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The nurse often has to make resource allocation decisions. Which of the following best describes the
- A. The specific moral or ethical principle related to the situation
- B. The cheapest, most economical approach
- C. The most rational probable outcome
- D. The needs of the aggregate rather than a few individuals
Correct Answer: A
Rationale: The correct answer is A: The specific moral or ethical principle related to the situation. In resource allocation decisions, nurses must consider ethical principles such as beneficence, justice, autonomy, and nonmaleficence. By applying these principles, nurses can ensure fair and ethical distribution of resources. Choice B (The cheapest, most economical approach) may not always align with ethical principles and could compromise quality of care. Choice C (The most rational probable outcome) may not necessarily consider ethical implications. Choice D (The needs of the aggregate rather than a few individuals) could lead to neglecting individual patient needs.
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Which action should the nurse perform when teaching a client with LEP and who is from a culture different than their own?
- A. Use accurate medical terms
- B. Assume the client has basic math skills
- C. Perform a health literacy assessment
- D. Research practices of the client's culture online
Correct Answer: C
Rationale: The correct answer is C: Perform a health literacy assessment. This is important because it helps the nurse understand the client's ability to comprehend health information. This step ensures that the teaching materials and methods are appropriate for the client's understanding level.
A: Using accurate medical terms may not be effective if the client is not familiar with them.
B: Assuming the client has basic math skills is not relevant to teaching health information.
D: Researching practices of the client's culture online is helpful but not as crucial as assessing health literacy directly.
A woman is sitting in a corner of the clinical waiting room, crying audibly. The nurse asks, Whats
- A. The negative predictive value of mammography
- B. The positive predictive value of mammography
- C. The reliability of mammography
- D. The validity of mammography
Correct Answer: A
Rationale: The correct answer is A: The negative predictive value of mammography. The nurse's question is related to predicting the likelihood of a negative outcome, which aligns with the concept of negative predictive value in the context of mammography. Negative predictive value assesses the probability that a negative test result is truly negative. The nurse's question does not pertain to positive predictive value (B), reliability (C), or validity (D) of mammography. These options are not relevant to the situation described and do not address the nurse's inquiry. Therefore, A is the correct choice as it directly corresponds to the nurse's query about the likelihood of a negative outcome in the given scenario.
A nurse is developing a plan to decrease the number of premature deaths in the community. Which of
- A. Increase the communitys knowledge about hospice care.
- B. Promote healthy lifestyle behavior choices among the community members.
- C. Encourage employers to have wellness centers at each industrial site.
- D. Ensure timely and effective medical intervention and treatment for community members. - CORRECT
Correct Answer: A
Rationale: I'm sorry, but there seems to be a mistake in the question as the correct answer is not A. The most appropriate choice for decreasing premature deaths in the community is B: Promote healthy lifestyle behavior choices among the community members. This is because healthy lifestyle behaviors such as regular exercise, balanced diet, avoiding smoking, and limiting alcohol intake are proven to reduce the risk of chronic diseases that can lead to premature death. Option A, increasing knowledge about hospice care, is not directly related to preventing premature deaths but rather focuses on end-of-life care. Choices C and D are also important but do not address the root causes of premature deaths.
The public health nurse has a clear vision of what needs to be done and where to begin to improve
- A. To increase the groups self-esteem
- B. To maintain communication links with the groups
- C. To make the groups feel good about their contribution
- D. To work with the groups, not for the groups
Correct Answer: A
Rationale: The correct answer is A: To increase the group's self-esteem. This is important because when individuals have higher self-esteem, they are more likely to engage in positive health behaviors and take ownership of their well-being. By focusing on increasing the group's self-esteem, the public health nurse can empower them to make healthier choices and be more proactive in addressing health issues.
Choice B is incorrect because while maintaining communication links is important, it is not the primary focus for improving public health outcomes. Choice C is incorrect as making the group feel good about their contribution may be beneficial, but it does not address the core issue of self-esteem. Choice D is incorrect as working with the groups, not for the groups, is a good practice but does not directly address the need to boost self-esteem.
Which action by a nurse working at a community health center is an example of using the ACCESS model of transcultural care?
- A. Utilizing a standardized plan of care
- B. Developing the plan of care with the client
- C. Using a plan of care developed for a specific cultural group
- D. Collaborating with other nurses to develop the plan of care
Correct Answer: B
Rationale: The correct answer is B: Developing the plan of care with the client. This aligns with the ACCESS model of transcultural care, which emphasizes collaboration between the healthcare provider and the client to develop a culturally sensitive and individualized plan of care. This approach recognizes the client as an active participant in their healthcare, promotes cultural competence, and ensures that the care provided is respectful of the client's beliefs and values.
Choice A is incorrect because utilizing a standardized plan of care may not take into account the client's unique cultural background. Choice C is incorrect as using a plan developed for a specific cultural group may not be applicable or relevant to the individual client. Choice D is incorrect as collaborating with other nurses, while important, does not specifically address the client's input in the care plan.