Nokea
The school nurse is working on a campaign in the school to prevent adolescent pregnancies. Which of the following interventions should the nurse implement?
- A. Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases.
- B. Tell the teenagers they should abstain from sex until they are old enough to cope with the potential consequences such as an unwanted pregnancy.
- C. Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early.
- D. Offer all teenagers free condoms when they come in for physical exams.
Correct Answer: A
Rationale: Education on safe sex, contraception, and sexually transmitted diseases is essential in preventing adolescent pregnancies.
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When providing preoperative teaching for a client who will be undergoing total knee arthroplasty, the nurse asks the client questions to assess his understanding of the surgery. Which type of ethics is the nurse implementing?
- A. Duty-based ethics
- B. Normative ethics
- C. Metaethics
- D. Preventive ethics
Correct Answer: D
Rationale: Preventive ethics ensures that the client understands the surgery beforehand, reducing ethical issues before the procedure.
Health promotion intervention: Who benefits most?
- A. "I have a new grandchild and want to be part of her life."
- B. "My mother lived until she was 90, so a long life is in my genes."
- C. "Some chronic illness is just a part of aging."
- D. "I hope I’ll live a lot longer, but one never knows."
Correct Answer: A
Rationale: Motivation to adopt a healthy lifestyle is essential for successful health promotion interventions.
A nurse is working with a community to raise awareness about lead poisoning. Why is the nurse performing this action?
- A. It is a moral responsibility.
- B. It is the role of the nurse.
- C. It is an ethical responsibility.
- D. It is the right thing to do.
Correct Answer: C
Rationale: Raising awareness about public health risks, such as lead poisoning, is an ethical responsibility of nurses.
A system used to evaluate the necessity, appropriateness, and efficiency of the use of the health care system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as:
- A. Managed care
- B. Gate keeping
- C. Utilization review
- D. Capitation
Correct Answer: C
Rationale: Utilization review evaluates healthcare usage to minimize unnecessary treatments and reduce costs.
A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:
- A. Administering and reading the purified protein derivative (PPD) of all close contacts
- B. Providing direct observed therapy (DOT) for the individual with TB
- C. Isolating the person because it is likely drug resistant
- D. Telling the person to wear a mask when leaving the home
Correct Answer: B
Rationale: Direct observed therapy (DOT) ensures the patient takes the full course of medication, preventing the spread of TB.