their oversight of healthcare operations. Insurance companies focus more on reimbursement criteria rather than direct pressure for EBP implementation.
A nurse is caring for a client who is wearing anti-embolic stockings. Which of the following interventions should the nurse include in the plan of care?
- A. Determine if the stockings are binding
- B. Palpate the distal pulse to the cast
- C. Waits for 2 minutes between suctions
- D. Ask security to detain the client until the provider is notified
Correct Answer: A
Rationale: The correct answer is A: Determine if the stockings are binding. This is important because anti-embolic stockings should not be too tight as it can impede circulation, leading to complications. Palpating the distal pulse to the cast (B) is unrelated to anti-embolic stockings. Waiting for 2 minutes between suctions (C) is not relevant to the care of a client wearing anti-embolic stockings. Asking security to detain the client until the provider is notified (D) is inappropriate and violates the client's rights.
Which of the following is the best way to increase the number of persons who come to their screening test appointments?
- A. Reminding clients via telephone, e-mail, or mail
- B. Emphasizing long life and happy family when conditions are caught early and treated successfully
- C. Pointing out how inexpensive and convenient screening tests are
- D. Stressing the dangerousness of the condition if not caught early
Correct Answer: A
Rationale: The correct answer is A: Reminding clients via telephone, e-mail, or mail. This is the best way to increase attendance as it utilizes multiple communication channels to ensure clients are aware of their appointments. Reminders help reduce no-show rates by keeping the appointment fresh in their minds. Option B focuses on the benefits of early detection but does not address the issue of attendance directly. Option C emphasizes cost and convenience, but these factors may not be the primary motivators for attending appointments. Option D uses fear tactics, which may not be effective for all individuals and could lead to avoidance. Overall, option A is the most practical and effective method to increase attendance at screening test appointments.