Nokea
What would be the best community health nurse (CHN) referral for a physically and mentally challenged older person who wants to continue living with her family but whose family members are all working outside the home?
- A. Adult daycare services
- B. Home health care
- C. Long-term care
- D. Elder centres
Correct Answer: A
Rationale: The correct answer is A: Adult daycare services. This option allows the older person to receive care and supervision during the day while her family members are at work, ensuring her safety and well-being. It also allows her to continue living with her family, promoting social interaction and community involvement.
Summary of other choices:
B: Home health care may not be suitable as it may not provide adequate supervision and social interaction during the day.
C: Long-term care is not necessary if the older person can continue living with her family.
D: Elder centres may not provide the necessary supervision and care during the day when the family members are at work.
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A community health nurse (CHN) states, "The best way to treat clients from other countries is to care for them the same way we would want to be cared for ourselves. After all, we are all human beings with the same expectations and needs." What response does this statement exemplify?
- A. Cultural awareness
- B. Cultural blindness
- C. Cultural knowledge
- D. Cultural preservation
Correct Answer: B
Rationale: The correct answer is B: Cultural blindness. This statement exemplifies cultural blindness because it ignores the importance of cultural differences and assumes that everyone has the same expectations and needs. Cultural awareness (A) involves recognizing and respecting cultural differences. Cultural knowledge (C) involves understanding different cultures. Cultural preservation (D) involves protecting and maintaining cultural traditions. In this case, the statement demonstrates a lack of awareness and sensitivity to cultural diversity, making it an example of cultural blindness.
A group member who has exhibited an angry emotional outburst tearfully apologizes to the group for being "hateful." The group leader responds, "I believe I speak for all of us when I say that you did not appear hateful. You just appeared to be passionate about your beliefs." In this scenario, which of the following behaviours is the group leader exhibiting?
- A. Analyzing
- B. Clarifying
- C. Evaluating
- D. Reflecting
Correct Answer: D
Rationale: The correct answer is D: Reflecting. The group leader is reflecting by restating the group member's emotions and behaviors back to them in a non-judgmental manner. This helps the group member feel understood and validated. Analyzing (A) involves breaking down information, clarifying (B) involves making things clearer, and evaluating (C) involves making judgments or assessments. In this scenario, the group leader is not doing any of those actions, but rather reflecting back the group member's emotions.
What would be the best choice for the nurse researcher who wishes to identify the long-term benefits and risks of a treatment for hyperlipidemia?
- A. A cross-sectional study
- B. An ecological study
- C. A clinical trial
- D. A retrospective analysis
Correct Answer: C
Rationale: The correct answer is C: A clinical trial. Clinical trials are designed to assess the long-term benefits and risks of a treatment by monitoring participants over an extended period. They involve randomization, control groups, and follow-up assessments, making them ideal for determining treatment effectiveness.
A: A cross-sectional study only provides a snapshot of data at a single point in time and does not track long-term outcomes.
B: An ecological study examines population-level data and may not provide individual-level insights on long-term benefits and risks of a treatment.
D: A retrospective analysis looks at past data and may not adequately capture the long-term effects of a treatment compared to a prospective study like a clinical trial.
Which statement made by a parent indicates a need for more education about child abuse?
- A. "I have stopped slapping my child, and I am learning to count to 10 before reacting."
- B. "I never spank or hit my children; I yell at them to stop being stupid, and if they don't, I tell them that the boogeyman will steal them away at night if they don't obey."
- C. "I use 'time out' when my child acts out or is naughty. Sometimes, my child doesn't cope well with this, but I am persistent."
- D. "When my child misbehaves, I distract him and try to focus his attention on other things. If he throws a tantrum, I just pick him up and leave the store or show or wherever we may be."
Correct Answer: B
Rationale: The correct answer is B because the parent's statement indicates emotional abuse through threats of harm and fear tactics. Yelling and using scare tactics like the boogeyman can have long-lasting negative effects on a child's emotional well-being, leading to anxiety and insecurity.
Choice A shows progress in managing anger and using positive discipline techniques. Choice C demonstrates a parent trying to use a common discipline method, although the child's coping difficulties may need further support. Choice D shows a parent using distraction and removal techniques, which are generally considered appropriate strategies for managing tantrums.
After surviving a house fire, a 5-year-old begins sucking their thumb and wetting their bed. What would be the best community health nurse (CHN) intervention?
- A. Explain to the child that it is important to be strong and not act like a baby.
- B. Reassure the family that this behaviour is a normal reaction to a traumatic experience.
- C. Recommend admission into a hospital for psychological counselling.
- D. Recommend behaviour therapy to treat regression.
Correct Answer: B
Rationale: The correct answer is B because reassurance to the family that the child's behaviors are normal reactions to trauma is crucial. This approach validates the child's feelings and provides support. Choice A is incorrect as it may shame the child for their coping mechanisms. Choice C is unnecessary and may not be indicated unless the child's mental health is severely impacted. Choice D is premature as it suggests a specific treatment without first addressing the underlying emotional needs of the child.