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Using the National CLAS as a guide, which service should be offered to clients who have LEP?
- A. Availability of interpreter services at a minimal fee
- B. Language assistance in the client's preferred language
- C. Interpretation services using family members
- D. Trained interpretation within 48 hours of hospital admission
Correct Answer: B
Rationale: The correct answer is B: Language assistance in the client's preferred language. According to the National CLAS Standards, offering language assistance in the client's preferred language ensures effective communication and understanding of healthcare services. This approach respects the client's linguistic and cultural needs, promoting patient-centered care and reducing the risk of errors due to language barriers. Availability of interpreter services at a minimal fee (A) may still pose financial barriers for clients with LEP. Using family members for interpretation services (C) can compromise confidentiality, accuracy, and impartiality. Trained interpretation within 48 hours of hospital admission (D) is not timely enough for immediate healthcare needs.
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Two nurses plan to walk under a huge downtown bridge where various homeless persons live. Why
- A. Introduction of a heart-healthy curriculum beginning in the first grade, presentations on diet and
- B. Provision of online activities related to prevention of cardiac disease, smoking reduction programs,
- C. Distribution of handouts, including age-appropriate games, self-assessments, and education on heart-
- D. Enrollment of clients with CAD into cardiac rehabilitation programs, routine evaluation of
Correct Answer: A
Rationale: The correct answer is A because introducing a heart-healthy curriculum in first grade lays a strong foundation for promoting heart health early on. By educating children about diet and exercise at a young age, it instills healthy habits that can prevent cardiac disease in the future. Choice B focuses on online activities and smoking reduction programs, which may not have as significant an impact as starting heart-healthy education at a young age. Choice C mentions handouts and games, which may not be as effective as a structured curriculum. Choice D focuses on enrolling clients with CAD into rehabilitation programs, which is more reactive than proactive in preventing cardiac diseases.
Which of the following actions best represents public health nursing?
- A. Assessing the effectiveness of the large high school health clinic
- B. Caring for clients in their home following their outpatient surgeries
- C. Providing care to children and their families at the school clinic
- D. Administering follow-up care for pediatric clients at an outpatient clinic
Correct Answer: A
Rationale: The correct answer is A because assessing the effectiveness of the large high school health clinic aligns with the core principles of public health nursing. This action involves evaluating the impact of healthcare services on a population, addressing public health needs, and promoting health at a community level. Option B focuses on individual client care post-surgery, which is more aligned with home health nursing. Option C involves providing care at a school clinic, which is more focused on primary care nursing. Option D involves administering follow-up care for pediatric clients at an outpatient clinic, which is more related to pediatric nursing. Therefore, option A is the best representation of public health nursing as it involves a broader perspective on population health and healthcare services.
A principal comments to the school nurse that it seems there are a lot more problems with asthma
- A. Descriptive epidemiological study
- B. Ecological study
- C. Prospective cohort study
- D. Retrospective cohort study
Correct Answer: A
Rationale: The correct answer is A: Descriptive epidemiological study. This type of study focuses on describing and analyzing patterns of disease occurrence in a population without examining causal relationships. In this scenario, the principal is simply observing an increase in asthma cases without investigating potential causes or risk factors. Choices B, C, and D involve more specific research designs that require a more in-depth analysis of individuals over time to establish causal relationships, which is not the case here.
A visitor from Japan comes to the United States for a 2-week vacation. Which of the following best describes this person?
- A. Non-immigrant
- B. Refugee
- C. Legal immigrant
- D. Lawful permanent resident
Correct Answer: A
Rationale: The correct answer is A: Non-immigrant. This person is visiting the US temporarily for vacation, making them a non-immigrant. Non-immigrants are individuals who enter a country for a specific purpose and period, such as tourism. Choice B, refugee, refers to someone fleeing persecution, not a visitor. Choice C, legal immigrant, implies permanent residency, which is not the case for a visitor. Choice D, lawful permanent resident, indicates someone with permanent residency status, not a visitor. Choices E, F, and G are not applicable in this context.
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.