Nokea
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.
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Which outcome is a potential consequence of power imbalances in nurse-client interactions?
- A. Increased client autonomy and decision making
- B. Enhanced trust and rapport between the nurse and client
- C. Unequal treatment and compromised client autonomy
- D. Improved communication and understanding between parties
Correct Answer: C
Rationale: The correct answer is C: Unequal treatment and compromised client autonomy. Power imbalances in nurse-client interactions can lead to the nurse exerting control over the client, resulting in unequal treatment and compromised client autonomy. The nurse may make decisions on behalf of the client without considering their preferences or values, leading to a lack of autonomy for the client. This can result in the client feeling disempowered and not having their needs and preferences met. Increased client autonomy (choice A) and enhanced trust and rapport (choice B) are unlikely outcomes of power imbalances as they require a balanced and respectful relationship. Improved communication (choice D) may not necessarily occur if one party dominates the interaction.
Which action can a nurse take to cultivate mindful awareness in interactions with clients?
- A. Practicing active listening and seeking to understand the speaker's perspective without interruptions
- B. Making quick judgments and forming opinions based on automatic biases and assumptions
- C. Avoiding reflection and self-awareness to maintain a detached approach in client care
- D. Embracing a fixed mindset and resisting new information or diverse experiences
Correct Answer: A
Rationale: The correct answer is A because active listening and seeking to understand the speaker's perspective without interruptions are key components of cultivating mindful awareness. By actively listening, the nurse can fully engage with the client, demonstrate empathy, and foster a deeper connection. This approach allows the nurse to be present in the moment, reduce distractions, and avoid making assumptions or quick judgments. It promotes a non-judgmental attitude and helps the nurse to be more attuned to the client's needs and emotions. In contrast, choices B, C, and D are incorrect as they all involve behaviors that hinder mindful awareness, such as making quick judgments, avoiding reflection, and resisting new information. These actions do not promote a mindful and empathetic interaction with clients.
A nurse, concerned that unconscious bias might hinder their cultural humility in providing care to clients with backgrounds different from their own, completes the Social Identity Wheel. Which statement describes the nurse's purpose for using this assessment tool?
- A. To learn about the client's cultural identity
- B. To learn to ignore biases and focus on client care
- C. To assess how the nurse's identity influences client care
- D. To confirm that the nurse is culturally sensitive
Correct Answer: C
Rationale: The correct answer is C: To assess how the nurse's identity influences client care. The purpose of the Social Identity Wheel is for the nurse to reflect on their own identity factors (e.g., race, gender, religion) and how these aspects may impact their interactions and care delivery to clients. This self-awareness helps the nurse recognize and address any biases or assumptions that may affect their ability to provide culturally competent care.
A: To learn about the client's cultural identity - This choice focuses on the client's identity, not the nurse's, so it is not the purpose of using the Social Identity Wheel.
B: To learn to ignore biases and focus on client care - Ignoring biases is not the goal; instead, the goal is to acknowledge and address biases to improve client care.
D: To confirm that the nurse is culturally sensitive - The goal is not confirmation but self-assessment and reflection on how one's identity may impact client care.
A nurse is a member of an interdisciplinary committee whose goal is to develop a culturally and linguistically competent organization. Which action by the committee would help to meet this goal?
- A. Develop an organizational mission statement for cultural competence
- B. Encourage each department to develop a cultural competency plan
- C. Encourage employees to find ways to develop their cultural competence
- D. Hire individuals with the most work experience
Correct Answer: A
Rationale: The correct answer is A, developing an organizational mission statement for cultural competence. This is crucial as it sets the tone and direction for the entire organization's commitment to cultural and linguistic competence. It provides a clear framework and guiding principles for all activities and decisions related to this goal. Choices B and C are not sufficient on their own as they lack a cohesive and overarching strategy. Choice D is irrelevant to the goal of cultural competence. It is important to have a clear, shared vision through the mission statement to ensure alignment and accountability across all departments and individuals.
A nurse is developing a plan to decrease the number of premature deaths in the community. Which of the following interventions would most likely be implemented by the nurse?
- 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 Answer: A
Rationale: The correct answer is A, increasing community's knowledge about hospice care. This intervention addresses end-of-life care, which can reduce premature deaths by ensuring appropriate care for terminally ill individuals. Choice B promotes general health but may not directly impact premature deaths. Choice C focuses on workplace wellness, not community-wide health. Choice D addresses medical treatment but may not prevent premature deaths. Overall, choice A is the most relevant intervention to address premature deaths by improving end-of-life care knowledge in the community.