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Which environmental health activity would the nurse perform while engaged in the core public health function of assurance?
- A. Educating the community about the need to boil contaminated drinking water
- B. Collecting data about health issues related to contaminated drinking water
- C. Developing polices to regulate the discharge of pollutants into the waterways
- D. Assessing measures to reduce exposure to contaminated water
Correct Answer: D
Rationale: The correct answer is D: Assessing measures to reduce exposure to contaminated water. This activity falls under the assurance function as it involves ensuring that appropriate measures are in place to protect the community from health risks associated with contaminated water. By assessing these measures, the nurse is actively working to reduce the community's exposure to harmful contaminants, thereby fulfilling the role of assuring the public's health.
A: Educating the community about the need to boil contaminated drinking water falls under the core function of education rather than assurance.
B: Collecting data about health issues related to contaminated drinking water is a part of the assessment function, not assurance.
C: Developing policies to regulate the discharge of pollutants into the waterways is more aligned with the policy development function rather than assurance.
In summary, the correct answer focuses on actively evaluating and implementing measures to reduce exposure to contaminated water, which directly contributes to the assurance function of environmental health.
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A nurse successfully persuades an obese client to perform a weekly weigh-in at homeusing a digital scale and record the weight in a log. This strategy is an example of:
- A. Telehealth
- B. Health information technology
- C. Personal responsibility for health
- D. Evidenc
Correct Answer: C
Rationale: The correct answer is C, "Personal responsibility for health." This is because by persuading the client to monitor and record their weight at home, the nurse is empowering the client to take ownership of their health and actively participate in managing their weight. This strategy encourages the client to be accountable for their health outcomes and promotes self-care. Option A, "Telehealth," is incorrect because it refers to the delivery of healthcare services through technology, not necessarily personal responsibility. Option B, "Health information technology," is also incorrect as it pertains to the use of technology to manage health information, not about individual responsibility. Option D is cut off, but if it were "Evidence-based practice," it would be incorrect as it does not directly relate to the client's responsibility for their health.
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
- A. Your desire to be an organ donor must be documented in writing
- B. Performing a physical examination of an ill client
- C. Providing treatment and health education to a client with a disease
- D. Giving some of their own surplus clothes to those who can use them
Correct Answer: A
Rationale: The correct answer is A because organ donation requires documented consent to ensure the individual's wishes are respected. This documentation is crucial for legal and ethical reasons. Choice B is incorrect as it pertains to conducting a physical examination, not related to organ donation. Choice C focuses on treatment and health education, not addressing the client's inquiry about organ donation. Choice D involves donating clothes, which is unrelated to organ donation. Therefore, A is the correct response as it addresses the client's query about organ donation by emphasizing the need for written documentation.
A nurse in a family practice clinic is screening an adolescent client for idiopathic scoliosis. Which of the following assessments should the nurse perform as part of this screening?
- A. Measure the truncal rotation
- B. Administered 8 u regular insulin sq
- C. Determine if the stockings are binding
- D. Arrange for an ethics committee meeting
Correct Answer: A
Rationale: The correct answer is A: Measure the truncal rotation. When screening for idiopathic scoliosis, assessing truncal rotation is essential as it helps in detecting the presence of spinal curvature. Truncal rotation is a key indicator of scoliosis as the spine rotates along with the curvature. This assessment involves observing the symmetry of the shoulders and scapulae, which can indicate spinal rotation. Therefore, measuring truncal rotation is a crucial step in identifying potential scoliosis in adolescents.
Summary:
B: Administered 8 u regular insulin sq - Irrelevant to scoliosis screening, this is related to diabetes management.
C: Determine if the stockings are binding - Irrelevant to scoliosis screening, this is related to circulation issues.
D: Arrange for an ethics committee meeting - Irrelevant to scoliosis screening, this is related to ethical considerations in healthcare.
The nurse is developing a PICOT question to study methods to promote smoking cessation in high school students in a rural community. Which statement identifies the targeted population?
- A. The rural community
- B. Community members who smoke
- C. All high school students in the community
- D. High school students in the rural community who smoke
Correct Answer: D
Rationale: The correct answer is D because it specifically identifies the targeted population as high school students in the rural community who smoke, which aligns with the study's focus on smoking cessation in this specific group. Choice A is too broad, choice B includes all community members who smoke, choice C includes all high school students without specifying smoking status. By choosing D, the nurse can focus on a more precise and relevant population for the study.
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.